| FILE |
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- DD NUMBER:
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- TRANSACTIONS (sub-file)
- FIELD NUMBER:
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- COMPOUND LEVEL OF COMPLEXITY
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: NO
- SEND FULL OR PARTIAL DD: PARTIAL
- DATA COMES WITH FILE: NO
- MAY USER OVERRIDE DATA UPDATE: NO
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- DD NUMBER:
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- RESPONSES (sub-file)
- FIELD NUMBER:
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- INVALID PROVIDER DATA SOURCE
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- INVALID PROVIDER SOURCE-STATE
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- FORMULARY ALTERNATIVE EFF DATE
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- DUR/DUE CO-AGENT DESCRIPTION
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- UNIT OF PRIOR DISPENSED QTY
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- OTHER PHARMACY ID QUALIFIER
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- OTHER PHARMACY ID
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- OTHER PHARMACY NAME
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- OTHER PHARMACY TELEPHONE
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- OTHER PRESCRIBER LAST NAME
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- OTHER PRESCRIBER ID QUALIFIER
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- OTHER PRESCRIBER ID
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- OTHER PRESCRIBER PHONE NUMBER
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- DUR/DUE COMPOUND PRODUCT ID
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- DUR/DUE CMPND PRDUCT ID QUALIF
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- DUR/DUE MAXIMUM DAILY DOSE QTY
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- DUR/DUE MAX DAILY DOSE - UNIT
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- DUR/DUE MINIMUM DAILY DOSE QTY
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- DUR/DUE MIN DAILY DOSE - UNIT
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: NO
- SEND FULL OR PARTIAL DD: PARTIAL
- DATA COMES WITH FILE: NO
- MAY USER OVERRIDE DATA UPDATE: NO
-
- DD NUMBER:
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- BPS PAYER RESPONSE OVERRIDES (File-top level)
- FIELD NUMBER:
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- SUBMISSION RESPONSE
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- COPAY AMOUNT
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- ADJUDICATED PROGRAM TYPE
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- PERCENTAGE TAX BASIS PAID
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- PAYER/HEALTH PLAN ID QUALIFIER
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- REASON FOR SERVICE CODE
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- MAXIMUM AGE
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- MINIMUM AGE
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- PATIENT PAY COMPONENT COUNT
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- MINIMUM AMOUNT
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- INVALID PROVIDER DATA SOURCE
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- FORMULARY ALTERNATIVE EFF DATE
-
- DUR/DUE CO-AGENT DESCRIPTION
-
- UNIT OF PRIOR DISPENSED QTY
-
- OTHER PHARMACY ID QUALIFIER
-
- OTHER PHARMACY NAME
-
- OTHER PHARMACY TELEPHONE
-
- OTHER PRESCRIBER LAST NAME
-
- OTHER PRESCRIBER ID QUALIFIER
-
- OTHER PRESCRIBER ID
-
- OTHER PRESCRIBER PHONE NUMBER
-
- DUR/DUE COMPOUND PRODUCT ID
-
- DUR/DUE CMPND PRDUCT ID QUALIF
-
- DUR/DUE MAXIMUM DAILY DOSE QTY
-
- DUR/DUE MAX DAILY DOSE - UNIT
-
- DUR/DUE MINIMUM DAILY DOSE QTY
-
- DUR/DUE MIN DAILY DOSE - UNIT
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: NO
- SEND FULL OR PARTIAL DD: PARTIAL
- DATA COMES WITH FILE: NO
- MAY USER OVERRIDE DATA UPDATE: NO
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: YES
- SEND FULL OR PARTIAL DD: FULL
- RESOLVE POINTERS: NO
- DATA COMES WITH FILE: YES
- SITE'S DATA: OVERWRITE
- MAY USER OVERRIDE DATA UPDATE: NO
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: YES
- SEND FULL OR PARTIAL DD: FULL
- RESOLVE POINTERS: NO
- DATA COMES WITH FILE: YES
- SITE'S DATA: OVERWRITE
- MAY USER OVERRIDE DATA UPDATE: NO
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: YES
- SEND FULL OR PARTIAL DD: FULL
- RESOLVE POINTERS: NO
- DATA COMES WITH FILE: YES
- SITE'S DATA: OVERWRITE
- MAY USER OVERRIDE DATA UPDATE: NO
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: YES
- SEND FULL OR PARTIAL DD: FULL
- RESOLVE POINTERS: NO
- DATA COMES WITH FILE: YES
- SITE'S DATA: OVERWRITE
- MAY USER OVERRIDE DATA UPDATE: NO
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: YES
- SEND FULL OR PARTIAL DD: FULL
- RESOLVE POINTERS: NO
- DATA COMES WITH FILE: YES
- SITE'S DATA: OVERWRITE
- MAY USER OVERRIDE DATA UPDATE: NO
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: YES
- SEND FULL OR PARTIAL DD: FULL
- RESOLVE POINTERS: NO
- DATA COMES WITH FILE: YES
- SITE'S DATA: OVERWRITE
- MAY USER OVERRIDE DATA UPDATE: NO
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: NO
- SEND FULL OR PARTIAL DD: FULL
- RESOLVE POINTERS: NO
- DATA COMES WITH FILE: YES
- SITE'S DATA: OVERWRITE
- MAY USER OVERRIDE DATA UPDATE: NO
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