Patient Residence Codes & Pharmacy Service Types

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Certain insurance companies require that a pharmacy transmit a Patient Residence Code or Pharmacy Service type. Generally, if an insurance company wants one, they will also require the other.

Patient Residence Code

This value is transmitted in field 4X-384 and notes the type of service the pharmacy is providing for this prescription.

Code Description
00 Not Specified
01 Home
03 Nursing Home/Facility
06 Group Home
09 Intermediate Care Facility
11 Hospice

Transmitting the Residence Code

QuickSCRIP can be setup to transmit the Patient Residence Code in different ways, depending on your preferences.

In the Business Control File

Setting a /PRS in the Business control file will set QuickSCRIP to ALWAYS transmit a Pharmacy Service Type on every prescription. The system defaults to transmitting a value of 1. This will be overridden by codes that are placed in the Vendor File, Customer Notes, or SIG lines. This is an ideal solution for pharmacies that are frequently getting rejections for this field, and don't want to have to enter the code in all the time.

  1. Start at the Pharmacy Main Menu.
  2. Choose number 3 Utilities.
  3. Choose number 3 Business Control File.
  4. Choose screen 6 Additional Rx Custom Screen 3.
  5. On line 18 add a /PRS

In the Vendor File

You can set QuickSCRIP to only transmit the Patient Residence Code on specific insurance companies. Values set here will override codes set in the Business Control File.

  1. Start in the Rx Processing Menu
  2. Choose option 14 Insurance Vendor File Maint.
  3. Search for the vendor you wish to modify and select them from the pick list.
  4. Type O3 to go to screen 3.
  5. On line 22 add /PRSxx (where xx is the code you want).

In the third party customer notes

You can also set QuickSCRIP to send a specific residence code for specific patients. This is ideal for long-term-care and nursing hope patients that stay in the same location.

  1. Start in the Rx Processing Menu
  2. Choose option 13 Patient File Maint.
  3. Search for the customer and select them from the pick list.
  4. Select the insurance that you will send the claim to.
  5. On lines 12 or 13 add /PRSxx (where xx is the code you want).

In the SIG Lines

Finally, you can set the Pharmacy Service Type directly in the SIG lines of the prescription. This will transmit the code ONLY on that specific prescription, and is ideal for . Values set here will override codes set anywhere else. Set the code as /PRSxx (where xx is the code you want).

Pharmacy Service Type

This value is transmitted in field U7-147 and notes the type of service the pharmacy is providing for this prescription.

Code Description
01 Community/Retail Pharmacy
02 Compounding Pharmacy
03 Home Infusion Therapy Provider
04 Institutional Pharmacy
05 Long Term Care Pharmacy
06 Mail Order Pharmacy
07 Managed Care Organization Pharmacy
08 Specialty Care Pharmacy
99 Other

Transmitting the Service Type

QuickSCRIP can be setup to transmit the Pharmacy Service Type in different ways, depending on your preferences.

In the Business Control File

Setting a /PST in the Business control file will set QuickSCRIP to ALWAYS transmit a Pharmacy Service Type on every prescription. The system defaults to transmitting a value of 1. This will be overridden by codes that are placed in the Vendor File, Customer Notes, or SIG lines. This is an ideal solution for pharmacies that are frequently getting rejections for this field, and don't want to have to enter the code in all the time.

  1. Start at the Pharmacy Main Menu.
  2. Choose number 3 Utilities.
  3. Choose number 3 Business Control File.
  4. Choose screen 6 Additional Rx Custom Screen 3.
  5. On line 18 add a /PST

In the Vendor File

You can set QuickSCRIP to only transmit the Pharmacy Service Type on specific insurance companies. Values set here will override codes set in the Business Control File.

  1. Start in the Rx Processing Menu
  2. Choose option 14 Insurance Vendor File Maint.
  3. Search for the vendor you wish to modify and select them from the pick list.
  4. Type O3 to go to screen 3.
  5. On line 22 add /PSTxx (where xx is the code you want).

In the third party customer notes

You can also set QuickSCRIP to send a specific code for specific patients. This is ideal for customers that you regularly provide nursing home prescriptions for. Values set here will override codes set in the Business Control File.

  1. Start in the Rx Processing Menu
  2. Choose option 13 Patient File Maint.
  3. Search for the customer and select them from the pick list.
  4. Select the insurance that you will send the claim to.
  5. On lines 12 or 13 add /PSTxx (where xx is the code you want).

In the SIG Lines

Finally, you can set the Pharmacy Service Type directly in the SIG lines of the prescription. This will transmit the code ONLY on that specific prescription, and is ideal for compounds. Values set here will override codes set anywhere else. Set the code as /PSTxx (where xx is the code you want).