STANDARD DATA DICTIONARY #9002313.92 -- BPS NCPDP FORMATS FILE 3/24/25 PAGE 1
STORED IN ^BPSF(9002313.92, (305 ENTRIES) SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 1.0)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
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The formats for sending claims. As derived from NDC Payer Sheets and Envoy Plan Sheets. Never modify locally, except in
cooperation with development.
Per VHA Directive 2004-038, this file definition should not be modified.
DD ACCESS: @
RD ACCESS: Pp
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
POINTED TO BY: BILLING PAYER SHEET NAME field (#10.07) of the PLAN File (#366.03)
REVERSAL PAYER SHEET NAME field (#10.08) of the PLAN File (#366.03)
REBILL PAYER SHEET NAME field (#10.09) of the PLAN File (#366.03)
TEST BILLING PAYER SHEET field (#10.11) of the PLAN File (#366.03)
TEST REVERSAL PAYER SHEET NAME field (#10.12) of the PLAN File (#366.03)
TEST REBILL PAYER SHEET NAME field (#10.13) of the PLAN File (#366.03)
TEST ELIGIBILITY SHEET NAME field (#10.14) of the PLAN File (#366.03)
ELIGIBILITY PAYER SHEET NAME field (#10.15) of the PLAN File (#366.03)
ELECTRONIC PAYER field (#.02) of the BPS CLAIMS File (#9002313.02)
BILLING PAYER SHEET field (#.04) of the BPS CERTIFICATION File (#9002313.31)
REVERSAL PAYER SHEET field (#.05) of the BPS CERTIFICATION File (#9002313.31)
ELIGIBILITY PAYER SHEET field (#.08) of the BPS CERTIFICATION File (#9002313.31)
B1 PAYER SHEET field (#902.02) of the PATIENT INSURANCE MULTIPLE sub-field (#9002313.57902) of the BPS LOG OF
TRANSACTIONS File (#9002313.57)
B2 PAYER SHEET field (#902.19) of the PATIENT INSURANCE MULTIPLE sub-field (#9002313.57902) of the BPS LOG OF
TRANSACTIONS File (#9002313.57)
B3 PAYER SHEET field (#902.21) of the PATIENT INSURANCE MULTIPLE sub-field (#9002313.57902) of the BPS LOG OF
TRANSACTIONS File (#9002313.57)
E1 PAYER SHEET field (#902.34) of the PATIENT INSURANCE MULTIPLE sub-field (#9002313.57902) of the BPS LOG OF
TRANSACTIONS File (#9002313.57)
B1 PAYER SHEET field (#902.02) of the PATIENT INSURANCE MULTIPLE sub-field (#9002313.59902) of the BPS TRANSACTION
File (#9002313.59)
B2 PAYER SHEET field (#902.19) of the PATIENT INSURANCE MULTIPLE sub-field (#9002313.59902) of the BPS TRANSACTION
File (#9002313.59)
B3 PAYER SHEET field (#902.21) of the PATIENT INSURANCE MULTIPLE sub-field (#9002313.59902) of the BPS TRANSACTION
File (#9002313.59)
E1 PAYER SHEET field (#902.34) of the PATIENT INSURANCE MULTIPLE sub-field (#9002313.59902) of the BPS TRANSACTION
File (#9002313.59)
B1 PAYER SHEET field (#.02) of the BPS INSURER DATA File (#9002313.78)
B2 PAYER SHEET field (#.03) of the BPS INSURER DATA File (#9002313.78)
B3 PAYER SHEET field (#.04) of the BPS INSURER DATA File (#9002313.78)
E1 PAYER SHEET field (#.1) of the BPS INSURER DATA File (#9002313.78)
CROSS
REFERENCED BY: RECORD FORMAT NAME(B)
9002313.92,.01RECORD FORMAT NAME 0;1 FREE TEXT (Required)
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X
LAST EDITED: FEB 22, 2013
HELP-PROMPT: Answer must be 3-30 characters in length.
DESCRIPTION:
Textual description of this record format.
CROSS-REFERENCE: 9002313.92^B
1)= S ^BPSF(9002313.92,"B",$E(X,1,30),DA)=""
2)= K ^BPSF(9002313.92,"B",$E(X,1,30),DA)
9002313.92,1.02VERSION 1;2 SET
'51' FOR Version 5.1;
'D0' FOR Version D.0;
LAST EDITED: JUL 06, 2011
HELP-PROMPT: Enter the NCPDP version for this payer sheet.
DESCRIPTION: This is the NCPDP Version Number. The request that is created will follow the specification of
this NCPDP Version.
9002313.92,1.06PRODUCTION STATUS 1;6 SET
'0' FOR DISABLED;
'1' FOR DEVELOPMENT;
'2' FOR FIELD TESTING;
'3' FOR PRODUCTION;
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter the production/testing status of this format
DESCRIPTION: To be used as a screen when attaching a format to an insurer. Don't allow non-production formats.
Those will have to be entered directly with Fileman.
SCREEN: S DIC("S")="I Y=2!(Y=3)!(DUZ(0)=""@"")"
EXPLANATION: Programmer may select any. Others: may select only formats in FIELD TESTING or PRODUCTION.
9002313.92,1.1TOTAL EXCLUSIVE PATIENT AMOUNT 1;10 SET
'1' FOR Y;
'0' FOR N;
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter if the total is exclusive of the patient amount
DESCRIPTION: This refers to the interpretation of the fields in the response packets, as copied to 9002313.03,
Response(s) multiple, fields 509 Total Amount Paid and 505 Patient Paid Amount. For most formats
and insurers 509 Total Amount Paid means Total, Patient plus Insurer. Other insurers don't do it
that way - for them, 509 contains only the amount paid by insurance. $$NETPAID1 needs to know
whether to do the subtraction. If $$NETPAID1 encounters a case where (#509)<(#505), it will set
the flag in the format, locally.
9002313.92,1.11ASLEEP PROBER 1;11 POINTER TO BPS TRANSACTION FILE (#9002313.59)
LAST EDITED: JAN 05, 2006
HELP-PROMPT: Enter the claim to test whether the insurer is awake
DESCRIPTION:
The BPS Transaction used as the test prober to test when the insurer is 'awake'.
9002313.92,1.12ASLEEP RETRY TIME 1;12 DATE
INPUT TRANSFORM: S %DT="EST" D ^%DT S X=Y K:X<1 X
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Enter date/time when to retry sending to payer
DESCRIPTION:
The time to wait before re-trying to see if the insurer is 'awake'.
