Parent File | Name | Number | Package |
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ABSP CLAIMS(#9002313.02) | Medication(s) | 9002313.0201 | Pharmacy Point of Sale |
Field # | Name | Loc | Type | Details |
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.01 | Medication Order | 0;1 | NUMBER |
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.02 | VCPT IEN | 0;2 | POINTER ** TO AN UNDEFINED FILE ** |
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.03 | Medication Number | 0;3 | NUMBER |
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.04 | Medication Name | 0;4 | FREE TEXT |
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308 | Other Coverage Code | 300;8 | FREE TEXT |
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315 | Employer Name | 310;5 | FREE TEXT |
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316 | Employer Street Address | 310;6 | FREE TEXT |
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317 | Employer City Address | 310;7 | FREE TEXT |
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318 | Employer State/Prov Address | 310;8 | FREE TEXT |
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319 | Employer Zip/Postal Zone | 310;9 | FREE TEXT |
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320 | Employer Phone Number | 310;10 | FREE TEXT |
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321 | Employer Contact Name | 320;1 | FREE TEXT |
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327 | Carrier ID | 320;7 | FREE TEXT |
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330 | Alternate ID | 320;10 | FREE TEXT |
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337 | COB/Other Payments Cnt | 330;7 | FREE TEXT |
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337.01 | COB/Other Payments | 337;0 | Multiple #9002313.0401 | 9002313.0401 |
343 | Dispensing Status | 340;3 | FREE TEXT |
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344 | Qty Intended to be Dispensed | 340;4 | FREE TEXT |
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345 | Days Supply Intd Dispensed | 340;5 | FREE TEXT |
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354 | Subm Clarif Code Count | 350;4 | NUMBER |
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367 | Prescriber State/Prov | 360;7 | FREE TEXT |
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401 | Date of Service | 400;1 | FREE TEXT |
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402 | Prescription/Service Ref Num | 400;2 | FREE TEXT |
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403 | Fill Number | 400;3 | FREE TEXT |
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404 | Metric Quantity | 400;4 | FREE TEXT |
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405 | Days Supply | 400;5 | FREE TEXT |
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406 | Compound Code | 400;6 | FREE TEXT |
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407 | Product/Service ID | 400;7 | FREE TEXT |
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408 | Dispense as Wrtn/Prd Sel Cd | 400;8 | FREE TEXT |
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409 | Ingredient Cost Submitted | 400;9 | FREE TEXT |
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410 | Sales Tax | 400;10 | FREE TEXT |
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411 | Prescriber ID | 400;11 | FREE TEXT |
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412 | Dispensing Fee Submitted | 400;12 | FREE TEXT |
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414 | Date Prescription Written | 400;14 | FREE TEXT |
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415 | Number Refills Authorized | 400;15 | FREE TEXT |
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416 | PA/MC Code & Number | 400;16 | FREE TEXT |
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418 | Level of Service | 400;18 | FREE TEXT |
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419 | Prescription Origin Code | 400;19 | FREE TEXT |
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420 | Submission Clarification Code | 400;20 | FREE TEXT |
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420.1 | Subm Clarif Code 1 | 421;1 | NUMBER |
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420.2 | Subm Clarif Code 2 | 421;2 | NUMBER |
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420.3 | Subm Clarif Code 3 | 421;3 | NUMBER |
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421 | Primary Care Provider ID | 400;21 | FREE TEXT |
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422 | Clinic ID Number | 400;22 | FREE TEXT |
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423 | Basis of Cost Determination | 400;23 | FREE TEXT |
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424 | Diagnosis Code | 400;24 | FREE TEXT |
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425 | Drug Type | 420;25 | FREE TEXT |
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426 | Usual & Customary Charge | 400;26 | FREE TEXT |
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427 | Prescriber Last Name | 420;27 | FREE TEXT |
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428 | Postage Amt. Claimed | 420;28 | FREE TEXT |
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429 | Unit Dose Indicator | 400;29 | FREE TEXT |
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430 | Gross Amount Due | 400;30 | FREE TEXT |
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431 | Other Payer Amount | 430;1 | FREE TEXT |
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432 | Basis of Days Supply Det | 420;32 | FREE TEXT |
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433 | Patient Paid Amount Submitted | 430;3 | FREE TEXT |
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434 | Date of Injury | 430;4 | FREE TEXT |
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435 | Claim/Ref ID Number | 430;5 | FREE TEXT |
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436 | Product/Service ID Qualifier | 430;6 | FREE TEXT |
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437 | Alternate Product Code | 430;7 | FREE TEXT |
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438 | Incentive Amount Submitted | 430;8 | FREE TEXT |
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439 | Reason for Service Code | 430;9 | FREE TEXT |
