| Parent File | Name | Number | Package |
|---|---|---|---|
| 3P UFMS EXCLUSION TABLE(#9002274.44) | EFFECTIVE DATE | 9002274.441 | Third Party Billing |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | EFFECTIVE DATE | 0;1 | DATE |
|
| .02 | END DATE | 0;2 | DATE |
|
| .03 | CLINIC | 0;3 | POINTER TO CLINIC STOP FILE (#40.7) | CLINIC STOP(#40.7)
|
| .04 | INSURER TYPE | 0;4 | FREE TEXT |
|