============================================================================= Run Date: JAN 15, 2019 Designation: BPS*1*24 Package : BPS - E CLAIMS MGMT ENGINE Priority: Mandatory Version : 1 SEQ #22 Status: Released Compliance Date: FEB 15, 2019 ============================================================================= Associated patches: (v)BPS*1*23 <<= must be installed BEFORE `BPS*1*24' Subject: MCCF EDI TAS EPHARMACY BUILDS 5 & 6 Category: - Enhancement (Mandatory) - Routine - Data Dictionary Description: ============ This patch has enhancements that extend the capabilities of the Veterans Health Information Systems and Technology Architecture (VistA) electronic pharmacy (ePharmacy) billing system. Below is a list of all the applications involved in this project along with their patch numbers: APPLICATION/VERSION PATCH --------------------------------------------------------------- OUTPATIENT PHARMACY (OP) V. 7.0 PSO*7*512 ELECTRONIC CLAIMS MANAGEMENT ENGINE (ECME) V. 1.0 BPS*1*24 INTEGRATED BILLING (IB) V. 2.0 IB*2*617 PHARMACY DATA MANAGEMENT V. 1.0 PSS*1.0*214 All four of these patches are being released via Kernel Installation and Distribution System (KIDS) multi-build distribution. KIDS multi-build name: BPS PSO IB PSS BUNDLE 12.0 KIDS Host File name: BPS_1_24_PSO_IB_PSS.KID This patch contains the following functionality: --------------------------------------------------------- 1. The action OCN Open/Close Non-Billable Entry action will now allow the user to select multiple claims. 2. Several enhancements are being made to these ECME reports: Payable Claims; Reversal Claims; Claims Submitted, Not Yet Released; Closed Claims; and Non-Billable Status. The enhancements include: - Three new filter questions are being added - Several of the existing filter questions are being modified to allow the selection of one, many, or all - The report headings are being modified to accommodate the new fields - Several header fields are being modified to display ALL or SELECTED - The Excel report is being modified to add new fields, truncate some fields, delete some fields - The Excel capture instructions are being reworded 3. The filter questions for the ECME reports listed in #2, above, are being modified to allow the user to delete a previously selected entry for the multi-selection prompts. 4. The activity log section of View Prescription and the ECME Log Label are being modified to replace "BILLING QUANTITY SUBMITTED" with "QUANTITY SUBMITTED ON CLAIM". The LOG Action (Claim Log) on the ECME User Screen is being modified to replace "NCPDP Qty" with "Quantity Submitted on Claim" and to replace "Billed Qty" with "Rx Qty". 5. The system will be updated to support new and modified data elements from the National Council for Prescription Drug Programs (NCPDP) Implementation Guide versions published through October 2017. 6. Third Party Joint Inquiry (TPJI), the Reject Information screen, and the ECME User Screen claim log will be modified to display additional field(s). Patch Components: ----------------- Files & Fields Associated: File Name (#) New/Modified/ Sub-File Name (#) Field Name (Number) Deleted ------------------- --------------------------------- ------------- BPS CLAIMS (#9002313.02) TRANSACTIONS (sub-file) (#9002313.0201) OTHER PAYER PROGRAM TYPE (#2147) New OTHER PAYER RECONCILIATION ID (#2149) New BENEFIT STAGE INDICATOR COUNT (#2150) New BENEFIT STAGE INDICATOR (#2151) New COMPOUND LEVEL OF COMPLEXITY (#2160) New LTPAC BILLING METHODOLOGY (#2190) New LTPAC DISPENSE FREQUENCY (#2191) New NUMBER OF LTPAC DISPENSING EVE (#2192) New PREPARATION ENVIRONMENT CODE (#2198) New PREPARATION ENVIRONMENT TYPE (#2199) New PRESCRIBER DEA NUMBER (#2201) New