NCPDP Integration of Medication History Requests

Example: Prescriber requests medication history

In this example a prescriber is requesting historical prescription information from a payer for a patient based on a date range or social security number. Payer sends back a response with one prescription.  Video shows how a non-technical user can easily map the NCPDP Script and other standards to any target format.

Payer can easily setup a trading partner in Adeptia and automate all the NCPDP transactions.

  1. Payer receives request from the Prescriber (trading partner)
  2. Maps the RxHistory Request / Response message
  3. Automatic trigger processes new requests on arrival
  4. Payer checks the request status in Trading Partner Monitor interface

Refer to the following data integration video on how to setup a trading partner and automate the processing of prescriber requests.

 

As part of this example we will use database lookups to search for the Patient medication historical data from a database table and apply the search results into the Rx History Response segments under the PrescribedMedication node of the SCRIPT Standard.

ncpdp_ex4.JPG

Elements in the NCPDP Rx History Request (RxHistoryRequest) Transaction (SCRIPT standard) are:

Element

Value

To (payer)

PAYER123:ZZZ

From (prescriber)

7702211:C

RelatesToMessageID

991

PrescriberOrderNumber

Not applicable

RxHistoryRequest

RxHistoryRequest

Patient SocialSecurity

888092222

Patient LastName,FirstName

Jane:Elen

Patient Gender

F

Patient Address

21 Main St, Aurora, IL, 60445

PayerName

ACME

CardholderID

1234567890

CardholderLastName

Elen

Cardholder FirstName

Jane

Prescriber Address

45 Main St, Chicago, IL 60661

Prescriber Phone- Communication Number

555-000-2222

 

Some of the important elements in the RxHistoryResponse (from Payer) are:

Element

Value

To (prescriber)

7702211:C

From (payer)

PAYER123:ZZZ

RelatesToMessageID

1234567

PrescriberOrderNumber

110088

RxReferenceNumber

PH888

Patient SocialSecurity (Cardholder)

888092222

Patient LastName,FirstName (Cardholder)

Jane:Elen

Patient Gender

F

Patient Address

21 Main St, Aurora, IL, 60445

Pharmacy Provider ID - NCPDPID

7701789

Pharmacy National Provider ID - NPI

1234567890

Pharmacy Name - StoreName

ABC Pharmacy

Prescriber NPI

444444444

Prescriber Address

45 Main St, Chicago, IL 60661

Prescriber Phone- Communication Number

555-000-2222

Drug Description

Generic SR 240MG

Drug Strength

240

Strength From – NCPDP Drug Dosage Form Terminology is the code for Tablet dosing form.

C42998

Quantity /Code value

60:38

WrittenDate

2014-10-1

Days Supply

30

Substitutions

1

Number of Refills

0

Note – Pharmacy is asking to substitute to generic

Substitute Generic?

Sig Text

Take one tablet

RxFillIndicator – intent to receive status

1

Adeptia supports full integration of NCPDP standards. 

For more information on Adeptia - NCPDP integration please refer to http://support.adeptia.com/entries/54725865-Integration-with-NCPDP-...

Simplified mapping of the NCPDP standard is one of key advantages of using Adeptia. To learn more about the mapping functionality please refer to mapping videos available in the support forum.

To learn more about the NCPDP Script standard please refer to www.ncpdp.org

 

 

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