Includes the Credit Card Authorization Monitor Application (CCAM)
The Internal Revenue Service mandates that Flexible Spending Account Cards (FSA or flex cards) be processed only in pharmacies with an Inventory Information Approval System (IIAS) in place. As a result of this requirement, pharmacies that process these cards will need to keep the flex card, and additional cards to cover items that are not FSA eligible, on file. This feature is also needed by pharmacies that process mail orders.
The NRx Pharmacy System, in conjunction with the QS/1 Point-of-Sale System, offers the fields necessary to store and verify multiple credit cards. The QS/1 Point-of-Sale System must use the PA-DSS compliant version of PaySentry® for storing the card data.
Many customers’ prescriptions are picked up, and paid for, by family members. These payors may use different credit cards and have different addresses than the patient. To protect customers and pharmacies from fraudulent transactions, and unnecessary processing fees from card companies, an Address Verification System (AVS) is used for verifying card information used for recurring billing.
ShipRx includes the following files and functions:
Reports
The Customer Credit Card file stores patient credit card information. More than one card may be stored for each patient. Only masked card information is stored. Report fields are available for Patient Demographics, Patient Security Journals, Pharmacy and POS Patients.
Credit card information cannot be accessed from the POS Patient File. This information is stored in the Customer Credit Card file.
Report field selections in the Tickler File
Report field selections to the Pharmacy Patient File
Report field selections to the Patient Demographic File
Report field selections to the Pharmacy Transaction File
Report field selections to the Workflow File
File Maintenance
File Maintenance for Pharmacy and POS include options for the credit card file.
POS File Maintenance includes an option for the customer credit card file labeled QS1 Credit Card
Pharmacy File Maintenance includes an option for the customer credit card file labeled QS1 Credit Card
Pharmacy File Maintenance includes an option for the patient contact file labeled Card Contact History
Pharmacy File Maintenance includes an option for the credit card authorization queue labeled Card Authorization Queue
Rx Miscellaneous File Purge flags manual batch records for deletion
Store Control, Store Level Options, Pricing
Credit card functions in Store Control, Store Level Options, Pricing are:
Perform Credit Card Pre-Authorizations
Record Successful Pre-Authorizations in Tickler
Complete Pre-Authorizations in Workflow Delivery
Minutes Between Last Fill and Pre-Authorization
Credit Card Authorization Monitor Register
Automatically Apply A/R Credits to Payment Total
Automatically Apply A/R Balance Due to Payment Total
Payment Options display if you have QS/1 Point-of-Sale and ShipRx. The A/R Options display if you have the A/R Module. If Perform Credit Card Pre-Authorizations is unchecked, all other options are disabled.
A combo box with two options, By Patient and By Head of Household, display in Automate Batching in Store Control, Store Level Options, System.
Two columns, Fee and Prepay, display in the Delivery Method window in Store Control, Store Level Options, Rx Filling. The Fee column is available for each delivery method and can be edited. PrePay is used for prescriptions with specific delivery methods.
A/R Options
A sidebar icon, Payroll Deduction, displays on A/R Options.
The window, Pay Schedules, is available from the Payroll Deduction screen. Two links display for the Pay Schedules option; 'Create' displays when there are no schedules set up and 'Edit' displays when schedules have been set up.
Up to 20 Pay Schedules can be created and up to 25 characters can be entered for the description. Each ID should begin with 00 and increment by one.
Options from the Pay Schedule window are Save, Next and Update Patients.
The Pay Schedule window is available from the Patient Record and Payment Authorization screen, but cannot be edited.
Store Control, Security Access
Store Control, Security Access, Add Employee and Manage Employee options are:
Approve Payroll Deductions (General Security Rights, Accounts Receivable)
Credit Card Authorization Monitor (General Security Rights, System Utilities)
Update Payroll Deduction Options (Pharmacist/Technician Security Rights, Patient Access)
Complete Pre-Authorization/Charge Patient (Pharmacist/Technician Security Rights, Prescription Access)
These Security Access Options display if you have QS/1 Point-of-Sale and ShipRx.
Patient Record
The fields, Delivery Method and Head of Household, display on the Patient Record, Additional Info, Patient Preferences screen. The Delivery Method window cannot be edited from the Patient Record; it can only be edited in Store Control, Store Level Options, Rx Filling. Select the Head of Household from the Patient Scan. The user must have security access to add/edit patients for this field. The Batch Patient Record function includes the Delivery Method and Head of Household fields.
