| Parent File | Name | Number | Package | 
|---|---|---|---|
| 3P BILL(#9002274.4) | Insurer | 9002274.4013 | 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 | 0;2 | NUMBER | 
 | 
| .03 | STATUS | 0;3 | SET | 
 
 | 
| .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 | 
 | 
| .12 | CLAIM CHECK OR REMIT DATE | 0;12 | DATE | 
 | 
| 11 | COVERAGE TYPE | 11;0 | POINTER Multiple #9002274.401311 | 9002274.401311 |