aurora_standard.chmtxstr
| Field | Type | Null | Default | Key | Extra | Comment |
|---|---|---|---|---|---|---|
| rec_type | char(4) | YES | ||||
| pt_cntrl | char(50) | YES | ||||
| bill_type | char(4) | YES | ||||
| prov_no | char(20) | YES | ||||
| sub_id | char(4) | YES | ||||
| from_date | char(8) | YES | ||||
| to_date | char(8) | YES | ||||
| pat_dob | char(8) | YES | ||||
| admit_date | char(8) | YES | ||||
| mr_no | char(30) | YES | ||||
| filler1 | char(10) | YES | ||||
| pat_zip | char(5) | YES | ||||
| pat_zip4 | char(4) | YES | ||||
| pat_sex | char(1) | YES | ||||
| pat_race | char(3) | YES | ||||
| pat_ethnicity | char(3) | YES | ||||
| adm_typ | char(3) | YES | ||||
| adm_src | char(3) | YES | ||||
| dis_status | char(3) | YES | ||||
| dis_date | char(8) | YES | ||||
| adm_hr | char(2) | YES | ||||
| dis_hr | char(2) | YES | ||||
| obs_hrs | char(2) | YES | ||||
| pat_fname | char(30) | YES | ||||
| pat_mi | char(1) | YES | ||||
| pat_lname | char(30) | YES | ||||
| pat_add1 | char(30) | YES | ||||
| pat_add2 | char(30) | YES | ||||
| pat_city | char(30) | YES | ||||
| pat_st | char(2) | YES | ||||
| tot_charges | char(15) | YES | ||||
| tot_reim | char(15) | YES | ||||
| pat_ssn | char(9) | YES | ||||
| birth_wt | char(4) | YES | ||||
| rcode01 | char(4) | YES | ||||
| rate01 | char(8) | YES | ||||
| units01 | char(7) | YES | ||||
| date01 | char(8) | YES | ||||
| chg01 | char(11) | YES | ||||
| hcpcs01 | char(8) | YES | ||||
| hc01mod1 | char(2) | YES | ||||
| hc01mod2 | char(2) | YES | ||||
| hc01mod3 | char(2) | YES | ||||
| hc01mod4 | char(2) | YES | ||||
| rcode02 | char(4) | YES | ||||
| rate02 | char(8) | YES | ||||
| units02 | char(7) | YES | ||||
| date02 | char(8) | YES | ||||
| chg02 | char(11) | YES | ||||
| hcpcs02 | char(8) | YES | ||||
| hc02mod1 | char(2) | YES | ||||
| hc02mod2 | char(2) | YES | ||||
| hc02mod3 | char(2) | YES | ||||
| hc02mod4 | char(2) | YES | ||||
| rcode03 | char(4) | YES | ||||
| rate03 | char(8) | YES | ||||
| units03 | char(7) | YES | ||||
| date03 | char(8) | YES | ||||
| chg03 | char(11) | YES | ||||
| hcpcs03 | char(8) | YES | ||||
| hc03mod1 | char(2) | YES | ||||
| hc03mod2 | char(2) | YES | ||||
| hc03mod3 | char(2) | YES | ||||
| hc03mod4 | char(2) | YES | ||||
| rcode04 | char(4) | YES | ||||
| rate04 | char(8) | YES | ||||
| units04 | char(7) | YES | ||||
| date04 | char(8) | YES | ||||
| chg04 | char(11) | YES | ||||
| hcpcs04 | char(8) | YES | ||||
| hc04mod1 | char(2) | YES | ||||
| hc04mod2 | char(2) | YES | ||||
| hc04mod3 | char(2) | YES | ||||
| hc04mod4 | char(2) | YES | ||||
| rcode05 | char(4) | YES | ||||
| rate05 | char(8) | YES | ||||
| units05 | char(7) | YES | ||||
| date05 | char(8) | YES | ||||
| chg05 | char(11) | YES | ||||
| hcpcs05 | char(8) | YES | ||||
| hc05mod1 | char(2) | YES | ||||
| hc05mod2 | char(2) | YES | ||||
| hc05mod3 | char(2) | YES | ||||
| hc05mod4 | char(2) | YES | ||||
| rcode06 | char(4) | YES | ||||
