Parent File | Name | Number | Package |
---|---|---|---|
3P INSURER(#9002274.09) | FORM LOCATOR OVERRIDE | 9002274.092 | Third Party Billing |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | FORM LOCATOR OVERRIDE | 0;1 | FREE TEXT |
|
.02 | MODE OF EXPORT (FORM) | 0;2 | POINTER TO 3P EXPORT MODE FILE (#9002274.08) | ************************REQUIRED FIELD************************ 3P EXPORT MODE(#9002274.08)
|
.03 | FORM LINE | 0;3 | NUMBER | ************************REQUIRED FIELD************************
|
.04 | LINE PIECE | 0;4 | NUMBER | ************************REQUIRED FIELD************************
|
.045 | VISIT TYPE | 0;6 | POINTER TO 3P VISIT TYPE FILE (#9002274.8) | 3P VISIT TYPE(#9002274.8)
|
.05 | DATA VALUE | 0;5 | FREE TEXT |
|
.06 | VISIT TYPE | 0;6 | POINTER TO 3P VISIT TYPE FILE (#9002274.8) | 3P VISIT TYPE(#9002274.8)
|