Files > COB OTHER PAYMENTS

parent

9002313.0201

name

COB OTHER PAYMENTS

number

9002313.0401

Fields

#	Name	Location	Type	Details	Index	Description
.01	cob other payment counter	0;1	FREE TEXT		B	This is a multiple counter field to store multiple COB payments received from other payers.
338	other payer coverage type	0;2	FREE TEXT			Code identifying the type of Other Payer ID (340-7C). NCPDP standard field 338-5C.
339	other payer id qualifier	0;3	FREE TEXT			Code qualifying the Other Payer ID (340-7C). NCPDP standard field 339-6C.
340	other payer id	0;4	FREE TEXT			ID assigned to the payer. NCPDP standard field 340-7C.
341	other payer amount paid count	0;6	FREE TEXT			Count of the payer amount paid occurrences. NCPDP standard field 341-HB.
342	other payer amt paid multiple	1;0	MULTIPLE	9002313.401342		This sub-file stores Other Paid Amount Qualifier values.
353	other payer-pat resp amt count	0;8	FREE TEXT			This is used to store NCPDP field 353-NR (Other Payer-Patient Responsibility Amount Count), which is defined as "Count of Other Payer-Patient Responsibility Amount (352-NQ) and Other Payer-Patient Responsibility Amount Qualifier (351-NP) occurrences."
353.01	other payer-patient resp mltpl	3;0	MULTIPLE	9002313.401353		This sub-file stores OTHER PAYER-PATIENT RESPONSIBILITY AMOUNT values.
392	benefit stage count	0;9	FREE TEXT			This is used to store NCPDP field 392-MU (Benefit Stage Count), which is defined as "Count of Benefit Stage Amount (394-MW) occurrences."
392.01	benefit stage mltpl	4;0	MULTIPLE	9002313.401392		This sub-file stores BENEFIT STAGE values.
443	other payer date	0;5	FREE TEXT			Payment or denial date of the claim submitted to the other payer. Used for coordination of benefits.
471	other payer reject count	0;7	FREE TEXT			Count of 'Other Payer Reject Code' (472) occurrences.
472	other payer reject code mltpl	2;0	MULTIPLE	9002313.401472		This sub-file is to store reject values received from other payers.
993	internal control number	0;10	FREE TEXT			This is used to store NCPDP field 993-A7 (Internal Control Number), which is defined as "Number assigned by the processor to identify an adjudicated claim when supplied in payer-to-payer coordination of benefits only."