BPCS Implementation Guide

Home
Technical Overview
APIs
General
Expand Value Set
Find Drug
Demographics
Person Search
Create Recipient
Update Recipient
Inactivate Recipient Record
Read Recipient
Recipient History
Coverage
Search Individual Recipient Coverage
Find Public Individual Coverage and Contact Information
Recipient Coverage History
Create Public Individual Recipient Coverage
Update Public Individual Recipient Coverage
Generate Public Family Coverage Application Labels
Create/Update Public Family Coverage
Find Public Family Coverage
End Family Public Coverage
Reject Public Family Coverage
Terminate Public Family Coverage
Reactivate Public Family Coverage
Delete Public Family Coverage
Search Payments
Search Recipient Income
Claims
Claim Summary
Read Claim
Create Claim
Update Claim
Delete Claim
Submit Claim
Retrieve Receipts
Retrieve Receipt Details
Retrieve Receipts Overpaid Deductible Years
Retrieve Overpaid Receipt Details
Reverse Receipts
Notes and Alerts
Find Notes
Add Note
Update Note
Find Alerts and Special Handling
Update Alert or Special Handling Flag
Benefit Reporting
Calculate Annual Expenses
Document Control Number
Find DCN
Add DCN
Examples
Scenario 1
Scenario 2
Scenario 3

Scenario 2

  1. [Step 2a]
  2. An example showing a held claim with a single receipt being retrieved
  3. An example showing the initial submission of a claim with one receipt
  4. An example showing the initial rejection of a claim because of a duplicate
  5. An example showing the second submission of a claim overriding a duplicate
  6. An example showing a subsequent rejection of a claim because of a duplicate (MQ not accepted)
  7. An example showing the third submission of a claim including the ‘general’ override
  8. An example showing the final (accepted) the claim

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