Sub-Field: 9002313.02354

Parent File	Name	Number	Package
9002313.0201	SUBMISSION CLARIFICATION MLTPL	9002313.02354	E Claims Management Engine

Details

Field # Name Loc Type Details

Field #	Name	Loc	Type	Details
.01	SUBMISSION CLRFCTN CODE CNTR	0;1	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X` LAST EDITED: `AUG 19, 2010` HELP-PROMPT: `Type a Number between 1 and 99, 0 Decimal Digits.` DESCRIPTION: `This is a sequential counter of the Submission Clarification occurrences.` CROSS-REFERENCE: `9002313.02354^B` `1)= S ^BPSC(DA(2),400,DA(1),354.01,"B",$E(X,1,30),DA)=""` `2)= K ^BPSC(DA(2),400,DA(1),354.01,"B",$E(X,1,30),DA)`
420	SUBMISSION CLARIFICATION CODE	1;1	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>4!($L(X)<1) X` LAST EDITED: `SEP 24, 2010` HELP-PROMPT: `Answer must be 1-4 characters.` DESCRIPTION: `This is used to store NCPDP field 420-DK (Submission Clarification Code), which is defined as "Code indicating that the pharmacist is clarifying the submission."` TECHNICAL DESCR: `Examples: Since the patient will be out of state for the next three months, they have requested a three month supply of their medication. This situation can cause the claim to reject, because it was refilled` `too soon. By indicating an 03, the processor is made aware of the situation, and can properly adjudicate the claim.` `REQUEST CLAIM SEGMENT.`

SUBMISSION CLRFCTN CODE CNTR

0;1

NUMBER

INPUT TRANSFORM: K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: AUG 19, 2010
HELP-PROMPT: Type a Number between 1 and 99, 0 Decimal Digits.
DESCRIPTION:
This is a sequential counter of the Submission Clarification occurrences.
CROSS-REFERENCE: 9002313.02354^B
1)= S ^BPSC(DA(2),400,DA(1),354.01,"B",$E(X,1,30),DA)=""
2)= K ^BPSC(DA(2),400,DA(1),354.01,"B",$E(X,1,30),DA)

SUBMISSION CLARIFICATION CODE

1;1

FREE TEXT

INPUT TRANSFORM: K:$L(X)>4!($L(X)<1) X
LAST EDITED: SEP 24, 2010
HELP-PROMPT: Answer must be 1-4 characters.
DESCRIPTION:
This is used to store NCPDP field 420-DK (Submission Clarification Code), which is defined as "Code indicating that the pharmacist is clarifying the submission."
TECHNICAL DESCR: Examples: Since the patient will be out of state for the next three months, they have requested a three month supply of their medication. This situation can cause the claim to reject, because it was refilled
too soon. By indicating an 03, the processor is made aware of the situation, and can properly adjudicate the claim.
REQUEST CLAIM SEGMENT.