Parent File | Name | Number | Package |
---|---|---|---|
9002313.0301 | DUR PPS | 9002313.1101 | E Claims Management Engine |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | DUR PPS RESPONSE | 0;1 | NUMBER |
|
439 | REASON FOR SERVICE CODE | 0;2 | FREE TEXT |
|
528 | CLINICAL SIGNIFICANCE CODE | 0;3 | SET |
|
529 | OTHER PHARMACY INDICATOR | 0;4 | SET |
|
530 | PREVIOUS DATE OF SERVICE | 0;5 | FREE TEXT |
|
531 | QTY OF PREVIOUS DISPENSING | 0;6 | FREE TEXT |
|
532 | DATABASE INDICATOR | 0;7 | SET |
|
533 | OTHER PRESCRIBER INDICATOR | 0;8 | SET |
|
544 | DUR/DUE FREE TEXT MESSAGE | 0;9 | FREE TEXT |
|
570 | DUR ADDITIONAL TEXT | 1;1 | FREE TEXT |
|