08:56 Thursday, November 18, 2004 1192 The CONTENTS Procedure Data Set Name: FINAL01.SNF01 Observations: 293004 Member Type: DATA Variables: 2312 Engine: V8 Indexes: 3 Created: 13:27 Tuesday, September 21, 2004 Observation Length: 11278 Last Modified: 13:27 Tuesday, September 21, 2004 Deleted Observations: 0 Protection: Compressed: CHAR Data Set Type: Reuse Space: NO Label: Point to Observations: YES Sorted: NO -----Engine/Host Dependent Information----- Data Set Page Size: 16384 Number of Data Set Pages: 94191 Index File Page Size: 4096 Number of Index File Pages: 2932 Number of Data Set Repairs: 0 File Name: j:\proddata\medicare\cy01\final\snf01.sas7bdat Release Created: 8.0202M0 Host Created: WIN_ASRV -----Alphabetic List of Variables and Attributes----- # Variable Type Len Pos Format Label ------------------------------------------------------------------------------------------- 48 ACRTN_DT Num 8 40 DATE9. CWF_CLM_ACRTN_DT 5 ACRTN_NM Num 3 10511 CWF_CLM_ACRTN_NUM 86 ACTIONCD Char 1 6063 FI_CLM_ACTN_CD 117 ADMSN_DT Num 8 136 DATE9. CLM_ADMSN_DT 120 AD_DGNS Char 5 6243 CLM_ADMTG_DGNS_CD 962 APCPPS01 Char 5 8123 REV_CNTR_APC_HIPPS_CD(1) 963 APCPPS02 Char 5 8128 REV_CNTR_APC_HIPPS_CD(2) 964 APCPPS03 Char 5 8133 REV_CNTR_APC_HIPPS_CD(3) 965 APCPPS04 Char 5 8138 REV_CNTR_APC_HIPPS_CD(4) 966 APCPPS05 Char 5 8143 REV_CNTR_APC_HIPPS_CD(5) 967 APCPPS06 Char 5 8148 REV_CNTR_APC_HIPPS_CD(6) 968 APCPPS07 Char 5 8153 REV_CNTR_APC_HIPPS_CD(7) 969 APCPPS08 Char 5 8158 REV_CNTR_APC_HIPPS_CD(8) 970 APCPPS09 Char 5 8163 REV_CNTR_APC_HIPPS_CD(9) 971 APCPPS10 Char 5 8168 REV_CNTR_APC_HIPPS_CD(10) 972 APCPPS11 Char 5 8173 REV_CNTR_APC_HIPPS_CD(11) 973 APCPPS12 Char 5 8178 REV_CNTR_APC_HIPPS_CD(12) 974 APCPPS13 Char 5 8183 REV_CNTR_APC_HIPPS_CD(13) 975 APCPPS14 Char 5 8188 REV_CNTR_APC_HIPPS_CD(14) 976 APCPPS15 Char 5 8193 REV_CNTR_APC_HIPPS_CD(15) 977 APCPPS16 Char 5 8198 REV_CNTR_APC_HIPPS_CD(16) 978 APCPPS17 Char 5 8203 REV_CNTR_APC_HIPPS_CD(17) 979 APCPPS18 Char 5 8208 REV_CNTR_APC_HIPPS_CD(18) 