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Sub-Field: 9002313.401353

Package: E Claims Management Engine

BPS CLAIMS(#9002313.02)-->9002313.0201-->9002313.0401-->9002313.401353

Sub-Field: 9002313.401353


Information

Parent File Name Number Package
9002313.0401 OTHER PAYER-PATIENT RESP MLTPL 9002313.401353 E Claims Management Engine

Details

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

  • INPUT TRANSFORM:  K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  SEP 01, 2010
  • HELP-PROMPT:  Type a number between 1 and 99, 0 decimal digits.
  • DESCRIPTION:  
    This is an integer counter incremented by software.
  • CROSS-REFERENCE:  9002313.401353^B
    1)= S ^BPSC(DA(3),400,DA(2),337,DA(1),3,"B",$E(X,1,30),DA)=""
    2)= K ^BPSC(DA(3),400,DA(2),337,DA(1),3,"B",$E(X,1,30),DA)
351 OTHER PAYER-PT RESP AMT QUALFR 0;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>4!($L(X)<1) X
  • LAST EDITED:  SEP 01, 2010
  • HELP-PROMPT:  Answer must be 1-4 characters.
  • DESCRIPTION:  
    This is used to store NCPDP field 351-NP (Other Payer-Patient Responsibility Amount Qualifier), which is defined as "Code qualifying the Other Payer-Patient Responsibility Amount (352-NQ)."
  • TECHNICAL DESCR:  
    Comments: This field is submitted by the pharmacist for the purpose of qualifying the entry in the Other Payer-Patient Responsibility Amount field.  REQUEST COORDINATION OF BENEFITS/OTHER PAYMENT SEGMENT.
352 OTHER PAYER-PATIENT RESP AMT 0;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>12!($L(X)<1) X
  • LAST EDITED:  SEP 01, 2010
  • HELP-PROMPT:  Answer must be 1-12 characters.
  • DESCRIPTION:  
    This is used to store NCPDP field 352-NQ (Other Payer-Patient Responsibility Amount), which is defined as "The patient's cost share from a previous payer."
  • TECHNICAL DESCR:  
    REQUEST COORDINATION OF BENEFITS/OTHER PAYMENT SEGMENT.
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