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Sub-Field: 9002071.03

Package: Contract Health Management Information System

CHS DENIAL DATA(#9002071)-->9002071.01-->9002071.03

Sub-Field: 9002071.03


Information

Parent File Name Number Package
9002071.01 OTHER PROVIDER (NOT ON-FILE) 9002071.03 Contract Health Management Information System

Details

Field # Name Loc Type Details
.01 OTHER PROVIDER (NOT ON-FILE) 0;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
  • LAST EDITED:  DEC 01, 1993
  • HELP-PROMPT:  Answer must be 3-30 characters in length.
  • CROSS-REFERENCE:  9002071.03^B
    1)= S ^ACHSDEN(DA(2),"D",DA(1),210,"B",$E(X,1,30),DA)=""
    2)= K ^ACHSDEN(DA(2),"D",DA(1),210,"B",$E(X,1,30),DA)
2 MAILING ADDRESS-STREET 0;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
  • LAST EDITED:  DEC 01, 1993
  • HELP-PROMPT:  Answer must be 3-30 characters in length.
3 MAILING ADDRESS-CITY 0;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
  • LAST EDITED:  DEC 01, 1993
  • HELP-PROMPT:  Answer must be 3-30 characters in length.
4 MAILING ADDRESS-STATE 0;4 POINTER TO STATE FILE (#5) STATE(#5)

  • LAST EDITED:  DEC 01, 1993
  • HELP-PROMPT:  Enter State In Which Provider Does Business
5 MAILING ADDRESS-ZIP 0;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>10!($L(X)<5) X
  • LAST EDITED:  DEC 01, 1993
  • HELP-PROMPT:  Answer must be 5-10 characters in length.
6 EST. CHARGES (THIS PROVIDER) 0;6 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999999)!(X<0) X
  • LAST EDITED:  DEC 01, 1993
  • HELP-PROMPT:  Type a Dollar Amount between 0 and 9999999, 2 Decimal Digits
7 ACTUAL CHARGES (THIS PROVIDER) 0;7 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999999)!(X<0) X
  • LAST EDITED:  DEC 01, 1993
  • HELP-PROMPT:  Type a Dollar Amount between 0 and 9999999, 2 Decimal Digits
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