XEROX 99D-Appendix2

5E M/I OTHER M/I OTHER PAYER REJECT COUNT NCPDP-5E. 5J M/I Facili M/I Facility City Address NCPDP-5J. 60 DRUG NOT C DRUG NOT COVERED FOR PATIENT A NCPDP-60. 600 Coverage O Coverage Outside Submitted Dat NCPDP-600. 601 Intermedia Intermediary Authorization Typ NCPDP-601. 602 Associated Associated Prescription/Servic NCPDP-602 ................
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