| NCPDP Field | Field name | Billing information |
|---|---|---|
| 332-CY | PATIENT ID | Humana ID OR Medicaid ID |
| 101-A1 | BIN | 610649 |
| 104-A4 | PCN | 03191502 |
| 301-C1 | GROUP ID | LAM01 |
| NCPDP Field | Field name | Billing information |
|---|---|---|
| 332-CY | PATIENT ID | Humana ID OR Medicaid ID |
| 101-A1 | BIN | 610649 |
| 104-A4 | PCN | 03191502 |
| 301-C1 | GROUP ID | LAM01 |