| FileMan FileNo | FileMan Filename | Package |
|---|---|---|
| 355.92 | FACILITY BILLING ID | Integrated Billing |
| Package | Total | FileMan Files |
|---|---|---|
| Integrated Billing | 3 | INSURANCE COMPANY(#36)[.01] IB PROVIDER ID CARE UNIT(#355.95)[.03] IB PROVIDER ID # TYPE(#355.97)[.06] |
| Registration | 1 | MEDICAL CENTER DIVISION(#40.8)[.05] |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | INSURANCE COMPANY | 0;1 | POINTER TO INSURANCE COMPANY FILE (#36) | ************************REQUIRED FIELD************************ INSURANCE COMPANY(#36)
|
| .03 | CARE UNITS | 0;3 | POINTER TO IB PROVIDER ID CARE UNIT FILE (#355.95) | IB PROVIDER ID CARE UNIT(#355.95)
|
| .04 | FORM TYPE APPLIED TO | 0;4 | SET | ************************REQUIRED FIELD************************
|
| .05 | DIVISION | 0;5 | POINTER TO MEDICAL CENTER DIVISION FILE (#40.8) | MEDICAL CENTER DIVISION(#40.8)
|
| .06 | PROVIDER ID TYPE | 0;6 | POINTER TO IB PROVIDER ID # TYPE FILE (#355.97) | ************************REQUIRED FIELD************************ IB PROVIDER ID # TYPE(#355.97)
|
| .07 | PROVIDER ID | 0;7 | FREE TEXT | ************************REQUIRED FIELD************************
|
| .08 | ID TYPE FLAG | 0;8 | SET |
|
| .1 | INDEX VALUE CARE UNIT | 0;10 | FREE TEXT |
|
| .11 | INDEX VALUE DIVISION | 0;11 | FREE TEXT |
|