Insurance Transmission Fields: Difference between revisions
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Quickscrip transmits electronic prescriptions in the new D.0 transmission format | Quickscrip transmits electronic prescriptions in the new D.0 transmission format | ||
as of 2011. | as of 2011. | ||
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101-A1 by an insurance customer support representative) | 101-A1 by an insurance customer support representative) | ||
==Segment ID Field== | |||
The Field AM-111 is the Segment identifier field. This field will apper multiple | The Field AM-111 is the Segment identifier field. This field will apper multiple | ||
times in a transmission, and is used to seperate transmitted data into relevant | times in a transmission, and is used to seperate transmitted data into relevant | ||
groupings. | groupings. | ||
==Transmission Header== | |||
The transmission header contains routing information that your switch uses to | The transmission header contains routing information that your switch uses to | ||
determine where the claim is sent to. | determine where the claim is sent to. | ||
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==Insurance Info== | |||
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==Patient Info== | |||
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==Claim Information== | |||
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==Doctor Information== | |||
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==Pricing Informaction== | |||
In Quickscrip claim transmissions, numberical values end with a letter of the alphabhet | In Quickscrip claim transmissions, numberical values end with a letter of the alphabhet | ||
and do not include a decimal. <br/> | and do not include a decimal. <br/> | ||
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==Coordination of Benefits== | |||
This section typically appears on secondary billing claims. | This section typically appears on secondary billing claims. | ||
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==Workers Comp Information== | |||
Workers comp fields are generated when a '''Date of Injury''' has been set on a claim. | Workers comp fields are generated when a '''Date of Injury''' has been set on a claim. | ||
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==DUR Information== | |||
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==Coupon Information== | |||
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==Compound Drug Information== | |||
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==P/A Request Information== | |||
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==Clinical Information== | |||
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==Additional Documantation Segment== | |||
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==Older Versions== | ==Older Versions== | ||
On rare occasions, an insurance may require a claim be send on an older transmission standard. Please contact Cost Effective Computers for these claims. | On rare occasions, an insurance may require a claim be send on an older transmission standard (RXOL51 or RXO3PI). Please contact Cost Effective Computers for these claims. | ||
Revision as of 18:05, 29 May 2015
Quickscrip transmits electronic prescriptions in the new D.0 transmission format as of 2011.
To see what fields of data are being transmitted, enter T/B at the time of transmission (in RXFILL and Dual Billing EDIT) or Y/B (in the EDIT Screen).
Note: When searching this document by field number, be aware that insurance companies often reverse the numeric code (Thus, field A1-101, may be called 101-A1 by an insurance customer support representative)
Segment ID Field
The Field AM-111 is the Segment identifier field. This field will apper multiple times in a transmission, and is used to seperate transmitted data into relevant groupings.
Transmission Header
The transmission header contains routing information that your switch uses to determine where the claim is sent to.
Field Name | Description |
A1-101 | Insurance BIN Number |
A2-102 | Version Number |
A3-103 | Transaction Code |
A4-104 | Processor Control Number |
A9-109 | Transaction Count |
B2-202 | Service Provider ID |
D1-401 | Date of Service |
AK110 | Software Vendor Certification # |
Insurance Info
Field Name | Description |
C2-302 | Cardhoder ID Number |
CC-312 | Cardholder First Name |
CD-313 | Cardholder Last Name |
CE-314 | Home Plan |
FO-524 | Plan ID |
C9-309 | Eligibility Clerification Code |
C1-301 | Group ID |
C3-303 | Person Code |
C6-306 | Relationship Code |
2D-361 | Provider Accept Assignment |
G2-997 | Long Term Care Claim Submission |
2B-360 | Medicaid Indicator |
N5-115 | Medicaid ID Number |
Patient Info
Field Name | Description |
Placeholder | Placeholder |
Claim Information
Field Name | Description |
Placeholder | Placeholder |
Doctor Information
Field Name | Description |
Placeholder | Placeholder |
Pricing Informaction
In Quickscrip claim transmissions, numberical values end with a letter of the alphabhet
and do not include a decimal.
Thus 7462E would corrispond to $746.25.
Field Name | Description |
Placeholder | Placeholder |
Coordination of Benefits
This section typically appears on secondary billing claims.
Field Name | Description |
Placeholder | Placeholder |
Workers Comp Information
Workers comp fields are generated when a Date of Injury has been set on a claim.
Field Name | Description |
Placeholder | Placeholder |
DUR Information
Field Name | Description |
Placeholder | Placeholder |
Coupon Information
Field Name | Description |
Placeholder | Placeholder |
Compound Drug Information
Field Name | Description |
Placeholder | Placeholder |
P/A Request Information
Field Name | Description |
Placeholder | Placeholder |
Clinical Information
Field Name | Description |
Placeholder | Placeholder |
Additional Documantation Segment
Field Name | Description |
Placeholder | Placeholder |
Older Versions
On rare occasions, an insurance may require a claim be send on an older transmission standard (RXOL51 or RXO3PI). Please contact Cost Effective Computers for these claims.