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Sub-Field: 9002313.0401

Package: Pharmacy Point of Sale

ABSP CLAIMS(#9002313.02)-->9002313.0201-->9002313.0401

Sub-Field: 9002313.0401


Information

Parent File Name Number Package
9002313.0201 COB/Other Payments 9002313.0401 Pharmacy Point of Sale

Details

Field # Name Loc Type Details
.01 COB/Other Paymnt Cntr 0;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>1!($L(X)<1) X
  • LAST EDITED:  AUG 01, 2002
  • HELP-PROMPT:  Answer must be 1 character in length.
  • CROSS-REFERENCE:  9002313.0401^B
    1)= S ^ABSPC(DA(2),400,DA(1),337,"B",$E(X,1,30),DA)=""
    2)= K ^ABSPC(DA(2),400,DA(1),337,"B",$E(X,1,30),DA)
338 Other Payer Coverage Type 0;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<2) X
  • LAST EDITED:  JUL 31, 2002
  • HELP-PROMPT:  Answer must be 2 characters in length.
339 Other Payer ID Qualifier 0;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<2) X
  • LAST EDITED:  JUL 31, 2002
  • HELP-PROMPT:  Answer must be 2 characters in length.
340 Other Payer ID 0;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>10!($L(X)<10) X
  • LAST EDITED:  JUL 31, 2002
  • HELP-PROMPT:  Answer must be 10 characters in length.
341 Other Payer Amt Paid Cnt 0;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>1!($L(X)<1) X
  • LAST EDITED:  JUL 31, 2002
  • HELP-PROMPT:  Answer must be 1 character in length.
342 Other Payer Amt Paid Qual 1;0 Multiple #9002313.401342 9002313.401342
443 Other Payer Date 0;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>8!($L(X)<8) X
  • LAST EDITED:  JUL 31, 2002
  • HELP-PROMPT:  Answer must be 8 characters in length.
471 Other Payer Reject Count 0;7 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<2) X
  • LAST EDITED:  JUL 31, 2002
  • HELP-PROMPT:  Answer must be 2 characters in length.
472 Other Payer Reject Code 2;0 Multiple #9002313.401472 9002313.401472
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