Files > BPS LOG OF TRANSACTIONS

name
BPS LOG OF TRANSACTIONS
number
9002313.57
location
^BPSTL(
description
A copy of 9002313.59. As each transaction completes, a snapshot of 9002313.59 entry is placed here in 9002313.57. Per VHA Directive 2004-038, this file definition should not be modified.
Fields
#NameLocationTypeDetailsIndexDescription
.01entry number(+)0;1FREE TEXTBSequential entry number
1status0;2NUMERICThe status of the transaction as a percentage of completion. The text value can be obtained by running $$STATI^BPSOSU(). Note that 99 indicates complete. Since records are only copied to BPS Log of Transactions when transactions are complete, all records in this file should be 99.
1.05policy number1;5NUMERICThis is the policy number that is being processed for this eligibility verification request.
1.07pharmacy1;7POINTER9002313.56Textual description of the Pharmacy involved with this transaction.
1.08pins piece1;8NUMERICPointer to which of the PINS pieces in ^(6) is in use for this claim. Use this to keep track of where you are in billing down the line to various insurers. (Probably won't automatically roll over to next insurer, but maybe we will have an option to edit insurance info, try next insurance, etc.)
1.09prior authorization number1;9FREE TEXTNumber assigned by the processor to identify a prior authorized transaction.
1.11prescription number1;11POINTER52AECPrescription number for this BPS Transactions.
1.1199rxi internalCOMPUTEDInternal ID to the claims file.
1.12resubmit after reversal1;12SET OF CODES0:DONE
1:RESUBMIT AFTER REVERSAL
2:RESUBMITTING
Indicator that a transaction has been resubmitted after being backed out.
1.13ncpdp overrides1;13POINTER9002313.511Pointer to the overrides file for any fields that are not straight forward, but are required by the payer.
1.15prior authorization type code1;15FREE TEXTIndicates the type of authorization made before transaction was submitted.
2hl7 message id0;3FREE TEXTThis is the unique HL7 message ID used for the NCPDP message created for this transaction.
3claim0;4POINTER9002313.02AEClaim number
3.1claim ienCOMPUTEDPointer to the BPS claims file - 9002313.02
4response0;5POINTER9002313.03AFPointer to the corresponding response in the response file, 9002313.03
4.0098result with reversalCOMPUTEDResult if the claim had to be reversed for whatever reason.
4.0099resultCOMPUTEDResult from the payer - maybe be Paid, rejected, captured or accepted.
4.1response ienCOMPUTEDResponse file record number of any reversals.
5patient0;6POINTER2ACThe patient this transaction refers to.
6submit date0;7DATE-TIMEThis is the date/time that the claim was submitted to ECME.
7last update0;8DATE-TIMEAHDate/time the POS transaction completed processing, as copied from 9002313.59 at the time the .57 record was created.
9fill number1;1NUMERICPrescription fill/refill number.
10ndc1;2FREE TEXTNDC number referenced in this transaction.
10.0099user numberCOMPUTEDIEN of the user generating the transaction
11pharmacy division1;4POINTER59Division this transaction is for.
13user0;10POINTER200AGWho created the ECME claim
14position in claim0;9NUMERICThis is the D1 subscript into 9002313.02 and .03
15start time0;11DATE-TIMETime, including the seconds that the transaction was initiated.
16submit request0;12POINTER9002313.77IEN of the BPS REQUEST file (#9002313.77)
17submit request date time0;13DATE-TIMEASSubmit Request Date/Time
18cob indicator0;14SET OF CODES1:PRIMARY
2:SECONDARY
3:TERTIARY
COB indicator.
19transaction type0;15SET OF CODESC:CLAIM
E:ELIGIBILITY
U:UNCLAIM
This is the type of transaction that is being processed: CLAIM - An NCPDP billing request. UNCLAIM - An NCPDP reversal request. ELIGIBILITY - An eligibility verification request.
111comment multiple11;0MULTIPLE9002313.57111User's comment
201result code2;1NUMERICCode indicating whether the claim was successfully billed or rejected.
