Parent File | Name | Number | Package |
---|---|---|---|
VENDOR(#9999999.11) | AGREEMENT/RATE/BPA NUMBER | 9999999.111801 | Utility Tables |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | AGREEMENT/RATE/BPA NUMBER | 0;1 | FREE TEXT |
|
.02 | INPATIENT RATE DESCRIPTION | 0;2 | FREE TEXT |
|
.03 | OUTPATIENT RATE DESCRIPTION | 0;3 | FREE TEXT |
|
.04 | MEDICARE RATE FOR INPATIENT | 0;4 | SET |
|
.05 | MEDICARE RATE FOR OUTPATIENT | 0;5 | SET |
|
.06 | DATE OF AGREEMENT | 0;6 | DATE | ************************REQUIRED FIELD************************
|
.07 | PROF. SERVICES RATE DESC. | 0;7 | FREE TEXT |
|
.08 | EFFECTIVE DATE | 0;8 | DATE | ************************REQUIRED FIELD************************
|
.09 | EXPIRATION DATE | 0;9 | DATE | ************************REQUIRED FIELD************************
|
.11 | TYPE OF AGREEMENT | 0;10 | SET | ************************REQUIRED FIELD************************
|