| FileMan FileNo | FileMan Filename | Package | 
|---|---|---|
| 727.826 | PROSTHETICS EXTRACT | DSS Extracts | 
| Package | Total | Routines | 
|---|---|---|
| DSS Extracts | 1 | ECXPROEE | 
| Package | Total | FileMan Files | 
|---|---|---|
| Registration | 2 | ENROLLMENT STATUS(#27.15)[55] PATIENT(#2)[4] | 
| DSS Extracts | 1 | DSS EXTRACT LOG(#727)[2] | 
| Integrated Billing | 1 | INSURANCE COMPANY(#36)[45] | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | SEQUENCE NUMBER | 0;1 | NUMBER | ************************REQUIRED FIELD************************ 
  | 
| 1 | YEAR MONTH | 0;2 | FREE TEXT | 
  | 
| 2 | EXTRACT NUMBER | 0;3 | POINTER TO DSS EXTRACT LOG FILE (#727) | DSS EXTRACT LOG(#727)
  | 
| 3 | FACILITY | 0;4 | FREE TEXT | ************************REQUIRED FIELD************************ 
  | 
| 4 | PATIENT NO. DFN | 0;5 | POINTER TO PATIENT FILE (#2) | ************************REQUIRED FIELD************************ PATIENT(#2)
  | 
| 5 | SSN | 0;6 | FREE TEXT | ************************REQUIRED FIELD************************ 
  | 
| 6 | NAME | 0;7 | FREE TEXT | 
  | 
| 7 | IN OUTPATIENT INDICATOR | 0;8 | SET | 
 
  | 
| 8 | DATE OF SERVICE | 0;9 | FREE TEXT | ************************REQUIRED FIELD************************ 
  | 
| 9 | FEEDER LOCATION | 0;10 | FREE TEXT | ************************REQUIRED FIELD************************ 
  | 
| 10 | FEEDER KEY | 0;11 | FREE TEXT | ************************REQUIRED FIELD************************ 
  | 
| 11 | QUANTITY | 0;12 | NUMBER | 
  | 
| 12 | PLACEHOLD PRIMARY CARE TEAM | 0;13 | FREE TEXT | 
  | 
| 13 | PLACEHOLD PC PROVIDER | 0;14 | FREE TEXT | 
  | 
| 14 | PCE CPT/HCPCS CODE & MODIFIERS | 0;15 | FREE TEXT | ************************REQUIRED FIELD************************ 
  | 
| 15 | PLACEHOLDER | 0;16 | FREE TEXT | 
  | 
| 16 | PLACEHOLDER | 0;17 | FREE TEXT | 
  | 
| 17 | PLACEHOLDER | 0;18 | FREE TEXT | 
  | 
| 18 | PLACEHOLDER | 0;19 | FREE TEXT | 
  | 
| 19 | PLACEHOLDER | 0;20 | FREE TEXT | 
  | 
| 20 | AGENT ORANGE STATUS | 0;21 | SET | 
 
  | 
| 21 | RADIATION EXPOSURE STATUS | 0;22 | SET | 
 
  | 
| 22 | SW ASIA CONDITIONS | 0;23 | SET | 
 
  | 
| 23 | PATIENT ELIGIBILITY | 0;24 | FREE TEXT | 
  | 
| 24 | PLACEHOLD COST OF TRANSACTION | 0;25 | FREE TEXT | 
  | 
| 25 | PLACEHOLD LAB LABOR COST | 0;26 | FREE TEXT | 
  | 
| 26 | PLACEHOLD LAB MATERIAL COST | 0;27 | FREE TEXT | 
  | 
| 27 | BILLING STATUS | 0;28 | SET | 
 
