$TXT Created by ELLZEY,LINDA at SUPVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Monday, 03/01/10 at 08:31 ============================================================================= Run Date: JUN 24, 2010 Designation: PSX*2*69 Package : PSX - CMOP Priority: Mandatory Version : 2 SEQ #61 Status: Released Compliance Date: JUL 25, 2010 ============================================================================= Associated patches: (v)PSX*2*65 <<= must be installed BEFORE `PSX*2*69' Subject: FIX FOR BAD ADDRESS INDICATOR, HOST ERRORS, HOLD IN SUSPENSE Category: - Routine Description: ============ This patch modifies the CMOP v2.0 application as described below: - A correction was made to only allow an Rx to be evaluated for ECME claim submission if a Bad Address indicator is not present. - Electronic pharmacy claims rejected for host processing errors will be automatically resubmitted for processing. - Rejected Tricare prescriptions will be held in suspense until the cause of the rejection has been corrected. ASSOCIATED NSR(S): ================== N/A ASSOCIATED REMEDY TICKET(S): ============================ 1. H0000000D365471 - ECME Activity Log Entry for each claims evaluation 2. HD0000000365473 - CMOP ePharmacy claims with host processing errors not automatically being submitted 3. HD0000000365474 - Software is allowing rejected TRICARE Rxs to be sent to CMOP for filling PARTICIPATING TEST SITES: ========================= PHOENIX, AZ Salt Lake City VAMC TENNESSEE VALLEY HCS REMEDY TICKET OVERVIEW: ======================= 1. H0000000D365471 - ECME Activity Log Entry for each claims evaluation PROBLEM: -------- An entry was being added to the ECME LOG every time an Rx is evaluated for ECME claim submissions and the Rx was flagged for Bad Address. RESOLUTION: ----------- A modification was made to only allow the Rx to be evaluated for ECME claim submission if a Bad Address indicator is not present. 2. HD0000000365473 - CMOP ePharmacy claims with host processing errors not automatically being submitted PROBLEM: -------- There is a known issue where the system may not automatically resubmit all claims rejected due to a host processing error. Based upon analysis, this is an infrequent scenario (less than 1%) and will only occur in a particular set of circumstances. A test facility found where the software did not resubmit an electronic pharmacy claim automatically when a claim rejected for a host processing error. The following day the prescription was transmitted to CMOP as anticipated and was filled. The claim did appear on the ECME User Screen so it could be manually resubmitted, which is the process facilities followed before this patch was installed. Host processing errors are identified by reject codes M6, M8, NN, & 99. The following conditions apply when this scenario occurs. a. The transmission of the Rx/fill will be delayed 1 day in hopes that the host processing issues will be resolved. b. An activity log entry will be made indicating the date/time along with a comment stating that the Rx/fill was left in suspense hold due to a host processing error. c. This added functionality does not include the Pull Early from Suspense function. RESOLUTION: ----------- Electronic pharmacy claims rejected for host processing errors will be automatically resubmitted for processing. 3. HD0000000365474 - Software is allowing rejected TRICARE Rxs to be sent to CMOP for filling PROBLEM: -------- The system was allowing rejected Tricare prescriptions to be sent to CMOP. Tricare rejected prescriptions should be held in suspense until the reject reason has been resolved. RESOLUTION: ----------- Rejected Tricare prescriptions will be held in suspense until the cause of the rejection has been corrected. INSTALLATION INSTRUCTIONS: ========================== This patch can be installed with users on the system. Installation will take less than 2 minutes. There should not be any CMOP transmissions processed during the installation. This patch may be queued as long as no CMOP transmissions are processed at and during the time of install. 1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu. 2. From the Kernel Installation & Distribution System menu, select the Installation menu. 3. From this menu, you may select to use the following options (when prompted for INSTALL NAME, enter PSX*2.0*69): a. Backup a Transport Global - this option will create a backup message of any routines exported with the patch. It will NOT backup any other changes such as DDs or templates. b. Compare Transport Global to Current System - this option will allow you to view all changes that will be made when the patch is installed. It compares all components of the patch (routines, DDs, templates, etc.). c. Verify Checksums in Transport Global - this option will ensure the integrity of the routines that are in the transport global. 4. From the Installation menu, select the Install Package(s) option follow the instructions below: a. When prompted for the "Select INSTALL NAME:", enter PSX*2.0*69. b. When prompted "Want KIDS to INHIBIT LOGONs during the install? NO//", respond "NO." c. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//", respond "NO." d. When prompted, "Device: Home//" respond with the correct device and DO NOT queue to P-Message. 5. The patch will begin installation. Please verify that installation completes. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;CMOP;**[Patch List]**;11 Apr 97;Build 60 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSXBPSUT Before: B5782836 After: B5985053 **48,63,65,69** Routine Name: PSXRPPL Before: B63013526 After: B61658138 **3,23,33,28,40,42,41,48,62, 58,66,65,69** Routine Name: PSXRPPL1 Before: B52609779 After: B52590597 **3,48,62,66,65,69** Routine Name: PSXRPPL2 Before: B46802908 After: B55484855 **65,69** Routine list of preceding patches: 65 ============================================================================= User Information: Entered By : RICHARDSON,BRADY Date Entered : JUN 25, 2009 Completed By: WERNER,GARY Date Completed: JUN 23, 2010 Released By : VECE,VIRGINIA Date Released : JUN 24, 2010 ============================================================================= Packman Mail Message: ===================== $END TXT