Files > OTHER PAYER PATIENT RESP MULT

parent

9002313.3123

name

OTHER PAYER PATIENT RESP MULT

number

9002313.31233

Fields

#	Name	Location	Type	Details	Index	Description
.01	other payer patient paid amt	0;1	NUMERIC		B	This field has the data for NCPDP field 352-NQ, which is the patient's cost share from a previous payer.
.02	other payer patient resp qual	0;2	SET OF CODES	01:DEDUCTIBLE 02:BRAND DRUG 03:SALES TAX 04:PERIODIC BENEFIT 05:COPAY 06:PATIENT PAY AMOUNT 07:COINSURANCE 08:NON-PREF 09:HPAA 10:PROV NETWORK SEL 11:BRAND NON-PREF 12:COVERAGE GAP 13:PROCESSOR FEE		This will be used for NCPDP field 351-NP, which qualifies the payment in the Other Payer-Patient Responsibility Paid Amount.