Parent File | Name | Number | Package |
---|---|---|---|
HCS REVIEW TRANSMISSION(#356.22) | HI SEGMENTS | 356.22107 | Integrated Billing |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | HI SEQUENCE | 0;1 | NUMBER |
|
.02 | CODE LIST QUALIFIER CODE | 0;2 | POINTER TO X12 278 DIAGNOSIS TYPE FILE (#356.006) | X12 278 DIAGNOSIS TYPE(#356.006)
|
.03 | INDUSTRY CODE | 0;3 | FREE TEXT |
|
.04 | DATE | 0;4 | DATE |
|