| rate06 | char(8) | YES | ||||
| units06 | char(7) | YES | ||||
| date06 | char(8) | YES | ||||
| chg06 | char(11) | YES | ||||
| hcpcs06 | char(8) | YES | ||||
| hc06mod1 | char(2) | YES | ||||
| hc06mod2 | char(2) | YES | ||||
| hc06mod3 | char(2) | YES | ||||
| hc06mod4 | char(2) | YES | ||||
| rcode07 | char(4) | YES | ||||
| rate07 | char(8) | YES | ||||
| units07 | char(7) | YES | ||||
| date07 | char(8) | YES | ||||
| chg07 | char(11) | YES | ||||
| hcpcs07 | char(8) | YES | ||||
| hc07mod1 | char(2) | YES | ||||
| hc07mod2 | char(2) | YES | ||||
| hc07mod3 | char(2) | YES | ||||
| hc07mod4 | char(2) | YES | ||||
| rcode08 | char(4) | YES | ||||
| rate08 | char(8) | YES | ||||
| units08 | char(7) | YES | ||||
| date08 | char(8) | YES | ||||
| chg08 | char(11) | YES | ||||
| hcpcs08 | char(8) | YES | ||||
| hc08mod1 | char(2) | YES | ||||
| hc08mod2 | char(2) | YES | ||||
| hc08mod3 | char(2) | YES | ||||
| hc08mod4 | char(2) | YES | ||||
| rcode09 | char(4) | YES | ||||
| rate09 | char(8) | YES | ||||
| units09 | char(7) | YES | ||||
| date09 | char(8) | YES | ||||
| chg09 | char(11) | YES | ||||
| hcpcs09 | char(8) | YES | ||||
| hc09mod1 | char(2) | YES | ||||
| hc09mod2 | char(2) | YES | ||||
| hc09mod3 | char(2) | YES | ||||
| hc09mod4 | char(2) | YES | ||||
| rcode10 | char(4) | YES | ||||
| rate10 | char(8) | YES | ||||
| units10 | char(7) | YES | ||||
| date10 | char(8) | YES | ||||
| chg10 | char(11) | YES | ||||
| hcpcs10 | char(8) | YES | ||||
| hc10mod1 | char(2) | YES | ||||
| hc10mod2 | char(2) | YES | ||||
| hc10mod3 | char(2) | YES | ||||
| hc10mod4 | char(2) | YES | ||||
| rcode11 | char(4) | YES | ||||
| rate11 | char(8) | YES | ||||
| units11 | char(7) | YES | ||||
| date11 | char(8) | YES | ||||
| chg11 | char(11) | YES | ||||
| hcpcs11 | char(8) | YES | ||||
| hc11mod1 | char(2) | YES | ||||
| hc11mod2 | char(2) | YES | ||||
| hc11mod3 | char(2) | YES | ||||
| hc11mod4 | char(2) | YES | ||||
| rcode12 | char(4) | YES | ||||
| rate12 | char(8) | YES | ||||
| units12 | char(7) | YES | ||||
| date12 | char(8) | YES | ||||
| chg12 | char(11) | YES | ||||
| hcpcs12 | char(8) | YES | ||||
| hc12mod1 | char(2) | YES | ||||
| hc12mod2 | char(2) | YES | ||||
| hc12mod3 | char(2) | YES | ||||
| hc12mod4 | char(2) | YES | ||||
| rcode13 | char(4) | YES | ||||
| rate13 | char(8) | YES | ||||
| units13 | char(7) | YES | ||||
| date13 | char(8) | YES | ||||
| chg13 | char(11) | YES | ||||
| hcpcs13 | char(8) | YES | ||||
| hc13mod1 | char(2) | YES | ||||
| hc13mod2 | char(2) | YES | ||||
| hc13mod3 | char(2) | YES | ||||
| hc13mod4 | char(2) | YES | ||||
| rcode14 | char(4) | YES | ||||
| rate14 | char(8) | YES | ||||
| units14 | char(7) | YES | ||||
| date14 | char(8) | YES | ||||
| chg14 | char(11) | YES | ||||
| hcpcs14 | char(8) | YES | ||||
| hc14mod1 | char(2) | YES | ||||
| hc14mod2 | char(2) | YES | ||||
| hc14mod3 | char(2) | YES | ||||
| hc14mod4 | char(2) | YES | ||||
| rcode15 | char(4) | YES | ||||
