Files > RX IN POSITION #

parent
9002313.31
name
RX IN POSITION #
number
9002313.312
Fields
#NameLocationTypeDetailsIndexDescription
.01rx in position #0;1NUMERICBThe position within the transmission of the particular prescription that is being certified.
1ncpdp field #1;0MULTIPLE9002313.3121The NCPDP field that needs to be defaulted.
2sub clarification code mult2;0MULTIPLE9002313.3122This multiple will store the submission clarification codes, which will be used to populate the NCPDP field 420-DK.
3cob multiple3;0MULTIPLE9002313.3123This multiple structure stores information about each of the other payers involved in the payment or rejection of the claim.
4other amt claimed mult4;0MULTIPLE9002313.3124This multiple can contain up to three occurrences of less common charges.

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