980 APCPPS19 Char 5 8213 REV_CNTR_APC_HIPPS_CD(19) 981 APCPPS20 Char 5 8218 REV_CNTR_APC_HIPPS_CD(20) 982 APCPPS21 Char 5 8223 REV_CNTR_APC_HIPPS_CD(21) 983 APCPPS22 Char 5 8228 REV_CNTR_APC_HIPPS_CD(22) 984 APCPPS23 Char 5 8233 REV_CNTR_APC_HIPPS_CD(23) 985 APCPPS24 Char 5 8238 REV_CNTR_APC_HIPPS_CD(24) 986 APCPPS25 Char 5 8243 REV_CNTR_APC_HIPPS_CD(25) 987 APCPPS26 Char 5 8248 REV_CNTR_APC_HIPPS_CD(26) 988 APCPPS27 Char 5 8253 REV_CNTR_APC_HIPPS_CD(27) 989 APCPPS28 Char 5 8258 REV_CNTR_APC_HIPPS_CD(28) 990 APCPPS29 Char 5 8263 REV_CNTR_APC_HIPPS_CD(29) 991 APCPPS30 Char 5 8268 REV_CNTR_APC_HIPPS_CD(30) 992 APCPPS31 Char 5 8273 REV_CNTR_APC_HIPPS_CD(31) 993 APCPPS32 Char 5 8278 REV_CNTR_APC_HIPPS_CD(32) 994 APCPPS33 Char 5 8283 REV_CNTR_APC_HIPPS_CD(33) 995 APCPPS34 Char 5 8288 REV_CNTR_APC_HIPPS_CD(34) 996 APCPPS35 Char 5 8293 REV_CNTR_APC_HIPPS_CD(35) 997 APCPPS36 Char 5 8298 REV_CNTR_APC_HIPPS_CD(36) 998 APCPPS37 Char 5 8303 REV_CNTR_APC_HIPPS_CD(37) 999 APCPPS38 Char 5 8308 REV_CNTR_APC_HIPPS_CD(38) 1000 APCPPS39 Char 5 8313 REV_CNTR_APC_HIPPS_CD(39) 1001 APCPPS40 Char 5 8318 REV_CNTR_APC_HIPPS_CD(40) 1002 APCPPS41 Char 5 8323 REV_CNTR_APC_HIPPS_CD(41) 1003 APCPPS42 Char 5 8328 REV_CNTR_APC_HIPPS_CD(42) 1004 APCPPS43 Char 5 8333 REV_CNTR_APC_HIPPS_CD(43) 1005 APCPPS44 Char 5 8338 REV_CNTR_APC_HIPPS_CD(44) 1006 APCPPS45 Char 5 8343 REV_CNTR_APC_HIPPS_CD(45) 122 APRVL_CD Char 1 6249 NCH_IP_PRO_APRVL_TYPE_CD 87 APRVL_DT Num 8 112 DATE9. FI_CLM_PROC_DT 68 ASGN_NUM Num 8 80 CWF_CLM_ASGN_NUM 93 AT_GVNNM Char 1 6098 CLM_ATNDG_PHYSN_GVN_NAME 94 AT_MDL Char 1 6099 CLM_ATNDG_PHYSN_MDL_INITL_NAME 91 AT_NPI Char 10 6082 CLM_ATNDG_PHYSN_NPI_NUM 92 AT_SRNM Char 6 6092 CLM_ATNDG_PHYSN_SRNM_NAME 90 AT_UPIN Char 6 6076 CLM_ATNDG_PHYSN_UPIN_NUM 108 AUTHRZTN Char 18 6166 CLM_TRTMT_AUTHRZTN_NUM 73 BENE_DOB Num 8 88 DATE9. BENE_BIRTH_DT 70 BENE_ZIP Char 9 6032 BENE_MLG_CNTCT_ZIP_CD 42 BIC Char 2 5951 BENE_IDENT_CD 62 BIC_MDFY Char 1 6019 NCH_CLM_BIC_MDFY_CD 128 BLDDEDAM Num 8 184 COMMA14.2 