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440 | Professional Service Code | 430;10 | FREE TEXT |
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441 | Result of Service Code | 440;1 | FREE TEXT |
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442 | Quantity Dispensed | 440;2 | FREE TEXT |
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443 | Other Payer Date | 440;3 | FREE TEXT |
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444 | Provider ID | 440;4 | FREE TEXT |
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445 | Orig Pres Prod/Srv Cd | 440;5 | FREE TEXT |
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446 | Originally Prescribed Quantity | 440;6 | FREE TEXT |
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447 | Comp Ingred Component Cnt | 440;7 | FREE TEXT |
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447.01 | Compound Repeating Fields | 447;0 | Multiple #9002313.0501 | 9002313.0501
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450 | Compound Dosage Form Desc Cd | 440;10 | FREE TEXT |
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451 | Compound Disp Unit Form Ind | 450;1 | FREE TEXT |
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452 | Compound Route of Admin | 450;2 | FREE TEXT |
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453 | Orig Pres/Serv ID Qual | 450;3 | FREE TEXT |
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454 | Scheduled Pres ID Number | 450;4 | FREE TEXT |
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455 | Pres/Srv Ref Number Qual | 450;5 | FREE TEXT |
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456 | Assoc Pres/Srv Ref Number | 450;6 | FREE TEXT |
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457 | Assoc Pres/Srv Date | 450;7 | FREE TEXT |
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458 | Procedure Mod Code Cnt | 450;8 | FREE TEXT |
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459 | Procedure Modifier Code | 459;0 | Multiple #9002313.201459 | 9002313.201459 |
460 | Quantity Prescribed | 450;10 | FREE TEXT |
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461 | Prior Authorization Type Code | 460;1 | FREE TEXT |
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462 | Prior Authorization Num Sub | 460;2 | FREE TEXT |
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463 | Intermediary Auth Type ID | 460;3 | FREE TEXT |
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464 | Intermediary Auth ID | 460;4 | FREE TEXT |
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465 | Provider ID Qualifier | 460;5 | FREE TEXT |
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466 | Prescriber ID Qualifier | 460;6 | FREE TEXT |
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467 | Prescriber Location Code | 460;7 | FREE TEXT |
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468 | Primary Care Prov ID Qual | 460;8 | FREE TEXT |
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469 | Primary Care Prov Loc Cd | 460;9 | FREE TEXT |
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470 | Primary Care Prov Last Name | 460;10 | FREE TEXT |
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471 | Other Payer Reject Count | 470;1 | FREE TEXT |
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473.01 | DUR/PPS Repeating Fields | 473.01;0 | Multiple #9002313.1001 | 9002313.1001 |
477 | Professional Srv Fee Submitted | 470;7 | FREE TEXT |
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478 | Other Amt Claimed Sub Cnt | 470;8 | FREE TEXT |
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478.01 | Pricing Repeating Section | 478.01;0 | Multiple #9002313.0601 | 9002313.0601 |
481 | Flat Sales Tax Amt Sub | 480;1 | FREE TEXT |
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482 | Percentage Sales Tax Amt Sub | 480;2 | FREE TEXT |
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483 | Percentage Sales Tax Rate Sub | 480;3 | FREE TEXT |
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484 | Percentage Sales Tax Basis Sub | 480;4 | FREE TEXT |
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485 | Coupon Type | 480;5 | FREE TEXT |
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486 | Coupon Number | 480;6 | FREE TEXT |
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487 | Coupon Value Amount | 480;7 | FREE TEXT |
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491 | Diagnosis Code Count | 490;1 | FREE TEXT |
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491.01 | Clinical Diagnosis Repeating | 491.01;0 | Multiple #9002313.0701 | 9002313.0701 |
493.01 | Clinical Information Repeating | 493.01;0 | Multiple #9002313.0801 | 9002313.0801 |
498.01 | Request Type | 498;1 | FREE TEXT |
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498.02 | Request Period Date-Begin | 498;2 | FREE TEXT |
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498.03 | Request Period Date-End | 498;3 | FREE TEXT |
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498.04 | Basis of Request | 498;4 | FREE TEXT |
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498.05 | Authorized Rep First Name | 498;5 | FREE TEXT |
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498.06 | Authorized Rep Last Name | 498;6 | FREE TEXT |
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498.07 | Authorized Rep Street Address | 498;7 | FREE TEXT |
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498.08 | Authorized Rep City Address | 498;8 | FREE TEXT |
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498.09 | Authorized Rep State/Prov | 498;9 | FREE TEXT |
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498.11 | Authorized Rep Zip/Postal Zone | 498;11 | FREE TEXT |
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498.12 | Prescriber Phone Number | 498;12 | FREE TEXT |
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498.13 | Prior Auth Supporting Doc | 498.13;0 | WORD-PROCESSING #9002313.0901 | |
498.14 | Prior Auth Number Assigned | 498;14 | FREE TEXT |
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503 | Authorization Number | 500;3 | FREE TEXT |
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600 | Unit of Measure | 600;1 | FREE TEXT |
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