info

Created By/On:Devel# 11/26/2015 | 5:23:47 AM

Maintained By/On: Jayden Smith 02/12/2018 | 5:06:479 AM

  • Payer Name: Medicare DMERC
  • Abbrev: DMERC

Claim Fields

Patient Fields
Employer / Workers Comp Fields
Prescriber Fields
Store Specific Vendor/Certification ID
Vndr/Cert ID
Miscellaneous Fields
Insurance Fields
Optional Pharmacy Provider Segment
Qualifier
ID
Send Segment flag applies to all pharmacies in chain - Qualifier and ID will need to be entered for each pharmacy.
COB/Other Payer fields
Reversal Fields