• Bin Number
• Processor Control Number
• Group Number
• Cardholder ID number
• Person Code
• Help Desk Phone Number

• Last 4 digits of SSN
• Patient Last Name
• Patient First Name
• Patient Gender Code
• Patient Date of Birth
• Zip Code taken from Facility Record

If E1 transactions are submitted in batch, the user can decide how to process the responses.  You may:

• Print a report of responses
• Print a report and save responses to a file
• Print a report and modify patients profiles

If the responses are saved to a file, those responses can be processed at a later date and used to modify the patients profiles.

Updated Information as of 01/05/06:
CMS has delivered slightly more that 6 million enrollment records available for E1 queries.  This represents a mixture of auto-enrollees and those enrolled through open enrollments.  CMS has identified many plans where the PCN's, cardholder ID's, etc. have been incorrect.  CMS is working with the plans to get this data corrected and re-submitted to the TrOOP facilitator.

Further, NDC has worked through the issues that were causing timeouts on E1 queries.  According to NDC, this should no longer be an issue.

You can check for updates posted on the TrOOP facilitators web site at:

http://medifacd.ndchealth.com/Support/MediFacD_Support.asp

POS Facilitated Enrollment in 4 Steps for Pharmacists

This document was published by CMS and has been provided here for your convenience.  If you need assistance in performing the steps described in this document using FrameworkLTC^®, please contact product support.

Crediting a prescription is intended to be used only by LTC pharmacies when a facility returns some portion of the quantity originally dispensed because the patient will no longer be taking the drug. For example, assume that 28 day supply prescription was dispensed and after 3 days of administration the patient had an adverse reaction to the medication. In some states, if clean packaging is used, the facility may return the unused portion to the pharmacy. In this case, you can enter a credit for the unused 25 days worth of the drug. Only that quantity will be returned to inventory (89% of what was dispensed). Usually, the facility and the pharmacy have an arrangement stating something like "... 80% of the ingredient costs of the unused portion of any returned drugs will be credited...". If our original ingredient cost for the drug was $10.00, a credit amount of $7.12 would be applied to the facility:

Credit Amount = $10.00 * 89% * 80% = $7.12

The original dispensing fee is not credited.

Because crediting is intended for partial returns (otherwise you would be reversing) it should never be used for third party claims where the third party is the only payor as there is no way to do a partial reversal of a script. However, you can credit a third party script if their is a copay amount and only the copay will be credited to the patients private method of payment.

1. From the menu, select <File><Facility><Patients>.
2. Press the "Medical Records" button.
3. Check off the medical records you wish to print and select the appropriate printer for each medical record.
4. Select the appropriate effective date.
5. Press OK.