| rate15 | char(8) | YES | ||||
| units15 | char(7) | YES | ||||
| date15 | char(8) | YES | ||||
| chg15 | char(11) | YES | ||||
| hcpcs15 | char(8) | YES | ||||
| hc15mod1 | char(2) | YES | ||||
| hc15mod2 | char(2) | YES | ||||
| hc15mod3 | char(2) | YES | ||||
| hc15mod4 | char(2) | YES | ||||
| rcode16 | char(4) | YES | ||||
| rate16 | char(8) | YES | ||||
| units16 | char(7) | YES | ||||
| date16 | char(8) | YES | ||||
| chg16 | char(11) | YES | ||||
| hcpcs16 | char(8) | YES | ||||
| hc16mod1 | char(2) | YES | ||||
| hc16mod2 | char(2) | YES | ||||
| hc16mod3 | char(2) | YES | ||||
| hc16mod4 | char(2) | YES | ||||
| rcode17 | char(4) | YES | ||||
| rate17 | char(8) | YES | ||||
| units17 | char(7) | YES | ||||
| date17 | char(8) | YES | ||||
| chg17 | char(11) | YES | ||||
| hcpcs17 | char(8) | YES | ||||
| hc17mod1 | char(2) | YES | ||||
| hc17mod2 | char(2) | YES | ||||
| hc17mod3 | char(2) | YES | ||||
| hc17mod4 | char(2) | YES | ||||
| rcode18 | char(4) | YES | ||||
| rate18 | char(8) | YES | ||||
| units18 | char(7) | YES | ||||
| date18 | char(8) | YES | ||||
| chg18 | char(11) | YES | ||||
| hcpcs18 | char(8) | YES | ||||
| hc18mod1 | char(2) | YES | ||||
| hc18mod2 | char(2) | YES | ||||
| hc18mod3 | char(2) | YES | ||||
| hc18mod4 | char(2) | YES | ||||
| rcode19 | char(4) | YES | ||||
| rate19 | char(8) | YES | ||||
| units19 | char(7) | YES | ||||
| date19 | char(8) | YES | ||||
| chg19 | char(11) | YES | ||||
| hcpcs19 | char(8) | YES | ||||
| hc19mod1 | char(2) | YES | ||||
| hc19mod2 | char(2) | YES | ||||
| hc19mod3 | char(2) | YES | ||||
| hc19mod4 | char(2) | YES | ||||
| rcode20 | char(4) | YES | ||||
| rate20 | char(8) | YES | ||||
| units20 | char(7) | YES | ||||
| date20 | char(8) | YES | ||||
| chg20 | char(11) | YES | ||||
| hcpcs20 | char(8) | YES | ||||
| hc20mod1 | char(2) | YES | ||||
| hc20mod2 | char(2) | YES | ||||
| hc20mod3 | char(2) | YES | ||||
| hc20mod4 | char(2) | YES | ||||
| rcode21 | char(4) | YES | ||||
| rate21 | char(8) | YES | ||||
| units21 | char(7) | YES | ||||
| date21 | char(8) | YES | ||||
| chg21 | char(11) | YES | ||||
| hcpcs21 | char(8) | YES | ||||
| hc21mod1 | char(2) | YES | ||||
| hc21mod2 | char(2) | YES | ||||
| hc21mod3 | char(2) | YES | ||||
| hc21mod4 | char(2) | YES | ||||
| rcode22 | char(4) | YES | ||||
| rate22 | char(8) | YES | ||||
| units22 | char(7) | YES | ||||
| date22 | char(8) | YES | ||||
| chg22 | char(11) | YES | ||||
| hcpcs22 | char(8) | YES | ||||
| hc22mod1 | char(2) | YES | ||||
| hc22mod2 | char(2) | YES | ||||
| hc22mod3 | char(2) | YES | ||||
| hc22mod4 | char(2) | YES | ||||
| rcode23 | char(4) | YES | ||||
| rate23 | char(8) | YES | ||||
| units23 | char(7) | YES | ||||
| date23 | char(8) | YES | ||||
| chg23 | char(11) | YES | ||||
| hcpcs23 | char(8) | YES | ||||
| hc23mod1 | char(2) | YES | ||||
| hc23mod2 | char(2) | YES | ||||
| hc23mod3 | char(2) | YES | ||||
| hc23mod4 | char(2) | YES | ||||
