| Parent File | Name | Number | Package |
|---|---|---|---|
| 3P INSURER(#9002274.09) | SEGMENT OVERRIDE | 9002274.0925 | Third Party Billing |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01837 | SEGMENT 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 | LOOP | 0;3 | FREE TEXT | ************************REQUIRED FIELD************************
|
| .04 | SEGMENT | 0;4 | FREE TEXT | ************************REQUIRED FIELD************************
|
| .05 | ELEMENT | 0;5 | FREE TEXT |
|
| .06 | VISIT TYPE | 0;6 | POINTER TO 3P VISIT TYPE FILE (#9002274.8) | 3P VISIT TYPE(#9002274.8)
|
| .07 | DATA VALUE | 0;7 | FREE TEXT |
|
| .08 | SEND/DON'T SEND | 0;8 | SET |
|