| FileMan FileNo | FileMan Filename | Package |
|---|---|---|
| 9000005 | RAILROAD ELIGIBLE | IHS Patient |
| Package | Total | FileMan Files |
|---|---|---|
| IHS Patient | 1 | RAILROAD CLAIMS(#9000005.01)[.02] |
| Package | Total | FileMan Files |
|---|---|---|
| Utility Tables | 3 | EMPLOYER GROUP INSURANCE(#9999999.77)[#9000005.11(.11)] INSURER(#9999999.18)[.02, #9000005.11(.04)] RAILROAD PREFIX(#9999999.33)[.03] |
| IHS Patient | 1 | PATIENT(#9000001)[.01] |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | PATIENT NAME | 0;1 | POINTER TO PATIENT FILE (#9000001) | ************************REQUIRED FIELD************************ PATIENT(#9000001)
|
| .02 | INSURER POINTER | 0;2 | POINTER TO INSURER FILE (#9999999.18) | ************************REQUIRED FIELD************************ INSURER(#9999999.18)
|
| .03 | PREFIX | 0;3 | POINTER TO RAILROAD PREFIX FILE (#9999999.33) | ************************REQUIRED FIELD************************ RAILROAD PREFIX(#9999999.33)
|
| .04 | RAILROAD NUMBER | 0;4 | FREE TEXT | ************************REQUIRED FIELD************************
|
| .07 | DATE OF LAST UPDATE | 0;7 | DATE |
|
| .08 | QMB/SLMB | 0;8 | SET |
|
| .11 | SIGNATURE ON FILE | 0;11 | SET |
|
| .12 | DATE SIGNATURE WAS OBTAINED | 0;12 | DATE |
|
| .14 | PRIMARY CARE PROVIDER | 0;14 | FREE TEXT |
|
| .15 | RR CARD COPY ON FILE | 0;15 | SET |
|
| .16 | DATE RR CC WAS OBTAINED | 0;16 | DATE |
|
| 1101 | ELIGIBILITY | 11;0 | DATE Multiple #9000005.11 | 9000005.11 |
| 2101 | RAILROAD NAME | 21;1 | FREE TEXT |
|
| 2102 | RAILROAD DATE OF BIRTH | 21;2 | DATE |
|