| FileMan FileNo | FileMan Filename | Package |
|---|---|---|
| 350.71 | AMBULATORY SURG. CHECK-OFF SHEET PRINT FIELDS | Integrated Billing |
| Package | Total | FileMan Files |
|---|---|---|
| Integrated Billing | 1 | AMBULATORY SURG. CHECK-OFF SHEET PRINT FIELDS(#350.71)[.05] |
| Package | Total | FileMan Files |
|---|---|---|
| Integrated Billing | 2 | AMBULATORY CHECK-OFF SHEET(#350.7)[.04] AMBULATORY SURG. CHECK-OFF SHEET PRINT FIELDS(#350.71)[.05] |
| CPT HCPCS Codes | 1 | CPT(#81)[.06] |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | NAME | 0;1 | FREE TEXT | ************************REQUIRED FIELD************************
|
| .02 | PRINT ORDER | 0;2 | NUMBER | ************************REQUIRED FIELD************************
|
| .03 | TYPE | 0;3 | SET | ************************REQUIRED FIELD************************
|
| .04 | CHECK-OFF SHEET | 0;4 | POINTER TO AMBULATORY CHECK-OFF SHEET FILE (#350.7) | AMBULATORY CHECK-OFF SHEET(#350.7)
|
| .05 | SUB-HEADER | 0;5 | POINTER TO AMBULATORY SURG. CHECK-OFF SHEET PRINT FIELDS FILE (#350.71) | AMBULATORY SURG. CHECK-OFF SHEET PRINT FIELDS(#350.71)
|
| .06 | PROCEDURE | 0;6 | POINTER TO CPT FILE (#81) | ************************REQUIRED FIELD************************ CPT(#81)
|
| .08 | CHARGE | COMPUTED |
|