GLOBAL MAP DATA DICTIONARY #9002313.31 -- BPS CERTIFICATION FILE                                                  9/29/25    PAGE 1
STORED IN ^BPS(9002313.31,  *** NO DATA STORED YET ***   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                  (VERSION 1.0)   
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Data for development use in certifying software when required by switches and claims end processors.  Also contains test claim used
by MGR/TEST option.  This file is completely overwritten by installation.  


CROSS
REFERENCED BY: NAME(B)



^BPS(9002313.31,D0,0)= (#.01) NAME [1F] ^  ^ (#.03) CLAIM [3P:9002313.02] ^ (#.04) BILLING PAYER SHEET [4P:9002313.92] ^ (#.05) 
                    ==>REVERSAL PAYER SHEET [5P:9002313.92] ^ (#.06) MAX CLAIMS PER TRANSMISSION [6N] ^ (#.07) COB INDICATOR [7S] 
                    ==>^ (#.08) ELIGIBILITY PAYER SHEET [8P:9002313.92] ^ 
^BPS(9002313.31,D0,1,0)=^9002313.311PA^^  (#1) NCPDP FIELD #
^BPS(9002313.31,D0,1,D1,0)= (#.01) NCPDP FIELD # [1P:9002313.91] ^ (#.02) VALUE [2F] ^ 
^BPS(9002313.31,D0,2,0)=^9002313.312A^^  (#2) RX IN POSITION #
^BPS(9002313.31,D0,2,D1,0)= (#.01) RX IN POSITION # [1N] ^ 
^BPS(9002313.31,D0,2,D1,1,0)=^9002313.3121PA^^  (#1) NCPDP FIELD #
^BPS(9002313.31,D0,2,D1,1,D2,0)= (#.01) NCPDP FIELD # [1P:9002313.91] ^ (#.02) VALUE [2F] ^ 
^BPS(9002313.31,D0,2,D1,2,0)=^9002313.3122A^^  (#2) SUB CLARIFICATION CODE MULT
^BPS(9002313.31,D0,2,D1,2,D2,0)= (#.01) SUBMISSION CLARIFICATION CODE [1F] ^ 
^BPS(9002313.31,D0,2,D1,3,0)=^9002313.3123A^^  (#3) COB MULTIPLE
^BPS(9002313.31,D0,2,D1,3,D2,0)= (#.01) OTHER PAYER COUNTER [1N] ^ (#.02) OTHER PAYER COVERAGE TYPE [2S] ^ (#.03) OTHER PAYER ID 
                              ==>QUALIFIER [3S] ^ (#.04) OTHER PAYER ID [4F] ^ (#.05) OTHER PAYER DATE [5D] ^ (#.06) OTHER PAYER 
                              ==>AMOUNT PAID COUNT [6N] ^ (#.07) OTHER PAYER REJECT COUNT [7N] ^ 
^BPS(9002313.31,D0,2,D1,3,D2,1,0)=^9002313.31231A^^  (#1) OTHER PAYER AMT PAID MULTIPLE
^BPS(9002313.31,D0,2,D1,3,D2,1,D3,0)= (#.01) OTHER PAYER AMT PAID [1N] ^ (#.02) OTHER PAYER AMT PAID QUALIFIER [2P:9002313.2] ^ 
^BPS(9002313.31,D0,2,D1,3,D2,2,0)=^9002313.31232A^^  (#2) OTHER PAYER REJECT MULTIPLE
^BPS(9002313.31,D0,2,D1,3,D2,2,D3,0)= (#.01) OTHER PAYER REJECT CODE [1F] ^ 
^BPS(9002313.31,D0,2,D1,3,D2,3,0)=^9002313.31233A^^  (#3) OTHER PAYER PATIENT RESP MULT
^BPS(9002313.31,D0,2,D1,3,D2,3,D3,0)= (#.01) OTHER PAYER PATIENT PAID AMT [1N] ^ (#.02) OTHER PAYER PATIENT RESP QUAL [2S] ^ 
^BPS(9002313.31,D0,2,D1,3,D2,4,0)=^9002313.31234A^^  (#4) BENEFIT STAGE MULT
^BPS(9002313.31,D0,2,D1,3,D2,4,D3,0)= (#.01) BENEFIT STAGE AMOUNT [1N] ^ (#.02) BENEFIT STAGE QUALIFIER [2S] ^ 
^BPS(9002313.31,D0,2,D1,4,0)=^9002313.3124A^^  (#4) OTHER AMT CLAIMED MULT
^BPS(9002313.31,D0,2,D1,4,D2,0)= (#.01) OTHER AMOUNT CLAIMED SUBMITTED [1N] ^ (#.02) OTHER AMOUNT CLAIMED QUALIFIER [2S] ^ 
^BPS(9002313.31,D0,4)=  ^ (#903) PATIENT IEN [2P:2] ^ 


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