Global: ^ABSPE

FileMan FileNo	FileMan Filename	Package
9002313.7	ABSP ELIGIBILITY	Pharmacy Point of Sale

Package	Total	Routines
Pharmacy Point of Sale	2	ABSPDR ABSPOSH4

Package	Total	Routines
Pharmacy Point of Sale	5	ABSP5E1 ABSPDE1 ABSPOSAE ABSPOSE1 ABSPOSE2

Package	Total	FileMan Files
Pharmacy Point of Sale	1	ABSP INSURER(#9002313.4)[.02]
Registration	1	VA PATIENT(#2)[.01]

Fields, Total: 41

Field #	Name	Loc	Type	Details
.01	PATIENT NAME	0;1	POINTER TO VA PATIENT FILE (#2)	**********************REQUIRED FIELD********************** VA PATIENT(#2) INPUT TRANSFORM: `S DINUM=X` LAST EDITED: `OCT 25, 2005` DESCRIPTION: Patient Name - pointer to the VA patient file NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` CROSS-REFERENCE: `9002313.7^B` 1)= S ^ABSPE("B",$E(X,1,30),DA)="" 2)= K ^ABSPE("B",$E(X,1,30),DA)
.02	ELECTRONIC PAYER	0;2	POINTER TO ABSP INSURER FILE (#9002313.4)	ABSP INSURER(#9002313.4) LAST EDITED: `OCT 20, 2005` DESCRIPTION: This field may be used to store which insurer the E1 was last submitted to on behalf of the patient. For Medicare Part D it will not be used.
.03	DATE/TIME LAST SENT	0;3	DATE	INPUT TRANSFORM: `S %DT="ESTX" D ^%DT S X=Y K:Y<1 X` LAST EDITED: `OCT 20, 2005` DESCRIPTION: Date and time the E1 was last sent for this patient.
112	TRANSACTION RESPONSE STATUS	RSTSSG;1	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>1!($L(X)<1) X` LAST EDITED: `OCT 20, 2005` HELP-PROMPT: `Answer must be 1 character in length.` DESCRIPTION: Code indicating the status of the transaction. This field is a mandatory field for the NPCPD 5.1 response message, and it will reside on the response status segment.
301	GROUP ID	TINSSG;6	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>15!($L(X)<15) X` LAST EDITED: `OCT 20, 2005` HELP-PROMPT: `Answer must be 15 characters in length.` DESCRIPTION: ID assigned to the cardholder group or employer group. This is an optional field that appears within the insurance segment of the transmission.
301.01	RESPONSE GROUP ID	RINSSG;1	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>15!($L(X)<1) X` LAST EDITED: `OCT 20, 2005` HELP-PROMPT: `Answer must be 1-15 characters in length.` DESCRIPTION: `ID assigned to the cardholder group or employer group. This field's number should truly be 301, but since the same field is used for the transmission and the response, and we need to keep them separately, the .01 was` added to the response group id. This field is an optional field, and when it is returned on the response, it will appear on the insurance segment.
302	CARDHOLDER ID	TINSSG;1	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>20!($L(X)<18) X` LAST EDITED: `OCT 20, 2005` HELP-PROMPT: `Answer must be 18-20 characters in length.` DESCRIPTION: Insurance ID assigned to the cardholder. This is an optional field that appears within the insurance segment of the transmission.
303	PERSON CODE	TINSSG;7	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>3!($L(X)<3) X` LAST EDITED: `OCT 20, 2005` HELP-PROMPT: `Answer must be 3 characters in length.` DESCRIPTION: Code assigned to a specific person within a family. This is an optional field that appears within the insurance segment of the transmission.
304	DATE OF BIRTH	TPATSG;3	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>8!($L(X)<8) X` LAST EDITED: `OCT 20, 2005` HELP-PROMPT: `Answer must be 8 characters in length.` DESCRIPTION: Date of Birth of the patient. This is an optional field that appears on the patient segment of the transmission.
305	PATIENT GENDER CODE	TPATSG;4	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>1!($L(X)<1) X` LAST EDITED: `OCT 20, 2005` HELP-PROMPT: `Answer must be 1 character in length.` DESCRIPTION: Code indicating the gender of the individual. This is an optional field that appears on the patient segment of the transmission.
306	PATIENT RELATIONSHIP CODE	TINSSG;8	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>1!($L(X)<1) X` LAST EDITED: `OCT 20, 2005` HELP-PROMPT: `Answer must be 1 character in length.` DESCRIPTION: Code indicating relationship of patient to cardholder. This is an optional field that may appear on the insurance segment of the transmission.
310	PATIENT FIRST NAME	TPATSG;5	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>12!($L(X)<12) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 12 characters in length.` DESCRIPTION: Individual first name. When required by the processor this field will appear within the patient segment.
311	PATIENT LAST NAME	TPATSG;6	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>15!($L(X)<15) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 15 characters in length.` DESCRIPTION: Individual last name. When required by the processor, this field will be included in the patient segment of the transmission.
