| Parent File | Name | Number | Package | 
|---|---|---|---|
| 3P CLAIM DATA(#9002274.3) | REVENUE CODE | 9002274.3025 | Third Party Billing | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | REVENUE CODE | 0;1 | POINTER TO REVENUE CODES FILE (#9999999.72) | REVENUE CODES(#9999999.72) 
 | 
| .02 | UNITS | 0;2 | NUMBER | ************************REQUIRED FIELD************************ 
 | 
| .03 | UNIT CHARGE | 0;3 | NUMBER | ************************REQUIRED FIELD************************ 
 | 
| .04 | DATE/TIME | 0;4 | DATE | 
 | 
| .07 | CPT CODE | 0;7 | POINTER TO CPT FILE (#81) | CPT(#81) 
 | 
| .17 | DATA SOURCE | 0;17 | FREE TEXT | 
 | 
| .23 | PRINT ORDER | 0;23 | NUMBER | 
 | 
| 15 | IMMUNIZATION LOT/BATCH NUMBER | 1;5 | FREE TEXT | 
 | 
| 22 | CPT NARRATIVE | 2;2 | FREE TEXT | 
 |