NCH_BENE_BLOOD_DDCTBL_AMT 35 BLDDEDPT Num 3 10600 NCH_BLOOD_DDCTBL_PT_QTY 32 BLDFRNSH Num 3 10591 NCH_BLOOD_PT_FRNSH_QTY 130 BLDNCHRG Num 8 200 COMMA14.2 NCH_BLOOD_NCOV_CHRG_AMT 34 BLDNRPLC Num 3 10597 NCH_BLOOD_PT_NRPLC_QTY 129 BLDTCHRG Num 8 192 COMMA14.2 NCH_BLOOD_TOT_CHRG_AMT 33 BLD_RPLC Num 3 10594 NCH_BLOOD_PT_RPLC_QTY 40 CAN Char 9 5940 BENE_CLM_ACNT_NUM 85 CANCELCD Char 1 6062 FI_RQST_CLM_CNCL_RSN_CD 152 CARETHRU Num 8 376 DATE9. NCH_ACTV_CVR_LVL_CARE_THRU_DT 49 CLM_CNTL Char 23 5956 FI_DOC_CLM_CNTL_NUM 39 CLM_TYPE Char 2 5938 NCH_CLM_TYPE_CD 349 CNDND01 Char 1 6680 NCH_COND_TRLR_IND_CD(1) 350 CNDND02 Char 1 6681 NCH_COND_TRLR_IND_CD(2) 351 CNDND03 Char 1 6682 NCH_COND_TRLR_IND_CD(3) 352 CNDND04 Char 1 6683 NCH_COND_TRLR_IND_CD(4) 353 CNDND05 Char 1 6684 NCH_COND_TRLR_IND_CD(5) 354 CNDND06 Char 1 6685 NCH_COND_TRLR_IND_CD(6) 355 CNDND07 Char 1 6686 NCH_COND_TRLR_IND_CD(7) 356 CNDND08 Char 1 6687 NCH_COND_TRLR_IND_CD(8) 357 CNDND09 Char 1 6688 NCH_COND_TRLR_IND_CD(9) 358 CNDND10 Char 1 6689 NCH_COND_TRLR_IND_CD(10) 359 CNDND11 Char 1 6690 NCH_COND_TRLR_IND_CD(11) 360 CNDND12 Char 1 6691 NCH_COND_TRLR_IND_CD(12) 361 CNDND13 Char 1 6692 NCH_COND_TRLR_IND_CD(13) 362 CNDND14 Char 1 6693 NCH_COND_TRLR_IND_CD(14) 363 CNDND15 Char 1 6694 NCH_COND_TRLR_IND_CD(15) 364 CNDND16 Char 1 6695 NCH_COND_TRLR_IND_CD(16) 365 CNDND17 Char 1 6696 NCH_COND_TRLR_IND_CD(17) 366 CNDND18 Char 1 6697 NCH_COND_TRLR_IND_CD(18) 367 CNDND19 Char 1 6698 NCH_COND_TRLR_IND_CD(19) 368 CNDND20 Char 1 6699 NCH_COND_TRLR_IND_CD(20) 369 CNDND21 Char 1 6700 NCH_COND_TRLR_IND_CD(21) 370 CNDND22 Char 1 6701 NCH_COND_TRLR_IND_CD(22) 371 CNDND23 Char 1 6702 NCH_COND_TRLR_IND_CD(23) 372 CNDND24 Char 1 6703 NCH_COND_TRLR_IND_CD(24) 373 CNDND25 Char 1 6704 NCH_COND_TRLR_IND_CD(25) 374 CNDND26 Char 1 6705 NCH_COND_TRLR_IND_CD(26) 375 CNDND27 Char 1 6706 NCH_COND_TRLR_IND_CD(27) 376 CNDND28 Char 1 6707 NCH_COND_TRLR_IND_CD(28) 377 CNDND29 Char 1 6708 NCH_COND_TRLR_IND_CD(29) 378 CNDND30 Char 1 6709 NCH_COND_TRLR_IND_CD(30) 63 