202result text2;2FREE TEXTTextual description of the reason for rejection, if the claim was rejected.
401reversal claim4;1POINTER9002313.02AERPointer to file 9002313.02 BPS CLAIMS file for the reversal transaction.
402reversal response4;2POINTER9002313.03AFRPointer to the BPS responses file 9002313.03 for the reversal response.
404reversal reason4;4FREE TEXTReason for the reversal
405reversal request4;5POINTER9002313.77Reversal Request IEN
406reversal request date time4;6DATE-TIMEReversal Request Date/Time
501quantity5;1NUMERICThis is the quantity that will be used for the NCPDP field 442-E7 (QUANTITY DISPENSED) of the NCPDP submission.
502unit price5;2NUMERICPrice per unit of prescription.
503subtotal5;3NUMERIC= QUANTITY * UNIT PRICE This is what we want to send as the INGREDIENT COST field in the NCPDP message.
504dispensing fee5;4NUMERICService fee the pharmacy charges for dispensing the drug.
505total price5;5NUMERIC=SUBTOTAL + DISPENSING FEE
507administrative fee5;7FREE TEXTAny fee charged for handling of the paperwork.
508unit of measure5;8FREE TEXTEnter the Unit of Measure for the drug. This is usually GR (grams), ML (milliliters), or EA (Each).
509billing quantity5;9NUMERICThis is the quantity from the prescription and is used to calculate the ingredient cost. It may be different than the quantity used in the actual NCPDP submission.
510billing unit5;10FREE TEXTThis is the billing units associated with the billing quantity.
801asleep payer8;1POINTER9002313.15This field identifies an asleep payer for this transaction.
901current va insurer9;1FREE TEXTThis field is used for the 1st patient insurance for a VA prescription and it points to the payer sheet to use.
901.04eligibility9;4SET OF CODESV:VETERAN
T:TRICARE
C:CHAMPVA
The insurance eligibility type of the claim.
902patient insurance multiple10;0MULTIPLE9002313.57902List of VA insurers.
1201rx action12;1FREE TEXTThis is the action that is being performed on this request. It is either the BWHERE parameter passed into BPSNCPDP or 'ELIG' for an eligibility verification request. The list of BWHERE values are documented at the top of routine BPSNCPD3.
1202date of service12;2DATE-TIMEDate used for the 401-D1 (DATE OF SERVICE) in the NCPDP transaction
1203submission clarification code12;3FREE TEXTSubmission Clarification Code
1204cob other payments count12;4NUMERICNCPDP field 337-4C - Coordination of Benefits/Other Payments Count This value corresponds to the number of multiple entries in the #1400 multiple field - COB OTHER PAYERS.
1205other coverage code12;5SET OF CODES00:NOT SPECIFIED
01:NO OTH COVERAGE
02:PYMT COLLECT/OTH PAYER
03:CLAIM NOT COVER/OTH PAYER
04:PYMT NOT COLLECT/OTH PAYER
05:PLAN DENIAL
06:NONPARTICIPAT PROV/OTH PAYER
07:OTH COVER NOT EFFECT ON DOS
08:COPAY BILLING
NCPDP field 308-C8 - code indicating whether or not the patient has other insurance coverage.
1300dur data13;0MULTIPLE9002313.5713This multiple will track the Drug Utilization Review (DUR) information passed by Outpatient Pharmacy to ECME and that will eventually be put in the DUR segment of the NCPDP claim.
1400cob other payers14;0MULTIPLE9002313.5714This multiple structure stores information about each of the other payers involved in the payment or rejection of the claim. NCPDP has a maximum of 9 occurrences here with a recommendation of less than or equal to 3 occurrences. However, VA only stores data for at most 3 insurance policies for any given claim. So at most there will only be 2 occurrences of this other payer multiple.
9999.92hrn facCOMPUTEDHealth record number and facility ID - this is set to the pointer to the patient file and the division.
