| 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 |