CNTY_CD Char 3 6020 BENE_RSDNC_SSA_STD_CNTY_CD 127 COIN_AMT Num 8 176 COMMA14.2 NCH_BENE_PTA_COINSRNC_AMT 26 COIN_DAY Num 3 10576 BENE_TOT_COINSRNC_DAY_CNT 144 COYR1AMT Num 8 312 COMMA14.2 NCH_COINSRNC_YR_1_RATE_AMT 27 COYR1DAY Num 3 10579 CLM_COINSRNC_YR_1_DAY_CNT 145 COYR2AMT Num 8 320 COMMA14.2 NCH_COINSRNC_YR_2_RATE_AMT 28 COYR2DAY Num 3 10582 CLM_COINSRNC_YR_2_DAY_CNT 137 CPTLOUTL Num 8 256 COMMA14.2 CLM_PPS_CPTL_OUTLIER_AMT 140 CPTL_EXP Num 8 280 COMMA14.2 CLM_PPS_CPTL_EXCPTN_AMT 136 CPTL_FSP Num 8 248 COMMA14.2 CLM_PPS_CPTL_FSP_AMT 135 CPTL_HSP Num 8 240 COMMA14.2 CLM_PPS_CPTL_HSP_AMT 25 CR_DAY Num 3 10573 CLM_CR_DAY_CNT 78 CWFLOCCD Char 1 6053 BENE_CWF_LOC_CD 53 DAILY_DT Num 8 48 DATE9. NCH_DAILY_PROC_DT 126 DED_AMT Num 8 168 COMMA14.2 NCH_BENE_IP_DDCTBL_AMT 296 DEMOIND1 Char 1 6500 NCH_DEMO_TRLR_IND_CD(1) 297 DEMOIND2 Char 1 6501 NCH_DEMO_TRLR_IND_CD(2) 298 DEMOIND3 Char 1 6502 NCH_DEMO_TRLR_IND_CD(3) 299 DEMOIND4 Char 1 6503 NCH_DEMO_TRLR_IND_CD(4) 300 DEMOIND5 Char 1 6504 NCH_DEMO_TRLR_IND_CD(5) 301 DEMONUM1 Char 2 6505 CLM_DEMO_ID_NUM(1) 302 DEMONUM2 Char 2 6507 CLM_DEMO_ID_NUM(2) 303 DEMONUM3 Char 2 6509 CLM_DEMO_ID_NUM(3) 304 DEMONUM4 Char 2 6511 CLM_DEMO_ID_NUM(4) 305 DEMONUM5 Char 2 6513 CLM_DEMO_ID_NUM(5) 306 DEMOTXT1 Char 15 6515 CLM_DEMO_INFO_TXT(1) 307 DEMOTXT2 Char 15 6530 CLM_DEMO_INFO_TXT(2) 308 DEMOTXT3 Char 15 6545 CLM_DEMO_INFO_TXT(3) 309 DEMOTXT4 Char 15 6560 CLM_DEMO_INFO_TXT(4) 310 DEMOTXT5 Char 15 6575 CLM_DEMO_INFO_TXT(5) 321 DGNSCD01 Char 5 6600 CLM_DGNS_CD(1) 322 DGNSCD02 Char 5 6605 CLM_DGNS_CD(2) 323 DGNSCD03 Char 5 6610 CLM_DGNS_CD(3) 324 DGNSCD04 Char 5 6615 CLM_DGNS_CD(4) 325 DGNSCD05 Char 5 6620 CLM_DGNS_CD(5) 326 DGNSCD06 Char 5 6625 CLM_DGNS_CD(6) 327 DGNSCD07 Char 5 6630 CLM_DGNS_CD(7) 328 DGNSCD08 Char 5 6635 CLM_DGNS_CD(8) 329 DGNSCD09 Char 5 6640 CLM_DGNS_CD(9) 330 DGNSCD10 Char 5 6645 CLM_DGNS_CD(10) 311 DGNSND01 Char 1 6590 NCH_DGNS_TRLR_IND_CD(1) 312 DGNSND02 Char 1 6591 NCH_DGNS_TRLR_IND_CD(2) 313 DGNSND03 Char 1 6592 NCH_DGNS_TRLR_IND_CD(3) 