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

Prescription number

RX-37204-F1

PV2Tier 2First fill · fill 1 of 2eScript · QUEUED
Open RxEntry
Workflow timelineCurrent: PV2 · Total elapsed: 456h 53m · Revision 5

Immutable stage history

Prescription workflow timeline

5 stage records · provisional pharmacy SLA
StageStatusOwner / actorEnteredCompletedDuration / SLAOutcome
Intake / data entryRevision 1CompletedWorkbench2026-09-11 14:24 UTC2026-09-11 14:24 UTC0sProvisional target 15m on tracknew intake created
Clinical accuracy (DUR/PV1)Revision 2CompletedWorkbench2026-09-11 14:24 UTC2026-09-11 14:24 UTC0sProvisional target 30m on trackstage advanced
Benefit VerificationRevision 3CompletedWorkbench2026-09-11 14:24 UTC2026-09-11 14:24 UTC1sProvisional target 20m on trackstage advanced
DispensingRevision 4CompletedWorkbench2026-09-11 14:24 UTC2026-09-11 14:24 UTC0sProvisional target 20m on trackstage advanced
PV2Revision 5CurrentWorkbench2026-09-11 14:24 UTCIn progress456h 53mProvisional target 15m exceededstage advanced
Evidence event detail 10 events
EventSourceActorDetailsRecorded at
workflow_case_createdRecorded workflow evidenceWorkbench{"refill_num":"1","rx_num":"37204","source":"escript"}2026-09-11 14:24:46 +0000 UTC
rx_intake_review_recordedRecorded workflow evidenceWorkbench{"reviewer":"system-automation","status":"READY"}2026-09-11 14:24:46 +0000 UTC
stage_advancedRecorded workflow evidenceWorkbench{"from":"Intake / data entry","to":"Clinical accuracy (DUR/PV1)"}2026-09-11 14:24:46 +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 14:24:46 +0000 UTC
stage_advancedRecorded workflow evidenceWorkbench{"from":"Clinical accuracy (DUR/PV1)","to":"Benefit Verification"}2026-09-11 14:24:46 +0000 UTC
benefit_verification_recordedRecorded workflow evidenceWorkbench{"actor":"system-automation","source":"local/test adapter","status":"APPROVED"}2026-09-11 14:24:46 +0000 UTC
claim_adjudicationRecorded workflow evidenceWorkbench{"gateway":"psb","message":"paid by payer","status":"SUCCEEDED"}2026-09-11 14:24:47 +0000 UTC
stage_advancedRecorded workflow evidenceWorkbench{"from":"Benefit Verification","to":"Dispensing"}2026-09-11 14:24:47 +0000 UTC
dispensing_confirmedRecorded workflow evidencepoc-automation:local:developer{"inventory_disposition":"NOT_TRACKED","label_status":"NOT_REQUIRED","ndc":"00000001104","quantity":"30"}2026-09-11 14:24:47 +0000 UTC
stage_advancedRecorded workflow evidenceWorkbench{"from":"Dispensing","to":"PV2"}2026-09-11 14:24:47 +0000 UTC
Phase 6 validation: PV2Fulfillment remains gated until final verification evidence is recorded.
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 productALCOHOL PADSVERIFIED · 00000001104 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 · Automated eScript validation

eScript validation and reconciliation

Trusted record checks required before PV1 / DUR.

Automated validation recorded
✓
Patient and facility

PATIENT-C51B00780A · FACILITY-F3AAD5ABE0

Ready
✓
Prescriber

PROVIDER-CB9F16B10A

Ready
✓
Drug product

ALCOHOL PADS · 00000001104

Ready
✓
Order completeness

30 quantity · 30 days · 2 authorized fill(s)

Ready
✓
Source reconciliation

Patient, facility, prescriber, drug, SIG, quantity, and days supply reconcile

Ready
Immutable automated validation evidencesystem-automation · 2026-09-11 14:24 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
INFO · PASS

No other active fill on file for the same NDC.

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 14:24:47 +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
00000001104
Expected quantity
30
Days supply
30
Claim readiness
PAID
Lot
Not captured for this fill
Expiration
Not captured for this fill

Persisted dispensing evidence

Status
CONFIRMED
Confirmed NDC
00000001104
Confirmed quantity
30
Label
NOT_REQUIRED
Inventory disposition
NOT_TRACKED
Actor
poc-automation:local:developer
Confirmed at
2026-09-11 14:24:47.303982 +0000 UTC
Phase 6 · PV2 verification

PV2 final verification

Complete ProScript prescription record, fill history, and claim activity

ProScript prescription record

RX-37204-F1

Fill 1 of 2PV2real SQLite fill
PatientPATIENT-C51B00780AVERIFIED
PrescriberPROVIDER-CB9F16B10AVERIFIED
DrugALCOHOL PADSNDC 00000001104
FacilitySynthetic Demo Facility 990989FACILITY-F3AAD5ABE0
Refills1 remainingFirst fill

Prescribed product

ALCOHOL PADS

NDC 00000001104GPI-14 Not availableDEA Not available

Directions

Use 2 sprays in each nostril every 12 hours as needed
Quantity
30
Days supply
30
Authorized
2 fill(s)
Origin Rx
RX-37204

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
NCPDP SCRIPT 2017
Workflow
case-rx-37204-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

4 records
Rx IntakeREADYPersisted intake review · system-automation
Benefit verificationAPPROVEDlocal/test adapter
Latest claimPAIDfake
DispensingCONFIRMEDPersisted dispensing record · poc-automation:local:developer

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