9999.93drug nameCOMPUTEDDrug name from file 50
9999.94drug ienCOMPUTEDThe IEN of the drug from file 50.
9999.95released dateCOMPUTEDRelease date and time from the prescription file, 52.
9999.96net paid by insurerCOMPUTEDAmount paid after the discounts and deductible have been subtracted.
9999.97elapsed time printableCOMPUTEDElapsed time between submission and response in external format.
9999.98elapsed time secondsCOMPUTEDElapsed time between submission and response expressed as a number of seconds.
9999.99result categoryCOMPUTEDThe category of the transmission - accepted, payable, rejected, etc.
10101bin numberCOMPUTEDBIN number from the response file.
10102version release numberCOMPUTEDVersion/release number from the BPS claims file.
10103transaction codeCOMPUTEDType of transaction from the claim file.
10104processor control numberCOMPUTEDPCN number from the claims file.
10201pharmacy numberCOMPUTEDThe Pharmacy's NABP number from the claims file.
10301group numberCOMPUTEDThe group number of the insurance used from the BPS claims file.
10302cardholder id numberCOMPUTEDThe insured person's cardholder identification number from the claims file.
10303person codeCOMPUTEDThe person code from the BPS claims file.
10304date of birthCOMPUTEDDate of birth of the patient from the BPS claims file.
10305sex codeCOMPUTEDSex of the patient, "M" or "F"
10306relationship codeCOMPUTEDRelationship of the patient to the insured - from the BPS claims file.
10307customer locationCOMPUTEDCode identifying the location of the patient when receiving pharmacy services. Ø=Not Specified 1=Home 2=Inter-Care 3=Nursing Home 4=Long Term/Extended Care 5=Rest Home 6=Boarding Home 7=Skilled Care Facility 8=Sub-Acute Care Facility 9=Acute Care Facility 1Ø=Outpatient 11=Hospice from the BPS claims file
10308other coverage code calculatedCOMPUTEDCode indicating whether or not the patient has other insurance coverage. It returns OTHER COVERAGE CODE (#308) field of the MEDICATIONS (#9002313.0201) sub-file of the BPS CLAIMS (#900213.02) file. If the patient has no other insurance coverage an empty string is returned.
10309eligibility clarification codeCOMPUTEDCode indicating that the pharmacy is clarifying eligibility based on receiving a denial. Comes from the BPS claims file.
10310patient first nameCOMPUTEDFirst name of patient receiving the prescription, from the BPS claims file.
10311patient last nameCOMPUTEDLast Name of patient receiving the prescription from the BPS claims file.
10312cardholder first nameCOMPUTEDFirst name of the Cardholder/Subscriber from the BPS claims file.
10313cardholder last nameCOMPUTEDLast name of the Cardholder/Subscriber from the BPS claims file.
10314home planCOMPUTEDCode identifying the Blue Cross or Blue Shield plan ID which indicates where the member's coverage has been designated. Usually where the member lives or purchased their coverage from the BPS claims file.
10315employer nameCOMPUTEDComplete name of employer.
10316employer street addressCOMPUTEDFree-form text for address information from the claims file.
10317employer city addressCOMPUTEDFree-form text for city name.
10318employer stateCOMPUTEDStandard State/Province Code as defined by appropriate government agency.
10319employer zip codeCOMPUTEDCode defining international postal zone excluding punctuation and blanks (zip code for US).
10320employer phone numberCOMPUTEDTen digit phone number of employer.
10321employer contact nameCOMPUTEDContact person's name of the cardholder's employer.
10322patient street addressCOMPUTEDFree-form text for Patient address information.
10323patient city addressCOMPUTEDFree-form text for city name.
10324patient stateCOMPUTEDStandard State/Province Code as defined by appropriate government agency. Comes from the BPS claims file.
10325patient zip codeCOMPUTEDCode defining international postal zone excluding punctuation and blanks (zip code for US). From the BPS claims file.
10326patient phone numberCOMPUTEDTen digit phone number of patient. From the BPS claims file.
