Parent File | Name | Number | Package |
---|---|---|---|
CHS NON-PROCESSED EOBRS(#9002065) | CPT PROCEDURES | 9002065.037 | Contract Health Management Information System |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | CPT PROCEDURES | 0;1 | NUMBER |
|
1 | FROM DATE OF SERVICE | 0;2 | DATE |
|
2 | TO DATE OF SERVICE | 0;3 | DATE |
|
3 | UNITS BILLED | 0;4 | NUMBER |
|
4 | BILLED CHARGES | 0;5 | NUMBER |
|
5 | ALLOWABLE CHARGES | 0;6 | NUMBER |
|
6 | MESSAGE | 0;7 | FREE TEXT |
|
7 | TOOTH NUMBER | 0;8 | NUMBER |
|
8 | TOOTH SURFACE | 0;9 | FREE TEXT |
|