Parent File | Name | Number | Package |
---|---|---|---|
3P CLAIM DATA(#9002274.3) | Special Program Code | 9002274.3059 | Third Party Billing |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | SPECIAL PROGRAM CODE | 0;1 | POINTER TO 3P CODES FILE (#9002274.03) | 3P CODES(#9002274.03)
|
.02 | EPSDT REFERRAL? | 0;2 | SET |
|
.03 | REFERRAL REASON | 1;0 | SET Multiple #9002274.305901 | 9002274.305901 |