| Name | Value |
|---|---|
| NCPDP FIELD NUMBER | 480 |
| F6 LENGTH | 11 |
| NAME | OTHER AMT CLAIMED SUBMITTED |
| FORMAT | SIGNED NUMERIC |
| F6 FORMAT | SIGNED NUMERIC |
| ID | H9 |
| LENGTH | 8 |
| D0 LENGTH | 8 |
| D0 FORMAT | SIGNED NUMERIC |
| STANDARD NCPDP FIELD NAME | OTHER AMOUNT CLAIMED SUBMITTED |
| GET CODE | ; GET CODE handled by FLD480^BPSOSSG |
| REQUEST SEGMENT | PRICING |
| D0 FORMAT CODE | ; vD.0 format code handled by FLD480^BPSOSSG |
| SET CODE | D FLD480^BPSOSSG |
| FORMAT CODE | ; format code handled by FLD480^BPSOSSG |
| F6 FORMAT CODE | ; vD.0 format code handled by FLD480^BPSOSSG |