| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | adjusted field | 0;1 | SET OF CODES | D:DRUG Q:QUANTITY INVOICED O:ORDER UNIT P:PRICE PER ORDER UNIT | B | The ADJUSTED FIELD field contains the name of the field that was adjusted. |
| 1 | processor adjustment | 0;2 | FREE TEXT | The PROCESSOR ADJUSTMENT field contains the processor's adjustment. If the ADJUSTED FIELD field (.01) is "DRUG", the adjustment is the drug received or a description of supply item. If the ADJUSTED FIELD field is "QUANTITY INVOICED", the adjustment is the positive or negative number to be added to the QUANTITY INVOICED field (#2). If the ADJUSTED FIELD field is "ORDER UNIT", the adjustment is the abbreviation of the unit of order received. If the ADJUSTED FIELD field is "PRICE PER ORDER UNIT", the adjustment is the dollar amount charged for each order unit. | ||
| 2 | processor's reason | 0;3 | FREE TEXT | The PROCESSOR'S REASON field contains reason the adjustment was made. | ||
| 3 | process date | 0;4 | DATE-TIME | The PROCESS DATE field contains the date the processor made the adjustment. | ||
| 4 | processor | 0;5 | POINTER | 200 | The PROCESSOR field contains the name of the person who entered the adjustment. | |
| 5 | verifier adjustment | 0;6 | FREE TEXT | The VERIFIER ADJUSTMENT field contains the adjustment that the verifier made to the line item. If the ADJUSTED FIELD field (#.01) is "DRUG", the adjustment is the drug received or a description of supply item. If the ADJUSTED FIELD field is "QUANTITY INVOICED", the adjustment is the positive or negative number to be added to the QUANTITY INVOICED field (#2). If the ADJUSTED FIELD field is "ORDER UNIT", the adjustment is the abbreviation of the unit of order received. If the ADJUSTED FIELD field is "PRICE PER ORDER UNIT", the adjustment is the dollar amount charged for each order unit. | ||
| 6 | verifier's reason | 0;7 | FREE TEXT | The VERIFIER'S REASON field contains the reason the verifier made the adjustment. | ||
| 7 | verification date | 0;8 | DATE-TIME | The VERIFICATION DATE field contains the date the verifier made the adjustment. | ||
| 8 | verifier | 0;9 | POINTER | 200 | The VERIFIER field contains the name of the verifier who entered the adjustment. |
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