Entries contained in this file are used to identify additional liability coverage that may have resulted from an automobile or other accident that resulted in a claim being filed and may result in future claims being generated. Users are encouraged to enter as much information as possible to ensure accuracy of data.
HELP-PROMPT: Enter a free-text description (up to 45 characters) of the injury that pertains to this patient's episode of injury. Be as specific as possible noting injury location, affected body area(s), etc.
TECHNICAL DESCR:
Created 6/20/02 for V7.0 of AG Distributed in AUPN*99.1*8
HELP-PROMPT: Enter the name of the Third Party liability (free-text, up to 45 characters) that has been identified as being responsible for charges incurred while treating the injury.
TECHNICAL DESCR:
Created 6/20/02 for V7.0 of AG Distributed in AUPN*99.1*8
HELP-PROMPT: Enter the claim or policy number assigned to this injury related incident. This field is free-text up to 45 characters and in some cases maybe the patient's social security number.
TECHNICAL DESCR:
Created 6/20/02 for V7.0 of AG Distributed in AUPN*99.1*8