| Parent File | Name | Number | Package | 
|---|---|---|---|
| AO PVT-INS ACCOUNT(#9002270.02) | INSURER PAYMENT | 9002270.22 | Third Party Tracking | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | PAYMENT BATCH DATE | 0;1 | DATE | 
 | 
| .03 | *FIELD RECEIPT NO. | 0;5 | NUMBER | 
 | 
| .05 | CHECK NO. | 0;6 | FREE TEXT | 
 | 
| .1 | DHS REFUND CHECK NO. | 0;10 | FREE TEXT | 
 | 
| 1 | DATE PAYMENT WAS ENTERED | 0;2 | DATE | ************************REQUIRED FIELD************************ 
 | 
| 1.01 | ENTERED BY | 0;7 | POINTER TO USER FILE (#3) | ************************REQUIRED FIELD************************USER(#3) 
 | 
| 1.03 | DATE PAYMENT LAST MODIFIED | 0;8 | DATE | ************************REQUIRED FIELD************************ 
 | 
| 1.05 | LAST MODIFIED BY | 0;9 | POINTER TO USER FILE (#3) | ************************REQUIRED FIELD************************USER(#3) 
 | 
| 2 | DATES OF SERVICE COVERED | D;0 | DATE Multiple #9002270.222 | 9002270.222 | 
| 3 | PAYMENT AMOUNT | A;0 | Multiple #9002270.223 | 9002270.223 | 
| 4 | POSTED TO A/R? | 0;3 | SET | ************************REQUIRED FIELD************************ 
 | 
| 5 | DATE POSTED TO A/R'S | 0;4 | DATE | ************************REQUIRED FIELD************************ 
 |