Sub-Field: 9002313.31233

Parent File	Name	Number	Package
9002313.3123	OTHER PAYER PATIENT RESP MULT	9002313.31233	E Claims Management Engine

Details

Field # Name Loc Type Details

Field #	Name	Loc	Type	Details
.01	OTHER PAYER PATIENT PAID AMT	0;1	NUMBER	INPUT TRANSFORM: `S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999)!(X<0)!(X?.E1"."3.N) X` LAST EDITED: `DEC 17, 2010` HELP-PROMPT: `Type a dollar amount between 0 and 999999, 2 decimal digits.` DESCRIPTION: `This field has the data for NCPDP field 352-NQ, which is the patient's cost share from a previous payer.` CROSS-REFERENCE: `9002313.31233^B` `1)= S ^BPS(9002313.31,DA(3),2,DA(2),3,DA(1),3,"B",$E(X,1,30),DA)=""` `2)= K ^BPS(9002313.31,DA(3),2,DA(2),3,DA(1),3,"B",$E(X,1,30),DA)`
.02	OTHER PAYER PATIENT RESP QUAL	0;2	SET	LAST EDITED: `APR 01, 2013` HELP-PROMPT: `Enter the qualifier for the Other Payer Patient Responsibility Amount.` DESCRIPTION: `This will be used for NCPDP field 351-NP, which qualifies the payment in the Other Payer-Patient Responsibility Paid Amount.`

OTHER PAYER PATIENT PAID AMT

0;1

NUMBER

INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999)!(X<0)!(X?.E1"."3.N) X
LAST EDITED: DEC 17, 2010
HELP-PROMPT: Type a dollar amount between 0 and 999999, 2 decimal digits.
DESCRIPTION:
This field has the data for NCPDP field 352-NQ, which is the patient's cost share from a previous payer.
CROSS-REFERENCE: 9002313.31233^B
1)= S ^BPS(9002313.31,DA(3),2,DA(2),3,DA(1),3,"B",$E(X,1,30),DA)=""
2)= K ^BPS(9002313.31,DA(3),2,DA(2),3,DA(1),3,"B",$E(X,1,30),DA)

OTHER PAYER PATIENT RESP QUAL

0;2

SET

LAST EDITED: APR 01, 2013
HELP-PROMPT: Enter the qualifier for the Other Payer Patient Responsibility Amount.
DESCRIPTION:
This will be used for NCPDP field 351-NP, which qualifies the payment in the Other Payer-Patient Responsibility Paid Amount.