| FileMan FileNo | FileMan Filename | Package | 
|---|---|---|
| 9000005.01 | RAILROAD CLAIMS | IHS Patient | 
| Package | Total | FileMan Files | 
|---|---|---|
| IHS Patient | 2 | RAILROAD ELIGIBLE(#9000005)[.02] VISIT(#9000010)[.03] | 
| Utility Tables | 1 | LOCATION(#9999999.06)[.05] | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | CLAIM | 0;1 | DATE | ************************REQUIRED FIELD************************ 
 | 
| .02 | PATIENT NAME | 0;2 | POINTER TO RAILROAD ELIGIBLE FILE (#9000005) | ************************REQUIRED FIELD************************RAILROAD ELIGIBLE(#9000005) 
 | 
| .03 | VISIT | 0;3 | POINTER TO VISIT FILE (#9000010) | ************************REQUIRED FIELD************************VISIT(#9000010) 
 | 
| .04 | CLAIM AMOUNT | 0;4 | NUMBER | ************************REQUIRED FIELD************************ 
 | 
| .05 | FACILITY | 0;5 | POINTER TO LOCATION FILE (#9999999.06) | ************************REQUIRED FIELD************************LOCATION(#9999999.06) 
 | 
| .06 | SETTLEMENT DATE | 0;6 | DATE | 
 | 
| .07 | SETTLEMENT AMOUNT | 0;7 | NUMBER | 
 | 
| .08 | DENIAL CODE | 0;8 | FREE TEXT | 
 | 
| .09 | BEGIN CLAIM DATE | 0;9 | DATE | ************************REQUIRED FIELD************************ 
 | 
| .11 | END CLAIM DATE | 0;11 | DATE | ************************REQUIRED FIELD************************ 
 | 
| .12 | TYPE OF CLAIM | 0;12 | SET | ************************REQUIRED FIELD************************ 
 
 | 
| .13 | DRG CODE | 0;13 | NUMBER | 
 | 
| .14 | DRG AMOUNT | 0;14 | NUMBER | 
 | 
| .15 | TRANSMITTAL NUMBER | 0;15 | NUMBER | 
 | 
| .16 | REBILL FLAG | 0;16 | SET | 
 
 |