Sub-Field: 9000003.13

Information

Parent File	Name	Number	Package
MEDICARE ELIGIBLE(#9000003)	ADVANCE BENEFICIARY NOTICE	9000003.13	IHS Patient

Field # Name Loc Type Details

Field #	Name	Loc	Type	Details
.01	ADVANCE BENEFICIARY NOTICE	0;1	DATE	INPUT TRANSFORM: `S %DT="E" D ^%DT S X=Y K:Y<1 X` LAST EDITED: `APR 06, 2004` DESCRIPTION: Enter the date that the ABN was signed and filed. CROSS-REFERENCE: `9000003.13^B` 1)= S ^AUPNMCR(DA(1),13,"B",$E(X,1,30),DA)="" 2)= K ^AUPNMCR(DA(1),13,"B",$E(X,1,30),DA)

ADVANCE BENEFICIARY NOTICE

0;1

DATE

DESCRIPTION:

Enter the date that the ABN was signed and filed.

CROSS-REFERENCE: 9000003.13^B

1)= S ^AUPNMCR(DA(1),13,"B",$E(X,1,30),DA)=""

2)= K ^AUPNMCR(DA(1),13,"B",$E(X,1,30),DA)