Parent File | Name | Number | Package |
---|---|---|---|
ABSP DATA INPUT(#9002313.51) | LINE ITEMS | 9002313.512 | Pharmacy Point of Sale |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | LINE NUMBER | 0;1 | NUMBER |
|
.02 | RX DISP | 0;2 | FREE TEXT |
|
.03 | NDC DISP | 0;3 | FREE TEXT |
|
.04 | PAT DISP | 0;4 | FREE TEXT |
|
.05 | DRUG DISP | 0;5 | FREE TEXT |
|
.06 | DATE DISP | 0;6 | FREE TEXT |
|
1.01 | RXI | 1;1 | POINTER TO PRESCRIPTION FILE (#52) | PRESCRIPTION(#52)
|
1.02 | RXR | 1;2 | NUMBER |
|
1.03 | DRUG | 1;3 | POINTER TO DRUG FILE (#50) | DRUG(#50)
|
1.04 | PATIENT | 1;4 | POINTER TO VA PATIENT FILE (#2) | VA PATIENT(#2)
|
1.05 | AWP MED | 1;5 | NUMBER |
|
1.06 | VISIT | 1;6 | POINTER TO VISIT FILE (#9000010) | VISIT(#9000010)
|
1.07 | IEN .59 | 1;7 | FREE TEXT |
|
1.08 | CPTIEN | 1;8 | POINTER ** TO AN UNDEFINED FILE ** |
|
1.09 | NCPDP OVERRIDE | 1;9 | POINTER TO ABSP NCPDP OVERRIDE FILE (#9002313.511) | ABSP NCPDP OVERRIDE(#9002313.511)
|
1.13 | NCPDP DUR 5.1 OVERRIDE | 1;10 | POINTER TO ABSP DUR/PPS FILE (#9002313.473) | ABSP DUR/PPS(#9002313.473)
|
1.15 | NCPDP DIAGNOSIS CODE 5.1 | 1;12 | POINTER TO ABSP DIAGNOSIS CODE FILE (#9002313.491) | ABSP DIAGNOSIS CODE(#9002313.491)
|
2.01 | PREAUTHORIZATION NUMBER | 2;1 | FREE TEXT |
|
2.02 | Prior Authorization Type Code | 2;2 | SET |
|
5.01 | QTY | 5;1 | NUMBER |
|
5.02 | UNIT PRICE | 5;2 | NUMBER |
|
5.03 | INGR COST | 5;3 | NUMBER |
|
5.04 | DISP FEE | 5;4 | NUMBER |
|
5.05 | TOTAL PRICE | 5;5 | NUMBER |
|
5.06 | PRICE SOURCE | 5;6 | SET |
|
5.07 | INCENTIVE AMOUNT | 5;7 | NUMBER |
|
6.01 | PINS 1 | 6;1 | FREE TEXT |
|
6.02 | PINS 2 | 6;2 | FREE TEXT |
|
6.03 | PINS 3 | 6;3 | FREE TEXT |
|
7.01 | INSURER 1 | 7;1 | POINTER TO INSURER FILE (#9999999.18) | INSURER(#9999999.18)
|
7.02 | INSURER 2 | 7;2 | POINTER TO INSURER FILE (#9999999.18) | INSURER(#9999999.18)
|
7.03 | INSURER 3 | 7;3 | POINTER TO INSURER FILE (#9999999.18) | INSURER(#9999999.18)
|
100 | INS SEL SCRATCH | I;0 | Multiple #9002313.522 | 9002313.522 |