10327carrier id numberCOMPUTEDThe ID number of the insurance carrier.
10328patient weightCOMPUTEDPatient's weight from the patient file.
10329patient ssnCOMPUTEDPatient SSN from the claims file.
10401date filledCOMPUTEDThe fill/refill date
10402prescription number sevenCOMPUTED The first seven digits of the prescription IEN
10403new refill codeCOMPUTEDThe fill/refill number, starting at 0 for the original fill.
10404metric quantityCOMPUTEDMetric quantity of the drug.
10405days supplyCOMPUTEDThe actual days supply dispensed.
10406compound codeCOMPUTEDField indicating whether this prescription was a compound (1) or not a compound (0).
10407ndc numberCOMPUTEDNDC code in our case.
10408dispense as writtenCOMPUTEDIndicator for whether the prescription was to be dispensed only as written.
10409ingredient costCOMPUTEDCost amount for the ingredients of compounds.
10410sales taxCOMPUTED Sales Tax charged (not applicable for VA)
10411prescriber idCOMPUTEDPrescriber identification number.
10412dispensing fee submittedCOMPUTEDAdd-on fee charged in a retail setting. This field will probably be used when the Tricare functionality is added.
10414date prescription writtenCOMPUTEDThis will be the fill/refill date for local fills, the released date for CMOP.
10415number of refills authorizedCOMPUTEDThe number of refills allowed that was entered during order entry.
10416prior auth/mc code and numberCOMPUTED Not used for VA - left in for IHS
10418level of serviceCOMPUTEDNot used for VA - left in for IHS
10419prescription origin codeCOMPUTEDNot used for VA - left in for IHS
10420prescription clarificationCOMPUTEDNot used for VA - left in for IHS
10421primary prescriberCOMPUTEDProvider ID number
10422clinic id numberCOMPUTEDClinic ID where the prescription was entered.
10423basis of cost determinationCOMPUTEDHow the amount charged was arrived at.
10424diagnosis codeCOMPUTEDDiagnosis code that applies to this prescription. Not used for third party billing as of this date - so it is not used, but may be used in the future.
10425drug typeCOMPUTEDCode to indicate the type of drug dispensed. Ø=Not specified 1=Single source brand 2=Branded generic 3=Generic 4=O.T.C. (over the counter)
10426usual and customary chargeCOMPUTEDAmount charged cash customers for the prescription exclusive of sales tax or other amounts claimed.
10427prescriber last nameCOMPUTEDLast Name of the Prescriber
10428postage amount claimedCOMPUTEDDollar amount of postage claimed.
10429unit dose indicatorCOMPUTEDCode indicating the type of unit dose dispensing. Ø=Not Specified 1=Not Unit Dose 2=Manufacturer Unit Dose 3=Pharmacy Unit Dose
10430gross amount dueCOMPUTEDTotal amount submitted to the payer.
10431other payor amountCOMPUTEDAmount of any payment known by the pharmacy from other sources (including coupons).
10432basis of days supply detCOMPUTEDCode indicating the method by which the days supply was determined. Ø=Not specified 1=Explicit directions 2=PRN directions (take as needed pharmacist estimate) 3=As directed by physician
10433patient paid amountCOMPUTEDAmount the pharmacy received from the patient for the prescription dispensed.
10434date of injuryCOMPUTEDDate on which the injury occurred.
10435claim ref id numberCOMPUTEDIdentifies the claim number assigned by Workers Compensation Program.