9002313.92,1.14PAYER SHEET VERSION 1;14 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: DEC 04, 2003
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION:
Which version of the NCPDP standard this payer sheet is for.
9002313.92,100TRANSACTION HEADER SEGMENT 100;0 Multiple #9002313.9205 (Add New Entry without Asking)
LAST EDITED: DEC 27, 2007
9002313.9205,.01TRANSACTION HEADER ORDER 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 19, 2010
HELP-PROMPT: Type a number between 1 and 9999, 0 decimal digits.
DESCRIPTION:
This field indicates the order of the NCPDP field as it will appear on an NCPDP request.
CROSS-REFERENCE: 9002313.9205^B
1)= S ^BPSF(9002313.92,DA(1),100,"B",$E(X,1,30),DA)=""
2)= K ^BPSF(9002313.92,DA(1),100,"B",$E(X,1,30),DA)
9002313.9205,.02NCPDP FIELD NUMBER 0;2 POINTER TO BPS NCPDP FIELD DEFS FILE (#9002313.91)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Specify the NCPDP field number
DESCRIPTION:
The NCPDP Field to be manipulated.
9002313.9205,.03PROCESSING MODE 0;3 SET
'D' FOR DEFAULT;
'S' FOR STANDARD;
'X' FOR SPECIAL;
'U' FOR UNKNOWN;
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Specify the mode for processing
DESCRIPTION:
Which processing mode is in effect for this segment.
9002313.9205,1 SPECIAL CODE 1;0 WORD-PROCESSING #9002313.92051 (NOWRAP)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the Transaction Header Segment.
DESCRIPTION:
When Processing Mode "X" is in effect, the special M code to be executed.
WRITE AUTHORITY: @
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the Transaction Header Segment.
WRITE AUTHORITY: @
9002313.9205,2 PROGRAMMING NOTES 2;0 WORD-PROCESSING #9002313.92052 (NOWRAP)
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Enter notes relating to the M code.
DESCRIPTION:
Description of what is being accomplished by executing the special code.
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Enter notes relating to the M code.
9002313.92,110PATIENT SEGMENT 110;0 Multiple #9002313.9206 (Add New Entry without Asking)
LAST EDITED: OCT 20, 2010
9002313.9206,.01PATIENT SEGMENT ORDER 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 19, 2010
HELP-PROMPT: Type a number between 1 and 9999, 0 decimal digits.
DESCRIPTION:
This field indicates the order of the NCPDP field as it will appear on an NCPDP request.
CROSS-REFERENCE: 9002313.9206^B
1)= S ^BPSF(9002313.92,DA(1),110,"B",$E(X,1,30),DA)=""
2)= K ^BPSF(9002313.92,DA(1),110,"B",$E(X,1,30),DA)
9002313.9206,.02NCPDP FIELD NUMBER 0;2 POINTER TO BPS NCPDP FIELD DEFS FILE (#9002313.91)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Select the field number relating to the Patient Segment.
DESCRIPTION:
The NCPDP Field to be manipulated.
9002313.9206,.03PROCESSING MODE 0;3 SET
'D' FOR DEFAULT;
'S' FOR STANDARD;
'X' FOR SPECIAL;
'?' FOR UNKNOWN;
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Specify the mode for processing
DESCRIPTION:
Which processing mode is in effect for this segment.
9002313.9206,1 SPECIAL CODE 1;0 WORD-PROCESSING #9002313.92061 (NOWRAP)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the Patient Segment.
DESCRIPTION:
When Processing Mode "X" is in effect, the special M code to be executed.
WRITE AUTHORITY: @
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the Patient Segment.
WRITE AUTHORITY: @
9002313.9206,2 PROGRAMMING NOTES 2;0 WORD-PROCESSING #9002313.92062 (NOWRAP)
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Enter notes relating to the M code.
DESCRIPTION:
Description of what is being accomplished by executing the special code.
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Enter notes relating to the M code.
9002313.92,120INSURANCE SEGMENT 120;0 Multiple #9002313.9207 (Add New Entry without Asking)
LAST EDITED: DEC 27, 2007
9002313.9207,.01INSURANCE SEGMENT ORDER 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 19, 2010
HELP-PROMPT: Type a number between 1 and 9999, 0 decimal digits.
DESCRIPTION:
This field indicates the order of the NCPDP field as it will appear on an NCPDP request.
CROSS-REFERENCE: 9002313.9207^B
1)= S ^BPSF(9002313.92,DA(1),120,"B",$E(X,1,30),DA)=""
2)= K ^BPSF(9002313.92,DA(1),120,"B",$E(X,1,30),DA)
9002313.9207,.02NCPDP FIELD NUMBER 0;2 POINTER TO BPS NCPDP FIELD DEFS FILE (#9002313.91)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Select the field number relating to the Insurance Segment.
DESCRIPTION:
The NCPDP Field to be manipulated.
9002313.9207,.03PROCESSING MODE 0;3 SET
'D' FOR DEFAULT;
'S' FOR STANDARD;
'X' FOR SPECIAL;
'?' FOR UNKNOWN;
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Specify the mode for processing
DESCRIPTION:
Which processing mode is in effect for this segment.
9002313.9207,1 SPECIAL CODE 1;0 WORD-PROCESSING #9002313.92071 (NOWRAP)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the Insurance Segment.
DESCRIPTION:
When Processing Mode "X" is in effect, the special M code to be executed.
WRITE AUTHORITY: @
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the Insurance Segment.
WRITE AUTHORITY: @
9002313.9207,2 PROGRAMMING NOTES 2;0 WORD-PROCESSING #9002313.92072 (NOWRAP)
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Enter notes relating to the M code.
DESCRIPTION:
Description of what is being accomplished by executing the special code.
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Enter notes relating to the M code.
9002313.92,130CLAIM SEGMENT 130;0 Multiple #9002313.9208 (Add New Entry without Asking)
LAST EDITED: OCT 06, 2010
9002313.9208,.01CLAIM SEGMENT ORDER 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 19, 2010
HELP-PROMPT: Type a number between 1 and 9999, 0 decimal digits.
DESCRIPTION:
This field indicates the order of the NCPDP field as it will appear on an NCPDP request.