TOTAL PRESCRIBED QUANTITY RE (#2202) New SUBROGATION AMOUNT REQUESTED (#2214) New SUBMISSION TYPE CODE COUNT (#2216) New SUBMISSION TYPE CODE (#2217) New DO NOT DISPENSE BEFORE DATE (#2218) New MULTIPLE RX/SVC GROUP ID (#2221) New MULTI RX/SVC GROUP REASON CODE (#2222) New OTHER PAYR TAX EXEMPT INDICATR (#2251) New OTHER PAYR FEE EXMPT INDICATR (#2252) New OTHER PAYR FEE TYPE COUNT (#2253) New PRESCRIBER PLACE OF SERVICE (#2257) New REGULATORY FEE COUNT (#2260) New REGULATORY FEE TYPE CODE (#2261) New OTHER PAYER FEE TYPE CODE (#2263) New COB OTHER PAYMENTS (sub-file) (#9002313.0401) OTHER PAYER RECONCILIATION ID (#2149) New BPS RESPONSES (#9002313.03) RESPONSES (sub-file) (#9002313.0301) MAXIMUM AGE QUALIFIER (#931) New MAXIMUM AGE (#932) New MAXIMUM AMOUNT (#933) New MAXIMUM AMOUNT QUALIFIER (#934) New MAXIMUM AMOUNT TIME PERIOD (#935) New MAX AMT TIME PERIOD START DATE (#936) New MAX AMT TIME PERIOD END DATE (#937) New MAX AMT TIME PERIOD UNITS (#938) New MINIMUM AGE QUALIFIER (#943) New MINIMUM AGE (#944) New OTHER PAYER PROGRAM TYPE (#2147) New BENEFIT STAGE INDICATOR COUNT (#2150) New BENEFIT STAGE INDICATOR (#2151) New BENEFIT TYPE OPPORTUNITY (#2158) New BENEFIT TYPE OPPORTUNITY COUNT (#2159) New HELP DESK BUS UNIT TYPE (#2166) New HELP DESK BUS UNIT TYPE COUNT (#2167) New HELP DESK CONTACT INFORMATION (#2168) New HELP DESK CONTACT INFO EXT (#2169) New HELP DESK CONTACT INFO QUAL (#2170) New HELP DESK SUPPORT TYPE (#2171) New HELP DESK SUPPORT TYPE COUNT (#2172) New INTERMEDIARY HELP DESK TYPE (#2180) New INTERMEDIARY HLPDSK BUS COUNT (#2181) New INTERMEDIARY HLPDSK CONTACT (#2182) New INTERMEDIARY HLPDSK EXTENSION (#2183) New INTERMEDIARY HLPDSK QUALIFIER (#2184) New INTERMEDIARY HLPDSK SUPPT TYPE (#2185) New INTERMEDIARY HLPDSK TYP COUNT (#2186) New PATIENT PAY COMPONENT AMOUNT (#2193) New PATIENT PAY COMPONENT COUNT (#2194) New PATIENT PAY COMPONENT QUAL (#2195) New PAYER/HEALTH PLAN ID COUNT (#2196) New SUBROGTN REQUESTR RECONCIL ID (#2215) New MINIMUM AMOUNT (#2219) New MINIMUM AMOUNT QUALIFIER (#2220) New OTHER PAYER NAME (#2223) New REMAINING AMOUNT (#2224) New REMAINING AMOUNT QUALIFIER (#2225) New OTHER PAYER RELATIONSHIP TYPE (#2241) New FORMULARY ALT BENEFIT TIER (#2242) New FORMULARY ALT REASON CODE (#2243) New FORMULRY ALT REQ THERAPY COUNT (#2244) New FORMULRY ALT THERAPY INDICATOR (#2245) New FORMULRY ALT THERAPY TIME QUAL (#2246) New FORMULRY ALT THERAPY DURATION (#2247) New FORMULRY ALT THERAPY START DT (#2248) New FORMULRY ALT THERAPY END DATE (#2249) New OTHER PAYER BENEFIT CLASS (#2250) New PLAN OVERRIDE INDICATOR (#2254) New PLAN OVERRIDE VALUE COUNT (#2255) New PLAN BENEFIT OVERRIDE VALUE (#2256) New REGULATORY FEE TYPE CODE (#2261) New REGULATORY FEE EXMPT INDICATOR (#2262) New PATIENT REGULATORY FEE AMOUNT (#2265) New BPS PAYER RESPONSE OVERRIDES (#9002313.32) MAXIMUM AGE QUALIFIER (#4.01) New MAXIMUM AGE (#4.02) New MAXIMUM AMOUNT (#4.03) New MAXIMUM AMOUNT QUALIFIER (#4.04) New MAXIMUM AMOUNT TIME PERIOD (#4.05) New MAX AMT TIME PERIOD START DATE (#4.06) New MAX AMT TIME PERIOD END DATE (#4.07) New MAX AMT TIME PERIOD UNITS (#4.08) New MINIMUM AGE QUALIFIER (#4.09) New MINIMUM AGE (#4.1) New OTHER PAYER PROGRAM TYPE (#4.11) New PATIENT PAY COMPONENT AMOUNT (#4.12) New PATIENT PAY COMPONENT COUNT (#4.13) New PATIENT PAY COMPONENT QUAL (#4.14) New MINIMUM AMOUNT (#4.15) New MINIMUM AMOUNT QUALIFIER (#4.16) New OTHER PAYER NAME (#4.17) New REMAINING AMOUNT (#4.18) New REMAINING AMOUNT QUALIFIER (#4.19) New OTHER PAYER RELATIONSHIP TYPE (#4.2) New BPS NCPDP PRESCRIBER PLACE OF SERVICE (#9002313.34) New BPS NCPDP BENEFIT STAGE INDICATOR (#9002313.35) New BPS NCPDP LTPAC DISPENSE FREQUENCY (#9002313.36) New BPS NCPDP PATIENT