NCPDP Version D.0 Payer Sheet - EHO Rx

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CLAIM BILLING/CLAIM REBILL PAID (OR DUPLICATE OF PAID) RESPONSE Response Transaction Header Segment Claim Billing/Claim Rebill – Accepted/Paid (or Duplicate of Paid)

  Sheet, Claim, Version, Billing, Payer, Biller, Ncpdp version d, Ncpdp, 0 payer sheet, Claim billing, Claim rebill