CROSS-REFERENCE: 9002313.9208^B
1)= S ^BPSF(9002313.92,DA(1),130,"B",$E(X,1,30),DA)=""
2)= K ^BPSF(9002313.92,DA(1),130,"B",$E(X,1,30),DA)
9002313.9208,.02NCPDP FIELD NUMBER 0;2 POINTER TO BPS NCPDP FIELD DEFS FILE (#9002313.91)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Select the field number relating to the Claim Segment.
DESCRIPTION:
The NCPDP Field to be manipulated.
9002313.9208,.03PROCESSING MODE 0;3 SET
'D' FOR DEFAULT;
'S' FOR STANDARD;
'X' FOR SPECIAL;
'?' FOR UNKNOWN;
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Specify the mode for processing
DESCRIPTION:
Which processing mode is in effect for this segment.
9002313.9208,1 SPECIAL CODE 1;0 WORD-PROCESSING #9002313.92081 (NOWRAP)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the Claim Segment.
DESCRIPTION:
When Processing Mode "X" is in effect, the special M code to be executed.
WRITE AUTHORITY: @
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the Claim Segment.
WRITE AUTHORITY: @
9002313.9208,2 PROGRAMMING NOTES 2;0 WORD-PROCESSING #9002313.92082 (NOWRAP)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter notes relating to the M code.
DESCRIPTION:
Description of what is being accomplished by executing the special code.
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Enter notes relating to the M code.
9002313.92,140PHARMACY PROVIDER SEGMENT 140;0 Multiple #9002313.9209 (Add New Entry without Asking)
LAST EDITED: DEC 27, 2007
9002313.9209,.01PHARMACY PROVIDER ORDER 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 19, 2010
HELP-PROMPT: Type a number between 1 and 9999, 0 decimal digits.
DESCRIPTION:
This field indicates the order of the NCPDP field as it will appear on an NCPDP request.
CROSS-REFERENCE: 9002313.9209^B
1)= S ^BPSF(9002313.92,DA(1),140,"B",$E(X,1,30),DA)=""
2)= K ^BPSF(9002313.92,DA(1),140,"B",$E(X,1,30),DA)
9002313.9209,.02NCPDP FIELD NUMBER 0;2 POINTER TO BPS NCPDP FIELD DEFS FILE (#9002313.91)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Select the field number relating to the Pharmacy Provider Segment.
DESCRIPTION:
The NCPDP Field to be manipulated.
9002313.9209,.03PROCESSING MODE 0;3 SET
'D' FOR DEFAULT;
'S' FOR STANDARD;
'X' FOR SPECIAL;
'?' FOR UNKNOWN;
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Specify the mode for processing
DESCRIPTION:
Which processing mode is in effect for this segment.
9002313.9209,1 SPECIAL CODE 1;0 WORD-PROCESSING #9002313.92091 (NOWRAP)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the Pharmacy Provider Segment.
DESCRIPTION:
When Processing Mode "X" is in effect, the special M code to be executed.
WRITE AUTHORITY: @
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the Pharmacy Provider Segment.
WRITE AUTHORITY: @
9002313.9209,2 PROGRAMMING NOTES 2;0 WORD-PROCESSING #9002313.92092 (NOWRAP)
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Enter notes relating to the M code.
DESCRIPTION:
Description of what is being accomplished by executing the special code.
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Enter notes relating to the M code.
9002313.92,150PRESCRIBER SEGMENT 150;0 Multiple #9002313.921 (Add New Entry without Asking)
LAST EDITED: DEC 27, 2007
9002313.921,.01 PRESCRIBER SEGMENT ORDER 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 19, 2010
HELP-PROMPT: Type a number between 1 and 9999, 0 decimal digits.
DESCRIPTION:
This field indicates the order of the NCPDP field as it will appear on an NCPDP request.
CROSS-REFERENCE: 9002313.921^B
1)= S ^BPSF(9002313.92,DA(1),150,"B",$E(X,1,30),DA)=""
2)= K ^BPSF(9002313.92,DA(1),150,"B",$E(X,1,30),DA)
9002313.921,.02 NCPDP FIELD NUMBER 0;2 POINTER TO BPS NCPDP FIELD DEFS FILE (#9002313.91)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Select the field number relating to the Prescriber Segment.
DESCRIPTION:
The NCPDP Field to be manipulated.
9002313.921,.03 PROCESSING MODE 0;3 SET
'D' FOR DEFAULT;
'S' FOR STANDARD;
'X' FOR SPECIAL;
'?' FOR UNKNOWN;
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Specify the mode for processing
DESCRIPTION:
Which processing mode is in effect for this segment.
9002313.921,1 SPECIAL CODE 1;0 WORD-PROCESSING #9002313.9211 (NOWRAP)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the Prescriber Segment.
DESCRIPTION:
When Processing Mode "X" is in effect, the special M code to be executed.
WRITE AUTHORITY: @
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the Prescriber Segment.
WRITE AUTHORITY: @
9002313.921,2 PROGRAMMING NOTES 2;0 WORD-PROCESSING #9002313.9212 (NOWRAP)
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Enter notes relating to the M code.
DESCRIPTION:
Description of what is being accomplished by executing the special code.
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Enter notes relating to the M code.
9002313.92,160COB OTHER PAYMENTS SEGMENT 160;0 Multiple #9002313.9213 (Add New Entry without Asking)
LAST EDITED: DEC 27, 2007
9002313.9213,.01COB OTHER PAYMENTS ORDER 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 19, 2010
HELP-PROMPT: Type a number between 1 and 9999, 0 decimal digits.
DESCRIPTION:
This field indicates the order of the NCPDP field as it will appear on an NCPDP request.
CROSS-REFERENCE: 9002313.9213^B
1)= S ^BPSF(9002313.92,DA(1),160,"B",$E(X,1,30),DA)=""
2)= K ^BPSF(9002313.92,DA(1),160,"B",$E(X,1,30),DA)
9002313.9213,.02NCPDP FIELD NUMBER 0;2 POINTER TO BPS NCPDP FIELD DEFS FILE (#9002313.91)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Select the field number relating to the COB Other Payments Segment.
DESCRIPTION:
The NCPDP Field to be manipulated.
9002313.9213,.03PROCESSING MODE 0;3 SET
'D' FOR DEFAULT;
'S' FOR STANDARD;
'X' FOR SPECIAL;
'?' FOR UNKNOWN;
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Specify the mode for processing
DESCRIPTION:
Which processing mode is in effect for this segment.
