| Parent File | Name | Number | Package | 
|---|---|---|---|
| VENDOR(#9999999.11) | AGREEMENT/RATE/BPA NUMBER | 9999999.111801 | Utility Tables | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | AGREEMENT/RATE/BPA NUMBER | 0;1 | FREE TEXT | 
 | 
| .02 | INPATIENT RATE DESCRIPTION | 0;2 | FREE TEXT | 
 | 
| .03 | OUTPATIENT RATE DESCRIPTION | 0;3 | FREE TEXT | 
 | 
| .04 | MEDICARE RATE FOR INPATIENT | 0;4 | SET | 
 
 | 
| .05 | MEDICARE RATE FOR OUTPATIENT | 0;5 | SET | 
 
 | 
| .06 | DATE OF AGREEMENT | 0;6 | DATE | ************************REQUIRED FIELD************************ 
 | 
| .07 | PROF. SERVICES RATE DESC. | 0;7 | FREE TEXT | 
 | 
| .08 | EFFECTIVE DATE | 0;8 | DATE | ************************REQUIRED FIELD************************ 
 | 
| .09 | EXPIRATION DATE | 0;9 | DATE | ************************REQUIRED FIELD************************ 
 | 
| .11 | TYPE OF AGREEMENT | 0;10 | SET | ************************REQUIRED FIELD************************ 
 
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