File BPS_TRANSACTION(9002313.59) Data List

ENTRY NUMBER	STATUS	POLICY NUMBER	PHARMACY	PINS PIECE	PRIOR AUTHORIZATION NUMBER	PRESCRIPTION NUMBER	RXI INTERNAL	RESUBMIT AFTER REVERSAL	NCPDP OVERRIDES	PRIOR AUTHORIZATION TYPE CODE	NDC	USER NUMBER	PHARMACY DIVISION	COMMENT MULTIPLE	RX ACTION	DATE OF SERVICE	SUBMISSION CLARIFICATION CODE	COB OTHER PAYMENTS COUNT	OTHER COVERAGE CODE	USER	DUR DATA	POSITION IN CLAIM	COB OTHER PAYERS	START TIME	SUBMIT REQUEST	SUBMIT REQUEST DATE TIME	COB INDICATOR	TRANSACTION TYPE	HL7 MESSAGE ID	RESULT CODE	RESULT TEXT	CLAIM	CLAIM IEN	NON-BILLABLE REASON	NON-BILLABLE CLOSED	NON-BILLABLE DATE CLOSED	NON-BILLABLE CLOSED BY	NON-BILLABLE CLOSED COMMENT	NON-BILLABLE DATE RE-OPENED	NON-BILLABLE RE-OPENED BY	NON-BILLABLE RE-OPENED COMMENT	RESPONSE	RESULT WITH REVERSAL	RESULT	RESPONSE IEN	REVERSAL CLAIM	REVERSAL RESPONSE	REVERSAL REASON	REVERSAL REQUEST	REVERSAL REQUEST DATE TIME	PATIENT	QUANTITY	UNIT PRICE	SUBTOTAL	DISPENSING FEE	TOTAL PRICE	ADMINISTRATIVE FEE	UNIT OF MEASURE	BILLING QUANTITY	BILLING UNIT	SUBMIT DATE	LAST UPDATE	ASLEEP PAYER	FILL NUMBER	CURRENT VA INSURER	ELIGIBILITY	PATIENT INSURANCE MULTIPLE	NET PAID BY INSURER	ELAPSED TIME (PRINTABLE)	ELAPSED TIME (SECONDS)	RESULT CATEGORY