============================================================================= Run Date: MAY 18, 2006 Designation: PSO*7*148 Package : PSO - OUTPATIENT PHARMACY Priority: Mandatory Version : 7 SEQ #211 Status: Released Compliance Date: JUN 18, 2006 ============================================================================= Associated patches: (v)PSX*2*48 <<= must be installed BEFORE `PSO*7*148' (v)PSO*7*159 <<= must be installed BEFORE `PSO*7*148' (v)PSO*7*161 <<= must be installed BEFORE `PSO*7*148' (v)PSO*7*174 <<= must be installed BEFORE `PSO*7*148' (v)PSS*1*90 <<= must be installed BEFORE `PSO*7*148' (v)PSO*7*196 <<= must be installed BEFORE `PSO*7*148' (v)PSO*7*207 <<= must be installed BEFORE `PSO*7*148' (v)PSO*7*209 <<= must be installed BEFORE `PSO*7*148' (v)PSO*7*210 <<= must be installed BEFORE `PSO*7*148' (v)PSO*7*213 <<= must be installed BEFORE `PSO*7*148' (v)PSO*7*219 <<= must be installed BEFORE `PSO*7*148' (v)PSO*7*235 <<= must be installed BEFORE `PSO*7*148' Subject: HIPAA NCPDP - GLOBAL Category: - Informational - Routine - Enhancement (Mandatory) - Other - Data Dictionary Description: ============ The National Council for Prescription Drug Programs (NCPDP) standard was adopted under the Healthcare Insurance Portability and Accountability Act (HIPAA) for pharmacy claims. The HIPAA NCPDP - GLOBAL project involves six different applications that have been significantly changed to enable VA Medical Centers to perform third party electronic billing for prescriptions using the NCPDP standard. Below is a list of all the applications involved in this project along with their patch number: APPLICATION/VERSION PATCH ----------------------------------------------------------------- OUTPATIENT PHARMACY (OP) V. 7.0 PSO*7*148 INTEGRATED BILLING (IB) V. 2.0 IB*2*276 PHARMACY DATA MANAGEMENT (PDM) V. 1.0 PSS*1*90 CONSOLIDATED MAIL OUTPATIENT PHARMACY (CMOP) V. 2.0 PSX*2*48 ACCOUNTS RECEIVABLE (AR) V. 4.5 PRCA*4.5*230 ELECTRONIC CLAIMS MANAGEMENT ENGINE (ECME) V. 1.0 BPS*1*1 Veterans Health Information Systems and Technology Architecture (VistA) software applications and infrastructure were enhanced, in order to allow the electronic transmission of outpatient pharmacy prescription claims (WINDOW and MAIL fills) to third party payers via the network connections available through the Austin Automation Center (AAC). VistA will be enhanced to receive electronic adjudicated responses from the third party payers, which include real-time processing for Drug Review Utilization and Refill Too Soon rejects. Reject information will be displayed to the pharmacist as the prescription is being processed. The pharmacist will have the capability to take the appropriate action to ensure patient safety or to override the reject and resubmit the claim to the payer for payment. When a status of "PAYABLE" is returned by the payer for a released prescription, VistA will automatically create the bill in IB, authorize it and immediately create the receivable in the AR application. Since the exact amount being paid by the payer is known, a decrease adjustment will be automatically generated and applied so that the receivable is equal to the net amount due from the payer. The system also provides electronic payment matching capability (for electronically billable outpatient pharmacy prescriptions) using the existing Electronic Data Interchange (EDI) Lockbox functionality which processes other electronic payments from third party payers. This real-time electronic claims processing capability will be provided in accordance with the HIPAA, EDI and the NCPDP mandated format standards, specifically NCPDP Telecommunication Standard V. 5.1. Additional functionality delivered with this project includes: . Auto-Release/Outpatient Pharmacy Automation Interface (OPAI) Integration. . Back-billing capability to allow electronic billing of claims from within the IB application. . Capability to MOVE a group of subscribers from one insurance plan to another while automatically "expiring" the old plan, which is a major time saver. . Pharmacy Dispensed As Written (DAW) prescription processing. Overview of the Process: When a prescription is about to be filled and dispensed by the pharmacy, the OP application submits the prescription to the new ECME application. ECME then contacts IB to verify whether or not the prescription is electronically billable. If so, ECME gathers the information necessary to generate a NCPDP claim. The claim information is passed to the VistA Health Level Seven (HL7) package. The