| rcode24 | char(4) | YES | ||||
| rate24 | char(8) | YES | ||||
| units24 | char(7) | YES | ||||
| date24 | char(8) | YES | ||||
| chg24 | char(11) | YES | ||||
| hcpcs24 | char(8) | YES | ||||
| hc24mod1 | char(2) | YES | ||||
| hc24mod2 | char(2) | YES | ||||
| hc24mod3 | char(2) | YES | ||||
| hc24mod4 | char(2) | YES | ||||
| rcode25 | char(4) | YES | ||||
| rate25 | char(8) | YES | ||||
| units25 | char(7) | YES | ||||
| date25 | char(8) | YES | ||||
| chg25 | char(11) | YES | ||||
| hcpcs25 | char(8) | YES | ||||
| hc25mod1 | char(2) | YES | ||||
| hc25mod2 | char(2) | YES | ||||
| hc25mod3 | char(2) | YES | ||||
| hc25mod4 | char(2) | YES | ||||
| rcode26 | char(4) | YES | ||||
| rate26 | char(8) | YES | ||||
| units26 | char(7) | YES | ||||
| date26 | char(8) | YES | ||||
| chg26 | char(11) | YES | ||||
| hcpcs26 | char(8) | YES | ||||
| hc26mod1 | char(2) | YES | ||||
| hc26mod2 | char(2) | YES | ||||
| hc26mod3 | char(2) | YES | ||||
| hc26mod4 | char(2) | YES | ||||
| rcode27 | char(4) | YES | ||||
| rate27 | char(8) | YES | ||||
| units27 | char(7) | YES | ||||
| date27 | char(8) | YES | ||||
| chg27 | char(11) | YES | ||||
| hcpcs27 | char(8) | YES | ||||
| hc27mod1 | char(2) | YES | ||||
| hc27mod2 | char(2) | YES | ||||
| hc27mod3 | char(2) | YES | ||||
| hc27mod4 | char(2) | YES | ||||
| rcode28 | char(4) | YES | ||||
| rate28 | char(8) | YES | ||||
| units28 | char(7) | YES | ||||
| date28 | char(8) | YES | ||||
| chg28 | char(11) | YES | ||||
| hcpcs28 | char(8) | YES | ||||
| hc28mod1 | char(2) | YES | ||||
| hc28mod2 | char(2) | YES | ||||
| hc28mod3 | char(2) | YES | ||||
| hc28mod4 | char(2) | YES | ||||
| rcode29 | char(4) | YES | ||||
| rate29 | char(8) | YES | ||||
| units29 | char(7) | YES | ||||
| date29 | char(8) | YES | ||||
| chg29 | char(11) | YES | ||||
| hcpcs29 | char(8) | YES | ||||
| hc29mod1 | char(2) | YES | ||||
| hc29mod2 | char(2) | YES | ||||
| hc29mod3 | char(2) | YES | ||||
| hc29mod4 | char(2) | YES | ||||
| rcode30 | char(4) | YES | ||||
| rate30 | char(8) | YES | ||||
| units30 | char(7) | YES | ||||
| date30 | char(8) | YES | ||||
| chg30 | char(11) | YES | ||||
| hcpcs30 | char(8) | YES | ||||
| hc30mod1 | char(2) | YES | ||||
| hc30mod2 | char(2) | YES | ||||
| hc30mod3 | char(2) | YES | ||||
| hc30mod4 | char(2) | YES | ||||
| icd_version | char(1) | YES | ||||
| admit_dx | char(8) | YES | ||||
| pri_dx | char(8) | YES | ||||
| pri_poa | char(1) | YES | ||||
| dx01 | char(8) | YES | ||||
| poa01 | char(1) | YES | ||||
| dx02 | char(8) | YES | ||||
| poa02 | char(1) | YES | ||||
| dx03 | char(8) | YES | ||||
| poa03 | char(1) | YES | ||||
| dx04 | char(8) | YES | ||||
| poa04 | char(1) | YES | ||||
| dx05 | char(8) | YES | ||||
| poa05 | char(1) | YES | ||||
| dx06 | char(8) | YES | ||||
| poa06 | char(1) | YES | ||||
| dx07 | char(8) | YES | ||||
| poa07 | char(1) | YES | ||||
| dx08 | char(8) | YES | ||||
| poa08 | char(1) | YES | ||||
| dx09 | char(8) | YES | ||||