9002313.9213,1 SPECIAL CODE 1;0 WORD-PROCESSING #9002313.92131 (NOWRAP)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the COB Other Payments Segment.
DESCRIPTION:
When Processing Mode "X" is in effect, the special M code to be executed.
WRITE AUTHORITY: @
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the COB Other Payments Segment.
WRITE AUTHORITY: @
9002313.9213,2 PROGRAMMING NOTES 2;0 WORD-PROCESSING #9002313.92132 (NOWRAP)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter notes relating to the M code.
DESCRIPTION:
Description of what is being accomplished by executing the special code.
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Enter notes relating to the M code.
9002313.92,170WORKERS COMP SEGMENT 170;0 Multiple #9002313.9214 (Add New Entry without Asking)
LAST EDITED: JUN 16, 2008
9002313.9214,.01WORKERS COMP SEGMENT ORDER 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 19, 2010
HELP-PROMPT: Type a number between 1 and 9999, 0 decimal digits.
DESCRIPTION:
This field indicates the order of the NCPDP field as it will appear on an NCPDP request.
CROSS-REFERENCE: 9002313.9214^B
1)= S ^BPSF(9002313.92,DA(1),170,"B",$E(X,1,30),DA)=""
2)= K ^BPSF(9002313.92,DA(1),170,"B",$E(X,1,30),DA)
9002313.9214,.02NCPDP FIELD NUMBER 0;2 POINTER TO BPS NCPDP FIELD DEFS FILE (#9002313.91)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Select the field number relating to the Worker's Comp Segment.
DESCRIPTION:
The NCPDP Field to be manipulated.
9002313.9214,.03PROCESSING MODE 0;3 SET
'D' FOR DEFAULT;
'S' FOR STANDARD;
'X' FOR SPECIAL;
'?' FOR UNKNOWN;
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Specify the mode for processing
DESCRIPTION:
Which processing mode is in effect for this segment.
9002313.9214,1 SPECIAL CODE 1;0 WORD-PROCESSING #9002313.92141 (NOWRAP)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the Worker's Comp Segment.
DESCRIPTION:
When Processing Mode "X" is in effect, the special M code to be executed.
WRITE AUTHORITY: @
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the Worker's Comp Segment.
WRITE AUTHORITY: @
9002313.9214,2 PROGRAMMING NOTES 2;0 WORD-PROCESSING #9002313.92142 (NOWRAP)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter notes relating to the M code.
DESCRIPTION:
Description of what is being accomplished by executing the special code.
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Enter notes relating to the M code.
9002313.92,180DUR PPS SEGMENT 180;0 Multiple #9002313.9215 (Add New Entry without Asking)
LAST EDITED: DEC 27, 2007
9002313.9215,.01DUR PPS SEGMENT ORDER 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 19, 2010
HELP-PROMPT: Type a number between 1 and 9999, 0 decimal digits.
DESCRIPTION:
This field indicates the order of the NCPDP field as it will appear on an NCPDP request.
CROSS-REFERENCE: 9002313.9215^B
1)= S ^BPSF(9002313.92,DA(1),180,"B",$E(X,1,30),DA)=""
2)= K ^BPSF(9002313.92,DA(1),180,"B",$E(X,1,30),DA)
9002313.9215,.02NCPDP FIELD NUMBER 0;2 POINTER TO BPS NCPDP FIELD DEFS FILE (#9002313.91)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Select the field number relating to the DUR PPS Segment.
DESCRIPTION:
The NCPDP Field to be manipulated.
9002313.9215,.03PROCESSING MODE 0;3 SET
'D' FOR DEFAULT;
'S' FOR STANDARD;
'X' FOR SPECIAL;
'?' FOR UNKNOWN;
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Specify the mode for processing
DESCRIPTION:
Which processing mode is in effect for this segment.
9002313.9215,1 SPECIAL CODE 1;0 WORD-PROCESSING #9002313.92151 (NOWRAP)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the DUR PPS Segment.
DESCRIPTION:
When Processing Mode "X" is in effect, the special M code to be executed.
WRITE AUTHORITY: @
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the DUR PPS Segment.
WRITE AUTHORITY: @
9002313.9215,2 PROGRAMMING NOTES 2;0 WORD-PROCESSING #9002313.92152 (NOWRAP)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter notes relating to the M code.
DESCRIPTION:
Description of what is being accomplished by executing the special code.
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Enter notes relating to the M code.
9002313.92,190PRICING SEGMENT 190;0 Multiple #9002313.9216 (Add New Entry without Asking)
LAST EDITED: DEC 27, 2007
9002313.9216,.01PRICING SEGMENT ORDER 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 19, 2010
HELP-PROMPT: Type a number between 1 and 9999, 0 decimal digits.
DESCRIPTION:
This field indicates the order of the NCPDP field as it will appear on an NCPDP request.
CROSS-REFERENCE: 9002313.9216^B
1)= S ^BPSF(9002313.92,DA(1),190,"B",$E(X,1,30),DA)=""
2)= K ^BPSF(9002313.92,DA(1),190,"B",$E(X,1,30),DA)
9002313.9216,.02NCPDP FIELD NUMBER 0;2 POINTER TO BPS NCPDP FIELD DEFS FILE (#9002313.91)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Select the field number relating to the Pricing Segment.
DESCRIPTION:
The NCPDP Field to be manipulated.
9002313.9216,.03PROCESSING MODE 0;3 SET
'D' FOR DEFAULT;
'S' FOR STANDARD;
'X' FOR SPECIAL;
'?' FOR UNKNOWN;
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Specify the mode for processing
DESCRIPTION:
Which processing mode is in effect for this segment.
9002313.9216,1 SPECIAL CODE 1;0 WORD-PROCESSING #9002313.92161 (NOWRAP)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the Pricing Segment.
DESCRIPTION:
When Processing Mode "X" is in effect, the special M code to be executed.
WRITE AUTHORITY: @
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the Pricing Segment.
WRITE AUTHORITY: @
9002313.9216,2 PROGRAMMING NOTES 2;0 WORD-PROCESSING #9002313.92162 (NOWRAP)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter notes relating to the M code.
DESCRIPTION:
Description of what is being accomplished by executing the special code.
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Enter notes relating to the M code.