314 DGNSND04 Char 1 6593 NCH_DGNS_TRLR_IND_CD(4) 315 DGNSND05 Char 1 6594 NCH_DGNS_TRLR_IND_CD(5) 316 DGNSND06 Char 1 6595 NCH_DGNS_TRLR_IND_CD(6) 317 DGNSND07 Char 1 6596 NCH_DGNS_TRLR_IND_CD(7) 318 DGNSND08 Char 1 6597 NCH_DGNS_TRLR_IND_CD(8) 319 DGNSND09 Char 1 6598 NCH_DGNS_TRLR_IND_CD(9) 320 DGNSND10 Char 1 6599 NCH_DGNS_TRLR_IND_CD(10) 114 DGNS_E Char 5 6235 CLM_DGNS_E_CD 60 DISP_CD Char 2 6015 CLM_DISP_CD 138 DISP_SHR Num 8 264 COMMA14.2 CLM_PPS_CPTL_DSPRPRTNT_SHR_AMT 143 DRGWTAMT Num 8 304 CLM_PPS_CPTL_DRG_WT_NUM 155 DRG_CD Char 3 6250 CLM_DRG_CD 142 DSCHFRCT Num 8 296 CLM_PPS_CPTL_DSCHRG_FRCTN_PCT 154 DSCHRGDT Num 8 392 DATE9. NCH_BENE_DSCHRG_DT 1322 DSCTND01 Char 1 9113 REV_CNTR_DSCNT_IND_CD(1) 1323 DSCTND02 Char 1 9114 REV_CNTR_DSCNT_IND_CD(2) 1324 DSCTND03 Char 1 9115 REV_CNTR_DSCNT_IND_CD(3) 1325 DSCTND04 Char 1 9116 REV_CNTR_DSCNT_IND_CD(4) 1326 DSCTND05 Char 1 9117 REV_CNTR_DSCNT_IND_CD(5) 1327 DSCTND06 Char 1 9118 REV_CNTR_DSCNT_IND_CD(6) 1328 DSCTND07 Char 1 9119 REV_CNTR_DSCNT_IND_CD(7) 1329 DSCTND08 Char 1 9120 REV_CNTR_DSCNT_IND_CD(8) 1330 DSCTND09 Char 1 9121 REV_CNTR_DSCNT_IND_CD(9) 1331 DSCTND10 Char 1 9122 REV_CNTR_DSCNT_IND_CD(10) 1332 DSCTND11 Char 1 9123 REV_CNTR_DSCNT_IND_CD(11) 1333 DSCTND12 Char 1 9124 REV_CNTR_DSCNT_IND_CD(12) 1334 DSCTND13 Char 1 9125 REV_CNTR_DSCNT_IND_CD(13) 1335 DSCTND14 Char 1 9126 REV_CNTR_DSCNT_IND_CD(14) 1336 DSCTND15 Char 1 9127 REV_CNTR_DSCNT_IND_CD(15) 1337 DSCTND16 Char 1 9128 REV_CNTR_DSCNT_IND_CD(16) 1338 DSCTND17 Char 1 9129 REV_CNTR_DSCNT_IND_CD(17) 1339 DSCTND18 Char 1 9130 REV_CNTR_DSCNT_IND_CD(18) 1340 DSCTND19 Char 1 9131 REV_CNTR_DSCNT_IND_CD(19) 1341 DSCTND20 Char 1 9132 REV_CNTR_DSCNT_IND_CD(20) 1342 DSCTND21 Char 1 9133 REV_CNTR_DSCNT_IND_CD(21) 1343 DSCTND22 Char 1 9134 REV_CNTR_DSCNT_IND_CD(22) 1344 DSCTND23 Char 1 9135 REV_CNTR_DSCNT_IND_CD(23) 1345 DSCTND24 Char 1 9136 REV_CNTR_DSCNT_IND_CD(24) 1346 DSCTND25 Char 1 9137 REV_CNTR_DSCNT_IND_CD(25) 1347 DSCTND26 Char 1 9138 REV_CNTR_DSCNT_IND_CD(26) 1348 