312	CARDHOLDER FIRST NAME	TINSSG;2	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>14!($L(X)<1) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 1-14 characters in length.` DESCRIPTION: Indiviual first name. (May not be the same as patient first name.) When required by the processor, this field will appear on the insurance segment of the transmission.
313	CARDHOLDER LAST NAME	TINSSG;3	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>17!($L(X)<1) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 1-17 characters in length.` DESCRIPTION: Individual last name. (May not be the same as the patient last name.) When required by the processor, this field will appear on the insurance segment of the transmission.
314	HOME PLAN	TINSSG;4	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>5!($L(X)<1) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 1-5 characters in length.` DESCRIPTION: `Code identifying the Blue Cross or Blue Shield plan ID which indicates where the member's coverage has been designated. Usually where the member lives or purchased their coverage. When required by the processor, this` field will appear on the insurance segment of the transmission.
322	PATIENT STREET ADDRESS	TPATSG;7	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>32!($L(X)<1) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 1-32 characters in length.` DESCRIPTION: Free-form text for address information. When required by the processor this field will appear on the patient segment of the transmission.
323	PATIENT CITY ADDRESS	TPATSG;8	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>22!($L(X)<1) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 1-22 characters in length.` DESCRIPTION: Free-form text for city name. When this field is required by the processor, it will appear on the patient segment of the transmission.
324	PATIENT STATE/PROVINCE ADDRESS	TPATSG;9	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>4!($L(X)<1) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 1-4 characters in length.` DESCRIPTION: Standard State/Province Code as defined by appropriate government agency. When required by the processor, it will appear on the patient segment of the transmission.
325	PATIENT ZIP/POSTAL ZONE	TPATSG;10	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>15!($L(X)<1) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 1-15 characters in length.` DESCRIPTION: Code defining international postal zone excluding punctuation and blanks (zip code for US). When required by the processor, this field will appear on the patient segment of the transmission.
326	PATIENT PHONE NUMBER	TPATSG;11	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>10!($L(X)<10) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 10 characters in length.` DESCRIPTION: Ten digit phone number of patient. When required by the processor this field will appear on the patient segment of the transmission.
331	PATIENT ID QUALIFIER	TPATSG;1	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>2!($L(X)<2) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 2 characters in length.` DESCRIPTION: `Code qualifying the "Patient ID" - field 332-CY. Values for this field include: blank = not specified; 01 = social security number; 02 = driver's license number; 03 = U.S. military id; and 99 = other. Whe required by` the processor, this field will appear on the patient segment of the transmission.
332	PATIENT ID	TPATSG;2	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>20!($L(X)<20) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 20 characters in length.` DESCRIPTION: ID assigned to the patient. Used in conjunction with the 331-CX field. When required by the processor, this field will appear on the patient segment of the transmission.
333	EMPLOYER ID	TPATSG;12	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>15!($L(X)<15) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 15 characters in length.` DESCRIPTION: ID assigned to employer. When required, this field will appear on the patient segment of the transmission.
503	AUTHORIZATION NUMBER	RSTSSG;2	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>20!($L(X)<14) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 14-20 characters in length.` DESCRIPTION: Number assigned by the processor to identify an authorized transaction. When returned by the processor, it will appear on the response status segment of the response.
504	MESSAGE	RMSGSG;1	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>250!($L(X)<1) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 1-250 characters in length.` DESCRIPTION: Free form message. When returned by the processor, this field will reside on the response message segment.
510	REJECT COUNT	RSTSSG;3	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>2!($L(X)<2) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 2 characters in length.` DESCRIPTION: `Count of "reject code" (511-FB) occurences. When returned by the processor, this field will appear on the response status segment. This field is used in conjunction with the 511 rejection mulitple that stores the` rejection codes.
