
File PATIENT_FUNDS(470) Data List
| NAME |
ACCOUNT STATUS |
DATE OF LAST TRANSACTION |
DATE OF CURRENT RESTRICTION |
PROVIDER AUTH RESTRICT |
PROVIDER CONVERTED |
BALANCE CARRIED FORWARD |
PVT SOURCE CARRIED FORWARD |
GRATUITOUS CARRIED FORWARD |
STORED BALANCE |
COMPUTED BALANCE |
STORED PRIVATE SOURCE |
COMPUTED PRIVATE SOURCE |
STORED GRATUITOUS |
COMPUTED GRATUITOUS |
AMOUNT RESTRICTED PER MONTH |
AMOUNT RESTRICTED PER WEEK |
RESTRICTION MONTH |
PATIENT TYPE |
RESTRICTION WEEK # |
MONTHLY RESTRICTION BALANCE |
WEEKLY RESTRICTION BALANCE |
MINIMUM BALANCE #1 |
MAXIMUM BALANCE #1 |
MINIMUM BALANCE #2 |
MAXIMUM BALANCE #2 |
PATIENT STATUS |
PATIENT TRANSACTION |
DEFERRED BALANCE |
DEFERRED CREDIT REF # |
SUSPENSE DATE |
INCOME SOURCE |
GENERAL INFORMATION/REMARKS |
SPECIAL REMARKS |
INDIGENT |
APPORTIONEE $ |
SSN |
DOB |
WARD |
CLAIM NUMBER |
STREET ADDRESS |
STREET ADDRESS 2 |
STREET ADDRESS 3 |
CITY |
STATE |
ZIP CODE |
GUARDIAN $ |
CARD TO BE PRINTED? |
ON DORMANT ACCOUNT LIST |
ON MIN/MAX1 LIST |
ON MIN/MAX2 LIST |
ACCOUNT OUT OF BALANCE |
ON SUSPENSE DISPLAY LIST |
ON ACTIVE ACCOUNT LIST |
PRINT ON OVERDUE LIST? |
RECORD LOCKED |
RECORD LOCKED BY |
INSTITUTIONAL AWARD |
RECORD LOCKED TERMINAL |
FUTURE MONTH |
FUTURE WEEK |
STATION NAME |
REGIONAL OFFICE |
OTHER ASSETS |