| Parent File | Name | Number | Package | 
|---|---|---|---|
| EDI LOCKBOX EOB WORKLIST(#344.49) | SEQUENCE # | 344.491 | Accounts Receivable | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | ERA SEQUENCE # | 0;1 | NUMBER | 
  | 
| .02 | CLAIM # | 0;2 | FREE TEXT | 
  | 
| .03 | AMOUNT TO POST ON RECEIPT | 0;3 | NUMBER | 
  | 
| .04 | INCLUDE ON RECEIPT | 0;4 | SET | 
 
  | 
| .05 | AMT OF PAYMENT | 0;5 | NUMBER | 
  | 
| .06 | NET AMOUNT OF PAYMENT | 0;6 | NUMBER | 
  | 
| .07 | AR BILL # | 0;7 | POINTER TO ACCOUNTS RECEIVABLE FILE (#430) | ACCOUNTS RECEIVABLE(#430)
  | 
| .08 | NET AMT OF ADJUSTMENTS | 0;8 | NUMBER | 
  | 
| .09 | ORIGINAL ERA SEQUENCES | 0;9 | FREE TEXT | 
  | 
| .1 | RECEIPT LINE COMMENT | 0;10 | FREE TEXT | 
  | 
| .11 | REVIEWED? | 0;11 | SET | 
 
  | 
| .12 | REVIEWED BY | 0;12 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
  | 
| .13 | VERIFIED | 0;13 | SET | 
 
  | 
| .14 | BATCH # | 0;14 | NUMBER | 
  | 
| 1 | ADJUSTMENT LOG | 1;0 | Multiple #344.4911 | 344.4911 | 
| 2.01 | ADDED BY | 2;1 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
  | 
| 2.02 | DATE/TIME ADDED | 2;2 | DATE | 
  | 
| 2.03 | LAST EDITED BY | 2;3 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
  | 
| 2.04 | LAST EDITED DATE/TIME | 2;4 | DATE | 
  | 
| 4 | REVIEW | 4;0 | DATE Multiple #344.4914 | 344.4914
  |