| Parent File | Name | Number | Package |
|---|---|---|---|
| HCS REVIEW TRANSMISSION(#356.22) | ATTACHMENTS | 356.2211 | Integrated Billing |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | REPORT TYPE CODE | 0;1 | POINTER TO X12 278 REPORT TYPE CODE FILE (#356.018) | X12 278 REPORT TYPE CODE(#356.018)
|
| .02 | REPORT TRANSMISSION CODE | 0;2 | SET |
|
| .03 | ATTACHMENT CONTROL NUMBER | 0;3 | FREE TEXT |
|
| .04 | ATTACHMENT DESCRIPTION | 0;4 | FREE TEXT |
|