Files > COB OTHER PAYERS

parent
9002313.77
name
COB OTHER PAYERS
number
9002313.778
Fields
#NameLocationTypeDetailsIndexDescription
.01other payer counter0;1NUMERICBThis is a multiple counter field to store the count of the other payers.
.02other payer coverage type0;2SET OF CODES01:PRIMARY
02:SECONDARY
03:TERTIARY
98:COUPON
99:COMPOSITE
NCPDP field 338-5C - Code identifying the type of 'Other Payer ID'
.03other payer id qualifier0;3SET OF CODES01: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).
.04other payer id0;4FREE TEXTNCPDP field 340-7C - ID assigned to the payer.
.05other payer date0;5DATE-TIMENCPDP field 443-E8 - Payment or denial date of the claim submitted to the other payer. Used for coordination of benefits.
.06other payer amount paid count0;6NUMERICNCPDP field 341-HB - Count of the payer amount paid occurrences.
.07other payer reject count0;7NUMERICNCPDP field 471-5E - Count of 'Other Payer Reject Code' occurrences.
1other payer amt paid multiple1;0MULTIPLE9002313.7781This 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.
2other payer reject multiple2;0MULTIPLE9002313.7782This 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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