The sidebar icon, Payment Authorization, displays on the Patient Record. The sidebar icon, Payment Info, is now Insurance Information. Payment Authorization displays if you have QS/1 Point-of-Sale, the POS system is set to store card data and the user logged in has a SQL authorization role of 0 or 1.
The Payment Authorization screen displays Credit Card and Payroll Deduction Options. Payroll Deduction Options display if you have the A/R Module and ShipRx. If not, the screen only displays credit card information. Click Add Card on the tool bar to enter a new credit card. The user must have security access to use this function. New cards added default to the patient mailing address.
The Payment Authorization screen displays options for defaulting payroll and credit card payments:
Check Default Payments to use a card for payment and then check Use Head of Household to determine if cards should be pulled from the head of household or patient account.
Check Default Payments under Payroll Deduction Options to use a payroll deduction for payment
If a payment is not defaulted for a prescription when it is filled, the prescription displays in the Workflow Error Resolution Queue and on the Workflow Report with the note 'No Payment Selected.'
Credit Card Record
A window, Edit Credit Card, displays over the Patient Record. Fields on this window that can be edited include FSA/HRA Card, Max Authorization Amount, Use Mailing Address, Address (Street), Address Line 2, City, State, Zip and Phone. When Use Mailing Address is checked, all fields in the Billing Address section are disabled and the patient's mailing address displays as the billing address.
The options, Reswipe, Save and Cancel, display at the bottom of the screen:
Click Reswipe and the window for reswiping the card displays. The credit card record with updated card information then displays.
Click Save and any changes to the card record are saved and the system returns to the credit card scan on the Patient Record.
Click Close and the system returns to the credit card scan on the Patient Record without saving changes.
If the user has security access to view credit card numbers, a Lock icon displays on the Edit Credit Card window with the message Press the lock to edit/view credit card data. When the lock is clicked, the secure login screen from the Windows client displays. If the user does not have security access, this icon does not display.
Prescription Processing
The Delivery Method for a new prescription defaults from the Patient Record.
Automatic and manual batching programs save the delivery method and delivery address on batch records when a prescription is filled. If the delivery method for the prescription does not match the selected delivery method for the batch, a message displays giving the customer the option to use the order method or the prescription method for all prescriptions in the order. If the delivery method for the prescription is blank, the order method is automatically used.
The filling process determines if the prescription delivery address matches the delivery address of the batch. If not, a message displays giving the customer the option to select the address to use or split the batch and place the current prescription in a different batch.
When a new prescription is entered, the payment options default according to the following:
If automated batching is enabled and a batch has been created for the patient, the payment information defaults from the previously entered prescription.
If automated batching is not enabled, the payment information defaults from the Patient Record.
If the selected delivery method on the prescription is flagged for use with pre-authorization, the payment information defaults on the filling window. Payment information is not defaulted if the delivery method is not flagged for pre-authorization.
When pre-authorization is checked, and the delivery method is flagged for used with pre-authorization, the Workflow Record displays Pre-Auth Waiting status.
Click here to review details on defaulting payment options.
The tab, Payment Options, displays on the Filling Options window. Up to five payment options can be added per customer.
NOTE: This option displays when
the system has Point-of-Sale which is set up to store card data using
PaySentry and the employee logged in has the appropriate SQL role for
accessing cards in Pay Sentry.
Added a window, Select Payment Method. Click Add Payment Method from the Payment Options window and select a method of payment for the current batch. When a payment method is selected, it populates on the Payment Options window.
Payment types are:
Credit/Debit Card from Patient: When checked, the Patient Credit Card Scan displays so a card can be selected
New Credit/Debit Card: When checked, follow the system prompts for adding a new card
Check/Money Order: When checked, type the check number
Charge to Account: When checked, the patient name (or head-of-household name, if applicable) displays on the Filling Options window.
NOTE: You must have the A/R Module
to use this option.
Cash: When checked, Cash displays on the Payment Options window
Payroll Deduction: When checked, the patient name (or head-of-household name, if applicable) displays on the Filling Options window.
Payment Options functionality:
If automated batching is used and the patient has a batch started, this batch number displays on the screen with Batch Total as the amount header. Otherwise, New Batch displays in the batch number area with Rx Total as the amount header.
If manual batching is used and the patient does not have a batch started, New Batch displays in the batch number area with Rx Total as the amount header. If a batch has been started, Batch Total displays as the amount header.