HL7 package then sends the billing information to the AAC, where it is routed to the corresponding third party insurance via Emdeon (formerly WebMD). Once the payer processes the information, the response coming back from the payer is passed back to the site that made the request, and the information is stored in the ECME package. If the third party payer accepted the claim, the adjudicated information is passed along to IB. If the claim was rejected the problem can be worked on and a new claim can be submitted to the payer. For electronically billable CMOP prescription processing, the third party claim is sent before the prescription information is transmitted to the CMOP facility to be filled. Once the adjudicating response is electronically received from the third party payer, if there are no Drug Utilization Review or Refill Too Soon rejects, the prescription is then transmitted to the CMOP facility. When the CMOP center sends the dispensing information back to VistA, the National Drug Code (NDC) information is checked against the NDC sent to the third party payer and, if different, a new claim is generated in the background and is sent to the third party payer. In case the CMOP facility indicates that it is unable to fill a "PAYABLE" prescription fill, a reversal is automatically submitted to the third party payer for the corresponding fill. This patch modifies the OP application to perform real-time electronic claim submission to third party payers. It will also enable OP users to see and act on third party payer rejects such as Drug Utilization Review (DUR) and Refill Too Soon rejects along with their daily normal prescription processing activities. The following areas of OP have been changed: 1. Patient Prescription Processing [PSO LM BACKDOOR ORDERS] option At the point that the prescription is verified, the New Order, Edit, Renew, Refill, and Pull Early from Suspense functions will begin the third party billing evaluations. If IB determines that the prescription is third party billable, a message will be displayed on the user's screen stating that the claim is being submitted to ECME and it will also show the progress of the claim. If the payer rejects the claim for DUR or Refill Too Soon, the payer's information will be displayed, and the user will be given the opportunity to either ignore the payer's response and move on with the filling process; override the reject by resubmitting the claim or postpone the processing of the prescription by taking no action when the reject is received. For prescriptions that have been electronically submitted to the third party payer, an indicator is displayed on the Patient Prescription Processing screen. This indicator will take the form of "e" next to the prescription number (e.g.,"2090303$e"). A new section called REFILL TOO SOON/DUR REJECTS (Third Party) has been created in the Medication Profile screen to single out prescriptions that had an electronic claim rejected by third party payers for REFILL TOO SOON or DUR reasons. Prescriptions under this section have certain restrictions. Basically, they cannot be renewed, refilled, reprinted, copied or released until the REJECT is resolved. When an individual prescription is selected, the user will have a new hidden option called REJ - View Reject, which will allow them to resolve the REJECT and remove it from the REFILL TOO SOON/DUR REJECTS (Third Party) section. The prescription release option was modified to perform NDC (National Drug Code) validation for electronically billable prescriptions. When the user selects a new NDC a new claim is submitted to the payer before the prescription is released. In the OP Medications screen, a new DAW CODE field (#81) of the PRESCRIPTION file (#52) was created for electronically billable prescriptions and can be edited by selecting '21' at the 'Select Action' prompt. For non-electronically billable prescriptions this field is not displayed at all. When the electronically billable prescription is released, this option will allow the user to edit the NDC code for the prescription. In the OP Medications screen the NDC field is listed under the Drug field and can be edited by selecting '2' to edit the drug at the 'Select Action' prompt. For sites that do not allow Drug editing, the option '2' will allow editing of the NDC only. 2. Return Medication to Stock [PSO RETURNED STOCK] option The Return Medication to Stock function was modified to notify the third party payer that a previously billed prescription was not actually filled. If the prescription was previously billed to a third party payer and a payable response was received, the claim will be reversed, and the pharmacy user will see messaging stating that the third party claim was submitted for reversal. If a claim for the prescription was previously rejected by the third party payer, the user will see a message indicating that no reversal was required. If the prescription was not previously billed to a third party payer, no message regarding electronic billing will be displayed. 