| poa09 | char(1) | YES | ||||
| dx10 | char(8) | YES | ||||
| poa10 | char(1) | YES | ||||
| dx11 | char(8) | YES | ||||
| poa11 | char(1) | YES | ||||
| dx12 | char(8) | YES | ||||
| poa12 | char(1) | YES | ||||
| dx13 | char(8) | YES | ||||
| poa13 | char(1) | YES | ||||
| dx14 | char(8) | YES | ||||
| poa14 | char(1) | YES | ||||
| dx15 | char(8) | YES | ||||
| poa15 | char(1) | YES | ||||
| dx16 | char(8) | YES | ||||
| poa16 | char(1) | YES | ||||
| dx17 | char(8) | YES | ||||
| poa17 | char(1) | YES | ||||
| dx18 | char(8) | YES | ||||
| poa18 | char(1) | YES | ||||
| dx19 | char(8) | YES | ||||
| poa19 | char(1) | YES | ||||
| dx20 | char(8) | YES | ||||
| poa20 | char(1) | YES | ||||
| dx21 | char(8) | YES | ||||
| poa21 | char(1) | YES | ||||
| dx22 | char(8) | YES | ||||
| poa22 | char(1) | YES | ||||
| dx23 | char(8) | YES | ||||
| poa23 | char(1) | YES | ||||
| dx24 | char(8) | YES | ||||
| poa24 | char(1) | YES | ||||
| dx25 | char(8) | YES | ||||
| poa25 | char(1) | YES | ||||
| dx26 | char(8) | YES | ||||
| poa26 | char(1) | YES | ||||
| dx27 | char(8) | YES | ||||
| poa27 | char(1) | YES | ||||
| dx28 | char(8) | YES | ||||
| poa28 | char(1) | YES | ||||
| dx29 | char(8) | YES | ||||
| poa29 | char(1) | YES | ||||
| dx30 | char(8) | YES | ||||
| poa30 | char(1) | YES | ||||
| e_cde1 | char(8) | YES | ||||
| e_poa1 | char(1) | YES | ||||
| e_cde2 | char(8) | YES | ||||
| e_poa2 | char(1) | YES | ||||
| e_cde3 | char(8) | YES | ||||
| e_poa3 | char(1) | YES | ||||
| e_cde4 | char(8) | YES | ||||
| e_poa4 | char(1) | YES | ||||
| e_cde5 | char(8) | YES | ||||
| e_poa5 | char(1) | YES | ||||
| reason_1 | char(8) | YES | ||||
| reason_2 | char(8) | YES | ||||
| reason_3 | char(8) | YES | ||||
| prin_proc | char(8) | YES | ||||
| prin_pro_dt | char(8) | YES | ||||
| prin_proc_phys | char(22) | YES | ||||
| proc01 | char(8) | YES | ||||
| proc01_dt | char(8) | YES | ||||
| proc_phy01 | char(22) | YES | ||||
| proc02 | char(8) | YES | ||||
| proc02_dt | char(8) | YES | ||||
| proc_phy02 | char(22) | YES | ||||
| proc03 | char(8) | YES | ||||
| proc03_dt | char(8) | YES | ||||
| proc_phy03 | char(22) | YES | ||||
| proc04 | char(8) | YES | ||||
| proc04_dt | char(8) | YES | ||||
| proc_phy04 | char(22) | YES | ||||
| proc05 | char(8) | YES | ||||
| proc05_dt | char(8) | YES | ||||
| proc_phy05 | char(22) | YES | ||||
| proc06 | char(8) | YES | ||||
| proc06_dt | char(8) | YES | ||||
| proc_phy06 | char(22) | YES | ||||
| proc07 | char(8) | YES | ||||
| proc07_dt | char(8) | YES | ||||
| proc_phy07 | char(22) | YES | ||||
| proc08 | char(8) | YES | ||||
| proc08_dt | char(8) | YES | ||||
| proc_phy08 | char(22) | YES | ||||
| proc09 | char(8) | YES | ||||
| proc09_dt | char(8) | YES | ||||
| proc_phy09 | char(22) | YES | ||||
| proc10 | char(8) | YES | ||||
| proc10_dt | char(8) | YES | ||||
| proc_phy10 | char(22) | YES | ||||
| proc11 | char(8) | YES | ||||
| proc11_dt | char(8) | YES | ||||
