| Name | Value |
|---|---|
| NCPDP FIELD NUMBER | 479 |
| NAME | OTHER AMT CLAIMED SUBM QLFR |
| FORMAT | ALPHA/NUMERIC |
| ID | H8 |
| LENGTH | 2 |
| D0 LENGTH | 2 |
| D0 FORMAT | ALPHANUMERIC |
| STANDARD NCPDP FIELD NAME | OTHER AMOUNT CLAIMED SUBMITTED QUALIFIER |
| GET CODE | ; fields 478, 479, 480 handled by FLD480^BPSOSSG (see SET CODE in field 480) |
| REQUEST SEGMENT | PRICING |
| D0 FORMAT CODE | ; fields 478, 479, 480 handled by FLD480^BPSOSSG (see SET CODE in field 480) |
| SET CODE | ; fields 478, 479, 480 handled by FLD480^BPSOSSG (see SET CODE in field 480) |
| FORMAT CODE | ; fields 478, 479, 480 handled by FLD480^BPSOSSG (see SET CODE in field 480) |