Parent File | Name | Number | Package |
---|---|---|---|
FEE BASIS PATIENT(#161) | REPORT OF CONTACT | 161.02 | Fee Basis |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | DATE OF CONTACT | 0;1 | DATE |
|
1 | VENDOR/PROVIDER | 0;2 | FREE TEXT |
|
1.5 | VENDOR/PROVIDER TELEPHONE NO. | 0;3 | FREE TEXT |
|
2 | NARRATIVE | 1;0 | WORD-PROCESSING #161.04 |
|
3 | DX | 0;4 | FREE TEXT |
|
3.5 | TYPE OF CONTACT | 0;6 | SET | ************************REQUIRED FIELD************************
|
5 | INPUT DATE | 0;5 | DATE |
|
100 | CLERK | 100;1 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|