Example: barber
NCPDP Version D.0 Payer Sheet - EHO Rx
Claim Segment Segment Identification (111-AM) = “Ø7”Claim Billing/Claim Rebill Field # NCPDP Field Name Value Payer Usage Payer Situation 462-EV PRIOR AUTHORIZATION NUMBER
Download NCPDP Version D.0 Payer Sheet - EHO Rx
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