PAY COMPONENT QUALIFIER (#9002313.37) New BPS NCPDP OTHER PAYER PROGRAM TYPE (#9002313.38) New BPS TRANSACTION (#9002313.59) COB OTHER PAYERS (sub-file) (#9002313.5914) OTHER PAYER RECONCILIATION ID (#.11) New BPS REQUESTS (#9002313.77) COB OTHER PAYERS (sub-file) (#9002313.778) OTHER PAYER RECONCILIATION ID (#.11) New BPS NCPDP FIELD DEFS (#9002313.91) Modified Forms Associated: New/Modified/ Form Name File Name (Number) Deleted --------- ------------------ ------------- N/A Mail Groups Associated: New/Modified/ Mail Group Name Deleted --------------- ------------ N/A Options Associated: New/Modified/ Option Name Type Deleted ----------- ---- ------------- N/A Protocols Associated: New/Modified/ Protocol Name Deleted ------------- ------------ N/A Security Keys Associated: New/Modified/ Security Key Name Deleted ----------------- ------------ N/A Templates Associated: New/Modified/ List Templates File Name (Number) Deleted ------------- ------------------ ------------- N/A Additional Information: N/A New Service Requests (NSRs) --------------------------- N/A Patient Safety Issues (PSIs) ---------------------------- N/A Defect Tracking System Ticket(s) & Overview ------------------------------------------- N/A Test Sites: ----------- VA HEARTLAND - WEST, VISN 15 (589) HUNTER HOLMES MCGUIRE HOSPITAL - RICHMOND (652) BIRMINGHAM VAMC (521) CENTRAL ARKANSAS HEALTH CARE SYSTEM - LITTLE ROCK (598) Software and Documentation Retrieval Instructions: ---------------------------------------------------- Software being released as a host file and/or documentation describing New functionality introduced by this patch are available. The preferred method is to retrieve files from download.vista.domain.ext. This transmits the files from the first available server. Sites may also elect to retrieve files directly from a specific server. Sites may retrieve the software and/or documentation directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Hines: domain.ext Salt Lake City: domain.ext Documentation can also be found on the VA Software Documentation Library (VDL) at: https://www.domain.ext/vdl/ Title File Name Transfer Mode ----------------------------------------------------------------------- ECME User Manual BPS_1_0_P24_UM.PDF Binary ECME Technical Manual/Security Guide BPS_1_0_P24_TM.PDF Binary ECME Deploy Install Rollback Guide (BPS*1*24) BPS_1_0_P24_IG.PDF Binary Patch Installation: Pre/Post Installation Overview: ------------------------------- There is a pre-install routine associated with this patch named PRE^BPS24PRE. The purpose of the pre-install routine is to: 1. Update segment names in file# 9002313.9, BPS NCPDP SEGMENTS. 2. Update descriptions in file# 9002313.91, BPS NCPDP FIELD DEFS. Pre-Installation Instructions: ------------------------------ **************************** IMPORTANT NOTE **************************** * * * The ePharmacy Logical Links must be stopped before patch * * installation. This can be done with the option "Start/Stop Links" * * [HL START]. The ePharmacy Logical Links which need to be stopped * * are the following: * * * * BPS NCPDP * * EPHARM OUT * * * * To avoid disruptions, these patches should be installed during * * non-peak hours when there is minimal activity on the system. * * Avoid times when ECME claims are being transmitted. Of particular * * concern are the options below. * * * * 1. BPS NIGHTLY BACKGROUND JOB [BPS NIGHTLY BACKGROUND JOB] * * Do not install the patch when ECME claims are being generated * * by the BPS Nightly Background Job option. Wait for this job * * to finish or Complete the installation before this job starts. * * * * 2. Scheduled CS Transmission [PSXR SCHEDULED CS TRANS] and * * Scheduled Non-CS