10436alt product typeCOMPUTEDCode qualifying the value in 'Product/Service ID' (4Ø7-D7) Not Specified Blank Not Specified ØØ Universal Product Code (UPC) Ø1 Health Related Item (HRI) Ø2 National Drug Code (NDC) Ø3 Universal Product Number (UPN) Ø4 Department of Defense (DOD) Ø5 Drug Use Review/ Professional Pharmacy Service (DUR/PPS) Ø6 Common Procedure Terminology (CPT4) Ø7 Common Procedure Terminology (CPT5) Ø8 Health Care Financing Administration Common Procedural Coding System (HCPCS) Ø9 Pharmacy Practice Activity Classification (PPAC) 1Ø National Pharmaceutical Product Interface Code(NAPPI) 11 International Article Numbering System(EAN) 12 Drug Identification Number(DIN) 13 Medi-Span GPI 14 First DataBank GCN 15 Medical Economics GPO 16 Medi-Span DDID 17 First DataBank SmartKey 18 Medical Economics GM 19 International Classification of Diseases(ICD9) 2Ø International Classification of Diseases (ICD10) 21 Medi-Span Diagnosis Code 22 Common Dental Terminology (CDT) 25 American Psychiatric Association Diagnostic Statistical Manual of Mental Disorders (DSM IV) Other 99
10437alt product codeCOMPUTEDThis field identifies the actual product code for the item that was dispensed. The type of product is defined by field 436-E1. This field should only be used if the National Drug Code number is not available. The code number here is the UPC number or the HRI number
10438incentive amount submittedCOMPUTEDAmount represents a fee that is submitted by the pharmacy for contractually agreed upon services. This amount is included in the 'Gross Amount Due' (43Ø-DU).
10439dur conflict codeCOMPUTEDCode identifying the type of utilization conflict detected or the reason for the pharmacist's professional service.
10440dur intervention codeCOMPUTEDCode to indicate whether an intervention was entered.
10441dur outcome codeCOMPUTEDThe outcome of the DUR - whether the prescription had to be modified.
10442metric decimal quantityCOMPUTEDQuantity dispensed expressed in metric decimal units.
10443other payor dateCOMPUTEDPayment or denial date of the claim submitted to the other payer. Used for coordination of benefits.
10444pharmacist idCOMPUTEDUnique ID assigned to the person responsible for the dispensing of the prescription or provision of the service.
10501response statusCOMPUTEDStatus flag indicating whether the transaction was "P"aid, "R"ejected, "A"ccepted, or "C"aptured.
10503authorization numberCOMPUTEDAuthorization number for pre-authorization requests.
10504messageCOMPUTEDFree form Message.
10505patient pay amountCOMPUTEDAmount the patient pays (copay).
10506ingredient cost paidCOMPUTEDDrug ingredient cost paid included in the 'Total Amount Paid' (5Ø9).
10507contract fee paidCOMPUTEDDispensing fee paid included in the 'Total Amount Paid' (5Ø9).
10508sales tax paidCOMPUTEDThe amount of sales tax paid for the prescription dispensed.
10509total amount paidCOMPUTEDTotal amount to be paid by the claims processor (i.e. pharmacy receivable). Represents a sum of 'Ingredient Cost Paid' (5Ø6), 'Dispensing Fee Paid' (5Ø7), 'Flat Sales Tax Amount Paid' (558), 'Percentage Sales Tax Amount Paid' (559), 'Incentive Amount Paid' (521), 'Professional Service Fee Paid' (562), 'Other Amount Paid' (565), less 'Patient Pay Amount' (5Ø5) and 'Other Payer Amount Recognized' (566).
10510reject countCOMPUTEDCount of 'Reject Code' (511) occurrences.
10511reject codesCOMPUTEDMultiple rejection codes.
10511.01reject code 1COMPUTEDReject code #1 returned in the response by the payer.
10511.02reject code 2COMPUTEDReject code #2 returned in the response by the payer.
10511.03reject code 3COMPUTEDReject code #3 returned in the response by the payer.
10511.04reject code 4COMPUTEDReject code #4 returned in the response by the payer.
10511.05reject code 5COMPUTEDReject code #5 returned in the response by the payer.
10511.06reject code 6COMPUTEDReject code #6 returned in the response by the payer.
10511.07reject code 7COMPUTEDReject code #7 returned in the response by the payer.
10511.08reject code 8COMPUTEDReject code #8 returned in the response by the payer.
