Parent File | Name | Number | Package |
---|---|---|---|
BILL/CLAIMS(#399) | REVENUE CODE | 399.042 | Integrated Billing |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.001 | NUMBER | NUMBER |
|
|
.01 | REVENUE CODE | 0;1 | POINTER TO REVENUE CODE FILE (#399.2) | ************************REQUIRED FIELD************************ REVENUE CODE(#399.2)
|
.02 | CHARGES | 0;2 | NUMBER | ************************REQUIRED FIELD************************
|
.03 | UNITS OF SERVICE | 0;3 | NUMBER | ************************REQUIRED FIELD************************
|
.04 | TOTAL | 0;4 | NUMBER | ************************REQUIRED FIELD************************
|
.05 | BEDSECTION | 0;5 | POINTER TO MCCR UTILITY FILE (#399.1) | ************************REQUIRED FIELD************************ MCCR UTILITY(#399.1)
|
.06 | PROCEDURE | 0;6 | POINTER TO CPT FILE (#81) | CPT(#81)
|
.07 | DIVISION | 0;7 | POINTER TO MEDICAL CENTER DIVISION FILE (#40.8) | MEDICAL CENTER DIVISION(#40.8)
|
.08 | AUTO | 0;8 | SET |
|
.09 | NON-COVERED CHARGE | 0;9 | NUMBER |
|
.1 | TYPE | 0;10 | SET |
|
.11 | ITEM | 0;11 | NUMBER |
|
.12 | COMPONENT | 0;12 | SET |
|
.13 | *UB92 FORM LOCATOR 49 | 0;13 | FREE TEXT |
|
.15 | RX PROCEDURE | 0;15 | FREE TEXT |
|
.16 | MANUALLY EDITED | 0;16 | SET |
|