3. Delete a Prescription [PSO RXDL] option The message for Delete a Prescription was modified to perform in the same manner as the Return Medication to Stock function described above. 4. Pull Early from Suspense [PSO PNDRX] option The Pull Early from Suspense function was modified to submit a third party claim for the prescription. A message will display to notify the user of the status of the claim as it is going through the submission process. 5. Print from Suspense File [PSO PNDLBL] option This option was modified to submit third party claims in the same manner as stated above except the Print from Suspense File function will be performed in the background. No user interaction will occur. 6. ePharmacy Menu [PSO EPHARMACY MENU] menu This new menu was created for electronic billing related options. It is being placed under the Rx (Prescriptions) [PSO RX] menu. Two new options are being added under this new menu: 6.1 Third Party Payer Rejects - Worklist [PSO REJECTS WORKLIST] option This option is used to process third party payer rejects that have clinical significance. For now, only DUR (Drug Utilization Review) and REFILL TOO SOON rejects are being considered as having clinical significance. 6.2 Third Party Payer Rejects - View/Process [PSO REJECTS VIEW/PROCESS] option This option performs the same functionality as the option above. However, the user has more filtering capabilities through this option. In addition, closed/resolved rejects can only be viewed by using this option. 7. Release Medication [PSO RELEASE] option The prescription release process was modified to perform NDC (National Drug Code) validation for electronically billable prescriptions. When the user selects a new NDC, a new claim is submitted to the payer before the prescription is released. Besides this option, the prescription can be released from the Medication Profile screen and from the Outpatient Rx's [PSD OUTPATIENT] option in the Controlled Substances application. 8. View Prescriptions [PSO VIEW] option This option was changed to include two new sections: ECME Log and ECME REJECT Log. Information about third party payer submission and rejects will be displayed under these sections. 9. Edit Prescriptions [PSO RXEDIT] option The new DAW CODE field (#81) of the PRESCRIPTION file (#52) was created for electronically billable prescriptions and can be edited through this option. For non-electronically billable prescriptions, the field is not displayed at all. Once an electronically billable prescription is released, this option will allow the user to edit the NDC code. The NDC code is displayed on the screen just below the Drug field, and can be edited by selecting field '2' to edit the Drug. For sites that do not allow Drug editing, the field '2' can be used to edit the NDC code only. 10. The NDC field (#4) under the CMOP EVENT multiple (#52.01) of the PRESCRIPTION file (#52) has been renamed to NDC RECEIVED. This field holds the NDC that was received from the CMOP facility with the dispensing message. The renaming was necessary due to the addition of the NDC SENT field (#12) under the same multiple that is being created by this project (see below item 11). 11. A new NDC SENT field (#12) is being created under the CMOP EVENT multiple (#52.01) of the PRESCRIPTION file (#52), to store the NDC that was transmission to CMOP. This field is used for electronic billing purposes to analyze the difference between the NDC sent to CMOP and the actual dispensed NDC by the CMOP facility. 12. A new DAW CODE field (#81) is being created on the PRESCRIPTION file (#52) and also under the REFILL multiple (#52.1) of the PRESCRIPTION file (#52). This field contains the NCPDP DAW used in the electronic claims submission to third party payers (insurance companies). 13. A new RE-TRANSMIT FLAG field (#82) is being created on the PRESCRIPTION file (#52) and also under the REFILL multiple (#52.1) of the PRESCRIPTION file (#52). This field is used to indicate that a claim should be electronically re-transmitted to the 3rd party payer (insurance company). It will be primarily used by CMOP and local mail prescriptions. 