Implementation of HMS Doctor Database updates for QS/1 Prescriber Record Fields account for information mandated by SureScripts and Emdeon directories, including prescriber downloads and pharmacy updates. The updates supply information needed for claims submission, e-Prescribing and Federal sanctions and are part of Clinical Update Database Services.
Prescriber Record
The following fields were added or modified on the Prescriber Record/General Information screen. These fields are available in Batch Record Updates.
Prescriber Last Name: 35 alpha/numeric positions
Prescriber First Name: 35 alpha/numeric positions
Prescriber Middle Name: 35 alpha/numeric positions
Prescriber Address Line 1 expanded from 25 to 35 alpha/numeric positions
Prescriber Address Line 2 expanded from 25 to 35 alpha/numeric positions
Practice Name: 35 alpha/numeric positions
NADEAN (Narcotics Addiction DEA Number): Nine alpha/numeric positions
State: Two alpha/numeric positions. State associated with NADEAN
The following fields were added or modified on the Prescriber Record/Additional Information screen. These fields are available in Batch Record Updates.
Credential: Ten alpha/numeric positions for the prescriber's credentials (examples: ARN = Advanced Registered Nurse, CCFP = Certificate of the College of Family Practice).
Auth for Schedule 2, 3, 4, 5: Check each class of drug the prescriber can dispense. If the prescriber is not authorized for a drug class and tries to prescribe that class, the system displays the message Prescriber Not Authorized for Schedule 2, 3, 4 or 5.
Sanctions: Federal sanctions levied against the prescriber. Start Date = MM/DD/CCYY. End Date = MM/DD/CCYY. Board and Action = 50 alpha/numeric character fields for the board issuing the sanction and the action taken.
CTP (Certificate to Prescribe): HMS updates with a Y (checked) if the State License Number is for a nurse practitioner in Ohio. Otherwise, the field is blank.
DPS (Department of Public Safety): HMS updates this field (up to 15 alpha/numeric characters) for the state of Texas. Otherwise, the field is blank.
Added a Notes icon below the Prescriber Record/Additional Information screen. Click this icon to display the Prescriber Record/Notes screen. The Notes screen is not available in Batch Record Updates.
The following fields were added or modified on the Prescriber Record/Electronic Rx screen. These fields are available in Batch Record Updates.
Service Levels/New Rx: Sent from the prescriber to the pharmacy as a new prescription. Default = checked (Y).
Service Levels/Refill Request: Sent from the pharmacy to the prescriber to request a refill. Default = checked (Y).
Service Levels/Controlled Substance (EPCS): Authorization for the prescriber to send electronic Rx information. Default = unchecked (N).
The following fields were added or modified on System Utilities/Data Updates/Electronic Data Updates/Set Up Prescriber Options screen.
Update Practice Name: Default = unchecked (N). When checked (Y), the practice name on the Prescriber Record is updated (up to 35 positions).
Update Prescriber DEA: Default = unchecked (N). When checked (Y), the following fields on the Prescriber Record are updated:
Prescriber DEA #: First nine positions in the DEA field, then additional positions in the DEA Suffix field up to 11 positions.
DEA Expiration Date
DEA Schedule (2, 3, 4, 5)
Update Prescriber NADEAN: Default = unchecked (N). When checked (Y), the prescriber NADEAN is updated (up to nine positions).
Update Prescriber State License #: Default = unchecked (N). When checked (Y), the following fields on the Prescriber Record are updated:
Prescriber State License #: Up to 25 positions
Prescriber State License Expiration Date
State Issuing License: Two positions
Prescriber State License Type: Up to three positions
Prescriber CTP: One position
Update Prescriber DPS: Default = unchecked. When checked (Y), the Prescriber DPS is updated (up to 15 positions).
Update Prescriber Credential: Default = unchecked. When checked (Y), the Prescriber Credential is updated (up to 10 positions).
