Files > PHARMACY BENEFITS MANAGER (PBM)

name
PHARMACY BENEFITS MANAGER (PBM)
number
366.02
location
^IBCNR(366.02,
description
This Integrated Billing (IB) file was created for the e-Pharmacy Project. It is maintained centrally, via real time HL7 Table Update Messages, using the WebMD database. Never maintain locally, except via a designated and secured option that edits selected APPLICATION Subfile fields, such as LOCAL ACTIVE?. A Pharmacy Benefits Manager (PBM) administers a plan on behalf of the insurance company payer. A PBM is typically a separate, contracted entity, but it may be the insurance company payer. A PBM is uniquely identified by its' name. Per VHA Directive 10-93-142, this file definition should not be modified.
Fields
#NameLocationTypeDetailsIndexDescription
.01name(+)0;1FREE TEXTBThe Pharmacy Benefits Manager's (PBM's) long name.
.02date/time created(+)0;2DATE-TIMEThe date and time associated with the creation of Pharmacy Benefits Manager (PBM) file (#366.02) entry.
1.01primary contact name1;1FREE TEXTThe Pharmacy Benefits Manager's (PBM's) primary contact name in general VA name format (Family,Given Middle/MI Suffix).
1.02primary contact prefix1;2FREE TEXTThe Pharmacy Benefits Manager's (PBM's) primary contact prefix / title (e.g. Dr.).
1.03primary contact degree1;3FREE TEXTEnter the Pharmacy Benefits Manager's (PBM's) primary contact degree code (e.g. MD).
1.04alternate contact name1;4FREE TEXTThe Pharmacy Benefits Manager's (PBM's) alternate contact name in general VA name format (Family,Given Middle/MI Suffix).
1.05alternate contact prefix1;5FREE TEXTThe Pharmacy Benefits Manager's (PBM's) alternate contact prefix / title (e.g. Dr.).
1.06alternate contact degree1;6FREE TEXTThe Pharmacy Benefits Manager's (PBM's) alternate contact degree code (e.g. MD).
2contact means2;0MULTIPLE366.022The Pharmacy Benefits Manager's (PBM's) Contact Means sub-file. Applies to both the PBM's primary and alternate contacts.
3application3;0MULTIPLE366.023The Pharmacy Benefits Manager's (PBM's) Application (electronic interface application) sub-file.

Referenced by 1 types

  1. PLAN (366.03) -- pharmacy benefits manager name