United States Health Information Knowledgebase

 

Patient Paid Amount Submitted

Name:Patient Paid Amount Submitted
Field:433-DX
Definition:Amount the pharmacy received from the patient for the prescription dispensed.
Type:Data Element
Representation Format:s$$$$$$cc
Example:Comments: This field is not used in coordination of benefit transactions to pass patient liability information to a downstream payer. See Other Payer-Patient Responsibility Amount (352-NQ)

Examples: If the patient paid amount submitted is $10.50, this field would reflect: 105{.
$attribute_name$:$attribute_value$
Version:04-2014
Registration Authority:National Council for Prescription Drug Programs
Source:National Council for Prescription Drug Programs
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