| Parent File | Name | Number | Package |
|---|---|---|---|
| 3P BILL(#9002274.4) | CLAIM ATTACHMENTS | 9002274.4071 | Third Party Billing |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | CLM ATTCH REPORT TYPE CODE | 0;1 | POINTER TO 3P CODES FILE (#9002274.03) | 3P CODES(#9002274.03)
|
| .02 | REPORT TRANS CODE | 0;2 | SET |
|
| .03 | ATTACHMENT CONTROL NUMBER | 0;3 | FREE TEXT |
|