  | 
| 28 | VET/NON VET | 0;29 | SET | 
 
  | 
| 29 | TYPE OF TRANSACTION | 0;30 | SET | 
 
  | 
| 30 | REQUESTING STATION | 0;31 | FREE TEXT | 
  | 
| 31 | RECEIVING STATION | 0;32 | FREE TEXT | 
  | 
| 32 | PSAS HCPCS CODE | 0;33 | FREE TEXT | 
  | 
| 33 | ZIP CODE | 1;1 | FREE TEXT | 
  | 
| 34 | DATE OF BIRTH | 1;2 | FREE TEXT | 
  | 
| 35 | SEX | 1;3 | SET | 
 
  | 
| 36 | AMIS GROUPER | 1;4 | NUMBER | 
  | 
| 37 | PLACEHOLDER | 1;5 | FREE TEXT | 
  | 
| 38 | PLACEHOLD MPI | 1;6 | FREE TEXT | 
  | 
| 39 | PLACEHOLDER | 1;7 | FREE TEXT | 
  | 
| 40 | PLACEHOLD PC PROV PERSON CLASS | 1;8 | FREE TEXT | 
  | 
| 41 | PLACEHOLD RACE | 1;9 | FREE TEXT | 
  | 
| 42 | POW STATUS | 1;10 | SET | 
 
  | 
| 43 | POW LOCATION | 1;11 | FREE TEXT | 
  | 
| 44 | PLACEHOLD SHARE AGREEMNT PAYOR | 1;12 | FREE TEXT | 
  | 
| 45 | PLACEHOLD SHARE AGREEMNT INSUR | 1;13 | POINTER TO INSURANCE COMPANY FILE (#36) | INSURANCE COMPANY(#36)
  | 
| 46 | MST STATUS | 1;14 | SET | 
 
  | 
| 47 | ENROLLMENT LOCATION | 1;15 | FREE TEXT | 
  | 
| 48 | STATE | 1;16 | FREE TEXT | 
  | 
| 49 | COUNTY | 1;17 | FREE TEXT | 
  | 
| 50 | PLACEHOLD ASSOC PC PROVIDER | 1;18 | FREE TEXT | 
  | 
| 51 | PLACEHOLD AS PC PROV PERSON CL | 1;19 | FREE TEXT | 
  | 
| 52 | PLACEHOLDER | 1;20 | FREE TEXT | 
  | 
| 53 | DOM,PRRTP AND SAARTP INDICATOR | 1;21 | SET | 
 
  | 
| 54 | ENROLLMENT CATEGORY | 1;22 | FREE TEXT | 
  | 
| 55 | ENROLLMENT STATUS | 1;23 | POINTER TO ENROLLMENT STATUS FILE (#27.15) | ENROLLMENT STATUS(#27.15)
  | 
| 56 | PLACEHOLDER | 1;24 | FREE TEXT | 
  | 
| 57 | PURPLE HEART INDICATOR | 1;25 | SET | 
 
  | 
| 58 | PERIOD OF SERVICE | 1;26 | FREE TEXT | 
  | 
| 59 | OBSERVATION PATIENT INDICATOR | 1;27 | SET | 
 
  | 
| 60 | ENCOUNTER NUMBER | 1;28 | FREE TEXT | 
  | 
| 61 | AGENT ORANGE LOCATION | 1;29 | FREE TEXT | 
  | 
| 62 | CNH STATUS | 1;30 | SET | 
 
  | 
| 63 | PRODUCTION DIVISION CODE | 1;31 | FREE TEXT | 
  | 
| 64 | HEAD & NECK CANCER INDICATOR | 1;32 | SET | 
 
  | 
| 65 | PLACEHOLD ETHNICITY | 1;33 | FREE TEXT | 
  | 
| 66 | PLACEHOLD RACE 1 | 1;34 | FREE TEXT | 
  | 
| 67 | PLACEHOLD DSS IP # | 1;35 | NUMBER | 
  | 
| 68 | ENROLLMENT PRIORITY | 1;36 | FREE TEXT | 
  | 
| 69 | USER ENROLLEE | 1;37 | SET | 
 
