| FileMan FileNo | FileMan Filename | Package |
|---|---|---|
| 9002274.32 | 3P CANCELLED CLAIM DATA | Third Party Billing |
| Package | Total | FileMan Files |
|---|---|---|
| Third Party Billing | 3 | 3P CANCEL CLAIM REASONS(#9002274.31)[.118] 3P EXPORT MODE(#9002274.08)[.14] 3P VISIT TYPE(#9002274.8)[.07] |
| IHS Patient | 2 | PATIENT(#9000001)[.01] VISIT(#9000010)[#9002274.3211(.01)] |
| Utility Tables | 2 | INSURER(#9999999.18)[.08] LOCATION(#9999999.06)[.03, .13] |
| Kernel | 1 | NEW PERSON(#200)[.114, #9002274.3241(.01)] |
| Scheduling | 1 | CLINIC STOP(#40.7)[.06] |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .001 | CLAIM NUMBER | NUMBER |
|
|
| .01 | PATIENT | 0;1 | POINTER TO PATIENT FILE (#9000001) | ************************REQUIRED FIELD************************ PATIENT(#9000001)
|
| .02 | ENCOUNTER DATE | 0;2 | DATE |
|
| .03 | VISIT LOCATION | 0;3 | POINTER TO LOCATION FILE (#9999999.06) | LOCATION(#9999999.06)
|
| .04 | CLAIM STATUS | 0;4 | SET |
|
| .05 | NUMBER ERRORS FOUND | 0;5 | NUMBER |
|
| .06 | CLINIC | 0;6 | POINTER TO CLINIC STOP FILE (#40.7) | CLINIC STOP(#40.7)
|
| .07 | VISIT TYPE | 0;7 | POINTER TO 3P VISIT TYPE FILE (#9002274.8) | 3P VISIT TYPE(#9002274.8)
|
| .08 | ACTIVE INSURER | 0;8 | POINTER TO INSURER FILE (#9999999.18) | INSURER(#9999999.18)
|
| .1 | DATE LAST EDITED | 0;10 | DATE |
|
| .114 | CANCELLING OFFICIAL | 1;4 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
| .115 | DATE/TIME CANCELLED | 1;5 | DATE |
|
| .118 | CANCEL REASON | 1;8 | POINTER TO 3P CANCEL CLAIM REASONS FILE (#9002274.31) | 3P CANCEL CLAIM REASONS(#9002274.31)
|
| .12 | BILL TYPE | 0;12 | NUMBER |
|
| .13 | BILLING LOCATION | 0;13 | POINTER TO LOCATION FILE (#9999999.06) | LOCATION(#9999999.06)
|
| .14 | EXPORT MODE | 0;14 | POINTER TO 3P EXPORT MODE FILE (#9002274.08) | 3P EXPORT MODE(#9002274.08)
|
| .17 | DATE CREATED | 0;17 | DATE |
|
| 11 | PCC VISIT | 11;0 | POINTER Multiple #9002274.3211 | 9002274.3211 |
| 41 | PROVIDER | 41;0 | POINTER Multiple #9002274.3241 | 9002274.3241 |