| Name | Value |
|---|---|
| NCPDP FIELD NUMBER | 455 |
| NAME | PRESCRIPTION/SERV REF NO QLFR |
| FORMAT | ALPHA/NUMERIC |
| ID | EM |
| LENGTH | 1 |
| D0 LENGTH | 1 |
| D0 FORMAT | ALPHANUMERIC |
| STANDARD NCPDP FIELD NAME | PRESCRIPTION/ SERVICE REFERENCE NUMBER QUALIFIER |
| GET CODE | S BPS("X")=1
|
| REQUEST SEGMENT | CLAIM |
| D0 FORMAT CODE | S BPS("X")=$$ANFF^BPSECFM($G(BPS("X")),1)
|
| RESPONSE SEGMENT | RESPONSE CLAIM |
| SET CODE | S $P(^BPSC(BPS(9002313.02),400,BPS(9002313.0201),450),U,5)=BPS("X")
|
| FORMAT CODE | S BPS("X")=$$ANFF^BPSECFM($G(BPS("X")),1)
|