Optum Rx Genoa Pharmacy Workbench Pharmacy Care Services · Pilot Pharmacy
build 1790355941 sqlite · demo
JT

Prescription number

RX-37127-F1

PV2Tier 3First fill · fill 1 of 4Source not linked
Open RxEntry
Workflow timelineCurrent: PV2 · Total elapsed: 864h 50m · Revision 5

Immutable stage history

Prescription workflow timeline

5 stage records · provisional pharmacy SLA
StageStatusOwner / actorEnteredCompletedDuration / SLAOutcome
Intake / data entryRevision 1CompletedWorkbench2026-08-25 14:26 UTC2026-08-28 14:26 UTC72h 0mProvisional target 15m exceededfill overlay created
Clinical accuracy (DUR/PV1)Revision 2CompletedWorkbench2026-08-28 14:26 UTC2026-08-28 14:30 UTC3mProvisional target 30m on trackstage advanced
Benefit VerificationRevision 3CompletedWorkbench2026-08-28 14:30 UTC2026-08-28 14:30 UTC0sProvisional target 20m on trackstage advanced
DispensingRevision 4CompletedWorkbench2026-08-28 14:30 UTC2026-08-28 14:31 UTC40sProvisional target 20m on trackstage advanced
PV2Revision 5CurrentWorkbench2026-08-28 14:31 UTCIn progress792h 45mProvisional target 15m exceededstage advanced
Evidence event detail 10 events
EventSourceActorDetailsRecorded at
workflow_case_createdRecorded workflow evidenceWorkbench{"rx_num":37127,"refill_num":1}2026-08-25 14:26:01 +0000 UTC
stage_advancedRecorded workflow evidenceWorkbench{"from":"Intake / data entry","to":"Clinical accuracy (DUR/PV1)"}2026-08-28 14:26:41 +0000 UTC
pv1_evaluatedRecorded workflow evidenceWorkbench{"policy":"allergy/duplicate-therapy checked against real ProScript data; drug-drug/disease/dose remain TODO(SME)","result":"persisted"}2026-08-28 14:26:43 +0000 UTC
pv1_sot_evaluatedRecorded workflow evidenceWorkbench{"correlation_id":"pv1-sot-65a829d5d47b1e0a","result":"UNAVAILABLE","source":"drug-sot/masterDUR"}2026-08-28 14:26:43 +0000 UTC
pv1_warn_overriddenRecorded workflow evidenceWorkbench{"check_id":"116","reason_code":"DUPLICATE_THERAPY_REVIEWED","reviewer":"pharmacist-test-01"}2026-08-28 14:29:10 +0000 UTC
stage_advancedRecorded workflow evidenceWorkbench{"from":"Clinical accuracy (DUR/PV1)","to":"Benefit Verification"}2026-08-28 14:30:27 +0000 UTC
benefit_verification_recordedRecorded workflow evidenceWorkbench{"actor":"system-automation","source":"local/test adapter","status":"APPROVED"}2026-08-28 14:30:27 +0000 UTC
stage_advancedRecorded workflow evidenceWorkbench{"from":"Benefit Verification","to":"Dispensing"}2026-08-28 14:30:27 +0000 UTC
stage_advancedRecorded workflow evidenceWorkbench{"from":"Dispensing","to":"PV2"}2026-08-28 14:31:07 +0000 UTC
pv2_recordedRecorded workflow evidenceWorkbench{"result":"PASS","reviewer":"local:developer"}2026-09-09 18:48:34 +0000 UTC
Phase 6 validation: PV2Fulfillment remains gated until final verification evidence is recorded.

Exception resolution

Evidence-linked resolution plan

These explanations are derived from persisted Workbench state. Only the linked authorized workflow controls can change a record.

1 open
!
Order completeness

SIG, quantity, days supply, and fill authorization must be complete

INTAKE_ORDER_INCOMPLETE · ORDER · prescription:order
ACTION_REQUIREDPrescription
Phase 1 · Prescriber communication drafts 0 drafts · outbound disabled

Draft only

Prepare a prescriber communication

Drafts are immutable and require review by a different pharmacist. Approval does not transmit the message.

