Files > OTHER PAYER AMT PAID MULTIPLE

parent

9002313.0401

name

OTHER PAYER AMT PAID MULTIPLE

number

9002313.401342

Fields

#	Name	Location	Type	Details	Index	Description
.01	other payer amt paid qualifier	0;1	FREE TEXT		B	Code qualifying the Other Payer Amount Paid (431-DV). NCPDP standard field 342-HC.
431	other payer amount paid	0;2	FREE TEXT			Amount of any payment known by the pharmacy from other sources (including coupons). NCPDP standard field 431-DV.