| Parent File | Name | Number | Package |
|---|---|---|---|
| EDI TEST CLAIM STATUS MESSAGE(#361.4) | TRANSMIT DATE/TIME | 361.41 | Integrated Billing |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | TRANSMIT DATE/TIME | 0;1 | DATE |
|
| .02 | BATCH # | 0;2 | POINTER TO EDI TRANSMISSION BATCH FILE (#364.1) | EDI TRANSMISSION BATCH(#364.1)
|
| .03 | TRANSMITTED BY | 0;3 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
| .04 | CURRENT PAYER SEQUENCE | 0;4 | NUMBER |
|