DSCTND27 Char 1 9139 REV_CNTR_DSCNT_IND_CD(27) 1349 DSCTND28 Char 1 9140 REV_CNTR_DSCNT_IND_CD(28) 1350 DSCTND29 Char 1 9141 REV_CNTR_DSCNT_IND_CD(29) 1351 DSCTND30 Char 1 9142 REV_CNTR_DSCNT_IND_CD(30) 1352 DSCTND31 Char 1 9143 REV_CNTR_DSCNT_IND_CD(31) 1353 DSCTND32 Char 1 9144 REV_CNTR_DSCNT_IND_CD(32) 1354 DSCTND33 Char 1 9145 REV_CNTR_DSCNT_IND_CD(33) 1355 DSCTND34 Char 1 9146 REV_CNTR_DSCNT_IND_CD(34) 1356 DSCTND35 Char 1 9147 REV_CNTR_DSCNT_IND_CD(35) 1357 DSCTND36 Char 1 9148 REV_CNTR_DSCNT_IND_CD(36) 1358 DSCTND37 Char 1 9149 REV_CNTR_DSCNT_IND_CD(37) 1359 DSCTND38 Char 1 9150 REV_CNTR_DSCNT_IND_CD(38) 1360 DSCTND39 Char 1 9151 REV_CNTR_DSCNT_IND_CD(39) 1361 DSCTND40 Char 1 9152 REV_CNTR_DSCNT_IND_CD(40) 1362 DSCTND41 Char 1 9153 REV_CNTR_DSCNT_IND_CD(41) 1363 DSCTND42 Char 1 9154 REV_CNTR_DSCNT_IND_CD(42) 1364 DSCTND43 Char 1 9155 REV_CNTR_DSCNT_IND_CD(43) 1365 DSCTND44 Char 1 9156 REV_CNTR_DSCNT_IND_CD(44) 1366 DSCTND45 Char 1 9157 REV_CNTR_DSCNT_IND_CD(45) 172 EDITCD01 Char 4 6268 NCH_EDIT_CD(1) 173 EDITCD02 Char 4 6272 NCH_EDIT_CD(2) 174 EDITCD03 Char 4 6276 NCH_EDIT_CD(3) 175 EDITCD04 Char 4 6280 NCH_EDIT_CD(4) 176 EDITCD05 Char 4 6284 NCH_EDIT_CD(5) 177 EDITCD06 Char 4 6288 NCH_EDIT_CD(6) 178 EDITCD07 Char 4 6292 NCH_EDIT_CD(7) 179 EDITCD08 Char 4 6296 NCH_EDIT_CD(8) 180 EDITCD09 Char 4 6300 NCH_EDIT_CD(9) 181 EDITCD10 Char 4 6304 NCH_EDIT_CD(10) 182 EDITCD11 Char 4 6308 NCH_EDIT_CD(11) 183 EDITCD12 Char 4 6312 NCH_EDIT_CD(12) 184 EDITCD13 Char 4 6316 NCH_EDIT_CD(13) 61 EDITDISP Char 2 6017 NCH_EDIT_DISP_CD 159 EDTND01 Char 1 6255 NCH_EDIT_TRLR_IND_CD(1) 160 EDTND02 Char 1 6256 NCH_EDIT_TRLR_IND_CD(2) 161 EDTND03 Char 1 6257 NCH_EDIT_TRLR_IND_CD(3) 162 EDTND04 Char 1 6258 NCH_EDIT_TRLR_IND_CD(4) 163 EDTND05 Char 1 6259 NCH_EDIT_TRLR_IND_CD(5) 164 EDTND06 Char 1 6260 NCH_EDIT_TRLR_IND_CD(6) 165 EDTND07 Char 1 6261 NCH_EDIT_TRLR_IND_CD(7) 166 EDTND08 Char 1 6262 NCH_EDIT_TRLR_IND_CD(8) 167 EDTND09 Char 1 6263 NCH_EDIT_TRLR_IND_CD(9) 168 EDTND10 Char 1 6264 