| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | other payer id counter | 0;1 | NUMERIC | B | This is a sequential counter of the Other Payer ID occurrences. | |
| 127 | other payer help desk phone no | 0;6 | FREE TEXT | This is used to store NCPDP field 127-UB (Other Payer Help Desk Phone Number), which is defined as "Phone number of the other payer's help desk." | ||
| 142 | other payer person code | 0;2 | FREE TEXT | This is used to store NCPDP field 142-UV (Other Payer Person Code), which is defined as "Code assigned by the other payer to a specific person within a family." | ||
| 143 | other payer patient rel code | 0;3 | FREE TEXT | This is used to store NCPDP field 143-UW (Other Payer-Patient Relationship Code), which is defined as "Code assigned by the other payer to indicate the relationship of patient to cardholder." | ||
| 144 | other payer effective date | 0;4 | FREE TEXT | This is used to store NCPDP field 144-UX (Other Payer Benefit Effective Date). | ||
| 145 | other payer termination date | 0;5 | FREE TEXT | This is used to store NCPDP field 145-UY (Other Payer Benefit Termination Date), which is defined as "Other Payer's termination date of the patient's benefit." | ||
| 338 | other payer coverage type | 1;1 | FREE TEXT | This is used to store NCPDP field 338-5C (Other Payer Coverage Type), which is defined as "Code identifying the type of 'Other Payer ID' (340-7C)." | ||
| 339 | other payer id qualifier | 1;2 | FREE TEXT | This is used to store NCPDP field 339-6C (Other Payer ID Qualifier), which is defined as "Code qualifying the 'Other Payer ID' (340-7C)." | ||
| 340 | other payer id | 1;3 | FREE TEXT | This is used to store NCPDP field 340-7C (Other Payer ID), which is defined as "ID assigned to the payer." | ||
| 356 | other payer cardholder id | 1;5 | FREE TEXT | This is used to store NCPDP field 356-NU (Other Payer Cardholder ID), which is defined as "Cardholder ID for this member that is associated with the Payer noted." | ||
| 991 | other payer processor cntrl no | 1;4 | FREE TEXT | This is used to store NCPDP field 991-MH (Other Payer Processor Control Number), which is defined as "A number that uniquely identifies the secondary, tertiary, etc. payer to the processor." | ||
| 992 | other payer group id | 1;6 | FREE TEXT | This is used to store NCPDP field 992-MJ (Other Payer Group ID), which is defined as "ID assigned to the cardholder group or employer group by the secondary, tertiary, etc. payer." |
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