WBNWPSB2 (60) BPS NCPDP FORMATS (9002313.92)
Name
Value
RECORD FORMAT NAME
WBNWPSB2
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: 31
NCPDP FIELD NUMBER:
111
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 33
NCPDP FIELD NUMBER:
455
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 36
NCPDP FIELD NUMBER:
402
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 38
NCPDP FIELD NUMBER:
436
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 40
NCPDP FIELD NUMBER:
407
PROCESSING MODE: STANDARD
CLAIM SEGMENT ORDER: 42
NCPDP FIELD NUMBER:
403
PROCESSING MODE: STANDARD
DUR PPS SEGMENT
DUR PPS SEGMENT ORDER: 50
NCPDP FIELD NUMBER:
111
PROCESSING MODE: STANDARD
DUR PPS SEGMENT ORDER: 52
NCPDP FIELD NUMBER:
473
PROCESSING MODE: STANDARD
DUR PPS SEGMENT ORDER: 54
NCPDP FIELD NUMBER:
439
PROCESSING MODE: STANDARD
DUR PPS SEGMENT ORDER: 56
NCPDP FIELD NUMBER:
440
PROCESSING MODE: STANDARD
DUR PPS SEGMENT ORDER: 58
NCPDP FIELD NUMBER:
441
PROCESSING MODE: STANDARD
DUR PPS SEGMENT ORDER: 60
NCPDP FIELD NUMBER:
474
PROCESSING MODE: STANDARD