NCH_EDIT_TRLR_IND_CD(10) 169 EDTND11 Char 1 6265 NCH_EDIT_TRLR_IND_CD(11) 170 EDTND12 Char 1 6266 NCH_EDIT_TRLR_IND_CD(12) 171 EDTND13 Char 1 6267 NCH_EDIT_TRLR_IND_CD(13) 2312 EOR Char 3 10508 END_REC_CD 41 EQ_BIC Char 2 5949 NCH_CTGRY_EQTBL_BIC_CD 153 EXHST_DT Num 8 384 DATE9. NCH_MDCR_BNFT_EXHST_DT 56 FAC_TYPE Char 1 6011 CLM_FAC_TYPE_CD 69 FIBATCH Char 4 6028 CWF_TRNSMSN_BATCH_NUM 67 FI_NUM Char 5 6023 FI_NUM 58 FREQ_CD Char 1 6013 CLM_FREQ_CD 45 FROM_DT Num 8 16 DATE9. CLM_FROM_DT 76 FRSTINIT Char 1 6051 CLM_PTNT_1ST_INITL_GVN_NAME 66 FRWRD_DT Num 8 72 DATE9. CWF_FRWRD_DT 23 GRC_DAY Num 3 10567 NCH_IP_PRO_GRC_DAY_CNT 150 GURPMTDT Num 8 360 DATE9. NCH_PRVDR_GUARNT_PMT_STRT_DT 1007 HCPSCD01 Char 5 8348 REV_CNTR_HCPCS_CD(1) 1008 HCPSCD02 Char 5 8353 REV_CNTR_HCPCS_CD(2) 1009 HCPSCD03 Char 5 8358 REV_CNTR_HCPCS_CD(3) 1010 HCPSCD04 Char 5 8363 REV_CNTR_HCPCS_CD(4) 1011 HCPSCD05 Char 5 8368 REV_CNTR_HCPCS_CD(5) 1012 HCPSCD06 Char 5 8373 REV_CNTR_HCPCS_CD(6) 1013 HCPSCD07 Char 5 8378 REV_CNTR_HCPCS_CD(7) 1014 HCPSCD08 Char 5 8383 REV_CNTR_HCPCS_CD(8) 1015 HCPSCD09 Char 5 8388 REV_CNTR_HCPCS_CD(9) 1016 HCPSCD10 Char 5 8393 REV_CNTR_HCPCS_CD(10) 1017 HCPSCD11 Char 5 8398 REV_CNTR_HCPCS_CD(11) 1018 HCPSCD12 Char 5 8403 REV_CNTR_HCPCS_CD(12) 1019 HCPSCD13 Char 5 8408 REV_CNTR_HCPCS_CD(13) 1020 HCPSCD14 Char 5 8413 REV_CNTR_HCPCS_CD(14) 1021 HCPSCD15 Char 5 8418 REV_CNTR_HCPCS_CD(15) 1022 HCPSCD16 Char 5 8423 REV_CNTR_HCPCS_CD(16) 1023 HCPSCD17 Char 5 8428 REV_CNTR_HCPCS_CD(17) 1024 HCPSCD18 Char 5 8433 REV_CNTR_HCPCS_CD(18) 1025 HCPSCD19 Char 5 8438 REV_CNTR_HCPCS_CD(19) 1026 HCPSCD20 Char 5 8443 REV_CNTR_HCPCS_CD(20) 1027 HCPSCD21 Char 5 8448 REV_CNTR_HCPCS_CD(21) 1028 HCPSCD22 Char 5 8453 REV_CNTR_HCPCS_CD(22) 1029 HCPSCD23 Char 5 8458 REV_CNTR_HCPCS_CD(23) 1030 HCPSCD24 Char 5 8463 REV_CNTR_HCPCS_CD(24) 1031 HCPSCD25 Char 5 8468 REV_CNTR_HCPCS_CD(25) 1032 HCPSCD26 Char 5 8473 REV_CNTR_HCPCS_CD(26) 1033 HCPSCD27 Char 5 8478 REV_CNTR_HCPCS_CD(27) 1034 HCPSCD28 Char 5 8483 REV_CNTR_HCPCS_CD(28) 1035 