FileMan FileNo | FileMan Filename | Package |
---|---|---|
9000005 | RAILROAD ELIGIBLE | IHS Patient |
Package | Total | FileMan Files |
---|---|---|
IHS Patient | 1 | RAILROAD CLAIMS(#9000005.01)[.02] |
Package | Total | FileMan Files |
---|---|---|
Utility Tables | 3 | EMPLOYER GROUP INSURANCE(#9999999.77)[#9000005.11(.11)] INSURER(#9999999.18)[.02, #9000005.11(.04)] RAILROAD PREFIX(#9999999.33)[.03] |
IHS Patient | 1 | PATIENT(#9000001)[.01] |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | PATIENT NAME | 0;1 | POINTER TO PATIENT FILE (#9000001) | ************************REQUIRED FIELD************************ PATIENT(#9000001)
|
.02 | INSURER POINTER | 0;2 | POINTER TO INSURER FILE (#9999999.18) | ************************REQUIRED FIELD************************ INSURER(#9999999.18)
|
.03 | PREFIX | 0;3 | POINTER TO RAILROAD PREFIX FILE (#9999999.33) | ************************REQUIRED FIELD************************ RAILROAD PREFIX(#9999999.33)
|
.04 | RAILROAD NUMBER | 0;4 | FREE TEXT | ************************REQUIRED FIELD************************
|
.07 | DATE OF LAST UPDATE | 0;7 | DATE |
|
.08 | QMB/SLMB | 0;8 | SET |
|
.11 | SIGNATURE ON FILE | 0;11 | SET |
|
.12 | DATE SIGNATURE WAS OBTAINED | 0;12 | DATE |
|
.14 | PRIMARY CARE PROVIDER | 0;14 | FREE TEXT |
|
.15 | RR CARD COPY ON FILE | 0;15 | SET |
|
.16 | DATE RR CC WAS OBTAINED | 0;16 | DATE |
|
1101 | ELIGIBILITY | 11;0 | DATE Multiple #9000005.11 | 9000005.11 |
2101 | RAILROAD NAME | 21;1 | FREE TEXT |
|
2102 | RAILROAD DATE OF BIRTH | 21;2 | DATE |
|