CO-PAY (135)    DATA FIELD (357.5)

Name Value
NAME CO-PAY
BLOCK PATIENT INFORMATION (V3.0)
TYPE OF DATA DG ENROLLMENT PRIORITY
SUBFIELD
  • SUBFIELD LABEL:   Requires MT Co-Pay:
    STARTING COLUMN FOR LABEL:   26
    STARTING ROW FOR LABEL:   4
    STARTING ROW FOR DATA:   4
    STARTING COLUMN FOR DATA:   46
    LENGTH OF DATA:   1
    DATA:   2