| RECORD FORMAT NAME | VERSION | PRODUCTION STATUS | TOTAL EXCLUSIVE PATIENT AMOUNT | ASLEEP PROBER | ASLEEP RETRY TIME | PAYER SHEET VERSION | TRANSACTION HEADER SEGMENT | PATIENT SEGMENT | INSURANCE SEGMENT | CLAIM SEGMENT | PHARMACY PROVIDER SEGMENT | PRESCRIBER SEGMENT | COB OTHER PAYMENTS SEGMENT | WORKERS COMP SEGMENT | DUR PPS SEGMENT | PRICING SEGMENT | DEVELOPMENT REMARKS | COUPON SEGMENT | COMPOUND SEGMENT | PRIOR AUTH SEGMENT | CLINICAL SEGMENT | ADDL DOC SEGMENT | FACILITY SEGMENT | NARRATIVE SEGMENT | PURCHASER SEGMENT | SERVICE PROVIDER SEGMENT | INTERMEDIARY SEGMENT | LAST KNOWN 4RX SEGMENT |
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