File BPS_REQUESTS(9002313.77) Data List

KEY1 KEY2 ACTING COB PROCESS FLAG NEXT REQUEST ECME TRANSACTION RECORD WAITING RESOLUTION? DONT PROCESS UNTIL RX ACTION OUTPATIENT SITE TRANSACTION TYPE BILLING DETERMINATION ELIGIBILITY CLAIM STATUS RATE TYPE PRIMARY PAYER BILL PRIOR PAYMENT COB OTHER PAYMENTS COUNT OTHER COVERAGE CODE RX NUMBER FILL NO PATIENT POLICY NUMBER DATE OF SERVICE REVERSAL REASON DURREC OVERRIDE CODE CLARIFICATION CODE BILL NDC PRE AUTH TYPE CODE PRE AUTH NUM SUB SC AND EI OVERRIDE FLAG DELAY REASON CODE DIAGNOSIS CODE DUR QUANTITY UNIT PRICE NDC REFILL CERTIFY MODE CERTIFICATION IEN UNIT OF MEASURE BILLING QUANTITY BILLING UNIT INSURER DATA REQUEST DATE AND TIME USER WHO MADE THE REQUEST ACTIVATED DATE TIME USER WHO ACTIVATED REQUEST DATE AND TIME UPDATED USER WHO UPDATED THE REQUEST CLOSE AFT REV CLOSE AFT REV REASON CLOSE AFT REV COMMENT COB OTHER PAYERS INACTIVATION REASON