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Sub-Field: 52.0107

Package: Outpatient Pharmacy

PRESCRIPTION(#52)-->52.0107

Sub-Field: 52.0107


Information

Parent File Name Number Package
PRESCRIPTION(#52) COPAY ACTIVITY LOG 52.0107 Outpatient Pharmacy

Details

Field # Name Loc Type Details
.01 COPAY ACTIVITY LOG 0;1 DATE

  • INPUT TRANSFORM:  S %DT="ET" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  AUG 30, 2001
  • HELP-PROMPT:  Enter the date the Activity occurred (No range limit on date).
  • DESCRIPTION:  
    This is the date when activity occurred.
  • TECHNICAL DESCR:  
    Date (Multiply asked)
1 REASON 0;2 SET
  • 'A' FOR ANNUAL CAP REACHED;
  • 'R' FOR RESET COPAY STATUS;
  • 'I' FOR IB-INITIATED CHARGE;
  • 'C' FOR REMOVE COPAY CHARGE;
  • 'E' FOR RX EDIT;

  • LAST EDITED:  OCT 17, 2001
  • HELP-PROMPT:  Enter code to indicate copay activity taking place for this prescription.
  • DESCRIPTION:  What was done to cause the copay activity to occur. 'A' will indicate that the Annual Copay Cap was reached for a patient when this prescription was released. 'R' will indicate that the prescription's copay status was
    reset due to a patient eligibility, copay exemption status change, etc.  'I' will indicate that a copay change was initiated by the Integrated Billing application and not through the release function. 'C' is for
    cancellation of existing copay charges. 'E' is copay edited, e.g. the Days Supply is changed.
  • TECHNICAL DESCR:  What was done to cause the copay activity to occur. 'A' will indicate that the Annual Copay Cap was reached for a patient when this prescription was released. 'R' will indicate that the prescription's copay status was
    reset due to a patient eligibility, copay exemption status change, etc.  'I' will indicate that a copay change was initiated by the Integrated Billing application and not through the release function. 'C' is for
    cancellation of existing copay charges. 'E' is copay edited, e.g. the Days Supply is changed.
2 INITIATOR OF COPAY ACTIVITY 0;3 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  AUG 29, 2001
  • DESCRIPTION:  
    The name of the person responsible for the copay activity.
3 RX REFERENCE 0;4 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>11)!(X<0)!(X?.E1"."1.N) X
  • LAST EDITED:  AUG 29, 2001
  • HELP-PROMPT:  Type a number between 0 and 11, 0 Decimal Digits
  • DESCRIPTION:  This field is used to indicate which fill corresponds to the copay activity.
    .
  • TECHNICAL DESCR:  
    0 indicates the original fill and 1-11 indicates refills.
4 COMMENT 0;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>75!($L(X)<1) X
  • LAST EDITED:  AUG 29, 2001
  • HELP-PROMPT:  Answer must be 1-75 characters in length
  • DESCRIPTION:  
    Additional information will be entered here to detail why the copay activity occurred.
5 OLD VALUE 0;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
  • LAST EDITED:  AUG 29, 2001
  • HELP-PROMPT:  Answer must be 1-25 characters in length
  • DESCRIPTION:  
    This field is used to show the old copay status value for the prescription if the reason for the copay activity is set to 'R' 'Reset Copay Status'.
  • TECHNICAL DESCR:  
    Enter the old Rx copay status value.  Answer must be 1-25 characters in length.
6 NEW VALUE 0;7 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
  • LAST EDITED:  AUG 29, 2001
  • HELP-PROMPT:  Answer must be 1-25 characters in length
  • DESCRIPTION:  
    This field is used to show the new copay status value for the prescription if the reason for the copay activity is set to 'R' 'Reset Copay Status'.
  • TECHNICAL DESCR:  
    Enter the new Rx copay status value.  Answer must be 1-25 characters in length.
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