Parent File | Name | Number | Package |
---|---|---|---|
PRIOR AUTHORIZATIONS(#9000046) | ENCOUNTER DATE | 9000046.11 | IHS Patient |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | ENCOUNTER DATE | 0;1 | DATE |
|
.02 | ACTUAL ADMISSION/VISIT DATE | 0;2 | DATE |
|
.03 | AUTHORIZATION TYPE | 0;3 | SET |
|
.04 | INSURANCE COMPANY | 0;4 | POINTER TO INSURER FILE (#9999999.18) | INSURER(#9999999.18)
|
.05 | PRE-AUTH DATE | 0;5 | DATE |
|
.06 | PRE-AUTH NUMBER | 0;6 | FREE TEXT |
|
.07 | AUTHORIZED DAYS | 0;7 | NUMBER |
|
.08 | MAX DOLLAR AMOUNT | 0;8 | NUMBER |
|
.09 | SERVICE CATEGORY | 0;9 | FREE TEXT |
|
.11 | AUTHORIZED VISITS | 0;11 | NUMBER |
|
.12 | AUTHORIZATION STATUS | 0;12 | SET |
|
101 | AUTHORIZATION CONTACTS | 1;0 | DATE Multiple #9000046.1101 | 9000046.1101
|
201 | ADDITIONAL DAYS AUTHORIZED | 2;0 | DATE Multiple #9000046.1201 | 9000046.1201 |
301 | ENCOUNTER NOTES | 3;0 | WORD-PROCESSING #9000046.1301 |