511	REJECT CODE(S)	511;0	Multiple #9002313.7511	9002313.7511
524	PLAN ID	TINSSG;5	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>8!($L(X)<8) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 8 characters in length.` DESCRIPTION: `Assigned by the processor to idenify a set of parameters, benefit, or coverage criteria used to adjudicate a claim. For the E1, this may help to identify the patient's insurance plan for proper patient matching. When` required by the processor, this field will appear on the insurance segment of the transmission.
524.01	RESPONSE PLAN ID	RINSSG;2	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>8!($L(X)<8) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 8 characters in length.` DESCRIPTION: `Assigned by the processor to identify a set of parameters, benefit, or coverage criteria used to adjudicate a claim. For the E1 this may be used to help fully identify the patient. This plan id is really field 524, but` because the field is used for transmission and response, we had to increase the field number for the response to 524.01.
526	ADDITIONAL MESSAGE INFORMATION	526;1	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>250!($L(X)<1) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 1-250 characters in length.` DESCRIPTION: Free text message. When returned by the processor, this field will appear on the response status segment.
545	NETWORK REIMBURSEMENT ID	RINSSG;3	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>10!($L(X)<1) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 1-10 characters in length.` DESCRIPTION: `Field defined by the processor. It identifies the network, for the covered member, used to calculate the reimbursement to the pharmacy. If this field is returned as part of the E1, it will appear on the response status` segment.
547	APPROVED MESSAGE CODE COUNT	RSTSSG;4	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>1!($L(X)<1) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 1 character in length.` DESCRIPTION: `Count of the "Approved Message Code" (548-6F) occurrences. This field is used in conjunction with the 548 multiple which will store the actual occurences. When returned by the processor, this field will appear on the` response status segment.
548	APPROVED MESSAGE CODE	548;0	Multiple #9002313.7548	9002313.7548
549	HELP DESK PHONE NUMBER QUAL	RSTSSG;5	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>2!($L(X)<1) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 1-2 characters in length.` DESCRIPTION: `Code qualifying the phone number in te "Help Desk Phone Number" (550-8F) Possible values for this field are: blank - not specified; 01 - switch; 02 - intermediary; 03 - processor/PBM; 99 - other. When returned by the` processor, it will appear within the response status segment.
550	HELP DESK PHONE NUMBER	RSTSSG;6	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>18!($L(X)<1) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 1-18 characters in length.` DESCRIPTION: Ten digit phone number of the help desk. This field is used in conjunction with the help desk phone number qualifier. When returned by the processor, this field appears on the response status segment.
568	PAYER ID QUALIFIER	RINSSG;4	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>2!($L(X)<1) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 1-2 characters in length.` DESCRIPTION: `Code indicating the type of payer ID (used in conjunction with the 569-J8 Payer ID field). Possible values for this field are: blank - not specified; 01 - national payer id; 02 - health industry number (HIN); 03 - bank` information number (BIN); 04 - National Association of Insurance Commissioners (NAIC); 99 - other. When returned by the processor, this field will appear in the insurance segment of the response.
569	PAYER ID	RINSSG;5	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>10!($L(X)<1) X` LAST EDITED: `OCT 21, 2005` HELP-PROMPT: `Answer must be 1-10 characters in length.` DESCRIPTION: ID of the payer. This field is used in conjunction with the Payer ID Qualifier (568-J7) field. When returned by the processor, this field will be on the insurance segment of the response.
1000	TRANSMISSION RAW DATA TRANS	TRANS;0	WORD-PROCESSING #9002313.798
2000	RESPONSE RAW DATA	RESP;0	WORD-PROCESSING #9002313.799
9999999	RESPSTS	RESPSTS;1	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>90!($L(X)<1) X` LAST EDITED: `JUN 26, 2012` HELP-PROMPT: `Answer must be 1-90 characters in length.` DESCRIPTION: This field will be used to help record the response status - this will help us when there is an error in the transmission/response.

Customize PDF page

Package: Pharmacy Point of Sale

Global: ^ABSPE

Information

Description

Directly Accessed By Routines, Total: 2

Accessed By FileMan Db Calls, Total: 5

Pointer To FileMan Files, Total: 2

Fields, Total: 41