10511.09reject code 9COMPUTEDReject code #9 returned in the response by the payer.
10511.1reject code 10COMPUTEDReject code #10 returned in the response by the payer.
10511.11reject code 11COMPUTEDReject code #11 returned in the response by the payer.
10511.12reject code 12COMPUTEDReject code #12 returned in the response by the payer.
10511.13reject code 13COMPUTEDReject code #13 returned in the response by the payer.
10511.14reject code 14COMPUTEDReject code #14 returned in the response by the payer.
10511.15reject code 15COMPUTEDReject code #15 returned in the response by the payer.
10511.16reject code 16COMPUTEDReject code #16 returned in the response by the payer.
10511.17reject code 17COMPUTEDReject code #17 returned in the response by the payer.
10511.18reject code 18COMPUTEDReject code #18 returned in the response by the payer.
10511.19reject code 19COMPUTEDReject code #19 returned in the response by the payer.
10511.2reject code 20COMPUTEDReject code #20 returned in the response by the payer.
10512accumulated deductible amountCOMPUTEDAmount in dollars met by the patient/family in a deductible plan.
10513remaining deductible amountCOMPUTEDAmount not met by the patient/family in the deductible plan.
10514remaining benefit amountCOMPUTEDAmount remaining in a patient/family plan with a periodic maximum benefit.
10515postage amount paidCOMPUTEDNot applicable to the VA.
10516drug descriptionCOMPUTEDText description for the drug from the drug file 50.
10517amount app to per deductibleCOMPUTEDAmount to be collected from a patient that is included in 'Patient Pay Amount' (5Ø5) that is applied to a periodic deductible.
10518amount of copay coinsuranceCOMPUTEDAmount to be collected from the patient that is included in 'Patient Pay Amount' (5Ø5) that is due to a per prescription copay/coinsurance.
10519amount attr to product selectCOMPUTEDAmount to be collected from the patient that is included in 'Patient Pay Amount' (5Ø5) that is due to the patient's selection of drug product.
10520amount exceed per benefit maxCOMPUTEDAmount to be collected from the patient that is included in 'Patient Pay Amount' (5Ø5) that is due to the patient exceeding a periodic benefit maximum.
10521incentive fee paidCOMPUTEDAmount represents the contractually agreed upon incentive fee paid for specific services rendered. Amount is included in the 'Total Amount Paid' (5Ø9).
10522basis of reimbursement detCOMPUTEDCode identifying how the reimbursement amount was calculated for 'Ingredient Cost Paid' (5Ø6).
10523amount attributed to sales taxCOMPUTEDAmount to be collected from the patient that is included in 'Patient Pay Amount' (5Ø5) that is due to sales tax paid.
10524plan idCOMPUTEDPlan Identification Number.
10525dur response dataCOMPUTEDText that provides additional detail regarding a DUR conflict.
10525.01dur countCOMPUTEDNumber of DUR messages to be displayed.
10525.1dur 1 raw dataCOMPUTEDRaw Data DUR message sent from the payer and stored in the response file.
10525.1439dur 1 drug conflict codeCOMPUTEDSeverity level code for the first DUR.
10525.1528dur 1 severity index codeCOMPUTEDBlank=Not Specified 1=Major 2=Moderate 3=Minor
10525.1529dur 1 other pharmacy indicCOMPUTEDØ=Not Specified 1=Your Pharmacy 2=Other Pharmacy in Same Chain 3=Other Pharmacy
10525.153dur 1 previous date of fillCOMPUTEDPrevious fill date
10525.1531dur 1 qty of previous fillCOMPUTEDThe quantity of the previous fill that caused the DUR to be triggered.
10525.1532dur 1 database indicatorCOMPUTEDBlank=Not Specified 1=First Databank 2=Medi-Span 3=Redbook 4=Processor Developed 5=Other
10525.1533dur 1 other prescriber indicCOMPUTEDCode that indicates the prescriber of the current fill relationship to the prescriber of the conflicting prescription. Ø=Not Specified 1=Same Prescriber 2=Other Prescriber
10525.1544dur 1 free textCOMPUTEDActual DUR text
10525.1999dur 1 reserve spaceCOMPUTEDReserved space for additional information.
