Files > OTHER PAYER AMT PAID MULTIPLE

parent

9002313.778

name

OTHER PAYER AMT PAID MULTIPLE

number

9002313.7781

Fields

#	Name	Location	Type	Details	Index	Description
.01	other payer amount paid	0;1	NUMERIC		B	NCPDP field 431-DV - Amount of any payment known by the pharmacy from other sources (including coupons).
.02	other payer amt paid qualifier	0;2	SET OF CODES	01:DELIVERY 02:SHIPPING 03:POSTAGE 04:ADMINISTRATIVE 05:INCENTIVE 06:COGNITIVE SERVICE 07:DRUG BENEFIT 08:*SUM OF ALL REIMBURSEMENT 98:*COUPON 99:*OTHER 09:COMPOUND PREP COST SUBMITTED 10:SALES TAX		NCPDP field 342-HC - Code qualifying the 'Other Payer Amount Paid' (431-DV).