  | 
| 70 | PATIENT TYPE | 1;38 | SET | 
 
  | 
| 71 | CV STATUS ELIGIBILITY | 1;39 | SET | 
 
  | 
| 72 | CV ELIGIBILITY END DATE | 1;40 | FREE TEXT | 
  | 
| 73 | PLACEHOLD ENCOUNTER CV | 1;41 | SET | 
 
  | 
| 74 | NATIONAL PATIENT RECORD FLAG | 1;42 | SET | 
 
  | 
| 75 | ERI | 1;43 | FREE TEXT | 
  | 
| 76 | PLACEHOLD AGENT ORANGE ENC | 1;44 | SET | 
 
  | 
| 77 | PLACEHOLD ENCOUNTER SWAC | 1;45 | SET | 
 
  | 
| 78 | PLACEHOLD ENC HEAD/NECK CA | 1;46 | SET | 
 
  | 
| 79 | PLACEHOLD ENCOUNTER MST | 1;47 | SET | 
 
  | 
| 80 | PLACEHOLD RADIATION ENCOUNTER | 1;48 | SET | 
 
  | 
| 81 | OEF/OIF | 2;1 | FREE TEXT | 
  | 
| 82 | OEF/OIF RETURN DATE | 2;2 | FREE TEXT | 
  | 
| 83 | NPPD CODE | 2;3 | FREE TEXT | 
  | 
| 84 | NPPD ENTRY DATE | 2;4 | FREE TEXT | 
  | 
| 85 | PLACEHOLD ASSOC PC PROV NPI | 2;5 | FREE TEXT | 
  | 
| 86 | PLACEHOLD PC PROVIDER NPI | 2;6 | FREE TEXT | 
  | 
| 87 | COUNTRY CODE | 2;7 | FREE TEXT | 
  | 
| 88 | SHAD STATUS | 2;8 | SET | 
 
  | 
| 89 | PLACEHOLD ENCOUNTER SHAD | 2;9 | SET | 
 
  | 
| 90 | LABOR HOURS | 2;10 | NUMBER | 
  | 
| 91 | PATCAT | 2;11 | SET | 
 
  | 
| 92 | PRIMARY ICD-10 CODE | 2;12 | FREE TEXT | 
  | 
| 93 | SECONDARY ICD-10 CODE #1 | 2;13 | FREE TEXT | 
  | 
| 94 | SECONDARY ICD-10 CODE #2 | 2;14 | FREE TEXT | 
  | 
| 95 | SECONDARY ICD-10 CODE #3 | 2;15 | FREE TEXT | 
  | 
| 96 | SECONDARY ICD-10 CODE #4 | 2;16 | FREE TEXT | 
  | 
| 97 | PLACEHOLD ENCOUNTER SC | 2;17 | SET | 
 
  | 
| 98 | VIETNAM | 2;18 | SET | 
 
  | 
| 99 | CAMP LEJEUNE STATUS | 2;19 | SET | 
 
  | 
| 100 | PLACEHOLD ENC CAMP LEJEUNE | 2;20 | SET | 
 
  | 
| 101 | COMBAT VETERAN INDICATOR | 2;21 | SET | 
 
  | 
| 102 | COMBAT VETERAN LOCATION | 2;22 | FREE TEXT | 
  | 
| 103 | FORM REQUESTED ON | 2;23 | FREE TEXT | 
  | 
| 104 | UNIT OF ISSUE | 2;24 | FREE TEXT | 
  | 
| 105 | NEW COST OF TRANSACTION | 2;25 | NUMBER | 
  | 
| 106 | NEW LAB LABOR COST | 2;26 | NUMBER | 
  | 
| 107 | NEW LAB MATERIAL COST | 2;27 | NUMBER | 
  | 
| 108 | NEW MPI | 2;28 | FREE TEXT | 
  | 
| 109 | SELF IDENTIFIED GENDER | 2;29 | SET | 
 
  |