The ZE1 Specification

If the "Example Contents" has a "^", then there are 2 pieces of data required

Field #, Name of field,     Example Contents      
  0      Segment Name       ZE1 

  1      Sequence Number    Blank or a characters:A, 1, B, 2, ...

  2      Data Hub Name      RXHUB, WISHARD, etc

  3      PBM Code & Name    P00000000020062^Argus Health Systems

  4      Formulary ID       FSL105

  5      Alt.Formulary ID   ALT111

  6      COPAY              COP106

  7      COVERAGE           COV107

  8      Drug Logistics     ACTIVE^INACTIVE          ie:{Retail}^{Mail-Order}

  9      Insure.Group Id.
         and Name           B000000^HONEYWELL

 10      Insure.Member Id.  111111110

 11      PBM Patient Id     B000000%111111110%001    Note: With "%"s, This is considered a complete Pat.Id.

 12      Health Plan Number & Health Plan Name
                            PLAN123^CARRGRPNAME      Note:Health Plan Number = REF-18-02, Health Plan Name = REF-18-03
                                                     Note: Wishard does not have one.

 13      Eligibility Error  [Med Hub error code]^[Med Hub error text]^RIMH^[message error code]^[error text we map]^Provider

 14      History Error      [Med Hub error code]^[Med Hub error text]^RIMH^[message error code]^[error text we map]^Provider

Note: There are 14 fields now, before there was 13. Alt.Formulary ID was moved from Formulary field to its own field.

Field 13 Example:
PB^The PBM returned an error^RIMH^67^Patient Not Found, Resubmission Not Allowed (NM1, IL)N^RxHub

Component 1: Med Hub error code = PB
Component 2: Med Hub error text = The PBM returned an error
Component 3: Med Hub Name       = RIMH
Component 4: Message error code = 67
Component 5: Error text we map  = Patient Not Found, Resubmission Not Allowed (NM1, IL)N
Component 6: Provider Name      = RxHub

Good Message:
   0 1     2                                    3      4      5      6      7               8                 9        10                   11                  12
ZE1|B|RXHUB|P00000000020062^Argus Health Systems|FSL105|ALT111|COP106|COV107|ACTIVE^INACTIVE|B000000^HONEYWELL|111111110|B000000%111111110%001|PLAN123^CARRGRPNAME

Bad Message:
                   111                                                                                                 1
   0 1     23456789012                                                                                                 3
ZE1|1|RXHUB|||||||||||PB^The PBM returned an error^RIMH^67^Patient Not Found, Resubmission Not Allowed (NM1, IL)N^RxHub|