| 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  |