Update Prescriber Sanctions: Default = unchecked. When checked (Y), the following fields on the Prescriber Record are updated:
Sanction Start Date
Sanction End Date
Board Description: Up to 50 positions
Action Description: Up to 50 positions
When checked (Y) and Sanction information is NOT received, the system automatically clears these fields on the Prescriber Record.
Update ePrescribing Identifiers: When this field is checked (Y), the following Prescriber Record electronic prescribing information is updated:
New Rx
Refill Request
Controlled Substance (EPCS)
Updated the drop-down list for Preferred ePrescribing Vendors. Updates for vendors include:
No Preference: Update Level 1 ID # and Level Three ID # with the first vendor received.
Emdeon: Update Level 1 ID # and Level Three ID # with information received for Emdeon. Level 1 ID Qualifier is normally C for clinic.
Surescripts: Update Level 1 ID # and Level Three ID # with information received for Surescripts. Level 1 ID Qualifier is normally D for prescriber (Doctor).
Update the Prescriber Record
NOTE: The Prescriber Record must have a DEA # or NPI # to perform this update function.
To update the Prescriber Record, click Request Info on the main title bar on the Prescriber Record. Electronic Prescriber Information displays. Click Update Prescriber to populate the Prescriber Record with the electronic information shown in bold. If the information is returned and more than one prescriber match is made, the Prescriber Updates Scan displays. Select the correct prescriber from the scan to update that prescriber's information.
Electronic Refill Requests
Updated the Electronic Refill Request option from the Rx Summary screen to display the message, Prescriber Does Not Accept Electronic Refill Request, if the prescriber does not accept electronic refill requests.
Label Routines
Added Label Routines for the new prescriber fields:
Prescriber First Name = 670
Prescriber Middle Name = 671
Prescriber Last Name = 672
Prescriber Suffix = 673
Prescriber Address Line 1 = 674
Prescriber Address Line 2 = 675
Prescriber Practice Name = 676
Prescriber NADEAN = 677
Prescriber DPS = 678
Prescriber CTP = 679
Report Select, Sort, Print and Export Options
Renamed the following:
Doctor Name to Doctor Name (25) - Existing combined last and first name at 25 characters
First Name to First Name (12) - Existing Print/Export option only for the first 12 characters of the first name
Last Name to Last Name (17) - Existing Print/Export option only for the first 17 characters of the last name
Added Report option fields:
Doctor Name (50 characters)
First Name (50 characters)
Last Name (50 characters)
Added Prescriber Select, Sort, Print and Export options:
Last Name (35 characters)
First Name (35 characters
Middle (35 characters)
Middle Initial (1 characters)
Practice Name (35 characters)
NADEAN (9 characters)
NADEAN State (2 characters)
CTP - YES/NO field - Currently only used in Ohio
DPS Number (14 characters) - Currently only used in Texas
Sanction Board (50 characters)
Sanction Action (50 characters)
Sanction Start Dt (8 characters)
Sanction End Dt (8 characters)
System Utilities
Updated the following to reflect new fields:
Copy, Clear and Reload - Prescriber
Selective Doctor/Prescriber File Reset
Automatic File Purging - Prescriber and Doctor Security Journal
Automatic File Compression - Prescriber and Doctor Security Journal
Batch Record Updates - New Electronic Prescribing Information screen, Additional Prescriber Information screen, display changes to the Prescriber Record
Rebuild Individual Keys - Prescriber and Doctor Security Journal
Prescriber Updates
Security Journals
Updated Doctor Security Journals with the new prescriber fields.
Price Plan
Added Price Plan error messages which display if the prescriber is not authorized to dispense a Schedule 2, 3, 4 or 5 drug, or if there are sanctions against the prescriber.
The system automatically checks the Drug Record to determine the Drug Class and the Prescriber Record to confirm the prescriber's authorization for that class. In the example below, the prescriber is not authorized to dispense Schedule 2 drugs.
When filling or refilling prescriptions, the system automatically checks the Prescriber Record for Sanctions. If the Sanction Start Date is earlier than the current system date, and the End Date is blank or a future date, an error message displays. In the example below, the prescriber has Sanctions.