If any third party transactions in the batch have not been adjudicated, the message 'Not all prescriptions in the current batch have completed third party adjudication. The final price may differ after adjudication.' displays at the bottom of the screen.
If a batch is not found and the current prescription is a third party, the message 'Third party adjudication has not been completed for this prescription. The final price may differ after adjudication.' displays at the bottom of the screen.
Accounts Receivable
The Automatic A/R Posting Report posts batch totals for transactions flagged for batch payment.
The option, Reset Pay Period, displays on the A/R menu. This option displays only when the system is authorized for Shipping Management. When selected, a new Select Option screen to reset pay periods for selected patients displays.
Security Journal
Updated the Security Journal, Customer Change Journal to log changes to the customer credit card file. New credit cards display in the journal with a description of NEW CREDIT CARD.
If you are printing Patient Security Journals and capturing
the Payment Method, the following entries will be in the payment type
field:
F = FSA
C = Credit Card
P = Payroll Deduction
K = Check
A = A/R
Label Routine
Routine 376 prints the patient credit card number from the Point-of-Sale Patient File.
Tickler File
The Main Tickler and Patient Tickler Scans display credit card pre-authorization/charge errors, payroll approvals and pre-authorization/charge success messages.
If Workflow is being used, Tickler Records for successful/failed
messages are not generated. These messages are handled in the Workflow
Queue.
Tickler Reports to print pre-authorization, charge or payroll status in the Task Type column.
The window, Review Payroll Deduction for Account, displays over the Tickler Scan. Select a patient from the Tickler Scan and this window displays at the top of the screen. There are four separate screens for this function depending on the employee's security access setup: 1) the employee is authorized to edit both patient payroll amounts and approve deductions, 2) the employee is not authorized to approve deductions but is authorized to edit patient payroll amounts, 3) the employee is authorized to approve deductions but is not authorized to edit patient payroll amounts and 4) the employee is not authorized to edit payroll amounts or approve deductions.
Payment Review
The window Payment Details can be accessed from the Tickler Queue (Main and Patient), Automated Batch Details and the Workflow Queue. If the pre-authorization or charge fails, payment methods and amount fields can be edited on this window. Click here to view functions available on the Payment Details window.
Credit Card Authorization Detail
Information about the pre-authorization/charge can be accessed from the Tickler Queue (Main and Patient), Batch Details and the Workflow Queue. If a pre-authorization is being reviewed, the Pre-Authorization Detail window displays. If a charge is being reviewed, the Payment Detail window displays. If a patient has been contacted by the pharmacy 'Patient Contacted' displays below the patient name. If the patient has not been contacted, 'Patient Not Contacted' displays. Click here to view functions available on this window.
Patient Contact Notes
The scan, Contact History for Batch, displays five notes per page and up to 256 characters of text for each note. Select New Contact Note to display the Contact Note window. Notes can be edited or created on this screen.
Workflow
The Workflow Scan checks flags for credit card pre-authorization errors and then displays those errors in the Workflow Error Resolution Queue. Pre-authorization must be checked in Store Options to use this function. If errors exist, and are selected for processing, the Credit Card Detail window displays. Functions from Workflow Queues include:
A tool bar button, Payment Details, displays on the Label/Dispensing, QA, Delivery/Will Call and Error Resolution Queues.
A tool bar button, Resubmit Failures, displays on the Error Resolution Queue.
When processing items from the Delivery Queue, credit card pre-authorizations are queued to be completed as charges. The Workflow Record is not marked as delivered until all pre-authorizations have been successfully charged. A successful completion of all charges checks out all prescriptions in the batch and creates a POS transaction.
The Workflow Report prints the pre-authorization status in the Task Type column for card errors: PRE-AUTH FAILED for failed messages, CHARGE FAILED for completion/charge errors and PAYROLL PENDING prints for payroll approvals. This report prints from all Workflow Queues.
Prescription Status
The Prescription Status window displays Workflow messages for records pertaining to pre-authorization:
If the prescription is waiting for pre-authorization, Authorizing Payment displays in the Status column.
If a pre-authorization error occurred, Pre-Authorization Error displays in the Status column.
If a charge error occurred, Pre-Auth Charge Error displays in the Status column.
Automated Batch Scan
The Batch Scan window displays this information in the Status column:
Authorizing Payment: Prescription is waiting for pre-authorization
Pre-Authorization Error: Pre-authorization error occurred
Pre-Auth Charge Error: Charge error occurred
Payroll Pending: Payroll deduction is waiting approval
A batch closes automatically when performing credit
card pre-authorizations and the time delay in Store Options is met.
