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Medical prescription / Business / Cheque / Money / Finance / Payment systems / Banking / National Council for Prescription Drug Programs


Document Date: 2013-10-11 14:50:16

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City

OTHER PAYER / Payer / /

Company

Prescription Drug Programs Inc. / Billing/Claim Rebill If Situational / Goold Health Systems / /

Facility

pharmacy No / /

Organization

Utah Department of Health Date / European Union / Department of Health / 429-DT SPECIAL PACKAGING INDICATOR RW 6ØØ-28 UNIT OF MEASURE RW Imp Guide / National Council for Prescription Drug Programs / /

Person

Claim Billing / Maximum / PRESCRIBER ID / HEADER RESPONSE / PRESCRIBER LAST / Carol Runia / /

/

Position

PRESCRIPTION/SERVICE REFERENCE NUMBER QUALIFIER / Diagnosis Code RW Qualifier / GENERAL INFORMATION Payer Name / COB / QUALIFIER SERVICE / PAYER AMOUNT PAID QUALIFIER / qualifier / /

ProgrammingLanguage

R / /

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