Parent File | Name | Number | Package |
---|---|---|---|
PHARMACY BENEFITS MANAGER (PBM)(#366.02) | APPLICATION | 366.023 | Integrated Billing |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | APPLICATION | 0;1 | POINTER TO PHARMACY BENEFITS MANAGER (PBM) APPLICATION FILE (#366.12) | PHARMACY BENEFITS MANAGER (PBM) APPLICATION(#366.12)
|
.02 | NATIONAL ACTIVE? | 0;2 | SET |
|
.03 | LOCAL ACTIVE? | 0;3 | SET |
|
.04 | USER EDITED LOCAL | 0;4 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
.05 | DATE/TIME LOCAL EDITED | 0;5 | DATE |
|
.06 | DATE/TIME NATIONAL EDITED | 0;6 | DATE |
|
.07 | AUTO-ACCEPT? | 0;7 | SET |
|
.08 | IDENT REQUIRES SUBSCRIBER ID? | 0;8 | SET |
|
.09 | USE SSN FOR SUBSCRIBER ID? | 0;9 | SET |
|
.1 | TRANSMIT SSN? | 0;10 | SET |
|
.11 | DEACTIVATED? | 0;11 | SET |
|
.12 | DATE/TIME DEACTIVATED | 0;12 | DATE |
|
.13 | DATE/TIME CREATED | 0;13 | DATE |
|
.14 | FUTURE SERVICE DAYS | 0;14 | NUMBER |
|
.15 | PAST SERVICE DAYS | 0;15 | NUMBER |
|