14. A new multiple REJECT INFO field (#52.25) has been created on the PRESCRIPTION file (#52) to store information about DUR and Refill Too Soon Rejects returned by 3rd party payers. The following fields are part of this multiple: .01 NCPDP REJECT CODE 1 DATE/TIME DETECTED 2 PAYER MESSAGE 3 REASON 4 PHARMACIST 5 FILL NUMBER 6 GROUP NAME 7 PLAN CONTACT 8 PLAN PREVIOUS FILL DATE 9 STATUS 10 CLOSED DATE/TIME 11 CLOSED BY 12 CLOSE REASON 13 CLOSE COMMENTS 14 REASON FOR SERVICE CODE 15 PROFESSIONAL SERVICE CODE 16 RESPONSE ID 17 OTHER REJECTS 18 DUR TEXT 19 RESULT OF SERVICE CODE 20 INSURANCE NAME 21 GROUP NUMBER 22 CARDHOLDER ID 23 RE-OPENED Two new cross-references named "REJDAT" and "REJSTS" were created for this multiple in the PRESCRIPTION file (#52). The "REJDAT" uses the DATE/TIME DETECTED field (#1) and the "REJSTS" uses the STATUS field (#9). 15. This patch corrects the second line of the routine PSOORUT1 by adding the patch number 14 to the list of patches. The patch number 14 was unintentionally removed by patch PSO*7*132. Associated New Service Request (NSR): ===================================== N/A Associated Remedy Ticket(s): ============================ HD0000000086901 HD0000000085754 HD0000000068809 HD0000000097366 HD0000000086100 HD0000000113434 HD0000000112188 HD0000000120960 HD0000000130949 Associated E3Rs: ================ N/A Test Sites: =========== ANN ARBOR, MI BATTLE CREEK, MI DETROIT, MI HEARTLAND-WEST, KS IRON MOUNTAIN, MI CENTRAL ARKANSAS LOUISVILLE, KY NEW YORK HARBOR HCS NORTH TEXAS HCS SAGINAW, MI Routine Summary: ================ The following is a list of the routine(s) included in this patch. The second line of each of these routine(s) will look like: ;;7.0;OUTPATIENT PHARMACY;**[patch list]**;11 DEC 1997 CHECK^XTSUMBLD results Routine Before Patch After Patch Patch List -------- ------------ ----------- ------------------------------------- PSOARX 24562278 26102787 10,148 PSOAUTOC 28022026 28064278 3,24,30,36,88,146,132,223,148 PSOBPSU1 N/A 9463097 148 PSOBPSUT N/A 8370815 148 PSOCAN2 28513345 28553748 8,18,62,46,88,164,235,148 PSOCAN3 29858564 29716397 15,24,27,32,36,94,88,117,131,146,139, 132,223,235,148 PSOCMOP 12229487 12262040 2,16,21,27,43,61,126,148 PSOCMOPB 5657331 6323608 11,148 PSOCSRL 18863525 19422302 27,71,118,148 PSODAWUT N/A 737634 148 PSODISP 28655779 29266676 15,71,131,156,185,148 PSODISP3 9717003 8771643 15,13,148 PSODISPS 16972534 17508838 15,13,9,27,67,71,156,118,148 PSODRG 9856687 11176015 20,23,36,53,54,46,112,139,207,148 PSOHLD 31121692 24943455 1,16,21,24,27,32,55,82,114,130,166, 148 PSOHLDA N/A 6889820 148 PSOHLDC 18857218 18394644 111,121,146,223,148 PSOHLDIS 22706676 22983567 156,189,193,209,148 PSOHLEXP 6574184 6813043 10,22,36,73,148 PSOHLNEW 37845289 37073735 1,7,15,46,71,98,111,124,117,131,146, 132,143,223,235,148 PSOLLL3 4340909 4344688 120,161,148 PSOLLLH 8740391 8604113 161,148 PSOLMUTL 3611700 3627502 19,46,84,99,131,132,148 PSOMAUEX 10267059 10370888 40,73,139,148 PSON52 23766769 24231323 1,16,23,27,32,46,71,111,124,117,131, 139,157,143,219,148 PSONDCUT N/A 6288687 148 PSOORAL 1953958 2001390 148 PSOORAL1 24899806 32222000 71,156,148 PSOORCPY 14697443 14821766 10,21,27,32,46,100,117,148 PSOORDRG 16786659 16892093 3,29,49,46,81,105,134,144,132,188, 207,148 PSOORED1 26253454 25705991 5,23,46,78,114,117,131,146,223,148 PSOORED2 27386117 25060187 2,51,46,78,102,114,117,133,159,148 PSOORED3 22446247 22446437 46,78,99,117,133,148 PSOORED4 18050258 18128341 46,91,78,99,111,117,133,159,148 PSOORED6 21652179 24800176 78,104,117,133,143,219,148 PSOORED7 N/A 6278198 148 PSOOREDT 28006347 28221803 4,20,27,37,57,46,78,102,104,119,143, 148 PSOORNE1 28428458 28465395 11,21,27,32,37,46,71,94,104,117,133, 148 PSOORNE2 32081762 33118731 11,21,23,27,32,37,46,84,103,117,131, 146,156,210,148 PSOORNW1 21176253 21300612 23,46,78,117,131,133,172,148 PSOORNW2 21363148 21480448 10,23,37,46,117,131,133,148 PSOORUT1 28950779 28018011 1,14,30,46,132,148 PSOORUTL 21643948 21653619 14,46,146,132,118,199,223,148 PSOP 29570894 29645736 2,15,98,132,148 PSOP1 15409385 15550762 15,46,103,132,148 PSOPKIV1 11465941 11365205 131,146,223,148 PSOR52 10290363 11514154 10,22,27,181,148 PSOREF 34704251 36629124 1,23,27,36,46,78,130,131,148 PSOREJP0 N/A 9772950 148 PSOREJP1 N/A 11659401 148 PSOREJP2 N/A 11632159 148 PSOREJU1 N/A 12590765 148 PSOREJU2 N/A 8911764 148 PSOREJUT N/A 8010182 148 PSORENW 19222247 19346376 