| Name | Value |
|---|---|
| NCPDP FIELD NUMBER | 138 |
| NAME | CMS LICS LEVEL |
| FORMAT | ALPHA/NUMERIC |
| ID | UQ |
| LENGTH | 20 |
| D0 LENGTH | 20 |
| D0 FORMAT | ALPHANUMERIC |
| GET CODE | ; This is a response-only field which does not use the GET, FORMAT, or SET code |
| RESPONSE SEGMENT | RESPONSE INSURANCE ADDITIONAL INFORMATION |