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 |
|