11,27,30,46,71,96,100,130,148 PSORENW4 27437587 28437314 11,23,27,32,37,64,46,75,71,100,130, 117,152,148 PSORESK 27937547 27854541 15,9,27,40,47,55,85,130,185,184,196, 148 PSORN52 28547147 19739915 1,11,27,37,46,79,71,100,117,157,143, 219,148 PSORN52A 1743097 10977218 157,148 PSORN52C 24887936 24943182 1,7,11,27,46,75,87,100,111,124,117, 131,146,148 PSORXDL 29866148 30121659 4,17,9,27,117,131,148 PSORXEDT 20655562 20656007 21,23,44,71,146,185,148 PSORXL 33898771 33546119 8,21,24,32,47,135,148 PSORXL1 24011187 23744907 36,46,148 PSORXPR 19058672 19138097 131,156,148 PSORXRP1 15142875 16150953 11,27,120,156,148 PSORXRPT 21398711 21481986 3,21,27,34,120,138,156,148 PSORXVW 30253107 29862432 14,35,46,96,103,88,117,131,146,156, 185,210,148 PSORXVW1 33086319 33115755 35,47,46,71,99,117,156,193,210,148 PSORXVW2 17060455 17686518 33,71,117,152,148 PSOSUCH1 14382618 14218091 148 PSOSUCHG 44526064 43173138 20,26,130,235,148 PSOSULBL 21135888 17851638 139,173,174,148 PSOSUPOE 27332140 27135909 8,21,27,34,130,148 PSOSUPRX 30425671 29800772 8,36,130,185,148 PSOVER1 25763438 26251869 32,46,90,131,202,207,148 PSOVERC 7464680 7821030 146,223,148 Total number of routines modified: 65 Total number of new routines: 12 The following is a list of files included in this patch: UP SEND DATA USER DATE SEC. COMES SITE RSLV OVER FILE # NAME DD CODE W/FILE DATA PTS RIDE ------------------------------------------------------------------- 52 PRESCRIPTION YES YES NO NO Partial DD: subDD: 52 fld: 81 fld: 82 subDD: 52.01 fld: 4 fld: 12 subDD: 52.1 fld: 81 fld: 82 subDD: 52.25 subDD: 52.3 fld: .02 The following is a list of fields included in this patch: Field Name (Number) File Name (Number) ---------------------- ----------------------- DAW CODE (81) PRESCRIPTION (52) RE-TRANSMIT FLAG (82) PRESCRIPTION (52) NDC RECEIVED (4) CMOP EVENT (52.01) NDC SENT (12) CMOP EVENT (52.01) DAW CODE (81) REFILL (52.1) RE-TRANSMIT FLAG (82) REFILL (52.1) REASON (.02) ACTIVITY LOG (52.3) REJECT INFO (52.25) PRESCRIPTION (52) The following is a list of options included in this patch: Option Name Type New/Modified ----------- ---- ------------ PSO EPHARMACY MENU menu New PSO REJECTS VIEW/PROCESS action New PSO REJECTS WORKLIST action New PSO RX menu Modified The following is a list of protocols included in this patch: Protocol Name Type New/Modified ------------- ---- ------------ PSO HIDDEN ACTIONS menu Modified PSO LM SELECT MENU menu Modified PSO REJECT DISPLAY IGNORE action New PSO REJECT DISPLAY MENU action New PSO REJECT DISPLAY MENU - RESOLVED action New PSO REJECT DISPLAY OUTSIDE CALL action New PSO REJECT DISPLAY OVERRIDE action New PSO REJECT DISPLAY REOPEN action New PSO REJECT DISPLAY RESUBMIT action New PSO REJECT DISPLAY RX EDIT action New PSO REJECT DISPLAY RX VIEW action New PSO REJECT DISPLAY SUSPENSE DATE action New PSO REJECTS DRUG SORT action New PSO REJECTS MENU menu New PSO REJECTS PATIENT SORT action New PSO REJECTS REASON SORT action New PSO REJECTS REFRESH action New PSO REJECTS RX SORT action New PSO REJECTS SELECT action New The following is a list of templates included in this patch: Template Name Type File Name (Number) ------------- ---- ------------------ PSO REJECT DISPLAY List N/A PSO REJECT DISPLAY - RESOLVED List N/A PSO REJECTS PROCESSING List N/A Documentation Retrieval: ======================== The HIPAA NCPDP - GLOBAL project documentation is available on the ANONYMOUS.SOFTWARE directory at one of the following 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 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 ------------------------------------------------------------------------ BPS_1_UM_R0406.PDF ECME V. 1.0 User Manual BPS_1_TM_R0406.PDF ECME V. 1.0 Technical Manual/Security Guide ECME_HIPAA_NCPDP_1_IG.PDF HIPAA NCPDP Connection for EDI Pharmacy (Active Release) Installation Guide ECME_HIPAA_NCPDP_1_RN.PDF HIPAA NCPDP Connection for EDI Pharmacy (Active Release) Release Notes IB_2_PRCA_4_5_RN.PDF HIPAA NCPDP IB/AR Release Notes PSO_7_TM_R0406.PDF OP V. 7.0 Technical Manual/Security Guide PSO_7_P148_TM_CP.PDF OP V. 7.0 Technical Manual/Security Guide Change Pages PSO_7_UM_R0406.PDF OP V. 7.0 User Manual PSO_7_P148_UM_CP.PDF OP V. 7.0 User Manual Change Pages PSS_1_TM_R0406.PDF PDM V. 1.0 Technical Manual/Security Guide PSS_1_P90_TM_CP.PDF PDM V. 1.0 Technical Manual/Security Guide Change Pages PSS_1_UM_R0406.PDF PDM V.1.0 User's Manual PSS_1_P90_UM_CP.PDF PDM V.1.0 User's Manual Change Pages PSX_2_TM_R0406.PDF CMOP V. 2.0 Technical Manual PSX_2_P48_TM_CP.PDF CMOP