Parent File | Name | Number | Package |
---|---|---|---|
3P BILL(#9002274.4) | Charge Master | 9002274.4045 | Third Party Billing |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | ITEM | 0;1 | POINTER TO 3P CHARGE MASTER FILE (#9002274.75) | 3P CHARGE MASTER(#9002274.75)
|
.02 | CHARGE DATE | 0;2 | DATE |
|
.03 | QUANTITY | 0;3 | NUMBER |
|
.04 | UNIT PRICE | 0;4 | NUMBER |
|
.05 | REVENUE CODE | 0;5 | POINTER TO REVENUE CODES FILE (#9999999.72) | REVENUE CODES(#9999999.72)
|
.06 | CORRESPONDING DX | 0;6 | FREE TEXT |
|
.07 | HCPCS CODE | 0;7 | POINTER TO CPT FILE (#81) | CPT(#81)
|
.17 | DATA SOURCE | 0;17 | FREE TEXT |
|
.23 | PRINT ORDER | 0;23 | NUMBER |
|
21 | LINE ITEM CONTROL NUMBER | 2;1 | FREE TEXT |
|
22 | CPT NARRATIVE | 2;2 | FREE TEXT |
|