STANDARD DATA DICTIONARY #365.3 -- EIV E1 TRANSACTION RESPONSE LOG FILE                                           5/26/26    PAGE 1
STORED IN ^IBCN(365.3,  *** NO DATA STORED YET ***   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                      (VERSION 2.0)   

DATA          NAME                  GLOBAL        DATA
ELEMENT       TITLE                 LOCATION      TYPE
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This file will track E1 Pharmacy transactions (payer responses) as they are being recorded in the INSURANCE VERIFICATION PROCESSOR
(#355.33) file. Some of them are then saved to the PATIENT (#2) file and the records in this file are updated appropriately.  


              DD ACCESS: @
              RD ACCESS: @
              WR ACCESS: @
             DEL ACCESS: @
           LAYGO ACCESS: @
           AUDIT ACCESS: @

CROSS
REFERENCED BY: PATIENT NAME(B)

    LAST MODIFIED: MAR 26,2026@15:13:10

365.3,.01     PATIENT NAME           0;1 POINTER TO PATIENT FILE (#2) (Required)

              LAST EDITED:      JUN 05, 2025 
              HELP-PROMPT:      Enter the patient that is associated with this entry. 
              DESCRIPTION:
                                This field identifies the patient associated with this record.  

              CROSS-REFERENCE:  365.3^B 
                                1)= S ^IBCN(365.3,"B",$E(X,1,30),DA)=""
                                2)= K ^IBCN(365.3,"B",$E(X,1,30),DA)


365.3,.02     RECEIVED DATE/TIME     0;2 DATE

              INPUT TRANSFORM:  S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      JUN 05, 2025 
              HELP-PROMPT:      Enter the Date/Time that this entry was received. 
              DESCRIPTION:
                                This field is the Date/Time the E1 Pharmacy transaction was received.  


365.3,.03     BPS RESPONSE           0;3 POINTER TO BPS RESPONSES FILE (#9002313.03)

              LAST EDITED:      JUN 05, 2025 
              HELP-PROMPT:      Enter the BPS CLAIM (#9002313.03, .01) associated with this entry. 
              DESCRIPTION:
                                This field is the corresponding response in the BPS RESPONSES (#9002313.03) file.  


365.3,.04     TRANSACTION STATUS     0;4 SET

                                'A' FOR APPROVED; 
                                'R' FOR REJECTED; 
              LAST EDITED:      JUN 05, 2025 
              HELP-PROMPT:      Enter the status of the response from the payer. 
              DESCRIPTION:      This field indicates the TRANSACTION RESPONSE STATUS (#9002313.0301, 112) field of the
                                corresponding response in the BPS RESPONSES (#9002313.03) file.  


365.3,.05     BUFFER ENTRY           0;5 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>9999999999)!(X<1)!(X?.E1"."1.N) X
              LAST EDITED:      JUN 05, 2025 
              HELP-PROMPT:      Enter the corresponding buffer record for this entry. This will be a number between 1 and 
                                9999999999, 0 decimal digits. 
              DESCRIPTION:      This field identifies the corresponding buffer record in the INSURANCE VERIFICATION PROCESSOR
                                (#355.33) file for this entry.  

              TECHNICAL DESCR:  This is the IEN of the INSURANCE VERIFICATION PROCESSOR (#355.33) file. It is not a pointer since
                                the INSURANCE VERIFICATION PROCESSOR file can be purged and this information needs to remain in the
                                database for historical purposes.  


365.3,.06     DO NOT PURGE           0;6 SET

                                '1' FOR YES; 
                                '0' FOR NO; 
              LAST EDITED:      APR 07, 2025 
              HELP-PROMPT:      Enter 'YES' to prevent the entry from being purged. Otherwise, enter 'NO'. 
              DESCRIPTION:
                                This is not to be edited by a user.  If the value is 1, then this record may not be purged.  


365.3,1.1     INSURANCE SUB IEN      1;1 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X
              LAST EDITED:      JUN 05, 2025 
              HELP-PROMPT:      Enter the corresponding record of the INSURANCE TYPE (#2.312) subfile for this entry. This will be 
                                a number between 1 and 999, 0 decimal digits. 
              DESCRIPTION:
                                This field identifies the corresponding entry in the INSURANCE TYPE (#2.312) subfile.  

              TECHNICAL DESCR:  This is the IEN of the INSURANCE TYPE (#2.312) subfile. It is not a pointer since the entries in
                                the INSURANCE TYPE subfile can be deleted (if no bills/claims are associated with it) and this
                                information needs to remain in the database for historical purposes.  


365.3,1.2     INSURANCE IEN          1;2 POINTER TO INSURANCE COMPANY FILE (#36)

              LAST EDITED:      APR 07, 2025 
              HELP-PROMPT:      Enter the insurance company that is associated to this entry. 
              DESCRIPTION:
                                Select the appropriate Insurance Company for this entry.  


365.3,1.3     INSURANCE COMPANY NAME 1;3 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
              MAXIMUM LENGTH:   30
              LAST EDITED:      JUN 05, 2025 
              HELP-PROMPT:      Enter the name of the associated insurance company. Answer must be 3-30 characters in length.  
              DESCRIPTION:
                                This is the name of the insurance company associated with this entry.  


365.3,1.4     GROUP PLAN IEN         1;4 POINTER TO GROUP INSURANCE PLAN FILE (#355.3)

              LAST EDITED:      JUN 05, 2025 
              HELP-PROMPT:      Enter the name of the group plan that is associated with this entry. 
              DESCRIPTION:
                                This is the group plan associated with this entry.  


365.3,1.5     GROUP NUMBER           1;5 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>55!($L(X)<2) X
              MAXIMUM LENGTH:   55
              LAST EDITED:      JUN 05, 2025 
              HELP-PROMPT:      Enter the group number associated with this entry. Answer must be 2-55 characters in length. 
              DESCRIPTION:
                                This is the group number associated with this entry.  


365.3,1.6     SUBSCRIBER ID          1;6 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>20!($L(X)<3) X
              MAXIMUM LENGTH:   20
              LAST EDITED:      JUN 05, 2025 
              HELP-PROMPT:      Enter the Subscriber ID that is associated with this entry. Answer must be 3-20 characters in 
                                length. 
              DESCRIPTION:
                                This is the Subscriber ID associated with this entry.  



      FILES POINTED TO                      FIELDS

BPS RESPONSES (#9002313.03)       BPS RESPONSE (#.03)

GROUP INSURANCE PLAN (#355.3)     GROUP PLAN IEN (#1.4)

INSURANCE COMPANY (#36)           INSURANCE IEN (#1.2)

PATIENT (#2)                      PATIENT NAME (#.01)



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