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Page 1: Medicaid Subrogation vD.0 Combined 1 1 17...ext (STYX) = s are mandatory.) Pa er Usa e Sheet 88Ø-K6 Transmission Type T = he Field # Header Record is a fixed lengt NCPDP Field Name
Page 2: Medicaid Subrogation vD.0 Combined 1 1 17...ext (STYX) = s are mandatory.) Pa er Usa e Sheet 88Ø-K6 Transmission Type T = he Field # Header Record is a fixed lengt NCPDP Field Name
Page 3: Medicaid Subrogation vD.0 Combined 1 1 17...ext (STYX) = s are mandatory.) Pa er Usa e Sheet 88Ø-K6 Transmission Type T = he Field # Header Record is a fixed lengt NCPDP Field Name
Page 4: Medicaid Subrogation vD.0 Combined 1 1 17...ext (STYX) = s are mandatory.) Pa er Usa e Sheet 88Ø-K6 Transmission Type T = he Field # Header Record is a fixed lengt NCPDP Field Name
Page 5: Medicaid Subrogation vD.0 Combined 1 1 17...ext (STYX) = s are mandatory.) Pa er Usa e Sheet 88Ø-K6 Transmission Type T = he Field # Header Record is a fixed lengt NCPDP Field Name
Page 6: Medicaid Subrogation vD.0 Combined 1 1 17...ext (STYX) = s are mandatory.) Pa er Usa e Sheet 88Ø-K6 Transmission Type T = he Field # Header Record is a fixed lengt NCPDP Field Name
Page 7: Medicaid Subrogation vD.0 Combined 1 1 17...ext (STYX) = s are mandatory.) Pa er Usa e Sheet 88Ø-K6 Transmission Type T = he Field # Header Record is a fixed lengt NCPDP Field Name
Page 8: Medicaid Subrogation vD.0 Combined 1 1 17...ext (STYX) = s are mandatory.) Pa er Usa e Sheet 88Ø-K6 Transmission Type T = he Field # Header Record is a fixed lengt NCPDP Field Name
Page 9: Medicaid Subrogation vD.0 Combined 1 1 17...ext (STYX) = s are mandatory.) Pa er Usa e Sheet 88Ø-K6 Transmission Type T = he Field # Header Record is a fixed lengt NCPDP Field Name
Page 10: Medicaid Subrogation vD.0 Combined 1 1 17...ext (STYX) = s are mandatory.) Pa er Usa e Sheet 88Ø-K6 Transmission Type T = he Field # Header Record is a fixed lengt NCPDP Field Name
Page 11: Medicaid Subrogation vD.0 Combined 1 1 17...ext (STYX) = s are mandatory.) Pa er Usa e Sheet 88Ø-K6 Transmission Type T = he Field # Header Record is a fixed lengt NCPDP Field Name
Page 12: Medicaid Subrogation vD.0 Combined 1 1 17...ext (STYX) = s are mandatory.) Pa er Usa e Sheet 88Ø-K6 Transmission Type T = he Field # Header Record is a fixed lengt NCPDP Field Name
Page 13: Medicaid Subrogation vD.0 Combined 1 1 17...ext (STYX) = s are mandatory.) Pa er Usa e Sheet 88Ø-K6 Transmission Type T = he Field # Header Record is a fixed lengt NCPDP Field Name
Page 14: Medicaid Subrogation vD.0 Combined 1 1 17...ext (STYX) = s are mandatory.) Pa er Usa e Sheet 88Ø-K6 Transmission Type T = he Field # Header Record is a fixed lengt NCPDP Field Name
Page 15: Medicaid Subrogation vD.0 Combined 1 1 17...ext (STYX) = s are mandatory.) Pa er Usa e Sheet 88Ø-K6 Transmission Type T = he Field # Header Record is a fixed lengt NCPDP Field Name
Page 16: Medicaid Subrogation vD.0 Combined 1 1 17...ext (STYX) = s are mandatory.) Pa er Usa e Sheet 88Ø-K6 Transmission Type T = he Field # Header Record is a fixed lengt NCPDP Field Name

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