| Name | Value |
|---|---|
| NCPDP FIELD NUMBER | 114 |
| NAME | MEDICAID SUBROGATION ICN/TCN |
| FORMAT | ALPHA/NUMERIC |
| ID | N4 |
| LENGTH | 20 |
| D0 LENGTH | 20 |
| D0 FORMAT | ALPHANUMERIC |
| STANDARD NCPDP FIELD NAME | MEDICAID SUBROGATION INTERNAL CONTROL NUMBER/TRANSACTION CONTROL NUMBER (ICN/TCN) |
| GET CODE |
S BPS("X")=""
|
| REQUEST SEGMENT | CLAIM |
| D0 FORMAT CODE |
S BPS("X")=$$ANFF^BPSECFM($G(BPS("X")),20)
|
| RESPONSE SEGMENT | RESPONSE CLAIM |
| SET CODE | S $P(^BPSC(BPS(9002313.02),110),U,4)="" |