V. 2.0 Technical Manual Change Pages PSX_2_UM_R0406.PDF CMOP V. 2.0 User's Manual PSX_2_P48_UM_CP.PDF CMOP V. 2.0 User's Manual Change Pages 3. Documentation can also be retrieved from the VistA Documentation Library (VDL) on the Internet at the following address, http://www.va.gov/vdl. Installation Instructions: ========================== IT IS VERY IMPORTANT THAT THESE INSTRUCTIONS ARE FOLLOWED STEP BY STEP IN THE EXACT ORDER INDICATED BELOW. ONCE STARTED, THE INSTALLATION NEEDS TO BE COMPLETED. FAILURE TO FULLY COMPLETE THE INSTALLATION (ONCE STARTED) WILL LIKELY CAUSE PROBLEMS FOR USERS OF THE 6 APPLICATIONS INVOLVED IN THIS PROJECT. BEFORE PROCEEDING, please read item number 12.2 and make sure you have the information needed in order to complete this installation. Users should not be on the system during installation of these patches. These patches should be installed during non-peak hours to avoid disruptions. Installation should take approximately 15 minutes. Notes: 1. You cannot queue this installation for a later time, because you will be prompted to enter information during the installation. 2. DO NOT install patch PSX*2*48 when prescriptions are being transmitted to CMOP. Wait for the CMOP transmission to finish or complete the installation before the transmission starts. 3. For existing test sites, stop the BPS NCPDP logical link. Turn off the logical link using the Start/Stop Links [HL START] option, which is on the Filer and Link Management Options option [HL MENU FILER LINK MGT] submenu of the HL7 Main Menu [HL MAIN MENU] option. When prompted for the HL LOGICAL LINK NODE, enter BPS NCPDP and when asked whether it is "Okay to shut down this job?", enter YES. 1. These patches will be sent to your system upon release from the National Patch Module: - Patch PSS*1*90 - Patch PSX*2*48 - Patch PRCA*4.5*230 Obtain the host file ECME_HIPAA_NCPDP_P3.KID, which contains the following three KIDS build distributions: PSO*7.0*148 BPS*1.0*1 IB*2.0*276 Sites may retrieve the host file in one of the following ways: 1.1 The preferred method is to FTP the file from download.vista.med.va.gov, which will transmit the file from the first available FTP server. 1.2 Sites may also elect to retrieve the file 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 2. From the Kernel Installation and Distribution System (KIDS) Menu, select the Installation menu. 3. From this menu, for each of the three patches (PSS*1*90, PSX*2*48 and PRCA*4.5*230), you may select to use the following options: 3.1. 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 Data Dictionaries (DDs) or templates. 3.2. 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.). 3.3. Verify Checksums in Transport Global - this option will ensure the integrity of the routines that are in the transport global. Note: When prompted for INSTALL NAME, you should enter the corresponding names for each patch as shown below: PATCH INSTALL NAME ----------------------------------- PSS*1*90 PSS*1.0*90 PSX*2*48 PSX*2.0*48 PRCA*4.5*230 PRCA*4.5*230 4. From the Installation menu, select the Install Package(s) option and for each one of the three patches (PSS*1*90, PSX*2*48 and PRCA*4.5*230) follow the instructions below: 4.1. When prompted for the "Select INSTALL NAME:", enter the corresponding name for the patch you are installing (see table above). 4.2. When prompted "Want KIDS to INHIBIT LOGONs during the install? YES//", respond "NO." 4.3. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//", respond "NO." 4.4. When prompted, "Device: Home//" respond with the correct device and DO NOT queue to P-Message. 5. After the installation of the 3 patches is complete (PSS*1*90, PSX*2*48, PRCA*4.5*230), return to the Kernel Installation and Distribution System (KIDS) Menu, select the Installation menu. 6. From the Installation menu, select the Load a Distribution option. 7. When prompted for "Enter a Host File:", enter the full directory path where you saved the host file ECME_HIPAA_NCPDP_P3.KID (e.g., SYS$SYSDEVICE:[ANONYMOUS]ECME_HIPAA_NCPDP_P3.KID). 8. When prompted for "OK to continue with Load? NO//", enter "YES." The following will display: Loading Distribution... ECME HIPAA NCPDP P3 1.0 BPS*1.0*1 PSO*7.0*148 IB*2.0*276 Use INSTALL name ECME HIPAA NCPDP P3 1.0 to install this Distribution. 9. From the Installation menu, you may select to use the following options: (when prompted for "Select INSTALL NAME:", enter "ECME HIPAA NCPDP P3 1.0") 9.1. 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 Data Dictionaries (DDs) or templates. 