Microsoft Word - Attachment A-11292005.doc
NCPDP Version 5.1 Minimum Requirements. NCPDP FIELDS. NCPDP Segment NCPDP Field Code NCPDP Field Name Length Comments Transaction Header 88Ø-K1 Sender ID 24 Florida MCO Medicaid ID Number including County Identifier Transaction Header 88Ø-K5 Transaction Reference 10 MCO Claim Number Reference Number Claim 4Ø7-D7 Product/Service ID 19 NDC Code Transaction Header … ................
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