| FileMan FileNo | FileMan Filename | Package |
|---|---|---|
| 399.6 | CMN FORM TYPES | Integrated Billing |
| Package | Total | FileMan Files |
|---|---|---|
| Integrated Billing | 1 | BILL/CLAIMS(#399)[#399.0304(24)] |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | NAME | 0;1 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 1 | DESCRIPTION | 0;2 | FREE TEXT |
|
| 2 | INDUSTRY CODE | 0;3 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 3 | DATA NODE | 0;4 | FREE TEXT | ************************REQUIRED FIELD************************
|