| Parent File | Name | Number | Package |
|---|---|---|---|
| HCS REVIEW TRANSMISSION(#356.22) | PATIENT EVENT TRANSPORT | 356.2214 | Integrated Billing |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | LOCATION TYPE | 0;1 | SET |
|
| .02 | LOCATION NAME | 0;2 | FREE TEXT |
|
| .03 | ADDRESS LINE 1 | 0;3 | FREE TEXT |
|
| .04 | ADDRESS LINE 2 | 0;4 | FREE TEXT |
|
| .05 | CITY | 0;5 | FREE TEXT |
|
| .06 | STATE / PROVINCE | 0;6 | POINTER TO STATE FILE (#5) | STATE(#5)
|
| .07 | ZIP / POSTAL CODE | 0;7 | FREE TEXT |
|