FileMan FileNo | FileMan Filename | Package |
---|---|---|
9999999.11 | VENDOR | Utility Tables |
Package | Total | FileMan Files |
---|---|---|
Utility Tables | 5 | GEOGRAPHICAL LOCATION(#9999999.79)[1125] SIZE OF SMALL BUSINESS(#9999999.81)[1118] TYPE OF BUSINESS(#9999999.76)[1126] VENDOR(#9999999.11)[1124] VENDOR TYPE(#9999999.34)[1103] |
Kernel | 4 | STATE(#5)[1303, 1308, 1404] PROVIDER CLASS(#7)[1103.01] PACKAGE(#9.4)[#9999999.112001(.01)] PERSON CLASS(#8932.1)[#9999999.112201(.03)] |
Health Level Seven | 1 | COUNTRY CODE(#779.004)[2401, 2402, 2403] |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | NAME | 0;1 | FREE TEXT | ************************REQUIRED FIELD************************
|
.02 | SHORT NAME | 0;2 | FREE TEXT |
|
.03 | 'DOING BUSINESS AS' NAME | 0;3 | FREE TEXT |
|
.05 | DATE INACTIVATED | 0;5 | DATE |
|
.06 | BUSINESS SIZE | 0;6 | SET |
|
.07 | DUNS | 0;7 | FREE TEXT |
|
.08 | DUNS CCR VERIFIED | 0;8 | SET |
|
1101 | EIN NO. | 11;1 | FREE TEXT | ************************REQUIRED FIELD************************
|
1102 | EIN SUFFIX | 11;2 | FREE TEXT |
|
1102.01 | EIN NO. AND SUFFIX | 11;13 | FREE TEXT |
|
1103 | VENDOR TYPE | 11;3 | POINTER TO VENDOR TYPE FILE (#9999999.34) | ************************REQUIRED FIELD************************ VENDOR TYPE(#9999999.34)
|
1103.01 | PHYSICIAN SPECIALTY | 11;4 | POINTER TO PROVIDER CLASS FILE (#7) | PROVIDER CLASS(#7)
|
1104 | CONTRACT | CN;0 | Multiple #9999999.1112 | 9999999.1112
|
1105 | SCHEDULE NO. | 11;5 | NUMBER |
|
1107 | YTD PAID | 11;7 | NUMBER |
|
1108 | LAST AUTH DATE | 11;8 | DATE |
|
1109 | MAILING ADDRESS-PHONE | 11;9 | FREE TEXT |
|
1110 | FED NON FED CODE | 11;10 | SET |
|
1111 | DATE OF LAST UPDATE | 11;11 | DATE |
|
1112 | CHS TX DATE | 11;12 | DATE |
|
1114 | MAILING ADDRESS-FAX | 11;14 | FREE TEXT |
|
1115 | WOMEN OWNED SMALL BUSINESS | 11;15 | SET |
|
1116 | CONGRESSIONAL DISTRICT | 11;16 | FREE TEXT |
|
1117 | LABOR SURPLUS AREA | 11;17 | SET |
|
1118 | SIZE OF BUSINESS | 11;18 | POINTER TO SIZE OF SMALL BUSINESS FILE (#9999999.81) | SIZE OF SMALL BUSINESS(#9999999.81)
|
1119 | ORGANIZATION/INDIVIDUAL | 11;19 | SET |
|
1120 | MINORITY BUSINESS (FOR PROFIT) | 11;20 | SET |
|
1121 | MINORITY NONPROFIT BUSINESS | 11;21 | SET |
|
1122 | SMALL BUSINESS STATUS | 11;22 | SET |
|
1123 | CITY NUMBER | 11;23 | FREE TEXT |
|
1124 | PARENT COMPANY | 11;24 | POINTER TO VENDOR FILE (#9999999.11) | VENDOR(#9999999.11)
|
1125 | GEOGRAPHICAL LOCATION | 11;25 | POINTER TO GEOGRAPHICAL LOCATION FILE (#9999999.79) | GEOGRAPHICAL LOCATION(#9999999.79)
|
1126 | TYPE OF BUSINESS | 11;26 | POINTER TO TYPE OF BUSINESS FILE (#9999999.76) | TYPE OF BUSINESS(#9999999.76)
|
1127 | SMALL PURCHASE TYPE OF BUS. | 11;27 | SET |
|
1128 | SMALL PURCHASE TYPE OF VENDOR | 11;28 | SET |
|
1129 | LAST 1099 PRT-DT | 2;1 | DATE |
|
1301 | MAILING ADDRESS-STREET | 13;1 | FREE TEXT |
