Sub-Field: 9002313.7781

Parent File	Name	Number	Package
9002313.778	OTHER PAYER AMT PAID MULTIPLE	9002313.7781	E Claims Management Engine

Details

Field # Name Loc Type Details

Field #	Name	Loc	Type	Details
.01	OTHER PAYER AMOUNT PAID	0;1	NUMBER	INPUT TRANSFORM: `S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999)!(X<0)!(X?.E1"."3.N) X` LAST EDITED: `JUN 10, 2010` HELP-PROMPT: `Type a dollar amount between 0 and 999999, 2 decimal digits.` DESCRIPTION: `NCPDP field 431-DV - Amount of any payment known by the pharmacy from other sources (including coupons).` CROSS-REFERENCE: `9002313.7781^B` `1)= S ^BPS(9002313.77,DA(2),8,DA(1),1,"B",$E(X,1,30),DA)=""` `2)= K ^BPS(9002313.77,DA(2),8,DA(1),1,"B",$E(X,1,30),DA)`
.02	OTHER PAYER AMT PAID QUALIFIER	0;2	POINTER TO BPS NCPDP OTHER PAYER AMT PAID QUAL FILE (#9002313.2)	BPS NCPDP OTHER PAYER AMT PAID QUAL(#9002313.2) LAST EDITED: `NOV 26, 2014` HELP-PROMPT: `Enter the type of Other Payer Amount Paid.` DESCRIPTION: `NCPDP field 342-HC - Code qualifying the 'Other Payer Amount Paid' (431-DV).`
.03	OTHER PAYER-PATIENT RESP AMT	0;3	NUMBER	INPUT TRANSFORM: `S:X["$" X=$P(X,"$",2) K:X'?."-".N.1".".2N!(X>99999.99)!(X<-99999.99) X` LAST EDITED: `DEC 15, 2017` HELP-PROMPT: `Type a dollar amount between -99999.99 and 99999.99, 2 decimal digits.` DESCRIPTION: `NCPDP field 505-F5 - Patient Pay Amount. This is the amount that is calculated by the processor and returned to the pharmacy as the TOTAL amount to be paid by the patient to the pharmacy; the patient's total cost` `share, including co-payments, amounts applied to deductible, over maximum amounts, penalties, etc.`

OTHER PAYER AMOUNT PAID

0;1

NUMBER

INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999)!(X<0)!(X?.E1"."3.N) X
LAST EDITED: JUN 10, 2010
HELP-PROMPT: Type a dollar amount between 0 and 999999, 2 decimal digits.
DESCRIPTION:
NCPDP field 431-DV - Amount of any payment known by the pharmacy from other sources (including coupons).
CROSS-REFERENCE: 9002313.7781^B
1)= S ^BPS(9002313.77,DA(2),8,DA(1),1,"B",$E(X,1,30),DA)=""
2)= K ^BPS(9002313.77,DA(2),8,DA(1),1,"B",$E(X,1,30),DA)

OTHER PAYER AMT PAID QUALIFIER

0;2

POINTER TO BPS NCPDP OTHER PAYER AMT PAID QUAL FILE (#9002313.2)

LAST EDITED: NOV 26, 2014
HELP-PROMPT: Enter the type of Other Payer Amount Paid.
DESCRIPTION:
NCPDP field 342-HC - Code qualifying the 'Other Payer Amount Paid' (431-DV).

OTHER PAYER-PATIENT RESP AMT

0;3

NUMBER

INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?."-".N.1".".2N!(X>99999.99)!(X<-99999.99) X
LAST EDITED: DEC 15, 2017
HELP-PROMPT: Type a dollar amount between -99999.99 and 99999.99, 2 decimal digits.
DESCRIPTION: NCPDP field 505-F5 - Patient Pay Amount. This is the amount that is calculated by the processor and returned to the pharmacy as the TOTAL amount to be paid by the patient to the pharmacy; the patient's total cost
share, including co-payments, amounts applied to deductible, over maximum amounts, penalties, etc.