Sub-Field: 9002313.401353

Parent File	Name	Number	Package
9002313.0401	OTHER PAYER-PATIENT RESP MLTPL	9002313.401353	E Claims Management Engine

Details

Field # Name Loc Type Details

Field #	Name	Loc	Type	Details
.01	OTHER PAYER-PATIENT COUNTER	0;1	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X` LAST EDITED: `SEP 01, 2010` HELP-PROMPT: `Type a number between 1 and 99, 0 decimal digits.` DESCRIPTION: `This is an integer counter incremented by software.` CROSS-REFERENCE: `9002313.401353^B` `1)= S ^BPSC(DA(3),400,DA(2),337,DA(1),3,"B",$E(X,1,30),DA)=""` `2)= K ^BPSC(DA(3),400,DA(2),337,DA(1),3,"B",$E(X,1,30),DA)`
351	OTHER PAYER-PAT RESP AMT QLFR	0;2	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>4!($L(X)<1) X` LAST EDITED: `MAR 31, 2021` HELP-PROMPT: `Answer must be 1-4 characters.` DESCRIPTION: `This is used to store NCPDP field 351-NP (Other Payer-Patient Responsibility Amount Qualifier), which is defined as "Code qualifying the Other Payer-Patient Responsibility Amount (352-NQ)."` TECHNICAL DESCR: `Comments: This field is submitted by the pharmacist for the purpose of qualifying the entry in the Other Payer-Patient Responsibility Amount field. REQUEST COORDINATION OF BENEFITS/OTHER PAYMENT SEGMENT.`
352	OTHER PAYER-PAT RESP AMOUNT	0;3	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>12!($L(X)<1) X` LAST EDITED: `MAR 31, 2021` HELP-PROMPT: `Answer must be 1-12 characters.` DESCRIPTION: `This is used to store NCPDP field 352-NQ (Other Payer-Patient Responsibility Amount), which is defined as "The patient's cost share from a previous payer."` TECHNICAL DESCR: `REQUEST COORDINATION OF BENEFITS/OTHER PAYMENT SEGMENT.`

OTHER PAYER-PATIENT COUNTER

0;1

NUMBER

INPUT TRANSFORM: K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: SEP 01, 2010
HELP-PROMPT: Type a number between 1 and 99, 0 decimal digits.
DESCRIPTION:
This is an integer counter incremented by software.
CROSS-REFERENCE: 9002313.401353^B
1)= S ^BPSC(DA(3),400,DA(2),337,DA(1),3,"B",$E(X,1,30),DA)=""
2)= K ^BPSC(DA(3),400,DA(2),337,DA(1),3,"B",$E(X,1,30),DA)

OTHER PAYER-PAT RESP AMT QLFR

0;2

FREE TEXT

INPUT TRANSFORM: K:$L(X)>4!($L(X)<1) X
LAST EDITED: MAR 31, 2021
HELP-PROMPT: Answer must be 1-4 characters.
DESCRIPTION:
This is used to store NCPDP field 351-NP (Other Payer-Patient Responsibility Amount Qualifier), which is defined as "Code qualifying the Other Payer-Patient Responsibility Amount (352-NQ)."
TECHNICAL DESCR:
Comments: This field is submitted by the pharmacist for the purpose of qualifying the entry in the Other Payer-Patient Responsibility Amount field. REQUEST COORDINATION OF BENEFITS/OTHER PAYMENT SEGMENT.

OTHER PAYER-PAT RESP AMOUNT

0;3

FREE TEXT

INPUT TRANSFORM: K:$L(X)>12!($L(X)<1) X
LAST EDITED: MAR 31, 2021
HELP-PROMPT: Answer must be 1-12 characters.
DESCRIPTION:
This is used to store NCPDP field 352-NQ (Other Payer-Patient Responsibility Amount), which is defined as "The patient's cost share from a previous payer."
TECHNICAL DESCR:
REQUEST COORDINATION OF BENEFITS/OTHER PAYMENT SEGMENT.