============================================================================= Run Date: OCT 20, 2004 Designation: IB*2*251 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #261 Status: Released Compliance Date: NOV 20, 2004 ============================================================================= Associated patches: (v)IB*2*211 <<= must be installed BEFORE `IB*2*251' (v)HL*1.6*108 <<= must be installed BEFORE `IB*2*251' (v)IB*2*229 <<= must be installed BEFORE `IB*2*251' (v)IB*2*246 <<= must be installed BEFORE `IB*2*251' (v)IB*2*252 <<= must be installed BEFORE `IB*2*251' Subject: E-PHARMACY Category: - Informational Description: ============ The Healthcare Insurance Portability and Accountability Act National Council for Prescription Drug Programs (HIPAA NCPDP) initiative, whose ultimate goal is to provide functionality allowing electronic transmission of Outpatient Pharmacy (OP) prescription claims to payers and the receipt of claim responses (including drug utilization review responses and warnings) on a real-time basis, is being developed and introduced in a phased implementation strategy. This deployment strategy was utilized due to the complexity of the functionality and the number of product line dependencies. The first release of this two part implementation is BPS*1.0, comprised of the new Electronic Claims Management Engine (ECME) package (in the BPS namespace), plus the patches PSS*1*81, IB*2.0*223, IB*2.0*251, and PRCA*4.5*202, which are listed here in order of installation. The patches are combined in host file BPS_1_0.KID in order to simplify installation. BPS*1.0 is a dormant release that only allows each site to perform preliminary setup work and to confirm that the software does not adversely affect other packages. The software for IB*2.0*251 is installed automatically when the host file, BPS_1_0.KID, is installed. This is the IB*2.0*251 patch, and it provides modified and new components associated with the following specific requirements: * Send Interface Version Number in e-IIV Registration Message. * Update Pharmacy Benefits Manager (PBM) Table * Update NCPDP Processor Table * Update Payer Table * Update Plan Table * Update Pharmacy Plan Table * Provide Pharmacy Plan NCPDP Claim Submission Status and Information via Callable Routine * Display Pharmacy Plan Information Based on User Selected Sort Criteria * Display Qualified Group Plans to Help Link Pharmacy Plan to Group Insurance Plan * Link Pharmacy Plan to Group Insurance Plan * Link Pharmacy Plan to Multiple Group Insurance Plan * Link Test Payer Sheet to Pharmacy Plan * Edit Pharmacy Benefits Manager (PBM) Local Active Flag * Edit NCPDP Processor Local Active Flag * Edit Payer Local Active Flag * Edit Plan / Pharmacy Plan Local Active Flag * Edit HIPAA NCPDP Flag * Store and Track Banking Identification Numbers (BIN) and Processing Control Numbers (PCN) From Patient Insurance Cards The Vitria Interface Engine (IE) BusinessWare product will be utilized in this project. The IE will provide: * HL7 message routing tables for directing incoming and outgoing VistA HL7 messages * HL7 message translation mechanisms for handling various versions of VistA compatible HL7 messages * HL7 message error handling capability * Data mapping utility This patch addresses the following New Service Request (NSR): ============================================================= There is no NSR associated with this patch. This patch addresses the following NOIS message(s): =================================================== There are no NOIS messages