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Sub-Field: 9002313.035501

Package: E Claims Management Engine

BPS RESPONSES(#9002313.03)-->9002313.0301-->9002313.035501

Sub-Field: 9002313.035501


Information

Parent File Name Number Package
9002313.0301 OTHER PAYER ID MLTPL 9002313.035501 E Claims Management Engine

Details

Field # Name Loc Type Details
.01 OTHER PAYER ID COUNTER 0;1 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUL 22, 2010
  • HELP-PROMPT:  Type a number between 1 and 99, 0 decimal digits.
  • DESCRIPTION:  
    This is a sequential counter of the Other Payer ID occurrences.
  • TECHNICAL DESCR:  
    Counter incremented by BPS* software.
  • CROSS-REFERENCE:  9002313.035501^B
    1)= S ^BPSR(DA(2),1000,DA(1),355.01,"B",$E(X,1,30),DA)=""
    2)= K ^BPSR(DA(2),1000,DA(1),355.01,"B",$E(X,1,30),DA)
127 OTHER PAYER HELP DESK PHONE NO 0;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<1) X
  • LAST EDITED:  AUG 31, 2010
  • HELP-PROMPT:  Answer must be 1-20 characters.
  • DESCRIPTION:  
    This is used to store NCPDP field 127-UB (Other Payer Help Desk Phone Number), which is defined as "Phone number of the other payer's help desk."
  • TECHNICAL DESCR:  Format=AAAEEENNNNXXXXXXXX
    AAA=Area Code
    EEE=Exchange Code
    NNNN=Number
    XXXXXXXX=Extension
    Examples:
    A phone number of 212-555-1212 would reflect: 2125551212.
    With an extension of 123 the same number would reflect: 2125551212123 or 2125551212x123 or 2125551212ext123.
    RESPONSE COORDINATION OF BENEFITS/OTHER PAYERS SEGMENT.
142 OTHER PAYER PERSON CODE 0;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>5!($L(X)<1) X
  • LAST EDITED:  AUG 31, 2010
  • HELP-PROMPT:  Answer must be 1-5 characters.
  • DESCRIPTION:  
    This is used to store NCPDP field 142-UV (Other Payer Person Code), which is defined as "Code assigned by the other payer to a specific person within a family."
  • TECHNICAL DESCR:  
    RESPONSE COORDINATION OF BENEFITS/OTHER PAYERS SEGMENT.
143 OTHER PAYER PATIENT REL CODE 0;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  AUG 31, 2010
  • HELP-PROMPT:  Answer must be 1-3 characters.
  • DESCRIPTION:  
    This is used to store NCPDP field 143-UW (Other Payer-Patient Relationship Code), which is defined as "Code assigned by the other payer to indicate the relationship of patient to cardholder."
  • TECHNICAL DESCR:  
    RESPONSE COORDINATION OF BENEFITS/OTHER PAYERS SEGMENT.
144 OTHER PAYER EFFECTIVE DATE 0;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>10!($L(X)<1) X
  • LAST EDITED:  AUG 31, 2010
  • HELP-PROMPT:  Answer must be 1-10 characters.
  • DESCRIPTION:  
    This is used to store NCPDP field 144-UX (Other Payer Benefit Effective Date).
  • TECHNICAL DESCR:  Format=CCYYMMDD
    CC=Century
    YY=Year
    MM=Month
    DD=Day
    RESPONSE COORDINATION OF BENEFITS/OTHER PAYERS SEGMENT.
145 OTHER PAYER TERMINATION DATE 0;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>10!($L(X)<1) X
  • LAST EDITED:  AUG 31, 2010
  • HELP-PROMPT:  Answer must be 1-10 characters.
  • DESCRIPTION:  
    This is used to store NCPDP field 145-UY (Other Payer Benefit Termination Date), which is defined as "Other Payer's termination date of the patient's benefit."
  • TECHNICAL DESCR:  Format=CCYYMMDD
    CC=Century
    YY=Year
    MM=Month
    DD=Day
    RESPONSE COORDINATION OF BENEFITS/OTHER PAYERS SEGMENT.
338 OTHER PAYER COVERAGE TYPE 1;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>4!($L(X)<1) X
  • LAST EDITED:  JUL 22, 2010
  • HELP-PROMPT:  Answer must be 1-4 characters.
  • DESCRIPTION:  
    This is used to store NCPDP field 338-5C (Other Payer Coverage Type), which is defined as "Code identifying the type of 'Other Payer ID' (340-7C)."
339 OTHER PAYER ID QUALIFIER 1;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>4!($L(X)<1) X
  • LAST EDITED:  JUL 22, 2010
  • HELP-PROMPT:  Answer must be 1-4 characters.
  • DESCRIPTION:  
    This is used to store NCPDP field 339-6C (Other Payer ID Qualifier), which is defined as "Code qualifying the 'Other Payer ID' (340-7C)."
340 OTHER PAYER ID 1;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>12!($L(X)<1) X
  • LAST EDITED:  JUL 22, 2010
  • HELP-PROMPT:  Answer must be 1-12 characters.
  • DESCRIPTION:  
    This is used to store NCPDP field 340-7C (Other Payer ID), which is defined as "ID assigned to the payer."
356 OTHER PAYER CARDHOLDER ID 1;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>22!($L(X)<1) X
  • LAST EDITED:  JUL 22, 2010
  • HELP-PROMPT:  Answer must be 1-22 characters.
  • DESCRIPTION:  
    This is used to store NCPDP field 356-NU (Other Payer Cardholder ID), which is defined as "Cardholder ID for this member that is associated with the Payer noted."
991 OTHER PAYER PROCESSOR CNTRL NO 1;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>12!($L(X)<1) X
  • LAST EDITED:  JUL 22, 2010
  • HELP-PROMPT:  Answer must be 1-12 characters.
  • DESCRIPTION:  
    This is used to store NCPDP field 991-MH (Other Payer Processor Control Number), which is defined as "A number that uniquely identifies the secondary, tertiary, etc. payer to the processor."
992 OTHER PAYER GROUP ID 1;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>17!($L(X)<1) X
  • LAST EDITED:  JUL 22, 2010
  • HELP-PROMPT:  Answer must be 1-17 characters.
  • DESCRIPTION:  
    This is used to store NCPDP field 992-MJ (Other Payer Group ID), which is defined as "ID assigned to the cardholder group or employer group by the secondary, tertiary, etc. payer."
2023 OTHER PAYER HELPDESK PHONE EXT 0;7 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>8!($L(X)<1) X
  • LAST EDITED:  DEC 31, 2014
  • HELP-PROMPT:  Answer must be 1-8 characters in length.
  • DESCRIPTION:  
    This is used to store NCPDP field B23-7Q (Other Payer Help Desk Telephone Number Extension), which is defined as "Extension of the telephone number".
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