| FileMan FileNo | FileMan Filename | Package |
|---|---|---|
| 162 | FEE BASIS PAYMENT | Fee Basis |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | PATIENT | 0;1 | POINTER TO PATIENT FILE (#2) | ************************REQUIRED FIELD************************ PATIENT(#2)
|
| 6 | VENDOR | 1;0 | POINTER Multiple #162.01 | 162.01
|
| 7 | TRAVEL PAYMENT DATE | 3;0 | DATE Multiple #162.04 | 162.04
|
| 99 | DATE OF PURGE | PURGE;0 | DATE Multiple #162.099 | 162.099
|
| ICR LINK | Subscribing Package(s) | Fields Referenced | Description |
|---|---|---|---|
| ICR #5107 | |||
| ICR #6383 | SERVICE PROVIDED (2). Access: Read w/Fileman SERVICE PROVIDED (.01). Access: Read w/Fileman AMOUNT PAID (2). Access: Read w/Fileman FEE PROGRAM (23). Access: Read w/Fileman PRIMARY SERVICE FACILITY (26). Access: Read w/Fileman ASSOCIATED 7078/583 (27). Access: Read w/Fileman DATE PAID (12). Access: Read w/Fileman INVOICE NUMBER (14). Access: Read w/Fileman PURPOSE OF VISIT (16). Access: Read w/Fileman PRIMARY DIAGNOSIS (28). Access: Read w/Fileman AUTHORIZATION POINTER (15.5). Access: Read w/Fileman RENDERING PROV NAME (63). Access: Read w/Fileman RENDERING PROV NPI (64). Access: Read w/Fileman RENDERING PROV TAXONOMY CODE (65). Access: Read w/Fileman INITIAL TREATMENT DATE (.01). Access: Read w/Fileman |
| Name | Line Occurrences (* Changed, ! Killed) |
|---|---|
| ^FBAAC("AFC" | IXAFCSL+1*, IXAFCKL+1!, IXAFCKEIC+1! |
| ^FBAAC("AJ" | IXAJSL+1*, IXAJKL+1!, IXAJKEIC+1! |
| ^FBAAC("B" | .01(XREF 1S), .01(XREF 1K) |
| >> | Not killed explicitly |
| * | Changed |
| ! | Killed |
| ~ | Newed |
| Name | Field # of Occurrence |
|---|---|
| >> DA | IXAFCSL+1, IXAFCKL+1, IXAJSL+1, IXAJKL+1, .01(XREF 1S), .01(XREF 1K) |
| >> DA(1 | IXAFCSL+1, IXAFCKL+1, IXAJSL+1, IXAJKL+1 |
| >> DA(2 | IXAFCSL+1, IXAFCKL+1, IXAJSL+1, IXAJKL+1 |
| >> DA(3 | IXAFCSL+1, IXAFCKL+1, IXAJSL+1, IXAJKL+1 |
| >> DINUM | .01+1* |
| >> X | IXAFCSL+1, IXAFCKL+1, .01+1, .01(XREF 1S), .01(XREF 1K) |
| >> X(1 | IXAJSL+1, IXAJKL+1 |
| >> X(2 | IXAJSL+1, IXAJKL+1 |