|
1302 | MAILING ADDRESS-CITY | 13;2 | FREE TEXT |
|
1303 | MAILING ADDRESS-STATE | 13;3 | POINTER TO STATE FILE (#5) | ************************REQUIRED FIELD************************ STATE(#5)
|
1304 | MAILING ADDRESS-ZIP | 13;4 | FREE TEXT |
|
1305 | MAILING ADDRESS-ATTENTION | 13;5 | FREE TEXT |
|
1306 | BILLING ADDRESS-STREET | 13;6 | FREE TEXT |
|
1307 | BILLING ADDRESS-CITY | 13;7 | FREE TEXT |
|
1308 | BILLING ADDRESS-STATE | 13;8 | POINTER TO STATE FILE (#5) | STATE(#5)
|
1309 | BILLING ADDRESS-ZIP | 13;9 | FREE TEXT |
|
1310 | MAILING ADDRESS-STREET 2 | 13;10 | FREE TEXT |
|
1311 | BILLING ADDRESS-STREET 2 | 13;11 | FREE TEXT |
|
1312 | BILLING ADDRESS-ATTENTION | 13;12 | FREE TEXT |
|
1401 | REMIT TO ADDRESS-STREET | 14;1 | FREE TEXT |
|
1402 | REMIT TO ADDRESS-STREET 2 | 14;2 | FREE TEXT |
|
1403 | REMIT TO ADDRESS-CITY | 14;3 | FREE TEXT |
|
1404 | REMIT TO ADDRESS-STATE | 14;4 | POINTER TO STATE FILE (#5) | STATE(#5)
|
1405 | REMIT TO ADDRESS-ZIP | 14;5 | FREE TEXT |
|
1406 | REMIT TO ADDRESS-ATTENTION | 14;6 | FREE TEXT |
|
1407 | REMIT TO ADDRESS-PHONE | 14;7 | FREE TEXT |
|
1408 | BILLING ADDRESS-PHONE | 14;8 | FREE TEXT |
|
1409 | BILLING ADDRESS-FAX | 14;9 | FREE TEXT |
|
1410 | REMIT TO ADDRESS-FAX | 14;10 | FREE TEXT |
|
1501 | PREVIOUS EIN NO. | 15;0 | Multiple #9999999.1115 | 9999999.1115 |
1601 | OTHER NAMES/ABBREVIATIONS | 16;0 | Multiple #9999999.1116 | 9999999.1116
|
1701 | UNIFORM PROVIDER ID NUMBER | 17;1 | FREE TEXT |
|
1702 | RATE ID NUMBER | 1;0 | Multiple #9999999.111702 | 9999999.111702 |
1801 | AGREEMENT/RATE/BPA NUMBER | 18;0 | Multiple #9999999.111801 | 9999999.111801
|
1901 | EFT ACCOUNT TYPE | 19;1 | SET |
|
1902 | EFT ROUTING TRANSIT NUMBER | 19;2 | FREE TEXT |
|
1903 | EFT DEPOSITOR ACCOUNT NUMBER | 19;3 | FREE TEXT |
|
1904 | EFT SUB-ROUTING TRANSIT NUMBER | 19;4 | FREE TEXT |
|
1905 | EFT SUB-DEPOSITOR ACCOUNT NO. | 19;5 | FREE TEXT |
|
2001 | PACKAGE | 20;0 | POINTER Multiple #9999999.112001 | 9999999.112001
|
2101 | TELECOMM. ADDRESS | 21;1 | FREE TEXT |
|
2102 | WEBSITE URL | 21;2 | FREE TEXT |
|
2103 | E-MAIL ADDRESS | 21;3 | FREE TEXT |
|
2104 | DIRECT EMAIL PARTICIPANT | 21;4 | SET |
|
2105 | DIRECT EMAIL ADDRESS | 21;5 | FREE TEXT |
|
2201 | X12 PROVIDER TAXONOMY | 22;0 | DATE Multiple #9999999.112201 | 9999999.112201
|
2301 | MEDICARE PROVIDER | 23;1 | SET |
|
2302 | MEDICARE DATE OF UPDATE | 23;2 | DATE |
|
2303 | MEDICARE NUMBER | MP;0 | Multiple #9999999.112303 | 9999999.112303 |
2401 | MAILING ADDRESS-COUNTRY | 24;1 | POINTER TO COUNTRY CODE FILE (#779.004) | COUNTRY CODE(#779.004)
|
2402 | BILLING ADDRESS-COUNTRY | 24;2 | POINTER TO COUNTRY CODE FILE (#779.004) | COUNTRY CODE(#779.004)
|
2403 | REMIT TO ADDRESS-COUNTRY | 24;3 | POINTER TO COUNTRY CODE FILE (#779.004) | COUNTRY CODE(#779.004)
|
8801 | MNEMONIC | 88;1 | FREE TEXT |
|
11061099 | (Y/N) | 11;6 | SET |
|