Segments
Segment identifier numbers and descriptions are:
- REQ: Request Transaction Header
- RES: Response Header
- TRN: Transaction Start
- 01: Patient
- 02: Pharmacy Provider
- 03: Prescriber
- 04: Insurance
- 05: Coordination of Benefits/Other Payments
- 06: Worker’s Compensation
- 07: Claim
- 08: DUR/PPS
- 09: Coupon
- 10: Compound
- 11: Pricing
- 12: Prior Authorization
- 13: Clinical
- 20: Response Message
- 21: Response Status
- 22: Response Claim
- 23: Response Pricing
- 24: Response DUR/PPS
- 25: Response Insurance
- 26: Response Prior Authorization
Header segments do not have any identifiers defined under NCPDP Telecom. These are identified by being the first segment in a transmission.
TRN
is not an NCPDP Telecom segment. This is used to start a
transaction.
All other segments are designated by the standard NCPDP Telecom identifier preceded by
S
. For example, the segment 01
is designated
S01
. Segment names must contain at least one letter.