| proc_phy11 | char(22) | YES | ||||
| proc12 | char(8) | YES | ||||
| proc12_dt | char(8) | YES | ||||
| proc_phy12 | char(22) | YES | ||||
| proc13 | char(8) | YES | ||||
| proc13_dt | char(8) | YES | ||||
| proc_phy13 | char(22) | YES | ||||
| proc14 | char(8) | YES | ||||
| proc14_dt | char(8) | YES | ||||
| proc_phy14 | char(22) | YES | ||||
| proc15 | char(8) | YES | ||||
| proc15_dt | char(8) | YES | ||||
| proc_phy15 | char(22) | YES | ||||
| proc16 | char(8) | YES | ||||
| proc16_dt | char(8) | YES | ||||
| proc_phy16 | char(22) | YES | ||||
| proc17 | char(8) | YES | ||||
| proc17_dt | char(8) | YES | ||||
| proc_phy17 | char(22) | YES | ||||
| proc18 | char(8) | YES | ||||
| proc18_dt | char(8) | YES | ||||
| proc_phy18 | char(22) | YES | ||||
| proc19 | char(8) | YES | ||||
| proc19_dt | char(8) | YES | ||||
| proc_phy19 | char(22) | YES | ||||
| proc20 | char(8) | YES | ||||
| proc20_dt | char(8) | YES | ||||
| proc_phy20 | char(22) | YES | ||||
| proc21 | char(8) | YES | ||||
| proc21_dt | char(8) | YES | ||||
| proc_phy21 | char(22) | YES | ||||
| proc22 | char(8) | YES | ||||
| proc22_dt | char(8) | YES | ||||
| proc_phy22 | char(22) | YES | ||||
| proc23 | char(8) | YES | ||||
| proc23_dt | char(8) | YES | ||||
| proc_phy23 | char(22) | YES | ||||
| proc24 | char(8) | YES | ||||
| proc24_dt | char(8) | YES | ||||
| proc_phy24 | char(22) | YES | ||||
| proc25 | char(8) | YES | ||||
| proc25_dt | char(8) | YES | ||||
| proc_phy25 | char(22) | YES | ||||
| proc26 | char(8) | YES | ||||
| proc26_dt | char(8) | YES | ||||
| proc_phy26 | char(22) | YES | ||||
| proc27 | char(8) | YES | ||||
| proc27_dt | char(8) | YES | ||||
| proc_phy27 | char(22) | YES | ||||
| proc28 | char(8) | YES | ||||
| proc28_dt | char(8) | YES | ||||
| proc_phy28 | char(22) | YES | ||||
| proc29 | char(8) | YES | ||||
| proc29_dt | char(8) | YES | ||||
| proc_phy29 | char(22) | YES | ||||
| proc30 | char(8) | YES | ||||
| proc30_dt | char(8) | YES | ||||
| proc_phy30 | char(22) | YES | ||||
| phy_id_type | char(2) | YES | ||||
| att_phy_id | char(22) | YES | ||||
| adm_phy_id | char(22) | YES | ||||
| op_phy_id | char(22) | YES | ||||
| ref_phy_id | char(22) | YES | ||||
| cons_phy_id | char(22) | YES | ||||
| cons_phy_id2 | char(22) | YES | ||||
| cons_phy_id3 | char(22) | YES | ||||
| oth_phy_id | char(22) | YES | ||||
| empl_stat_cde | char(1) | YES | ||||
| pat_empl_nm | char(24) | YES | ||||
| pat_marital | char(1) | YES | ||||
| pat_empl_zip | char(9) | YES | ||||
| md_prov_num | char(12) | YES | ||||
| mc_prov_num | char(12) | YES | ||||
| pri_payer_num | char(5) | YES | ||||
| pri_payer | char(5) | YES | ||||
| pri_payer_nm | char(25) | YES | ||||
| pri_payer_cert | char(19) | YES | ||||
| pri_ins_grp | char(20) | YES | ||||
| pri_pat_rel | char(2) | YES | ||||
| pri_payer_subid | char(4) | YES | ||||
| sec_payer_num | char(5) | YES | ||||
| sec_payer | char(5) | YES | ||||
| sec_payer_nm | char(25) | YES | ||||
