| NCPDP Field | Field name | Billing information |
|---|---|---|
| 332-CY | PATIENT ID | Humana ID OR MEDICAID ID |
| 101-A1 | BIN | 025986 |
| 104-A4 | PCN | 1214172240 |
| 301-C1 | GROUP ID | LAMPCOPBM |
| NCPDP Field | Field name | Billing information |
|---|---|---|
| 332-CY | PATIENT ID | Humana ID OR MEDICAID ID |
| 101-A1 | BIN | 025986 |
| 104-A4 | PCN | 1214172240 |
| 301-C1 | GROUP ID | LAMPCOPBM |