| 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) 
 |