| Parent File | Name | Number | Package |
|---|---|---|---|
| 3P RECEIVER(#9002274.095) | INSURERS | 9002274.0951 | Third Party Billing |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | INSURERS | 0;1 | POINTER TO INSURER FILE (#9999999.18) | INSURER(#9999999.18)
|
| .02 | PAYER ID (NM109) | 0;2 | FREE TEXT |
|
| .03 | RECEIVER NAME | 0;3 | FREE TEXT |
|