9002313.92,200COUPON SEGMENT 200;0 Multiple #9002313.9217 (Add New Entry without Asking)
LAST EDITED: DEC 27, 2007
9002313.9217,.01COUPON SEGMENT ORDER 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 19, 2010
HELP-PROMPT: Type a number between 1 and 9999, 0 decimal digits.
DESCRIPTION:
This field indicates the order of the NCPDP field as it will appear on an NCPDP request.
CROSS-REFERENCE: 9002313.9217^B
1)= S ^BPSF(9002313.92,DA(1),200,"B",$E(X,1,30),DA)=""
2)= K ^BPSF(9002313.92,DA(1),200,"B",$E(X,1,30),DA)
9002313.9217,.02NCPDP FIELD NUMBER 0;2 POINTER TO BPS NCPDP FIELD DEFS FILE (#9002313.91)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Select the field number relating to the Coupon Segment.
DESCRIPTION:
The NCPDP Field to be manipulated.
9002313.9217,.03PROCESSING MODE 0;3 SET
'D' FOR DEFAULT;
'S' FOR STANDARD;
'X' FOR SPECIAL;
'?' FOR UNKNOWN;
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Specify the mode for processing
DESCRIPTION:
Which processing mode is in effect for this segment.
9002313.9217,1 SPECIAL CODE 1;0 WORD-PROCESSING #9002313.92171 (NOWRAP)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the Coupon Segment.
DESCRIPTION:
When Processing Mode "X" is in effect, the special M code to be executed.
WRITE AUTHORITY: @
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the Coupon Segment.
WRITE AUTHORITY: @
9002313.9217,2 PROGRAMMING NOTES 2;0 WORD-PROCESSING #9002313.92172 (NOWRAP)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter notes relating to the M code.
DESCRIPTION:
Description of what is being accomplished by executing the special code.
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Enter notes relating to the M code.
9002313.92,210COMPOUND SEGMENT 210;0 Multiple #9002313.9218 (Add New Entry without Asking)
LAST EDITED: DEC 27, 2007
9002313.9218,.01COMPOUND SEGMENT ORDER 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 19, 2010
HELP-PROMPT: Type a number between 1 and 9999, 0 decimal digits.
DESCRIPTION:
This field indicates the order of the NCPDP field as it will appear on an NCPDP request.
CROSS-REFERENCE: 9002313.9218^B
1)= S ^BPSF(9002313.92,DA(1),210,"B",$E(X,1,30),DA)=""
2)= K ^BPSF(9002313.92,DA(1),210,"B",$E(X,1,30),DA)
9002313.9218,.02NCPDP FIELD NUMBER 0;2 POINTER TO BPS NCPDP FIELD DEFS FILE (#9002313.91)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Select the field number relating to the Compound Segment.
DESCRIPTION:
The NCPDP Field to be manipulated.
9002313.9218,.03PROCESSING MODE 0;3 SET
'D' FOR DEFAULT;
'S' FOR STANDARD;
'X' FOR SPECIAL;
'?' FOR UNKNOWN;
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Specify the mode for processing
DESCRIPTION:
Which processing mode is in effect for this segment.
9002313.9218,1 SPECIAL CODE 1;0 WORD-PROCESSING #9002313.92181 (NOWRAP)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the Compound Segment.
DESCRIPTION:
When Processing Mode "X" is in effect, the special M code to be executed.
WRITE AUTHORITY: @
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the Compound Segment.
WRITE AUTHORITY: @
9002313.9218,2 PROGRAMMING NOTES 2;0 WORD-PROCESSING #9002313.92182 (NOWRAP)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter notes relating to the M code.
DESCRIPTION:
Description of what is being accomplished by executing the special code.
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Enter notes relating to the M code.
9002313.92,220PRIOR AUTH SEGMENT 220;0 Multiple #9002313.9219 (Add New Entry without Asking)
LAST EDITED: DEC 27, 2007
9002313.9219,.01PRIOR AUTH SEGMENT ORDER 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 19, 2010
HELP-PROMPT: Type a number between 1 and 9999, 0 decimal digits.
DESCRIPTION:
This field indicates the order of the NCPDP field as it will appear on an NCPDP request.
CROSS-REFERENCE: 9002313.9219^B
1)= S ^BPSF(9002313.92,DA(1),220,"B",$E(X,1,30),DA)=""
2)= K ^BPSF(9002313.92,DA(1),220,"B",$E(X,1,30),DA)
9002313.9219,.02NCPDP FIELD NUMBER 0;2 POINTER TO BPS NCPDP FIELD DEFS FILE (#9002313.91)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Select the field number relating to the Prior Auth Segment.
DESCRIPTION:
The NCPDP Field to be manipulated.
9002313.9219,.03PROCESSING MODE 0;3 SET
'D' FOR DEFAULT;
'S' FOR STANDARD;
'X' FOR SPECIAL;
'?' FOR UNKNOWN;
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Specify the mode for processing
DESCRIPTION:
Which processing mode is in effect for this segment.
9002313.9219,1 SPECIAL CODE 1;0 WORD-PROCESSING #9002313.92191 (NOWRAP)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the Prior Auth Segment.
DESCRIPTION:
When Processing Mode "X" is in effect, the special M code to be executed.
WRITE AUTHORITY: @
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the Prior Auth Segment.
WRITE AUTHORITY: @
9002313.9219,2 PROGRAMMING NOTES 2;0 WORD-PROCESSING #9002313.92192 (NOWRAP)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter notes relating to the M code.
DESCRIPTION:
Description of what is being accomplished by executing the special code.
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Enter notes relating to the M code.
9002313.92,230CLINICAL SEGMENT 230;0 Multiple #9002313.922 (Add New Entry without Asking)
LAST EDITED: DEC 27, 2007
9002313.922,.01 CLINICAL SEGMENT ORDER 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 19, 2010
HELP-PROMPT: Type a number between 1 and 9999, 0 decimal digits.
DESCRIPTION:
This field indicates the order of the NCPDP field as it will appear on an NCPDP request.
CROSS-REFERENCE: 9002313.922^B
1)= S ^BPSF(9002313.92,DA(1),230,"B",$E(X,1,30),DA)=""
2)= K ^BPSF(9002313.92,DA(1),230,"B",$E(X,1,30),DA)
9002313.922,.02 NCPDP FIELD NUMBER 0;2 POINTER TO BPS NCPDP FIELD DEFS FILE (#9002313.91)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Select the field number relating to the Clinical Segment.
DESCRIPTION:
The NCPDP Field to be manipulated.
