Parent File | Name | Number | Package |
---|---|---|---|
FEE BASIS PATIENT(#161) | ARCH ELIGIBILITY | 161.011 | Fee Basis |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | ARCH ELIGIBILITY DATE | 0;1 | DATE |
|
2 | ARCH ELIGIBILITY | 0;2 | SET |
|
3 | ARCH ELIGIBILITY DETERMINATION | 0;3 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
4 | JUSTIFICATION | 0;4 | POINTER TO FEE BASIS PROJECT ARCH JUSTIFICATION FILE (#161.35) | FEE BASIS PROJECT ARCH JUSTIFICATION(#161.35)
|
5 | VERIFICATION OF MILEAGE | 0;5 | FREE TEXT |
|