GLOBAL MAP DATA DICTIONARY #366.14 -- IB NCPDP EVENT LOG FILE 3/24/25 PAGE 1
STORED IN ^IBCNR(366.14, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 2.0)
-----------------------------------------------------------------------------------------------------------------------------------
This file contains data which are passed into IB NCPDP APIs by outside applications - E CLAIMS MGMT ENGINE and OUTPATIENT PHARMACY
(see IA # 4299). Data stored in this file are used for IB ECME EVENT report to provide details about E-Pharmacy claims processing
and about communication details between IB and the applications listed above. The data in this file is populated internally by the
IB application (data not directly entered by the user).
Per VHA Directive 10-93-142, this file definition should not be modified.
CROSS
REFERENCED BY: DATE(B), PATIENT(D), CLAIMID(E), PRESCRIPTION(I), RX #(I), RX NO(R), ePHARMACY USER(U)
^IBCNR(366.14,D0,0)= (#.01) DATE [1D] ^
^IBCNR(366.14,D0,1,0)=^366.141SA^^ (#1) EVENT
^IBCNR(366.14,D0,1,D1,0)= (#.01) EVENT TYPE [1S] ^ (#.02) NON-BILLABLE REASON [2P:366.17] ^ (#.03) PATIENT [3P:2] ^ (#.04) JOB
==>[4N] ^ (#.05) TIME [5D] ^ (#.06) ePHARMACY USER [6P:200] ^ (#.07) RESULT [7N] ^ (#.08) RESULT MESSAGE
==>[8F] ^ (#.09) E-PHARMACY DIVISION [9P:9002313.56] ^
^IBCNR(366.14,D0,1,D1,1)= (#.11) AUTH # [1F] ^ (#.12) BCID [2F] ^ (#.13) CLAIMID [3F] ^ (#.14) PATIENT IN IBD [4P:2] ^ (#.15)
==>MEDICAL CENTER DIVISION [5P:40.8] ^ (#.16) RESPONSE [6F] ^ (#.17) REVERSAL REASON [7F] ^ (#.18) RTS-DEL
==>[8N] ^ (#.19) STATUS [9F] ^
^IBCNR(366.14,D0,1,D1,2)= (#.201) PRESCRIPTION [1P:52] ^ (#.202) RX NO [2F] ^ (#.203) FILL NUMBER [3N] ^ (#.204) DRUG [4F] ^
==>(#.205) NDC [5F] ^ (#.206) DATE OF SERVICE [6D] ^ (#.207) RELEASE DATE [7D] ^ (#.208) QTY [8N] ^
==>(#.209) DAYS SUPPLY [9N] ^ (#.21) DEA [10F] ^ (#.211) FILLED BY [11P:200] ^ (#.212) RX # [12P:52] ^
==>(#.213) BILLING UNITS [13F] ^ (#.214) NCPDP QTY [14N] ^ (#.215) NCPDP UNITS [15F] ^
^IBCNR(366.14,D0,1,D1,3)= (#.301) BILL [1P:399] ^ (#.302) BILLED [2N] ^ (#.303) PLAN [3P:355.3] ^ (#.304) COST [4N] ^ (#.305)
==>PAID BY INSURANCE [5N] ^ (#.306) CLOSE/REOPEN COMMENT [6F] ^ (#.307) CLOSE REASON [7P:356.8] ^ (#.308)
==>DROP TO PAPER [8N] ^ (#.309) RELEASE COPAY [9N] ^ (#.31) ECME USER IN IBD [10P:200] ^ (#.311) COPAY
==>AMOUNT [11N] ^ (#.312) INGREDIENT COST PAID [12N] ^ (#.313) DISPENSING FEE PAID [13N] ^ (#.314) PATIENT
==>RESPONSIBILITY (INS) [14N] ^
^IBCNR(366.14,D0,1,D1,4)= (#.401) AO [1S] ^ (#.402) CV [2S] ^ (#.403) SWA [3S] ^ (#.404) IR [4S] ^ (#.405) MST [5S] ^ (#.406) HNC
==>[6S] ^ (#.407) SC [7S] ^ (#.408) SHAD [8S] ^ (#.409) ADO [9S] ^
^IBCNR(366.14,D0,1,D1,5,0)=^366.1412A^^ (#2) INSURANCE
^IBCNR(366.14,D0,1,D1,5,D2,0)= (#.01) INSURANCE [1N] ^ (#.02) GROUP INSURANCE PLAN [2P:355.3] ^ (#.03) BIN [3F] ^ (#.04) PCN [4F]
==>^ (#.05) PAYER SHEET B1 [5F] ^ (#.06) GROUP ID [6F] ^ (#.07) CARDHOLDER ID [7F] ^ (#.08) PATIENT
==>RELATIONSHIP CODE [8N] ^ (#.09) PHARMACY PERSON CODE [9F] ^
^IBCNR(366.14,D0,1,D1,5,D2,1)= (#.101) CARDHOLDER FIRST NAME [1F] ^ (#.102) CARDHOLDER LAST NAME [2F] ^ (#.103) STATE [3P:5] ^
==>(#.104) PAYER SHEET B2 [4F] ^ (#.105) PAYER SHEET B3 [5F] ^ (#.106) SOFTWARE/VENDOR CERT ID [6F] ^
==>(#.107) INSURANCE NAME [7F] ^
^IBCNR(366.14,D0,1,D1,5,D2,2)= (#.201) DISPENSING FEE [1N] ^ (#.202) BASIS OF COST DETERMINATION [2F] ^ (#.203) AWP OR TORT RATE
==>OR COST [3N] ^ (#.204) GROSS AMOUNT DUE [4N] ^ (#.205) ADMINISTRATIVE FEE [5N] ^ (#.206)
==>INGREDIENT COST [6N] ^ (#.207) USUAL AND CUSTOMARY CHARGE [7N] ^
^IBCNR(366.14,D0,1,D1,5,D2,3)= (#.301) GROUP NAME [1F] ^ (#.302) INSURANCE PHONE NUMBER [2F] ^ (#.303) PLAN ID [3F] ^ (#.304) PT
==>INSURANCE POLICY [4N] ^
^IBCNR(366.14,D0,1,D1,7)= (#7.01) RX COB [1S] ^ (#7.02) PRIMARY BILL [2P:399] ^ (#7.03) PRIOR PAYMENT [3N] ^ (#7.04) RATE TYPE
==>SELECTED BY USER [4P:399.3] ^ (#7.05) ELIGIBILITY [5S] ^ (#7.06) DRUG ECME BILLABLE [6S] ^ (#7.07) DRUG
==>ECME BILLABLE TRICARE [7S] ^ (#7.08) DRUG ECME BILLABLE CHAMPVA [8S] ^ (#7.09) DRUG SENSITIVE DIAGNOSIS
==>[9S] ^
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):