| Parent File | Name | Number | Package |
|---|---|---|---|
| BPS CERTIFICATION(#9002313.31) | RX IN POSITION # | 9002313.312 | E Claims Management Engine |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | RX IN POSITION # | 0;1 | NUMBER |
|
| 1 | NCPDP FIELD # | 1;0 | POINTER Multiple #9002313.3121 | 9002313.3121
|
| 2 | SUB CLARIFICATION CODE MULT | 2;0 | Multiple #9002313.3122 | 9002313.3122
|
| 3 | COB MULTIPLE | 3;0 | Multiple #9002313.3123 | 9002313.3123
|
| 4 | OTHER AMT CLAIMED MULT | 4;0 | Multiple #9002313.3124 | 9002313.3124
|