No communication drafts are recorded for this prescription.

Phase 3 · PV1 / DUR

Phase 3 · PV1 / DUR

Clinical accuracy evidence

Persisted checks and pharmacist resolution state for this fill.

MasterDURNOT_CONFIGURED
drug-sot/masterDURUNAVAILABLE · TODO(SME)SOT provider is not configured · 2026-08-28 14:26:43 +0000 UTC
ALLERGYpatient_clinical_records
INFO · PASS

No allergy or diagnosis records on file for this patient.

DUPLICATE_THERAPYrx_records
WARN · OVERRIDDEN

4 other active fill(s) on file for the same NDC (65162017750); pharmacist must confirm duplicate therapy is intended.

Overridden by pharmacist-test-01DUPLICATE_THERAPY_REVIEWED · Duplicate therapy reviewed; same-NDC active fills acknowledged and approved for this test workflow.
DRUG_DISEASEProScript evidence unavailable
INFO · UNAVAILABLE

No authoritative legacy rule or source data is available; pharmacist review required.

DOSEProScript evidence unavailable
INFO · UNAVAILABLE

No authoritative legacy rule or source data is available; pharmacist review required.

GPIProScript evidence unavailable
INFO · UNAVAILABLE

No authoritative legacy rule or source data is available; pharmacist review required.

PAYER_DURProScript evidence unavailable
INFO · UNAVAILABLE

No authoritative legacy rule or source data is available; pharmacist review required.

Licensed rules without authoritative results remain marked TODO(SME).
Phase 4 · Benefit review and claim adjudication

Phase 4 · Benefits & Claim

Coverage and benefit evidence

Local ProScript coverage checks are readiness evidence, not a real-time E1 eligibility response.

Status
APPROVED
Source
local/test adapter
Coverage reference
PSB
Eligibility
ELIGIBLE_AUTO
Copay estimate
Not recorded
Copay result
Not available
Verifier
system-automation
Blocking reason
Not available

PSB F6 B2

Void paid claim

A successful reversal records payer evidence but does not silently delete the prescription.

Claim adjudication

Gateway
fake
Protocol
PSB
Outcome
PAID
Attempt
1
Response code
00
Message
APPROVED
Phase 6 · PV2 verification

Phase 6 · PV2

Persisted final verification

Result
PASS
Reviewer
local:developer
Reviewed at
2026-09-09 18:48:34 +0000 UTC
Discrepancy
Not available

Phase 7 · Fulfillment

Pickup / shipping handoff

Courier tracking, delivery attempts, exceptions, and proof of delivery are planned in the separate Delivery module.

Complete ProScript prescription record, fill history, and claim activity

ProScript prescription record

RX-37127-F1

Fill 1 of 4PV2real SQLite fill
PatientPATIENT-0BBFAE76ABVERIFIED
PrescriberPROVIDER-8DBB746811VERIFIED
DrugMETFORMIN 1000MG ER TAB 1000MGNDC 65162017750
FacilityQA TEST FACILITYFACILITY-4BB03C7272
Refills3 remainingFirst fill

Prescribed product

METFORMIN 1000MG ER TAB 1000MG

NDC 65162017750GPI-14 Not availableDEA N

Directions

Not supplied
Quantity
30
Days supply
20
Authorized
4 fill(s)
Origin Rx
RX-37127

Clinical readiness

Allergy record
Available
Diagnosis record
Available
Inventory
Not available
Priority
Tier 3

Coverage routing

Payer
Not available
Plan
PSBF6
Payer code
PSB
BIN / PCN
98765400 / MEDD

Source and workflow

Source
Manual or unlinked
Workflow
case-rx-37127-f1
Owner
Automation
Last updated
2026-08-13 00:00:00 +0000 UTC
Fill-scoped adjudicationOpen claim history or inspect the latest request and response.

Dispensing activity

Fill history

0 recorded

No prior fills are recorded.

Immutable evidence

Work ledger

3 records
Benefit verificationAPPROVEDlocal/test adapter
Latest claimPAIDfake
PV2PASSPersisted pharmacist record

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