9002313.922,.03 PROCESSING MODE 0;3 SET
'D' FOR DEFAULT;
'S' FOR STANDARD;
'X' FOR SPECIAL;
'?' FOR UNKNOWN;
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Specify the mode for processing
DESCRIPTION:
Which processing mode is in effect for this segment.
9002313.922,1 SPECIAL CODE 1;0 WORD-PROCESSING #9002313.9221 (NOWRAP)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the Clinical Segment.
DESCRIPTION:
When Processing Mode "X" is in effect, the special M code to be executed.
WRITE AUTHORITY: @
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter M code used to create the Clinical Segment.
WRITE AUTHORITY: @
9002313.922,2 PROGRAMMING NOTES 2;0 WORD-PROCESSING #9002313.9222 (NOWRAP)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter notes relating to the M code.
DESCRIPTION:
Description of what is being accomplished by executing the special code.
LAST EDITED: JUN 16, 2008
HELP-PROMPT: Enter notes relating to the M code.
9002313.92,240ADDL DOC SEGMENT 240;0 Multiple #9002313.9223 (Add New Entry without Asking)
LAST EDITED: SEP 28, 2010
DESCRIPTION:
This subfile holds the fields and processing rules for the Additional Documentation Segment.
9002313.9223,.01ADDL DOCUMENTATION ORDER 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 19, 2010
HELP-PROMPT: Type a number between 1 and 9999, 0 decimal digits.
DESCRIPTION:
This field indicates the order of the NCPDP field as it will appear on an NCPDP request.
CROSS-REFERENCE: 9002313.9223^B
1)= S ^BPSF(9002313.92,DA(1),240,"B",$E(X,1,30),DA)=""
2)= K ^BPSF(9002313.92,DA(1),240,"B",$E(X,1,30),DA)
9002313.9223,.02NCPDP FIELD NUMBER 0;2 POINTER TO BPS NCPDP FIELD DEFS FILE (#9002313.91)
LAST EDITED: JUL 06, 2011
HELP-PROMPT: Select the NCPDP field number belonging to the Additional Documentation Segment.
DESCRIPTION:
This is the NCPDP field that belongs to this segment of the payer sheet.
9002313.9223,.03PROCESSING MODE 0;3 SET
'D' FOR DEFAULT;
'S' FOR STANDARD;
'X' FOR SPECIAL;
'?' FOR UNKNOWN;
LAST EDITED: OCT 19, 2010
HELP-PROMPT: Specify the mode for processing this field.
DESCRIPTION:
This is the processing mode that will be used for this field.
9002313.9223,1 SPECIAL CODE 1;0 WORD-PROCESSING #9002313.92231 (NOWRAP) (IGNORE "|")
DESCRIPTION:
This is the M code that is executed when the Processing Mode is "X".
WRITE AUTHORITY: @
LAST EDITED: OCT 15, 2010
HELP-PROMPT: Enter M code used to create the Additional Documentation Segment.
DESCRIPTION:
When Processing Mode "X" is in effect, the special M code to be executed.
9002313.9223,2 PROGRAMMING NOTES 2;0 WORD-PROCESSING #9002313.92232 (NOWRAP) (IGNORE "|")
DESCRIPTION:
This is an optional description of the special code.
LAST EDITED: OCT 15, 2010
HELP-PROMPT: Enter notes relating to the M code.
DESCRIPTION:
Description of what is being accomplished by executing the special code.
9002313.92,250FACILITY SEGMENT 250;0 Multiple #9002313.9224 (Add New Entry without Asking)
DESCRIPTION:
This subfile holds the fields and processing rules for the Facility segment.
9002313.9224,.01FACILITY SEGMENT ORDER 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 21, 2010
HELP-PROMPT: Type a number between 1 and 9999, 0 decimal digits.
DESCRIPTION:
This field indicates the order of the NCPDP field as it will appear on an NCPDP request.
CROSS-REFERENCE: 9002313.9224^B
1)= S ^BPSF(9002313.92,DA(1),250,"B",$E(X,1,30),DA)=""
2)= K ^BPSF(9002313.92,DA(1),250,"B",$E(X,1,30),DA)
9002313.9224,.02NCPDP FIELD NUMBER 0;2 POINTER TO BPS NCPDP FIELD DEFS FILE (#9002313.91)
LAST EDITED: JUL 06, 2011
HELP-PROMPT: Select the NCPDP field number belonging to the Facility Segment.
DESCRIPTION:
This is the NCPDP field that belongs to this segment of the payer sheet.
9002313.9224,.03PROCESSING MODE 0;3 SET
'D' FOR DEFAULT;
'S' FOR STANDARD;
'X' FOR SPECIAL;
'?' FOR UNKNOWN;
LAST EDITED: OCT 19, 2010
HELP-PROMPT: Specify the mode for processing this field.
DESCRIPTION:
This is the processing mode that will be used for this field.
9002313.9224,1 SPECIAL CODE 1;0 WORD-PROCESSING #9002313.92241 (NOWRAP) (IGNORE "|")
DESCRIPTION:
This is the M code that is executed when the Processing Mode is "X".
WRITE AUTHORITY: @
LAST EDITED: SEP 28, 2010
HELP-PROMPT: Enter M code used to create the Facility Segment
DESCRIPTION:
When Processing Mode "X" is in effect, the special M code to be executed.
9002313.9224,2 PROGRAMMING NOTES 2;0 WORD-PROCESSING #9002313.92242 (NOWRAP) (IGNORE "|")
DESCRIPTION:
This is an optional description of the special code.
LAST EDITED: SEP 28, 2010
HELP-PROMPT: Enter notes relating to the M code.
DESCRIPTION:
Description of what is being accomplished by executing the special code.
9002313.92,260NARRATIVE SEGMENT 260;0 Multiple #9002313.9225 (Add New Entry without Asking)
LAST EDITED: SEP 28, 2010
DESCRIPTION:
This subfile holds the fields and processing rules for the Narrative segment.
9002313.9225,.01NARRATIVE SEGMENT ORDER 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 19, 2010
HELP-PROMPT: Type a number between 1 and 9999, 0 decimal digits.
DESCRIPTION:
This field indicates the order of the NCPDP field as it will appear on an NCPDP request.
