| FileMan FileNo | FileMan Filename | Package |
|---|---|---|
| 353.1 | PLACE OF SERVICE | Integrated Billing |
| Package | Total | FileMan Files |
|---|---|---|
| Integrated Billing | 3 | BILL/CLAIMS(#399)[168, #399.0304(8)] IIV RESPONSE(#365)[#365.29(.02)] HCS REVIEW TRANSMISSION(#356.22)[2.05, #356.2216(.05)] |
| Fee Basis | 1 | FEE BASIS PAYMENT(#162)[#162.03(30)] |
| Registration | 1 | PATIENT(#2)[#2.3229(.02)] |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | CODE | 0;1 | FREE TEXT | ************************REQUIRED FIELD************************
|
| .02 | NAME | 0;2 | FREE TEXT | ************************REQUIRED FIELD************************
|
| .03 | ABBREVIATION | 0;3 | FREE TEXT | ************************REQUIRED FIELD************************
|