associated with this patch. Overview of NOIS message(s): ============================ N/A Test Sites: =========== NEW YORK HARBOR HCS NORTH TEXAS HCS ANN ARBOR, MI BATTLE CREEK, MI DETROIT, MI IRON MOUNTAIN, MI ================Documentation Retrieval ================= The IB*2.0*251 documentation is available on the ANONYMOUS.SOFTWARE directory at one of the Office of Information (OI) Field Offices. Sites may retrieve documentation in one of the following ways: 1. The preferred method is to FTP the files (using binary format) from download.vista.med.va.gov, which will transmit the files from the first available FTP server. 2. Sites may also elect to retrieve documentation directly from a specific server as follows: Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov The documentation distribution includes: File Name Description --------- ----------- IB_2_251_TM.PDF Technical Manual IB_2_251_UM.PDF User Manual 3. Documentation can also be retrieved from VISTA Documentation Library (VDL) on the Internet at the following address, http://www.va.gov/vdl. ================INSTALLATION INSTRUCTIONS ================= If installed during the normal workday, it is recommended that the following selections in the OPTION (#19) file, and all of their descendants be disabled to prevent possible conflicts while running the KIDS Install. Other VISTA users will not be affected. Patient Insurance Menu [IBCN INSURANCE MGMT MENU] Install Time - less than 5 minutes 1. Load Transport Global --------------------- Choose the PackMan message containing this patch and invoke the INSTALL/CHECK MESSAGE Packman option. 2. Disable Routine Mapping (DSM for OpenVMS sites only) ---------------------------------------------------- Disable routine mapping on all systems for the routines listed in Step 3 below. 3. COMPONENTS SENT WITH PATCH -------------------------- The following is a list of the routines included in this patch. The second line of each of these routines will look like: ;;2.0;INTEGRATED BILLING;**[patch list]**;21-MAR-94 CHECK^XTSUMBLD results Routine Before After Patch Name Patch Patch List ------- ------ ----- ----- IBCNBCD 14003113 14188830 82,251 IBCNBEE 14748372 14784093 82,184,252,251 IBCNBLE 22141419 22478520 82,231,184,251 IBCNBMI 11550790 11827391 82,184,246,251 IBCNEHLI 2966090 3030560 184,252,251 IBCNEHLM 7750955 7873640 184,251 IBCNEHLT 10149370 11590527 184,251 IBCNRE1 N/A 2769281 251 IBCNRE2 N/A 2570187 251 IBCNRE3 N/A 2745256 251 IBCNRE4 N/A 4779805 251 IBCNRE5 N/A 996545 251 IBCNRFM1 N/A 2255797 251 IBCNRHLT N/A 4502261 251 IBCNRHLU N/A 1382973 251 IBCNRMFE N/A 2164181 251 IBCNRMFK N/A 1552874 251 IBCNRP N/A 7504816 251 IBCNRPM1 N/A 3135834 251 IBCNRPM2 N/A 5280988 251 IBCNRPMT N/A 2219364 251 IBCNRPS N/A 447568 251 IBCNRPSM N/A 3710986 251 IBCNRRP1 N/A 6624813 251 IBCNRRP2 N/A 3583573 251 IBCNRRP3 N/A 10632992 251 IBCNRRP4 N/A 1244055 251 IBCNRU1 N/A 5504429 251 IBCNRZCM N/A 1789038 251 IBCNRZP0 N/A 457715 251 IBCNRZPB N/A 2077942 251 IBCNRZPL N/A 2388059 251 IBCNRZPT N/A 2172522 251 IBCNRZRX N/A 3422983 251 IBCNSC4 7228745 7393361 43,85,103,251 IBCNSM3 6590993 6908589 6,28,85,211,251 IBCNSP 10577871 10810446 6,28,43,52,85,251 IBCNSP0 9301329 9604463 28,43,52,85,93,103,137,229,251 IBCNSP01 9274445 9274444 43,52,85,251 IBCNSP11 5498612 5799460 28,43,85,103,137,251 IBCNSP3 10161317 10541198 28,52,85,251 Total number of routines: 41 Total number of routines modified: 14 Total number of new routines: 27 Fields ------ The following is a list of fields included in this patch: Field Name (Number) File Name (Number) ------------------- ------------------ HIPAA NCPDP ACTIVE FLAG IB SITE PARAMETERS (11.01) (350.9) PLAN ID GROUP INSURANCE PLAN (6.01) (355.3) BANKING IDENTIFICATION NUMBER GROUP INSURANCE PLAN (6.02) (355.3) PROCESSOR CONTROL NUMBER (PCN) GROUP INSURANCE PLAN (6.03) (355.3) BANKING IDENTIFICATION NUMBER INSURANCE BUFFER (40.1) (355.33) PROCESSOR CONTROL NUMBER (PCN) INSURANCE BUFFER (40.11) (355.33) Files ----- The following is a list of files included in this patch. File Name ---- ---- 366.01 NCPDP PROCESSOR 366.02 PHARMACY BENEFITS MANAGER (PBM) 366.03 PLAN 366.11 NCPDP PROCESSOR APPLICATION 366.12 PHARMACY BENEFITS MANAGER (PBM) APPLICATION 366.13 PLAN APPLICATION Templates --------- The following is a list of templates included in this patch. Template Name Type File Name (Number) ------------- ---- ------------------ Match Group Insurance List GROUP INSURANCE PLAN Plans (355.3) [IBCNR GROUP PLAN MATCH] Match Test Payer Sheet List PLAN [IBCNR PAYERSHEET MATCH] (366.03) Match Group Insurance List GROUP INSURANCE PLAN Plan (353.3) [IBCNR PLAN MATCH] Options ------- The following is a list of options included in this patch. Option Name File Number New/Modified ----------- ----------- ------------ Patient Insurance Menu N/A Modified [IBCN INSURANCE MGMT MENU] e-Pharmacy Menu N/A New [IBCNR E-PHARMACY MENU] Edit HIPAA NCPDP FLAG 350.9 New [IBCNR EDIT HIPAA NCPDP FLAG] Edit NCPDP PROCESSOR APPLICATION 366.01 New Sub-file [IBCNR EDIT NCPDP PROCESSOR] Edit PAYER APPLICATION Sub-file 365.12 New [IBCNR EDIT PAYER] Edit PBM APPLICATION Sub-file 366.02 New [IBCNR EDIT PBM] Edit PLAN APPLICATION Sub-file 366.03 New [IBCNR EDIT PLAN] Match Multiple Group Plans to a 355.3 New Pharmacy Plan [IBCNR GROUP PLAN MATCH] Group Plan Worksheet Report 355.3 New [IBCNR GROUP PLAN WORKSHEET] Pharmacy Plan Report 366.03 New [IBCNR PHARMACY PLAN REPORT] Match Group Plan to a 355.3 New Pharmacy Plan [IBCNR PLAN MATCH] Match Test Payer Sheet to a 366.03 New Pharmacy Plan [IBCNR TEST PAYER SHEET MATCH] Protocols --------- The following is a list of protocols included in this patch. Protocol Name ------------- IIV MFN SERVER [IBCNE IIV MFN IN] IIV Incoming Table [IBCNE IIV TABLE] Add/Edit Pharmacy Plan [IBCNR GROUP PLAN ADD/EDIT] Delete Pharmacy Plan [IBCNR GROUP PLAN DELETE] e-Pharmacy Group Plan List [IBCNR GROUP PLAN LIST] Add/Edit Test Payer Sheet [IBCNR PAYERSHEET ADD/EDIT] Delete Test Payer Sheet [IBCNR PAYERSHEET DELETE] Test Payer Sheet List [IBCNR PAYERSHEET LIST] Add/Edit Pharmacy Plan [IBCNR PLAN ADD/EDIT] Delete Pharmacy Plan [IBCNR PLAN DELETE] e-Pharmacy Plan List [IBCNR PLAN LIST] Security Keys ------------- The following is a list of security keys included in this patch. Security Key Name ----------------- e-Pharmacy Supervisor [IBCNR E-PHARMACY SUPERVISOR] 4. START UP KIDS ------------- Start up the Kernel Installation and Distribution System Menu [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: 5. Select Installation Option: --------------------------- NOTE: The following are OPTIONAL - (When prompted for the INSTALL NAME, enter IB*2.0*251): 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 DD's 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, DD's, 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. 6. Select Installation Option: Install Package(s) ---------------------------------------------- **This is the step to start the installation of this KIDS patch: a. Choose the Install Package(s) option to start the patch install. b. When prompted 'Want KIDS to INHIBIT LOGONs during the install? YES//' answer NO. c. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//' answer YES. d. When prompted 'Enter options you wish to mark as 'Out Of Order':' Enter the following options: Patient Insurance Menu [IBCN INSURANCE MGMT MENU] e. When prompted 'Enter protocols you wish to mark as 'Out Of Order':' Enter the following protocols: IIV MFN SERVER [IBCNE IIV MFN IN] IIV Incoming Table [IBCNE IIV TABLE] 7. Rebuild Mapped Routine(s) (DSM for OpenVMS sites only) ------------------------------------------------------ Optional - Include the routines distributed with this patch in the mapped routine set. NOTE: This step is only necessary if you performed step 2 or if you wish to include the routines in your mapped set. ************** POST-INSTALLATION INSTRUCTIONS ************** 1. Assign New Security Key ----------------------- One new security key, e-Pharmacy Supervisor [IBCNR E-PHARMACY SUPERVISOR], is associated with this patch. It is assigned to e-Pharmacy edit and matching options. Assign this security key to applicable users. Routine Information: ==================== Routine Name: - IBCNEHLI Routine Checksum: 3030560 Routine Name: - IBCNEHLM Routine Checksum: 7873640 Routine Name: - IBCNRE1 Routine Checksum: 2769281 Routine Name: - IBCNRE2 Routine Checksum: 2570187 Routine Name: - IBCNRE3 Routine Checksum: 2745256 Routine Name: - IBCNRE4 Routine Checksum: 4779805 Routine Name: - IBCNRFM1 Routine Checksum: 2255797 Routine Name: - IBCNEHLT Routine Checksum: 11590527 Routine Name: - IBCNRHLT Routine Checksum: 4502261 Routine Name: - IBCNRMFE Routine Checksum: 2164181 Routine Name: - IBCNRMFK Routine Checksum: 1552874 Routine Name: - IBCNRP Routine Checksum: 7504816 Routine Name: - IBCNRPMT Routine Checksum: 2219364 Routine Name: - IBCNRPS Routine Checksum: 447568 Routine Name: - IBCNRPSM Routine Checksum: 3710986 Routine Name: - IBCNRU1 Routine Checksum: 5504429 Routine Name: - IBCNRZCM Routine Checksum: 1789038 Routine Name: - IBCNRZP0 Routine Checksum: 457715 Routine Name: - IBCNRZPB Routine Checksum: 2077942 Routine Name: - IBCNRZPL Routine Checksum: 2388059 Routine Name: - IBCNRZPT Routine Checksum: 2172522 Routine Name: - IBCNRZRX Routine Checksum: 3422983 Routine Name: - IBCNRRP1 Routine Checksum: 6624813 Routine Name: - IBCNRRP2 Routine Checksum: 3583573 Routine Name: - IBCNRRP3 Routine Checksum: 10632992 Routine Name: - IBCNRRP4 Routine Checksum: 1244055 Routine Name: - IBCNRPM1 Routine Checksum: 3135834 Routine Name: - IBCNRPM2 Routine Checksum: 5280988 Routine Name: - IBCNBCD Routine Checksum: 14188830 Routine Name: - IBCNBEE Routine Checksum: 14784093 Routine Name: - IBCNBLE Routine Checksum: 22478520 Routine Name: - IBCNBMI Routine Checksum: 11827391 Routine Name: - IBCNRE5 Routine Checksum: 996545 Routine Name: - IBCNSC4 Routine Checksum: 7393361 Routine Name: - IBCNSP Routine Checksum: 10810446 Routine Name: - IBCNSP0 Routine Checksum: 9604463 Routine Name: - IBCNSP01 Routine Checksum: 9274444 Routine Name: - IBCNSP11 Routine Checksum: 5799460 Routine Name: - IBCNSP3 Routine Checksum: 10541198 Routine Name: - IBCNSM3 Routine Checksum: 6908589 Routine Name: - IBCNRHLU Routine Checksum: 1382973 ============================================================================= User Information: Entered By : ACORD,ARLIS Date Entered : OCT 28, 2003 Completed By: KUREK,STANLEY M Date Completed: OCT 19, 2004 Released By : BOTTINI,STEVE Date Released : OCT 20, 2004 ============================================================================= Packman Mail Message: ===================== No routines included