| Parent File | Name | Number | Package | 
|---|---|---|---|
| 3P BILL(#9002274.4) | Laboratory | 9002274.4037 | Third Party Billing | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | LABORATORY (CPT CODE) | 0;1 | POINTER TO CPT FILE (#81) | CPT(#81) 
 | 
| .02 | REVENUE CODE | 0;2 | POINTER TO REVENUE CODES FILE (#9999999.72) | REVENUE CODES(#9999999.72) 
 | 
| .03 | UNITS | 0;3 | NUMBER | ************************REQUIRED FIELD************************ 
 | 
| .04 | UNIT CHARGE | 0;4 | NUMBER | ************************REQUIRED FIELD************************ 
 | 
| .05 | SERVICE FROM DATE/TIME | 0;5 | DATE | 
 | 
| .06 | MODIFIER | 0;6 | FREE TEXT | 
 | 
| .07 | SECOND MODIFIER | 0;7 | FREE TEXT | 
 | 
| .08 | THIRD MODIFIER | 0;8 | FREE TEXT | 
 | 
| .09 | CORRESPONDING DIAGNOSIS | 0;9 | FREE TEXT | 
 | 
| .11 | *PROVIDER | 0;11 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200) 
 | 
| .12 | SERVICE TO DATE/TIME | 0;12 | DATE | 
 | 
| .13 | IN-HOUSE CLIA# | 0;13 | FREE TEXT | 
 | 
| .14 | REFERENCE LAB CLIA# | 0;14 | POINTER TO 3P REFERENCE LAB LOCATIONS FILE (#9002274.35) | 3P REFERENCE LAB LOCATIONS(#9002274.35) 
 | 
| .15 | HCFA POS | 0;15 | POINTER TO 3P CODES FILE (#9002274.03) | 3P CODES(#9002274.03) 
 | 
| .16 | HCFA TOS | 0;16 | POINTER TO 3P CODES FILE (#9002274.03) | 3P CODES(#9002274.03) 
 | 
| .17 | DATA SOURCE | 0;17 | FREE TEXT | 
 | 
| .18 | SERVICE LINE PROVIDER | P;0 | POINTER Multiple #9002274.403718 | 9002274.403718 | 
| .19 | TYPE OF TEST RESULT | 0;19 | SET | 
 | 
| .21 | TEST RESULT | 0;21 | NUMBER | 
 | 
| .22 | TEST DATE | 0;22 | DATE | 
 | 
| .23 | PRINT ORDER | 0;23 | NUMBER | 
 | 
| 21 | LINE ITEM CONTROL NUMBER | 2;1 | FREE TEXT | 
 | 
| 22 | CPT NARRATIVE | 2;2 | FREE TEXT | 
 |