FHMDB2V5 (145) BPS NCPDP FORMATS (9002313.92)
Name
Value
RECORD FORMAT NAME
FHMDB2V5
VERSION
Version 5.1
PRODUCTION STATUS
PRODUCTION
PAYER SHEET VERSION
1
TRANSACTION HEADER SEGMENT
TRANSACTION HEADER ORDER: 10
NCPDP FIELD NUMBER:
102
PROCESSING MODE: STANDARD
TRANSACTION HEADER ORDER: 12
NCPDP FIELD NUMBER:
103
PROCESSING MODE: STANDARD
TRANSACTION HEADER ORDER: 13
NCPDP FIELD NUMBER:
104
PROCESSING MODE: STANDARD
TRANSACTION HEADER ORDER: 15
NCPDP FIELD NUMBER:
109
PROCESSING MODE: STANDARD
TRANSACTION HEADER ORDER: 17
NCPDP FIELD NUMBER:
202
PROCESSING MODE: STANDARD
TRANSACTION HEADER ORDER: 19
NCPDP FIELD NUMBER:
201
PROCESSING MODE: STANDARD
TRANSACTION HEADER ORDER: 21
NCPDP FIELD NUMBER:
401
PROCESSING MODE: STANDARD
TRANSACTION HEADER ORDER: 22
NCPDP FIELD NUMBER:
110
PROCESSING MODE: STANDARD
TRANSACTION HEADER ORDER: 9
NCPDP FIELD NUMBER:
101
PROCESSING MODE: STANDARD
CLAIM SEGMENT
CLAIM SEGMENT ORDER: 100
NCPDP FIELD NUMBER:
463
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 103
NCPDP FIELD NUMBER:
464
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 106
NCPDP FIELD NUMBER:
343
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 108
NCPDP FIELD NUMBER:
344
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 111
NCPDP FIELD NUMBER:
345
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 33
NCPDP FIELD NUMBER:
111
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 35
NCPDP FIELD NUMBER:
455
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 38
NCPDP FIELD NUMBER:
402
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 40
NCPDP FIELD NUMBER:
436
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 42
NCPDP FIELD NUMBER:
407
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 44
NCPDP FIELD NUMBER:
456
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 47
NCPDP FIELD NUMBER:
457
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 50
NCPDP FIELD NUMBER:
458
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 53
NCPDP FIELD NUMBER:
459
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 55
NCPDP FIELD NUMBER:
442
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 57
NCPDP FIELD NUMBER:
403
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 58
NCPDP FIELD NUMBER:
405
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 59
NCPDP FIELD NUMBER:
406
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 60
NCPDP FIELD NUMBER:
408
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 62
NCPDP FIELD NUMBER:
414
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 65
NCPDP FIELD NUMBER:
415
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 68
NCPDP FIELD NUMBER:
419
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 70
NCPDP FIELD NUMBER:
420
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 73
NCPDP FIELD NUMBER:
460
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 75
NCPDP FIELD NUMBER:
308
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 77
NCPDP FIELD NUMBER:
429
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 79
NCPDP FIELD NUMBER:
453
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 82
NCPDP FIELD NUMBER:
445
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 85
NCPDP FIELD NUMBER:
446
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 87
NCPDP FIELD NUMBER:
330
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 88
NCPDP FIELD NUMBER:
454
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 91
NCPDP FIELD NUMBER:
600
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 92
NCPDP FIELD NUMBER:
418
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 93
NCPDP FIELD NUMBER:
461
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 96
NCPDP FIELD NUMBER:
462
PROCESSING MODE: STANDARD