Transmission [PSXR SCHEDULED NON-CS TRANS * * Do not install the patch when prescriptions are being * * transmitted to CMOP. Wait for the CMOP transmissions to * * finish or complete the installation before the transmissions * * start. Both the CS (Controlled Substances) and the non-CS * * CMOP transmission options should be checked. Check with * * Pharmacy Service or your Pharmacy ADPAC to find out when CMOP * * transmissions occur. * * * ************************************************************************ This multi-build installation may take up to 2 minutes to install depending on the amount of data in the files being converted. This multi-build installation can be queued but should not be queued at a time when the BPS NIGHTY BACKGROUND JOB or CMOP transmission processes are scheduled. Installation Instructions: -------------------------- 1. OBTAIN PATCHES -------------- Obtain the host file BPS_1_24_PSO_IB_PSS.KID, which contains the following patches: BPS*1.0*24 IB*2.0*617 PSO*7.0*512 PSS*1.0*214 Sites may retrieve VistA software from download.vista.domain.ext. This transmits the file from the first available server. Sites may also elect to retrieve this file directly from a specific server. Sites may retrieve the software directly using Secure File Transfer (SFTP) from the ANONYMOUS.SOFTWARE directory at the following Field Offices: Hines: domain.ext Salt Lake City: domain.ext File Name Transfer Mode -------------------------------------------------- BPS_1_24_PSO_IB_PSS.KID ASCII 2. START UP KIDS ------------- Start up the Kernel Installation and Distribution System Menu option [XPD MAIN]: Edits and Distribution ... Utilities ... Installation ... Select Kernel Installation & Distribution System Option: Installation --- Load a Distribution Print Transport Global Compare Transport Global to Current System Verify Checksums in Transport Global Install Package(s) Restart Install of Package(s) Unload a Distribution Backup a Transport Global Select Installation Option: 3. LOAD TRANSPORT GLOBAL FOR MULTI-BUILD ------------------------------------- From the Installation menu, select the Load a Distribution option. When prompted for "Enter a Host File:", enter the full directory path where the host file BPS_1_24_PSO_IB_PSS.KID was saved (e.g., SYS$SYSDEVICE:[ANONYMOUS]BPS_1_24_PSO_IB_PSS.KID). When prompted for "OK to continue with Load? NO//", enter "YES." The following will display: Loading Distribution... BPS PSO IB PSS BUNDLE 12.0 BPS*1.0*24 PSO*7.0*512 IB*2.0*617 PSS*1.0*214 Use INSTALL NAME: BPS PSO IB PSS BUNDLE 12.0 to install this Distribution. 4. RUN INSTALLATION OPTIONS FOR MULTI-BUILD ------------------------------------------------- From the Installation menu, select to use the following options (when prompted for the INSTALL NAME, enter BPS PSO IB PSS BUNDLE 12.0): a. Backup a Transport Global - This option will create a backup message of any routines exported with this patch. It will not backup any other changes such as data dictionaries or templates. b. Compare Transport Global to Current System - This option will allow you to view all changes that will be made when this patch is installed. It compares all components of this patch (routines, data dictionaries, templates, etc.). c. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. 5. INSTALL MULTI-BUILD ------------------- This is the step to start the installation of this KIDS patch. This will need to be run for the BPS PSO IB PSS BUNDLE 12.0. a. Choose the Install Package(s) option to start the patch install. b. When prompted for the "Select INSTALL NAME:", enter BPS PSO IB PSS BUNDLE 12.0. c. When prompted "Want KIDS to INHIBIT LOGONs during the install? NO//", press Enter to accept the default. d. