| Parent File | Name | Number | Package |
|---|---|---|---|
| 3P CANCELLED CLAIM DATA(#9002274.32) | PROVIDER | 9002274.3241 | Third Party Billing |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | PROVIDER | 0;1 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
| .02 | TYPE | 0;2 | SET |
|
| .03 | OLD NAME FROM FILE | 0;3 | FREE TEXT |
|