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Sub-Field: 9002313.401342

Package: E Claims Management Engine

BPS CLAIMS(#9002313.02)-->9002313.0201-->9002313.0401-->9002313.401342

Sub-Field: 9002313.401342


Information

Parent File Name Number Package
9002313.0401 OTHER PAYER AMT PAID MULTIPLE 9002313.401342 E Claims Management Engine

Details

Field # Name Loc Type Details
.01 OTHER PAYER AMT PAID QUALIFIER 0;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>4!($L(X)<4) X
  • LAST EDITED:  JUN 04, 2008
  • HELP-PROMPT:  Answer must be 4 characters in length
  • DESCRIPTION:  
    Code qualifying the Other Payer Amount Paid (431-DV).  NCPDP standard field 342-HC.
  • TECHNICAL DESCR:  
    REQUEST COORDINATION OF BENEFITS/OTHER PAYMENT SEGMENT.
  • CROSS-REFERENCE:  9002313.401342^B
    1)= S ^BPSC(DA(3),400,DA(2),337,DA(1),1,"B",$E(X,1,30),DA)=""
    2)= K ^BPSC(DA(3),400,DA(2),337,DA(1),1,"B",$E(X,1,30),DA)
431 OTHER PAYER AMOUNT PAID 0;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>10!($L(X)<10) X
  • LAST EDITED:  JAN 03, 2008
  • HELP-PROMPT:  Answer must be 10 characters in length
  • DESCRIPTION:  
    Amount of any payment known by the pharmacy from other sources (including coupons).  NCPDP standard field 431-DV.
  • TECHNICAL DESCR:  Format=s$$$$$$cc
    Examples: If the other payer amount paid is $32.56, this field would reflect: 325F.
    REQUEST COORDINATION OF BENEFITS/OTHER PAYMENT SEGMENT.
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