Hello, I am currently working on the 270/271 HIPAA transaction set. I am
attempting to display/map tiered pharmacy copayments/coinsurance amounts.
For example:
* Generic $5.00
* Preferred $10.00
* Non-preferred $15.00
The Service Type Codes (EB03) available are:
* 88 = Pharmacy
* 91 = Brand Name Prescription Drug
* 92 = Generic Prescription Drug
and for Mail order:
* 90 = Mail Order Prescription Drug.
I am finding it difficult to accommodate for the tiered pharmacy
copayments/coinsurance. Is anyone else experiencing this dilemma and is
there a solution?
Your suggestions and assistance is appreciated.
Sean A. September
E-mail [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]>
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