Functions from the Batch Scan window include viewing payment details, closing the batch manually, splitting or removing the batch.
Added a column, Closed, to the Batch Scan window which indicates the batch is closed and additional prescriptions cannot be added.
Pharmacy at a Glance
Updated the dashboard data collection program to not count Workflow items that are waiting for credit card pre-authorization or payroll deduction approval. This function applies to all queues except Error Resolution.
Credit Card Authorization Monitor Application (CCAM)
The CCAM is the application used for processing pre-authorizations and charges through the pharmacy system. When the application is launched, users must have security access rights to the CCAM to login. After the login, the Authorization Queue displays. The queue displays the ten most recent authorization records with columns for Batch, Date/Time Entered, Cardholder, Status, Response and Amount. Cards must be processed one at a time.
Card processing functions from the queue are different depending on whether or not Workflow is used.
Card processing with Workflow
Card processing without Workflow
Checkout Details
Point-of-Sale checkout details can be accessed from the Pharmacy Transaction Record by clicking Checkout.
Price Plan
The price plan error message is 'Payment Exceeds Maximum Amount.'
Printer Selection
The option, Invoice/Delivery Ticket, is available on the Printer Selection, Default Printers window. This option displays only if the system has ShipRx.
Print Invoice/Delivery Manifest
There is an option to print an Invoice/Delivery Manifest for each order at the time the Point-of-Sale transaction is generated. The option Print Invoice/Delivery Ticket must be checked. The invoice contains a detailed list of each item in the batch, added handling fees if any, added A/R balance or A/R credits where applicable, each payment processed and the amount due.
Automated Batching
The batch details window includes invoice information. The section, Invoice/Delivery Ticket, displays in the Delivery Address section. This section displays only if the batch is completed, paid for and a Point-of-Sale transaction created.
Reports
The following reports support multi-ship functions:
File Maintenance
File Maintenance functions (copy, clear, reload, key build, file verification and compression) include an option for the QS1 Delivery Address file.
Patient Record
The field, Delivery Addresses, displays on the Patient Record, General screen. This field displays only if the system has ShipRx. The link displays 'Create' if addresses have not been entered; otherwise, 'Edit' displays.
Copy delivery addresses is an option when copying a Patient Record. The head of household field is always copied.
Prescription Processing
The field, Specialty Rx, displays on the new prescription entry screen for regular and electronic prescriptions. The option displays only if the system has ShipRx.
Delivery Address Scan and Record
The window, Delivery Address Scan, displays on top of the Patient Record. The head of household name displays in the title bar if available; otherwise the patient name displays. Up to ten addresses display in the order in which they were entered. Double-click a record to display the Patient Delivery Address Record.
Click New on the tool bar to add a Patient Delivery Address Record. The option to designate an address as the refrigerated default is on this record. The prescription can also be flagged as a Specialty Rx on this screen.
Default Delivery Address
When a new prescription is entered, or a prescription is selected from the patient profile, the delivery address defaults from the patient or head of household.
When arranging the delivery, the refrigerated/non-refrigerated flags are checked if needed.
The refrigerated flag overrides the PO Box flag.
Prescription Record
A sidebar button, Delivery Information, displays on the Prescription Record. The Delivery Information screen displays only if the system has ShipRx. Click Change Address to display the Delivery Address Scan. If the drug dispensed is marked as refrigerated, only addresses in the scan flagged as refrigerated display. A check box, Show Non-Refrigerated, gives the user the option to display all records. The drug may be flagged as a Specialty Rx on this screen. The Specialty Rx designation is saved for refill prescriptions.
Filling Options
The delivery address displays in Filling Options, Delivery Options if the system has ShipRx and the Store Option to display delivery options during filling is checked. If ShipRx and the Store Option are set up, the Filling Options window has three tabs: Fill & Print, Interface Options and Delivery Options.
Refrigeration Warning
A Delivery Warning displays if the drug is flagged as a refrigerated item and the delivery address is a PO box. This message displays during filling or when a profile only or a label only function is used.
Transaction Record
The Transaction Record displays the delivery address on the Delivery Information screen in the IVR/Delivery Processing section when the system is authorized for ShipRx.
Labels
Label routines for delivery address information.
Interfaces
The AutoMed and SI Baker Interfaces will send the delivery address associated with the transaction. Information is sent in ZAP 8 where the alternate address is populated.