| Parent File | Name | Number | Package | 
|---|---|---|---|
| HEALTH CARE CLAIM RFAI (277)(#368) | STC SEQ [D] | 368.0113 | Integrated Billing | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | STC SEQ [D] | 0;1 | NUMBER | 
  | 
| .02 | STATUS INFO EFFECTIVE DATE [D] | 0;2 | DATE | 
  | 
| 1.01 | HEALTH CARE CLAIM STAT CAT-1 | 1;1 | POINTER TO X12 277 CLAIM STATUS CATEGORY FILE (#368.001) | X12 277 CLAIM STATUS CATEGORY(#368.001)
  | 
| 10.01 | HEALTH CARE CLAIM STAT CAT-10 | 10;1 | POINTER TO X12 277 CLAIM STATUS CATEGORY FILE (#368.001) | X12 277 CLAIM STATUS CATEGORY(#368.001)
  | 
| 11.01 | HEALTH CARE CLAIM STAT CAT-11 | 11;1 | POINTER TO X12 277 CLAIM STATUS CATEGORY FILE (#368.001) | X12 277 CLAIM STATUS CATEGORY(#368.001)
  |