CROSS-REFERENCE: 9002313.9225^B
1)= S ^BPSF(9002313.92,DA(1),260,"B",$E(X,1,30),DA)=""
2)= K ^BPSF(9002313.92,DA(1),260,"B",$E(X,1,30),DA)
9002313.9225,.02NCPDP FIELD NUMBER 0;2 POINTER TO BPS NCPDP FIELD DEFS FILE (#9002313.91)
LAST EDITED: OCT 19, 2010
HELP-PROMPT: Select the NCPDP field number belonging to the Narrative Segment.
DESCRIPTION:
This is the NCPDP field that belongs to this segment of the payer sheet.
9002313.9225,.03PROCESSING MODE 0;3 SET
'D' FOR DEFAULT;
'S' FOR STANDARD;
'X' FOR SPECIAL;
'?' FOR UNKNOWN;
LAST EDITED: OCT 19, 2010
HELP-PROMPT: Specify the mode for processing this field.
DESCRIPTION:
This is the processing mode that will be used for this field.
9002313.9225,1 SPECIAL CODE 1;0 WORD-PROCESSING #9002313.92251 (NOWRAP) (IGNORE "|")
DESCRIPTION:
This is the M code that is executed when the Processing Mode is "X".
WRITE AUTHORITY: @
LAST EDITED: OCT 17, 2010
HELP-PROMPT: Enter M code used to create the Facility Segment.
DESCRIPTION:
When Processing Mode "X" is in effect, the special M code to be executed.
9002313.9225,2 PROGRAMMING NOTES 2;0 WORD-PROCESSING #9002313.92252 (NOWRAP) (IGNORE "|")
DESCRIPTION:
This is an optional description of the special code.
LAST EDITED: SEP 28, 2010
HELP-PROMPT: Enter notes relating to the M code.
DESCRIPTION:
Description of what is being accomplished by executing the special code.
9002313.92,270PURCHASER SEGMENT 270;0 Multiple #9002313.9227 (Add New Entry without Asking)
DESCRIPTION:
This subfile holds the fields and processing rules for the Purchaser segment.
9002313.9227,.01PURCHASER SEGMENT ORDER 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1.N) X
LAST EDITED: FEB 22, 2013
HELP-PROMPT: Type a number between 1 and 9999, 0 decimal digits.
DESCRIPTION:
This field indicates the order of the NCPDP field as it will appear on the NCPDP request.
CROSS-REFERENCE: 9002313.9227^B
1)= S ^BPSF(9002313.92,DA(1),270,"B",$E(X,1,30),DA)=""
2)= K ^BPSF(9002313.92,DA(1),270,"B",$E(X,1,30),DA)
9002313.9227,.02NCPDP FIELD NUMBER 0;2 POINTER TO BPS NCPDP FIELD DEFS FILE (#9002313.91)
LAST EDITED: FEB 22, 2013
HELP-PROMPT: Select the NCPDP field number belonging to the Purchaser Segment.
DESCRIPTION:
This is the NCPDP field that belongs to this segment of the payer sheet.
9002313.9227,.03PROCESSING MODE 0;3 SET
'D' FOR DEFAULT;
'S' FOR STANDARD;
'X' FOR SPECIAL;
'?' FOR UNKNOWN;
LAST EDITED: FEB 22, 2013
HELP-PROMPT: Specify the mode for processing this field.
DESCRIPTION:
This is the processing mode for that will be used for this field.
9002313.9227,1 SPECIAL CODE 1;0 WORD-PROCESSING #9002313.92271 (NOWRAP) (IGNORE "|")
DESCRIPTION:
This is the M code that is executed when the Processing Mode is "X".
WRITE AUTHORITY: @
LAST EDITED: FEB 22, 2013
9002313.9227,2 PROGRAMMING NOTES 2;0 WORD-PROCESSING #9002313.92272 (NOWRAP) (IGNORE "|")
DESCRIPTION:
This is an optional description of the special code.
LAST EDITED: FEB 22, 2013
9002313.92,280SERVICE PROVIDER SEGMENT 280;0 Multiple #9002313.9228 (Add New Entry without Asking)
LAST EDITED: MAR 15, 2013
DESCRIPTION:
This subfile holds the fields and processing rules for the Service Provider segment.
9002313.9228,.01SERVICE PROVIDER SEG ORDER 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1.N) X
LAST EDITED: MAR 15, 2013
HELP-PROMPT: Type a number between 1 and 9999, 0 decimal digits.
DESCRIPTION:
This field indicates the order of the NCPDP field as it will appear on an NCPDP request.
CROSS-REFERENCE: 9002313.9228^B
1)= S ^BPSF(9002313.92,DA(1),280,"B",$E(X,1,30),DA)=""
2)= K ^BPSF(9002313.92,DA(1),280,"B",$E(X,1,30),DA)
9002313.9228,.02NCPDP FIELD NUMBER 0;2 POINTER TO BPS NCPDP FIELD DEFS FILE (#9002313.91)
LAST EDITED: FEB 22, 2013
HELP-PROMPT: Select the NCPDP field number belonging to the Provider Segment.
DESCRIPTION:
This is the NCPDP field that belongs to this segment of the payer sheet.
9002313.9228,.03PROCESSING MODE 0;3 SET
'D' FOR DEFAULT;
'S' FOR STANDARD;
'X' FOR SPECIAL;
'?' FOR UNKNOWN;
LAST EDITED: FEB 22, 2013
HELP-PROMPT: Specify the mode for processing this field.
DESCRIPTION:
This is the processing mode that will be used for this field.
9002313.9228,1 SPECIAL CODE 1;0 WORD-PROCESSING #9002313.92281 (NOWRAP) (IGNORE "|")
DESCRIPTION:
This is the M code that is executed when the Processing Mode is "X".
WRITE AUTHORITY: @
LAST EDITED: FEB 22, 2013
9002313.9228,2 PROGRAMMING NOTES 2;0 WORD-PROCESSING #9002313.92282 (NOWRAP) (IGNORE "|")
DESCRIPTION:
This is an optional description of the special code.
LAST EDITED: FEB 22, 2013
9002313.92,290INTERMEDIARY SEGMENT 290;0 Multiple #9002313.9229
DESCRIPTION:
This subfile holds the fields and processing rules for the NCPCP Intermediary Segment
9002313.9229,.01INTERMEDIARY SEGMENT ORDER 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1.N) X
LAST EDITED: SEP 15, 2014
HELP-PROMPT: Type a number between 1 and 9999, 0 decimal digits.
DESCRIPTION:
This field indicates the order of the NCPDP field as it will appear in the INTERMEDIARY segment.