| sec_payer_cert | char(19) | YES | ||||
| sec_ins_grp | char(20) | YES | ||||
| sec_pat_rel | char(2) | YES | ||||
| sec_payer_subid | char(4) | YES | ||||
| ter_payer_num | char(5) | YES | ||||
| ter_payer | char(5) | YES | ||||
| ter_payer_nm | char(25) | YES | ||||
| ter_payer_cert | char(19) | YES | ||||
| ter_ins_grp | char(20) | YES | ||||
| ter_pat_rel | char(2) | YES | ||||
| ter_payer_subid | char(4) | YES | ||||
| pat_type | char(10) | YES | ||||
| cln_svc_code | char(2) | YES | ||||
| ud_fld01 | char(20) | YES | ||||
| ud_fld02 | char(20) | YES | ||||
| ud_fld03 | char(20) | YES | ||||
| ud_fld04 | char(20) | YES | ||||
| ud_fld05 | char(20) | YES | ||||
| ud_fld06 | char(20) | YES | ||||
| ud_fld07 | char(20) | YES | ||||
| ud_fld08 | char(20) | YES | ||||
| ud_fld09 | char(20) | YES | ||||
| ud_fld10 | char(20) | YES | ||||
| ud_fld11 | char(20) | YES | ||||
| ud_fld12 | char(20) | YES | ||||
| ud_fld13 | char(20) | YES | ||||
| ud_fld14 | char(20) | YES | ||||
| ud_fld15 | char(20) | YES | ||||
| ud_fld16 | char(20) | YES | ||||
| ud_fld17 | char(20) | YES | ||||
| ud_fld18 | char(20) | YES | ||||
| ud_fld19 | char(20) | YES | ||||
| ud_fld20 | char(20) | YES | ||||
| att_phy_fname | char(8) | YES | ||||
| att_phy_mi | char(1) | YES | ||||
| att_phy_lname | char(16) | YES | ||||
| op_phy_fname | char(8) | YES | ||||
| op_phy_mi | char(1) | YES | ||||
| op_phy_lname | char(16) | YES | ||||
| cons_phy_fname | char(8) | YES | ||||
| cons_phy_mi | char(1) | YES | ||||
| cons_phy_lname | char(16) | YES | ||||
| cond_code1 | char(2) | YES | ||||
| cond_code2 | char(2) | YES | ||||
| cond_code3 | char(2) | YES | ||||
| cond_code4 | char(2) | YES | ||||
| cond_code5 | char(2) | YES | ||||
| val_code1 | char(2) | YES | ||||
| val_amt1 | char(9) | YES | ||||
| val_code2 | char(2) | YES | ||||
| val_amt2 | char(9) | YES | ||||
| val_code3 | char(2) | YES | ||||
| val_amt3 | char(9) | YES | ||||
| val_code4 | char(2) | YES | ||||
| val_amt4 | char(9) | YES | ||||
| val_code5 | char(2) | YES | ||||
| val_amt5 | char(9) | YES | ||||
| occ_code1 | char(2) | YES | ||||
| occ_date1 | char(8) | YES | ||||
| occ_code2 | char(2) | YES | ||||
| occ_date2 | char(8) | YES | ||||
| occ_code3 | char(2) | YES | ||||
| occ_date3 | char(8) | YES | ||||
| occ_code4 | char(2) | YES | ||||
| occ_date4 | char(8) | YES | ||||
| occ_code5 | char(2) | YES | ||||
| occ_date5 | char(8) | YES | ||||
| occ_spcode1 | char(2) | YES | ||||
| occ_frdate1 | char(8) | YES | ||||
| occ_todate1 | char(8) | YES | ||||
| occ_spcode2 | char(2) | YES | ||||
| occ_frdate2 | char(8) | YES | ||||
| occ_todate2 | char(8) | YES | ||||
| occ_spcode3 | char(2) | YES | ||||
| occ_frdate3 | char(8) | YES | ||||
| occ_todate3 | char(8) | YES | ||||
| occ_spcode4 | char(2) | YES | ||||
| occ_frdate4 | char(8) | YES | ||||
| occ_todate4 | char(8) | YES | ||||
| pat_cntry_code | char(3) | YES | ||||
| filler2 | char(251) | YES | ||||
| filler3 | char(251) | YES |