9.2. 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.). 9.3. Verify Checksums in Transport Global - this option will ensure the integrity of the routines that are in the transport global. 10. Back in the Installation menu, select the Install Package(s) option. 11. When prompted for the "Select INSTALL NAME:", enter "ECME HIPAA NCPDP P3 1.0." 12. For each one of the builds contained in the master build, the following set of prompts will be asked: Note: Information such as the example below about files contained in the build will be displayed for each KIDS build that contains Data Dictionary changes: Incoming Files: 52 PRESCRIPTION (Partial Definition) Note: You already have the 'PRESCRIPTION' File. 12.1. When prompted "Want KIDS to Rebuild Menu Trees Upon Completion of Install? Yes//". For the builds PSO*7.0*148 and IB*2.0*276, respond "NO." For the BPS*1.0*1 build, respond "YES." 12.2. For the BPS*1.0*1 installation, when prompted for Incoming Mail Groups: "Enter the Coordinator for Mail Group 'BPS OPECC':" Please, contact your Medical Care Cost Recovery (MCCR) business department prior to installation to determine who will be the coordinator for this new mail group. This mail group will be used by the BPS Nightly Background Job. Its members will receive bulletins about electronic claims. 13. When prompted "Want KIDS to INHIBIT LOGONs during the install? YES//", respond "NO." 14. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//", respond "NO." 15. When prompted, "Device: Home//" respond with the correct device and DO NOT queue this to P-Message. 16. TEST SITES ONLY: A post-installation step for test sites is to restart the BPS NCPDP Logical link. To turn on the logical link use the Start/Stop Links [HL START] option, which is on the Filer and Link Management Options option [HL MENU FILER LINK MGT] submenu of the HL7 Main Menu [HL MAIN MENU] option. When prompted for the HL LOGICAL LINK NODE, enter "BPS NCPDP" and that will enable the logical link. 17. The functionality will be implemented at sites in a phased schedule. Before performing the steps to activate ePharmacy functionality, all non-test sites should wait to be contacted by the Chief Business Office (CBO). Routine Information: ==================== The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSOARX Before: B35541658 After: B37361096 **10,148** Routine Name: PSOAUTOC Before: B65804719 After: B66351677 **3,24,30,36,88,146,132,223,148** Routine Name: PSOBPSU1 Before: n/a After: B40165335 **148** Routine Name: PSOBPSUT Before: n/a After: B48196473 **148** Routine Name: PSOCAN2 Before: B60252602 After: B66349002 **8,18,62,46,88,164,235,148** Routine Name: PSOCAN3 Before: B73113946 After: B71670516 **15,24,27,32,36,94,88,117,131, 146,139,132,223,235,148** Routine Name: PSOCMOP Before: B36564063 After: B37025252 **2,16,21,27,43,61,126,148** Routine Name: PSOCMOPB Before: B10944345 After: B12231465 **11,148** Routine Name: PSOCSRL Before: B31646673 After: B35996406 **27,71,118,148** Routine Name: PSODAWUT Before: n/a After: B1596507 **148** Routine Name: PSODISP Before: B51109788 After: B54775378 **15,71,131,156,185,148** Routine Name: PSODISP3 Before: B12677591 After: B12357588 **15,13,148** Routine Name: PSODISPS Before: B26291503 After: B29958665 **15,13,9,27,67,71,156,118,148** Routine Name: PSODRG Before: B24416952 After: B30303688 **20,23,36,53,54,46,112,139,207,148** Routine Name: PSOHLD Before: B67874696 After: B48797916 **1,16,21,24,27,32,55,82,114, 130,166,148** Routine Name: PSOHLDA Before: n/a After: B10413296 **148** Routine Name: PSOHLDC Before: B36092089 After: B35362366 **111,121,146,223,148** Routine Name: PSOHLDIS Before: B69600864 After: B68225842 **156,189,193,209,148** Routine Name: PSOHLEXP Before: B9702702 After: B10259031 **10,22,36,73,148** Routine Name: PSOHLNEW Before: B79208522 After: B78866487 **1,7,15,46,71,98,111,124,117, 131,146,132,143,223,235,148** Routine Name: PSOLLL3 Before: B8577417 After: B8025943 **120,161,148** Routine Name: PSOLLLH Before: B24388422 After: B23086524 **161,148** Routine Name: PSOLMUTL Before: B9393494 After: B9324541 **19,46,84,99,131,132,148** Routine Name: PSOMAUEX Before: B20634322 After: B21036438 **40,73,139,148** Routine Name: PSON52 Before: B56762334 After: B59165642 **1,16,23,27,32,46,71,111,124, 117,131,139,157,143,219,148** Routine Name: PSONDCUT Before: n/a After: B19534590 **148** Routine Name: PSOORAL Before: B2374043 After: B2433943 **148** Routine Name: PSOORAL1 Before: B36826035 After: B59592714 **71,156,148** Routine Name: PSOORCPY Before: B20977026 After: B21376105 **10,21,27,32,46,100,117,148** Routine Name: PSOORDRG Before: B41745329 After: B42987232 **3,29,49,46,81,105,134,144,132, 188,207,148** Routine Name: PSOORED1 Before: B64578489 After: B65457372 **5,23,46,78,114,117,131,146,223,148** Routine Name: PSOORED2 Before: B72085266 After: B62628461 **2,51,46,78,102,114,117,133,159,148** Routine Name: PSOORED3 Before: B55876483 After: B55877013 **46,78,99,117,133,148** Routine Name: PSOORED4 Before: B47539130 After: B47668549 **46,91,78,99,111,117,133,159,148** Routine Name: PSOORED6 Before: B51610545 After: B70246977 **78,104,117,133,143,219,148** Routine Name: PSOORED7 Before: n/a After: B10132898 **148** Routine Name: PSOOREDT Before: B59269830 After: B64105311 **4,20,27,37,57,46,78,102,104, 119,143,148** Routine Name: PSOORNE1 Before: B67210291 After: B67734150 **11,21,27,32,37,46,71,94,104, 117,133,148** Routine Name: PSOORNE2 Before: B60526627 After: B64900877 **11,21,23,27,32,37,46,84,103, 117,131,146,156,210,148** Routine Name: PSOORNW1 Before: B41085774 After: B42345668 **23,46,78,117,131,133,172,148** Routine Name: PSOORNW2 Before: B41828263 After: B43033604 **10,23,37,46,117,131,133,148** Routine Name: PSOORUT1 Before: B58566993 After: B65051729 **1,14,30,46,132,148** Routine Name: PSOORUTL Before: B41975151 After: B42520369 **14,46,146,132,118,199,223,148** Routine Name: PSOP Before: B45598913 After: B46184688 **2,15,98,132,148** Routine Name: PSOP1 Before: B25203140 After: B25363822 **15,46,103,132,148** Routine Name: PSOPKIV1 Before: B25106367 After: B25219791 **131,146,223,148** Routine Name: PSOR52 Before: B25637956 After: B30307425 **10,22,27,181,148** Routine Name: PSOREF Before: B62333327 After: B65936340 **1,23,27,36,46,78,130,131,148** Routine Name: PSOREJP0 Before: n/a After: B37884354 **148** Routine Name: PSOREJP1 Before: n/a After: B53365466 **148** Routine Name: PSOREJP2 Before: n/a After: B42289795 **148** Routine Name: PSOREJU1 Before: n/a After: B55721099 **148** Routine Name: PSOREJU2 Before: n/a After: B36306554 **148** Routine Name: PSOREJUT Before: n/a After: B27615812 **148** Routine Name: PSORENW Before: B34517508 After: B34935503 **11,27,30,46,71,96,100,130,148** Routine Name: PSORENW4 Before: B52585024 After: B54619443 **11,23,27,32,37,64,46,75,71, 100,130,117,152,148** Routine Name: PSORESK Before: B57028161 After: B58029902 **15,9,27,40,47,55,85,130,185, 184,196,148** Routine Name: PSORN52 Before: B69065416 After: B41220096 **1,11,27,37,46,79,71,100,117, 157,143,219,148** Routine Name: PSORN52A Before: B2045683 After: B17618155 **157,148** Routine Name: PSORN52C Before: B48244165 After: B48742207 **1,7,11,27,46,75,87,100,111, 124,117,131,146,148** Routine Name: PSORXDL Before: B56903681 After: B58159508 **4,17,9,27,117,131,148** Routine Name: PSORXEDT Before: B39605649 After: B39919801 **21,23,44,71,146,185,148** Routine Name: PSORXL Before: B70031941 After: B71179264 **8,21,24,32,47,135,148** Routine Name: PSORXL1 Before: B38918412 After: B42190830 **36,46,148** Routine Name: PSORXPR Before: B29652881 After: B29756238 **131,156,148** Routine Name: PSORXRP1 Before: B23892190 After: B25369368 **11,27,120,156,148** Routine Name: PSORXRPT Before: B36786334 After: B37272513 **3,21,27,34,120,138,156,148** Routine Name: PSORXVW Before: B58166280 After: B58205807 **14,35,46,96,103,88,117,131, 146,156,185,210,148** Routine Name: PSORXVW1 Before: B61913929 After: B63758683 **35,47,46,71,99,117,156,193,210,148** Routine Name: PSORXVW2 Before: B37943661 After: B41122049 **33,71,117,152,148** Routine Name: PSOSUCH1 Before: B17959912 After: B18079381 **148** Routine Name: PSOSUCHG Before: B75647503 After: B73300969 **20,26,130,235,148** Routine Name: PSOSULBL Before: B32674234 After: B38582182 **139,173,174,148** Routine Name: PSOSUPOE Before: B51224542 After: B53974014 **8,21,27,34,130,148** Routine Name: PSOSUPRX Before: B44477814 After: B45474972 **8,36,130,185,148** Routine Name: PSOVER1 Before: B48618041 After: B52134870 **32,46,90,131,202,207,148** Routine Name: PSOVERC Before: B8918835 After: B9313505 **146,223,148** ============================================================================= User Information: Entered By : ELLZEY,LINDA Date Entered : JUL 10, 2003 Completed By: FARMER,LINDA Date Completed: MAY 04, 2006 Released By : VECE,VIRGINIA Date Released : MAY 18, 2006 ============================================================================= Packman Mail Message: ===================== No routines included