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Value Domains

The set of representations of permissible Coded Values matched with Value Meaning names and, if supplied, further Value Meaning descriptions. The date the Values in the Value Domain are effective and the date of retirement are listed alongside for ease of use. Where available, the Vocabulary Source and OID designations of the Value Domain are also published. In some cases, additional information including the representational form, layout, data type, and minimum/maximum size are specified in the corresponding attributes.

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Absolute Row Number Value Set The absolute row or line number in the file that contains the error. NCPDP 10-2011
Accepted Quantity Value Set Total quantity accepted for payment. NCPDP 10-2011
Accident Date_VD Date of the accident related to charges or to the patient's current condition, diagnosis, or treatment referenced in the transaction. ASC X12 005010
Account Number Qualifier_VD Code indicating the type of account ASC X12 005010
Accumulated Deductible Amount Value Set Amount in dollars met by the patient/family in a deductible plan. NCPDP 10-2011
Accumulated Gross Covered Drug Cost Amount Value Set The accumulated cost incurred by the plan for covered Part D drugs including amounts paid by or on behalf of an enrollee and including certain dispensing fees, but not including administrative costs. NCPDP 10-2011
Accumulated Patient True Out Of Pocket Amount Value Set The accumulated cost for covered Part D drugs incurred by a patient that are applicable towards the out-of-pocket limit set by the Centers for Medicare and Medicaid Services (CMS). NCPDP 10-2011
Accumulator Month Count Value Set Count of Accumulator Month (655-S6) occurrences. NCPDP 10-2011
Accumulator Month Value Set Identifies the accumulator month based on date of service of claims activity. NCPDP 10-2011
Accumulator Year Value Set Identifies the accumulator year. NCPDP 10-2011
AcknowledgementID Value Set Responder control reference This field may be used as a trace number between trading partners. For Resupply - In the LTC environment this is the prescription number assigned by the facility. NCPDP 10-2011
AcknowledgementReason Value Set Additional textual information regarding intervention and/or acknowledgment associated with a DUE conflict. NCPDP 10-2011
Action Code Value Set Processing action requested. NCPDP 10-2011
Action Code_VD Code indicating type of action ASC X12 005010
Acute Manifestation Date_VD Date of acute manifestation of patient's condition. ASC X12 005010
AdditionalMessageIndicator Value Set Designates if a subsequent transaction will be sent. NCPDP 10-2011
AdditionalRefillsAuthorized Value Set Number of additional refills authorized. NCPDP 10-2011
AdditionalTraceNumber Value Set Trace number between trading partners. NCPDP 10-2011
Additional Affiliated Entity Name_VD Additional name information for the affiliated entity. ASC X12 005010
Additional Documentation Type ID Value Set Unique identifier for the data being submitted. NCPDP 10-2011
Additional Information Request Code_VD Code identifying the additional information requested. ASC X12 005010
Additional Information Request Modifier_VD A code that is used to modify the implicit scope of an Additional Information Request Code ASC X12 005010
Additional Information Submission Date_VD The date additional information was submitted. ASC X12 005010
Additional Information Submitted Date_VD Date additional information provided in transaction set was submitted. ASC X12 005010
Additional Message Information(F&N) Value Set Free text message. NCPDP 10-2011
Additional Message Information(T) Value Set Free text message. NCPDP 10-2011
Additional Message Information(V&X) Value Set Free text message. NCPDP 10-2011
Additional Message Information Continuity Value Set Indicates continuity of the text found in the current repetition of 'Additional Message Information' (526-FQ) with the text found in the next repetition that follows. NCPDP 10-2011
Additional Message Information Count Value Set Count of the 'Additional Message Information' (526-FQ) occurrences that follow. NCPDP 10-2011
Additional Message Information Qualifier Value Set 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). NCPDP 10-2011
Additional Operator Additional Name_VD Definition in development. ASC X12 005010
Additional Operator Address Line_VD Definition in development. ASC X12 005010
Additional Operator Birth Date_VD Definition in development. ASC X12 005010
Additional Operator City Name_VD Definition in development. ASC X12 005010
Additional Operator First Name_VD Definition in development. ASC X12 005010
Additional Operator Identifier_VD Definition in development. ASC X12 005010
Additional Operator Last Name_VD Definition in development. ASC X12 005010
Additional Operator Middle Name_VD Definition in development. ASC X12 005010
Additional Operator Name Prefix_VD Definition in development. ASC X12 005010
Additional Operator Name Suffix_VD Definition in development. ASC X12 005010
Additional Operator Postal Zone or ZIP Code_VD Definition in development. ASC X12 005010
Additional Operator State Code_VD Definition in development. ASC X12 005010
Additional Patient Information Contact City Name_VD The city name of the Additional Patient Information Contact. ASC X12 005010
Additional Patient Information Contact Postal Zone or ZIP Code_VD The postal code in the address of the Additional Patient Information Contact. ASC X12 005010
Additional Patient Information Contact State Code_VD Code identifying the state or province in the address of the Additional Patient Information Contact. ASC X12 005010
Additional Payee Identifier_VD Additional unique identifier designating the payee. ASC X12 005010
Additional Payer Identifier_VD Additional unique identifier designating the payer. ASC X12 005010
Additional Provider Group Name_VD Additional name information for a Provider Group. ASC X12 005010
Additional Provider Name_VD Additional name information for the Provider. ASC X12 005010
Additional Reference Amount_VD Monetary amount uniquely identifying the original transaction. ASC X12 005010
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