CROSS-REFERENCE: 9002313.9229^B
1)= S ^BPSF(9002313.92,DA(1),290,"B",$E(X,1,30),DA)=""
2)= K ^BPSF(9002313.92,DA(1),290,"B",$E(X,1,30),DA)
9002313.9229,.02NCPDP FIELD NUMBER 0;2 POINTER TO BPS NCPDP FIELD DEFS FILE (#9002313.91)
LAST EDITED: SEP 15, 2014
HELP-PROMPT: Select the NCPDP field number belonging to the Intermediary Segment
DESCRIPTION:
This is the NCPDP field that belongs to this segment of the payer sheet
9002313.9229,.03PROCESSING MODE 0;3 SET
'D' FOR DEFAULT;
'S' FOR STANDARD;
'X' FOR SPECIAL;
'?' FOR UNKNOWN;
LAST EDITED: SEP 15, 2014
HELP-PROMPT: Specify the mode for processing this NCPDP field.
DESCRIPTION:
This is the processing mode that will be used for this field.
9002313.9229,1 SPECIAL CODE 1;0 WORD-PROCESSING #9002313.92291 (NOWRAP) (IGNORE "|")
DESCRIPTION:
This is the special M code to be executed when the Processing Mode is 'X'.
LAST EDITED: JAN 26, 2015
DESCRIPTION:
This is the M code that is executed when the Processing Mode is "X".
9002313.9229,2 PROGRAMMING NOTES 2;0 WORD-PROCESSING #9002313.92292 (NOWRAP) (IGNORE "|")
DESCRIPTION:
This is an optional description of the special code.
LAST EDITED: SEP 15, 2014
DESCRIPTION:
This is an optional description of the special code.
9002313.92,300LAST KNOWN 4RX SEGMENT 300;0 Multiple #9002313.923
DESCRIPTION:
This subfile holds the fields and processing rules for the NCPDP Last Known 4RX segment.
9002313.923,.01 LAST KNOWN 4RX SEGMENT ORDER 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1.N) X
LAST EDITED: SEP 15, 2014
HELP-PROMPT: Type a number between 1 and 9999, 0 decimal digits.
DESCRIPTION: This field indicates the order of the NCPDP field as it will appear in the LAST KNOWN 4RX
segment.
CROSS-REFERENCE: 9002313.923^B
1)= S ^BPSF(9002313.92,DA(1),300,"B",$E(X,1,30),DA)=""
2)= K ^BPSF(9002313.92,DA(1),300,"B",$E(X,1,30),DA)
9002313.923,.02 NCPDP FIELD NUMBER 0;2 POINTER TO BPS NCPDP FIELD DEFS FILE (#9002313.91)
LAST EDITED: SEP 15, 2014
HELP-PROMPT: Select the NCPDP field number belonging to the Last Known 4Rx segment.
DESCRIPTION:
This is the NCPDP field that belongs to this segment of the payer sheet.
9002313.923,.03 PROCESSING MODE 0;3 SET
'D' FOR DEFAULT;
'S' FOR STANDARD;
'X' FOR SPECIAL;
'?' FOR UNKNOWN;
LAST EDITED: SEP 15, 2014
HELP-PROMPT: Specify the mode for processing this field.
DESCRIPTION:
This is the processing mode that will be used for this field.
9002313.923,1 SPECIAL CODE 1;0 WORD-PROCESSING #9002313.9231 (NOWRAP) (IGNORE "|")
DESCRIPTION:
This is the special M code to be executed when the Processing Mode is 'X'.
LAST EDITED: SEP 15, 2014
DESCRIPTION:
This is the M code that is executed when the Processing Mode is "X".
9002313.923,2 PROGRAMMING NOTES 2;0 WORD-PROCESSING #9002313.9232 (NOWRAP) (IGNORE "|")
DESCRIPTION:
This is an optional description of the special code.
LAST EDITED: SEP 15, 2014
DESCRIPTION:
This is an optional description of the special code.
9002313.92,1901DEVELOPMENT REMARKS DEVELOPER'S REMARKS;0 WORD-PROCESSING #9002313.921901 (NOWRAP)
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter general remarks relating to this segment.
DESCRIPTION: General remarks for the payer sheet, anything that will help describe the function of the sheet,
etc.
LAST EDITED: DEC 27, 2007
HELP-PROMPT: Enter general remarks relating to this segment.
FILES POINTED TO FIELDS
BPS NCPDP FIELD DEFS (#9002313.91) TRANSACTION HEADER SEGMENT:NCPDP FIELD NUMBER (#.02)
PATIENT SEGMENT:NCPDP FIELD NUMBER (#.02)
INSURANCE SEGMENT:NCPDP FIELD NUMBER (#.02)
CLAIM SEGMENT:NCPDP FIELD NUMBER (#.02)
PHARMACY PROVIDER SEGMENT:NCPDP FIELD NUMBER (#.02)
PRESCRIBER SEGMENT:NCPDP FIELD NUMBER (#.02)
COB OTHER PAYMENTS SEGMENT:NCPDP FIELD NUMBER (#.02)
WORKERS COMP SEGMENT:NCPDP FIELD NUMBER (#.02)
DUR PPS SEGMENT:NCPDP FIELD NUMBER (#.02)
PRICING SEGMENT:NCPDP FIELD NUMBER (#.02)
COUPON SEGMENT:NCPDP FIELD NUMBER (#.02)
COMPOUND SEGMENT:NCPDP FIELD NUMBER (#.02)
PRIOR AUTH SEGMENT:NCPDP FIELD NUMBER (#.02)
CLINICAL SEGMENT:NCPDP FIELD NUMBER (#.02)
ADDL DOC SEGMENT:NCPDP FIELD NUMBER (#.02)
FACILITY SEGMENT:NCPDP FIELD NUMBER (#.02)
NARRATIVE SEGMENT:NCPDP FIELD NUMBER (#.02)
PURCHASER SEGMENT:NCPDP FIELD NUMBER (#.02)
SERVICE PROVIDER SEGMENT:NCPDP FIELD NUMBER (#.02)
INTERMEDIARY SEGMENT:NCPDP FIELD NUMBER (#.02)
LAST KNOWN 4RX SEGMENT:NCPDP FIELD NUMBER (#.02)
BPS TRANSACTION (#9002313.59) ASLEEP PROBER (#1.11)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):