Sub-Field: 356.22166

Parent File	Name	Number	Package
356.2216	ATTACHMENTS	356.22166	Integrated Billing

Details

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) LAST EDITED: `DEC 31, 2014` HELP-PROMPT: `Enter a valid Report Type code.` DESCRIPTION: `The Report Type code for this service line.` CROSS-REFERENCE: `356.22166^B` `1)= S ^IBT(356.22,DA(2),16,DA(1),6,"B",$E(X,1,30),DA)=""` `2)= K ^IBT(356.22,DA(2),16,DA(1),6,"B",$E(X,1,30),DA)`
.02	REPORT TRANSMISSION CODE	0;2	SET	LAST EDITED: `DEC 31, 2014` HELP-PROMPT: `Enter a valid Report Transmission code.` DESCRIPTION: `The Report Transmission code for this service line.`
.03	ATTACHMENT CONTROL NUMBER	0;3	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>80!($L(X)<2) X` LAST EDITED: `DEC 31, 2014` HELP-PROMPT: `Answer must be 2-80 characters in length.` DESCRIPTION: `The Attachment Control Number for this service line.`
.04	ATTACHMENT DESCRIPTION	0;4	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>80!($L(X)<1) X` LAST EDITED: `DEC 31, 2014` HELP-PROMPT: `Answer must be 1-80 characters in length.` DESCRIPTION: `The description of attachment for this service line.`