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 |
|