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//", press Enter to accept the default. e. When prompted "Device: HOME//", respond with the correct device. Post-Installation Instructions: ------------------------------- ************************** IMPORTANT NOTE ****************************** * * * Please re-start the ePharmacy Logical Links using the "Start/Stop * * Links" [HL START] menu option. The ePharmacy Logical Links are * * the following: * * * * BPS NCPDP * * EPHARM OUT * * * ************************************************************************ Back-Out Plan: -------------- For a description of how to back-out this patch, please refer to the ECME Deploy Install Rollback Guide listed above (BPS_1_0_P24_IG.PDF). Routine Information: ==================== The second line of each of these routines now looks like: ;;1.0;E CLAIMS MGMT ENGINE;**[Patch List]**;;Build 43 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: BPS24PRE Before: n/a After: B9804823 **24** Routine Name: BPSBUTL Before:B120426085 After:B141492794 **1,3,2,5,7,8,9,10,11,15,20,24** Routine Name: BPSECX0 Before: B40356172 After: B42203811 **1,5,8,10,15,19,23,24** Routine Name: BPSFLD01 Before: B16648261 After: B17444008 **8,10,23,24** Routine Name: BPSNCPD4 Before: B43924039 After: B43404653 **6,7,8,10,11,24** Routine Name: BPSOSCD Before:B106714458 After:B107538123 **1,3,2,5,7,8,10,11,15,19,20,23,24** Routine Name: BPSOSCE Before: B13028933 After: B16490040 **1,5,7,8,10,11,15,19,24** Routine Name: BPSOSHF Before: B45980918 After: B46124241 **1,5,8,10,11,23,24** Routine Name: BPSOSRX Before: B40932013 After: B39970761 **1,5,7,8,10,20,24** Routine Name: BPSOSRX3 Before:B124478276 After:B125814788 **7,8,10,11,23,24** Routine Name: BPSOSSG Before: B30642361 After: B40022062 **1,5,10,11,20,24** Routine Name: BPSPRRX3 Before:B127795834 After:B135138872 **8,10,11,19,23,24** Routine Name: BPSPRRX6 Before:B122123507 After:B127755081 **8,10,11,19,23,24** Routine Name: BPSPSOU1 Before: B14671447 After: B15624922 **20,24** Routine Name: BPSRES Before:B192481154 After:B192744761 **3,5,7,8,10,11,20,21,23,24** Routine Name: BPSRES1 Before: B51902398 After: B55933378 **23,24** Routine Name: BPSRPT0 Before: B64877834 After: B79756869 **1,5,7,10,11,19,20,23,24** Routine Name: BPSRPT1 Before: B82481306 After: B84866228 **1,5,7,8,10,11,19,20,23,24** Routine Name: BPSRPT3 Before:B232886550 After:B233518281 **1,3,5,7,11,14,19,20,23,24** Routine Name: BPSRPT3A Before: B48335740 After: B77149727 **23,24** Routine Name: BPSRPT4 Before:B135691834 After:B209178587 **1,5,7,8,10,11,19,23,24** Routine Name: BPSRPT5 Before:B175946250 After:B178163629 **1,3,5,7,8,10,11,19,23,24** Routine Name: BPSRPT7 Before:B185034078 After:B189873408 **1,3,5,7,8,10,11,19,20,23,24** Routine Name: BPSRPT8 Before:B168765371 After:B176758027 **1,3,5,7,8,10,11,19,20,23,24** Routine Name: BPSSCRCU Before: B9528540 After: B9850835 **1,5,7,24** Routine Name: BPSSCRL1 Before: B66576750 After: B76871633 **22,24** Routine Name: BPSSCRLG Before:B127974786 After:B132775345 **1,5,7,8,10,11,15,18,20,22,24** Routine Name: BPSSCRN0 Before: B8359563 After: B23164009 **20,24** Routine Name: BPSTEST Before:B233813306 After:B101618182 **6,7,8,10,11,15,19,20,22,23,24** Routine Name: BPSTEST2 Before: n/a After: B99644333 **24** Routine list of preceding patches: 23 ============================================================================= User Information: Entered By : Date Entered : JAN 12, 2018 Completed By: Date Completed: JAN 15, 2019 Released By : Date Released : JAN 15, 2019 ============================================================================= Packman Mail Message: ===================== No routines included