| Name | Value |
|---|---|
| NCPDP FIELD NUMBER | 498.13 |
| NAME | PRIOR AUTH SUPPORTING DOCUMENT |
| FORMAT | ALPHA/NUMERIC |
| ID | PP |
| LENGTH | 200 |
| D0 LENGTH | 500 |
| D0 FORMAT | ALPHANUMERIC |
| GET CODE |
S BPS("X")=""
|
| REQUEST SEGMENT | PRIOR AUTHORIZATION |
| D0 FORMAT CODE |
S BPS("X")=$$ANFF^BPSECFM($G(BPS("X")),500)
|