STANDARD DATA DICTIONARY #9002313.94 -- BPS AUTO CLOSE REJECT CODE FILE 6/27/25 PAGE 1
STORED IN ^BPSACR( *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 1.0)
DATA NAME GLOBAL DATA
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BPS Auto Close Reject Codes file stores reject codes to be defined as auto close reject codes. Specific criteria, defined in this
file, will be used to determine if a claim should automatically be closed upon the pharmacist ignoring a reject on the
prescription.
DD ACCESS: @
RD ACCESS: @
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
APPLICATION GROUP(S): BPS
CROSS
REFERENCED BY: AUTO CLOSE REJECT CODE(B)
INDEXED BY: AUTO CLOSE REJECT CODE (C)
LAST MODIFIED: JUN 27,2025@16:23:28
9002313.94,.01AUTO CLOSE REJECT CODE 0;1 POINTER TO BPS NCPDP REJECT CODES FILE (#9002313.93) (Required)
LAST EDITED: FEB 04, 2025
HELP-PROMPT: Enter an NCPDP Reject Code.
DESCRIPTION: This field is a pointer to the BPS NCPDP REJECT CODES file (#9002313.93). This field indicates
reject codes that will be defined as auto close rejects.
CROSS-REFERENCE: 9002313.94^B
1)= S ^BPSACR("B",$E(X,1,30),DA)=""
2)= K ^BPSACR("B",$E(X,1,30),DA)
FIELD INDEX: C (#1028) REGULAR IR LOOKUP & SORTING
Short Descr: SORT
Description: This index allows the auto close reject codes to be displayed in ascending order in the ePharmacy
Claim Parameters option.
Set Logic: S ^BPSACR("C",X(1),X(2),DA)=""
Kill Logic: K ^BPSACR("C",X(1),X(2),DA)
Whole Kill: K ^BPSACR("C")
X(1): Computed Code: S X=$$GET1^DIQ(9002313.94,DA,.01)
(Subscr 1)
X(2): AUTO CLOSE REJECT CODE (9002313.94,.01) (Subscr 2) (forwards)
9002313.94,.02RNB PTR 0;2 POINTER TO CLAIMS TRACKING NON-BILLABLE REASONS FILE (#356.8) (Required)
INPUT TRANSFORM: S DIC("S")="I ($P(^(0),U,2)=1),($P(^(0),U,5)'=1),($P(^(0),U,3)'=1)" D ^DIC K DIC S DIC=$G(DIE),X=+Y
K:Y<0 X
LAST EDITED: FEB 04, 2025
HELP-PROMPT: Enter a Claims Tracking Non-Billable Reason code.
DESCRIPTION: When a pharmacist ignores a reject, which is defined as an auto close reject, a Claims Tracking
Non-Billable Reason will be applied in Claims Tracking. This field is the pointer to the code in
file #356.8 that will be applied.
SCREEN: S DIC("S")="I ($P(^(0),U,2)=1),($P(^(0),U,5)'=1),($P(^(0),U,3)'=1)"
EXPLANATION: Active Non-Billable Reason Required
9002313.94,.03DOLLAR THRESHOLD 0;3 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>99999)!(X<0)!(X?.E1"."1.N) X
LAST EDITED: FEB 04, 2025
HELP-PROMPT: Type a number between 0 and 99999, 0 decimal digits. A value of zero will result in all claims
with this reject code auto closing if the reject is ignored by the pharmacist.
DESCRIPTION: If the value of this field is set to 0, then all claims with this reject code will be auto closed
by the system if the reject is ignored by the pharmacist.
OR
If the Gross Amount Due is greater than or equal to the value of this field then the claim will not
be auto closed by the system if the reject is ignored by the pharmacist.
TECHNICAL DESCR: The Gross Amount Due value is stored in field 902.15 of the Patient Insurance Multiple (#902) of
the BPS Transaction File (#9002313.59).
FILES POINTED TO FIELDS
BPS NCPDP REJECT CODES (#9002313.93) AUTO CLOSE REJECT CODE (#.01)
CLAIMS TRACKING NON-BILLABLE R
(#356.8) RNB PTR (#.02)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):