# | Name | Location | Type | Details | Index | Description |
---|---|---|---|---|---|---|
.01 | other payer counter | 0;1 | NUMERIC | B | This is a multiple counter field to store the count of the other payers. | |
.02 | other payer coverage type | 0;2 | SET OF CODES | 01:PRIMARY 02:SECONDARY 03:TERTIARY 98:COUPON 99:COMPOSITE | NCPDP field 338-5C - Code identifying the type of 'Other Payer ID' | |
.03 | other payer id qualifier | 0;3 | SET OF CODES | 01:NATIONAL PAYER ID 02:HEALTH INDUSTRY NUMBER (HIN) 03:BANK INFORMATION NUMBER (BIN) 04:NAT. ASSOC. OF INS. COM.(NAIC) 05:MEDICARE CARRIER NUMBER 09:COUPON 99:OTHER | NCPDP field 339-6C - Code qualifying the 'Other Payer ID' (340-7C). | |
.04 | other payer id | 0;4 | FREE TEXT | NCPDP field 340-7C - ID assigned to the payer. | ||
.05 | other payer date | 0;5 | DATE-TIME | NCPDP field 443-E8 - Payment or denial date of the claim submitted to the other payer. Used for coordination of benefits. | ||
.06 | other payer amount paid count | 0;6 | NUMERIC | NCPDP field 341-HB - Count of the payer amount paid occurrences. | ||
.07 | other payer reject count | 0;7 | NUMERIC | NCPDP field 471-5E - Count of 'Other Payer Reject Code' occurrences. | ||
1 | other payer amt paid multiple | 1;0 | MULTIPLE | 9002313.7781 | This multiple stores the NCPDP fields: 431-DV - Other Payer Amount Paid 342-HC - Other Payer Amount Paid Qualifier Up to 9 occurrences are allowed by the NCPDP standard. This limit is dictated by the NCPDP standard and enforced within the ECME claim building process (i.e. the ECME application software). There are no such limits built into this data dictionary. | |
2 | other payer reject multiple | 2;0 | MULTIPLE | 9002313.7782 | This multiple stores the NCPDP field: NCPDP field 472-6E - Other Payer Reject Code Up to 20 occurrences are allowed by the NCPDP standard. This limit is dictated by the NCPDP standard and enforced within the ECME claim building process (i.e. the ECME application software). There are no such limits built into this data dictionary. |
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