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Additional Message Information Qualifier

Name:Additional Message Information Qualifier
Field:132-UH
Definition:Format qualifier of the 'Additional Message Information' (526-FQ) that follows. Each value may occur only once per transaction and values must be ordered sequentially (numeric characters precede alpha characters, i.e., 0-9, A-Z).
Type:Data Element
Representation Format:T
Comment:Comments: Qualifies 'Additional Message Information' (526-FQ).
Version:10-2011
Registration Authority:National Council for Prescription Drug Programs
Source:National Council for Prescription Drug Programs
Minimum Size:2
Maximum Size:2
Permissible Values:
Code / Value Meaning Meaning Definition Text
01 Used for first line of free form text with no pre-defined structure. Not Provided
02 Used for second line of free form text with no pre-defined structure. Not Provided
03 Used for third line of free form text with no pre-defined structure. Not Provided
04 Used for fourth line of free form text with no pre-defined structure. Not Provided
05 Used for fifth line of free form text with no pre-defined structure. Not Provided
06 Used for sixth line of free form text with no pre-defined structure. Not Provided
07 Used for seventh line of free form text with no pre-defined structure. Not Provided
08 Used for eighth line of free form text with no pre-defined structure. Not Provided
09 Used for ninth line of free form text with no pre-defined structure. Not Provided
10 Next Available Fill Date - Next Date of Service on which this claim can be submitted. (Note: Date format is CCYYMMDD) Not Provided
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Relationship Organization Item
utilizes NCPDP Additional Message Information Qualifier Value Set   
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