10525.2dur 2 raw dataCOMPUTEDDUR information returned by the payer that has not been formatted yet.
10525.2439dur 2 drug conflict codeCOMPUTEDØ=Not Specified 1=Your Pharmacy 2=Other Pharmacy in Same Chain 3=Other Pharmacy
10525.2528dur 2 severity index codeCOMPUTEDBlank=Not Specified 1=Major 2=Moderate 3=Minor
10525.2529dur 2 other pharmacy indicCOMPUTEDØ=Not Specified 1=Your Pharmacy 2=Other Pharmacy in Same Chain 3=Other Pharmacy
10525.253dur 2 previous date of fillCOMPUTEDFill date of the previous fill that is causing the DUR conflict.
10525.2531dur 2 qty of previous fillCOMPUTEDQuantity of the fill that is causing the conflict.
10525.2532dur 2 database indicatorCOMPUTEDBlank=Not Specified 1=First Databank 2=Medi-Span 3=Redbook 4=Processor Developed 5=Other
10525.2533dur 2 other prescriber indicCOMPUTEDCode that indicates the prescriber of the current fill relationship to the prescriber of the conflicting prescription. Ø=Not Specified 1=Same Prescriber 2=Other Prescriber
10525.2544dur 2 free textCOMPUTEDActual DUR text
10525.2999dur 2 reserve spaceCOMPUTEDReserved space for additional information.
10525.3dur 3 raw dataCOMPUTEDDUR information returned by the payer that has not been formatted yet.
10525.3439dur 3 drug conflict codeCOMPUTEDØ=Not Specified 1=Your Pharmacy 2=Other Pharmacy in Same Chain 3=Other Pharmacy
10525.3528dur 3 severity index codeCOMPUTEDBlank=Not Specified 1=Major 2=Moderate 3=Minor
10525.3529dur 3 other pharmacy indicCOMPUTEDØ=Not Specified 1=Your Pharmacy 2=Other Pharmacy in Same Chain 3=Other Pharmacy
10525.353dur 3 previous date of fillCOMPUTEDFill date of the previous fill that is causing the DUR conflict.
10525.3531dur 3 qty of previous fillCOMPUTEDQuantity of the fill that is causing the conflict.
10525.3532dur 3 database indicatorCOMPUTEDBlank=Not Specified 1=First Databank 2=Medi-Span 3=Redbook 4=Processor Developed 5=Other
10525.3533dur 3 other prescriber indicCOMPUTEDCode that indicates the prescriber of the current fill relationship to the prescriber of the conflicting prescription. Ø=Not Specified 1=Same Prescriber 2=Other Prescriber
10525.3544dur 3 free textCOMPUTEDActual DUR text
10525.3999dur 3 reserve spaceCOMPUTEDReserved space for additional information.
10526additional message informationCOMPUTEDFree text, additional information from the payer.
10528clinical significance codeCOMPUTEDBlank=Not Specified 1=Major 2=Moderate 3=Minor
10529other pharmacy indicatorCOMPUTEDØ=Not Specified 1=Your Pharmacy 2=Other Pharmacy in Same Chain 3=Other Pharmacy
10530previous date of fillCOMPUTEDFill date of the prescription causing the DUR conflict.
10531quantity of previous fillCOMPUTEDQuantity of the prescription causing the conflict.
10532database indicatorCOMPUTEDBlank=Not Specified 1=First Databank 2=Medi-Span 3=Redbook 4=Processor Developed 5=Other
10533other prescriber indicatorCOMPUTEDØ=Not Specified 1=Same Prescriber 2=Other Prescriber
10535dur overflowCOMPUTEDAdditional DUR information that did not fit in the other fields provided.
10544free textCOMPUTEDEven more room for additional free text DUR information.

Not Referenced