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

Prescription number

RX-37202-F1

DispensingTier 2First fill · fill 1 of 4MANUAL · HANDED_OFF
Open RxEntry
Workflow timelineCurrent: Dispensing · Total elapsed: 458h 26m · Revision 4

Immutable stage history

Prescription workflow timeline

4 stage records · provisional pharmacy SLA
StageStatusOwner / actorEnteredCompletedDuration / SLAOutcome
Intake / data entryRevision 1CompletedWorkbench2026-09-11 12:51 UTC2026-09-11 12:51 UTC4sProvisional target 15m on tracknew intake created
Clinical accuracy (DUR/PV1)Revision 2CompletedWorkbench2026-09-11 12:51 UTC2026-09-11 12:51 UTC3sProvisional target 30m on trackstage advanced
Benefit VerificationRevision 3CompletedWorkbench2026-09-11 12:51 UTC2026-09-11 12:51 UTC2sProvisional target 20m on trackstage advanced
DispensingRevision 4CurrentWorkbench2026-09-11 12:51 UTCIn progress458h 26mProvisional target 20m exceededstage advanced
Evidence event detail 9 events
EventSourceActorDetailsRecorded at
workflow_case_createdRecorded workflow evidenceWorkbench{"refill_num":"1","rx_num":"37202","source":""}2026-09-11 12:51:14 +0000 UTC
rx_intake_review_recordedRecorded workflow evidenceWorkbench{"reviewer":"local:developer","status":"READY"}2026-09-11 12:51:18 +0000 UTC
stage_advancedRecorded workflow evidenceWorkbench{"from":"Intake / data entry","to":"Clinical accuracy (DUR/PV1)"}2026-09-11 12:51:18 +0000 UTC
pv1_evaluatedRecorded workflow evidenceWorkbench{"policy":"allergy/duplicate-therapy checked against real ProScript data; drug-drug/disease/dose remain TODO(SME)","result":"persisted"}2026-09-11 12:51:18 +0000 UTC
pv1_warn_overriddenRecorded workflow evidenceWorkbench{"check_id":"674","reason_code":"THERAPY_INTENDED","reviewer":"local:developer"}2026-09-11 12:51:21 +0000 UTC
stage_advancedRecorded workflow evidenceWorkbench{"from":"Clinical accuracy (DUR/PV1)","to":"Benefit Verification"}2026-09-11 12:51:21 +0000 UTC
benefit_verification_recordedRecorded workflow evidenceWorkbench{"actor":"system-automation","source":"local/test adapter","status":"APPROVED"}2026-09-11 12:51:21 +0000 UTC
claim_adjudicationRecorded workflow evidenceWorkbench{"gateway":"psb","message":"paid by payer","status":"SUCCEEDED"}2026-09-11 12:51:23 +0000 UTC
stage_advancedRecorded workflow evidenceWorkbench{"from":"Benefit Verification","to":"Dispensing"}2026-09-11 12:51:23 +0000 UTC
Phase 5 validation: DispensingPV2 remains gated until product, quantity, label, inventory disposition, and actor evidence are persisted.
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 2 · Rx Intake

Centralized prescription records

Review or correct the owning record

Assignments below are the source of truth for Rx intake validation.

Changes are validated, audited, and limited to Rx Intake.
PatientPatient record #990189VERIFIED · PATIENT-C51B00780A Review or edit patient
PrescriberProvider record #990258 · NPI on fileVERIFIED · PROVIDER-CB9F16B10A Review or edit prescriber
Drug productDEMO PACKAGE SMALL BOX #5VERIFIED · 00000000015 Review drug
CoveragePSB SYNTHETIC B1 / PSB STAGE TRANSMISSIONVERIFIED · BIN 98765400 · PCN MEDD Review or edit payer
FacilitySynthetic Demo Facility 990989VERIFIED · FACILITY-F3AAD5ABE0 Review or edit facility

Phase 2 · Rx Intake

Prescription readiness and reconciliation

Trusted record checks required before PV1 / DUR.

Intake review recorded
✓
Patient and facility

PATIENT-C51B00780A · FACILITY-F3AAD5ABE0

Ready
✓
Prescriber

PROVIDER-CB9F16B10A

Ready
✓
Drug product

DEMO PACKAGE SMALL BOX #5 · 00000000015

Ready
✓
Order completeness

30 quantity · 30 days · 4 authorized fill(s)

Ready
✓
Source reconciliation

No linked eScript; source comparison not required

Ready
Immutable intake evidencelocal:developer · 2026-09-11 12:51 UTC
Phase 3 · PV1 / DUR

Phase 3 · PV1 / DUR

Clinical accuracy evidence

Persisted checks and pharmacist resolution state for this fill.

MasterDURNot configured
ALLERGYpatient_clinical_records
INFO · PASS

No allergy or diagnosis records on file for this patient.

DUPLICATE_THERAPYrx_records
WARN · OVERRIDDEN

3 other active fill(s) on file for the same NDC (00000000015); pharmacist must confirm duplicate therapy is intended.

Overridden by local:developerTHERAPY_INTENDED · Therapy is intentional and clinically appropriate
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
F6PSB
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 notifications

B1 transaction succeeded

paid by payer

CLAIM_SUCCEEDED · 2026-09-11 12:51:23 +0000 UTC

Claim adjudication

Gateway
fake
Protocol
PSB
Outcome
PAID
Attempt
1
Response code
200
Message
Success
Phase 5 · Dispensing confirmation

Phase 5 · Dispensing

Committed fill comparison

Confirm the physical product against the persisted fill before final pharmacist verification.

Expected NDC
00000000015
Expected quantity
30
Days supply
30
Claim readiness
PAID
Lot
Not captured for this fill
Expiration
Not captured for this fill

Technician confirmation

Complete ProScript prescription record, fill history, and claim activity

ProScript prescription record

RX-37202-F1

Fill 1 of 4Dispensingreal SQLite fill
PatientPATIENT-C51B00780AVERIFIED
PrescriberPROVIDER-CB9F16B10AVERIFIED
DrugDEMO PACKAGE SMALL BOX #5NDC 00000000015
FacilitySynthetic Demo Facility 990989FACILITY-F3AAD5ABE0
Refills3 remainingFirst fill

Prescribed product

DEMO PACKAGE SMALL BOX #5

NDC 00000000015GPI-14 Not availableDEA N

Directions

30 manual daily
Quantity
30
Days supply
30
Authorized
4 fill(s)
Origin Rx
RX-37202

Clinical readiness

Allergy record
Not recorded
Diagnosis record
Not recorded
Inventory
Not available
Priority
Tier 2

Coverage routing

Payer
PSB SYNTHETIC B1
Plan
PSB STAGE TRANSMISSION
Payer code
F6PSB
BIN / PCN
98765400 / MEDD

Source and workflow

Source
MANUAL prescription
Workflow
case-rx-37202-f1
Owner
Automation
Last updated
2026-09-11 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
Rx IntakeREADYPersisted intake review · local:developer
Benefit verificationAPPROVEDlocal/test adapter
Latest claimPAIDfake

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