Parent File | Name | Number | Package |
---|---|---|---|
3P CLAIM DATA(#9002274.3) | Insurer | 9002274.3013 | Third Party Billing |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | INSURER | 0;1 | POINTER TO INSURER FILE (#9999999.18) | INSURER(#9999999.18)
|
.011 | REPLACEMENT INSURER | 0;11 | POINTER TO INSURER FILE (#9999999.18) | INSURER(#9999999.18)
|
.013 | VETERANS (VAMB) ELIGIBLE | 0;13 | NUMBER |
|
.02 | PRIORITY ORDER | 0;2 | NUMBER |
|
.03 | STATUS | 0;3 | SET | ************************REQUIRED FIELD************************
|
.04 | MEDICARE MULTIPLE | 0;4 | NUMBER |
|
.05 | RAILROAD MULTIPLE | 0;5 | NUMBER |
|
.06 | MEDICAID ELIG POINTER | 0;6 | POINTER TO MEDICAID ELIGIBLE FILE (#9000004) | MEDICAID ELIGIBLE(#9000004)
|
.07 | MEDICAID MULTIPLE | 0;7 | NUMBER |
|
.08 | PRIVATE INSURANCE MULTIPLE | 0;8 | NUMBER |
|
.09 | MANUALLY ADDED INSURER | 0;9 | SET |
|
11 | COVERAGE TYPE | 11;0 | POINTER Multiple #9002274.301311 | 9002274.301311 |