Description: |
This table contains information about coverages and their promised payment data for universal charge records. The table references the Rx - Coverage ID (I UCL 1111), Rx - Authorization Number (I UCL 1112), Rx - Promised Payment Amount (I UCL 1113), Rx - Patient Due Amount (I UCL 1114), and Rx - Write-Off Amount (I UCL 1115) items in columns 5, 6, 7, 8, and 9 respectively. These items are used in the long term care module for pharmacy adjudication and copays. This table only displays data from records with a source of Ambulatory. To see all records, without this restriction, please see UCL_RX_COVERAGE. |
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