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Sub-Field: 9002313.401392

Package: E Claims Management Engine

BPS CLAIMS(#9002313.02)-->9002313.0201-->9002313.0401-->9002313.401392

Sub-Field: 9002313.401392


Information

Parent File Name Number Package
9002313.0401 BENEFIT STAGE MLTPL 9002313.401392 E Claims Management Engine

Details

Field # Name Loc Type Details
.01 BENEFIT STAGE 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 a sequential counter incremented by software.
  • CROSS-REFERENCE:  9002313.401392^B
    1)= S ^BPSC(DA(3),400,DA(2),337,DA(1),4,"B",$E(X,1,30),DA)=""
    2)= K ^BPSC(DA(3),400,DA(2),337,DA(1),4,"B",$E(X,1,30),DA)
393 BENEFIT STAGE QUALIFIER 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 393-MV (Benefit Stage Qualifier), which is defined as "Code qualifying the Benefit Stage Amount (394-MW)."
  • TECHNICAL DESCR:  
    Comments: Qualifies Benefit Stage Amount (392-MW).  REQUEST COORDINATION OF BENEFITS/OTHER PAYMENT SEGMENT.
394 BENEFIT STAGE AMOUNT 0;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>10!($L(X)<1) X
  • LAST EDITED:  SEP 01, 2010
  • HELP-PROMPT:  Answer must be 1-10 characters.
  • DESCRIPTION:  
    This is used to store NCPDP field 394-MW (Benefit Stage Amount), which is defined as "The amount of claim allocated to the Medicare stage identified by the Benefit Stage Qualifier (393-MV)."
  • TECHNICAL DESCR:  Format=s$$$$$$cc
    REQUEST COORDINATION OF BENEFITS/OTHER PAYMENT SEGMENT.
    RESPONSE PRICING SEGMENT.
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