Files > OTHER AMT CLAIMED MULTIPLE

parent

9002313.0201

name

OTHER AMT CLAIMED MULTIPLE

number

9002313.0601

Fields

#	Name	Location	Type	Details	Index	Description
.01	other amt claimed counter	0;1	FREE TEXT		B	This is the number of other claimed amount entries in the sub-file. It is used for coordination of benefits.
479	other amt claimed submttd qlfr	0;2	FREE TEXT			This is the code identifying the additional incurred cost claimed in Other Amount Claimed Submitted (480-H9). It is NCPDP field 479-H8.
480	other amount claimed submitted	0;3	FREE TEXT			This is the amount representing the additional incurred costs for a dispensed prescription or service. It is NCPDP field 480-H9.