HCPSCD29 Char 5 8488 REV_CNTR_HCPCS_CD(29) 1036 HCPSCD30 Char 5 8493 REV_CNTR_HCPCS_CD(30) 1037 HCPSCD31 Char 5 8498 REV_CNTR_HCPCS_CD(31) 1038 HCPSCD32 Char 5 8503 REV_CNTR_HCPCS_CD(32) 1039 HCPSCD33 Char 5 8508 REV_CNTR_HCPCS_CD(33) 1040 HCPSCD34 Char 5 8513 REV_CNTR_HCPCS_CD(34) 1041 HCPSCD35 Char 5 8518 REV_CNTR_HCPCS_CD(35) 1042 HCPSCD36 Char 5 8523 REV_CNTR_HCPCS_CD(36) 1043 HCPSCD37 Char 5 8528 REV_CNTR_HCPCS_CD(37) 1044 HCPSCD38 Char 5 8533 REV_CNTR_HCPCS_CD(38) 1045 HCPSCD39 Char 5 8538 REV_CNTR_HCPCS_CD(39) 1046 HCPSCD40 Char 5 8543 REV_CNTR_HCPCS_CD(40) 1047 HCPSCD41 Char 5 8548 REV_CNTR_HCPCS_CD(41) 1048 HCPSCD42 Char 5 8553 REV_CNTR_HCPCS_CD(42) 1049 HCPSCD43 Char 5 8558 REV_CNTR_HCPCS_CD(43) 1050 HCPSCD44 Char 5 8563 REV_CNTR_HCPCS_CD(44) 1051 HCPSCD45 Char 5 8568 REV_CNTR_HCPCS_CD(45) 2 HIC Char 11 5924 HEALTH_INS_CLAIM_ACCT_NUM 141 HLDHRMLS Num 8 288 COMMA14.2 CLM_PPS_OLD_CPTL_HLD_HRMLS_AMT 1547 IDENDC01 Char 24 9383 REV_CNTR_IDE_NDC_UPC_NUM(1) 1548 IDENDC02 Char 24 9407 REV_CNTR_IDE_NDC_UPC_NUM(2) 1549 IDENDC03 Char 24 9431 REV_CNTR_IDE_NDC_UPC_NUM(3) 1550 IDENDC04 Char 24 9455 REV_CNTR_IDE_NDC_UPC_NUM(4) 1551 IDENDC05 Char 24 9479 REV_CNTR_IDE_NDC_UPC_NUM(5) 1552 IDENDC06 Char 24 9503 REV_CNTR_IDE_NDC_UPC_NUM(6) 1553 IDENDC07 Char 24 9527 REV_CNTR_IDE_NDC_UPC_NUM(7) 1554 IDENDC08 Char 24 9551 REV_CNTR_IDE_NDC_UPC_NUM(8) 1555 IDENDC09 Char 24 9575 REV_CNTR_IDE_NDC_UPC_NUM(9) 1556 IDENDC10 Char 24 9599 REV_CNTR_IDE_NDC_UPC_NUM(10) 1557 IDENDC11 Char 24 9623 REV_CNTR_IDE_NDC_UPC_NUM(11) 1558 IDENDC12 Char 24 9647 REV_CNTR_IDE_NDC_UPC_NUM(12) 1559 IDENDC13 Char 24 9671 REV_CNTR_IDE_NDC_UPC_NUM(13) 1560 IDENDC14 Char 24 9695 REV_CNTR_IDE_NDC_UPC_NUM(14) 1561 IDENDC15 Char 24 9719 REV_CNTR_IDE_NDC_UPC_NUM(15) 1562 IDENDC16 Char 24 9743 REV_CNTR_IDE_NDC_UPC_NUM(16) 1563 IDENDC17 Char 24 9767 REV_CNTR_IDE_NDC_UPC_NUM(17) 1564 IDENDC18 Char 24 9791 REV_CNTR_IDE_NDC_UPC_NUM(18) 1565 IDENDC19 Char 24 9815 REV_CNTR_IDE_NDC_UPC_NUM(19) 1566 IDENDC20 Char 24 9839 REV_CNTR_IDE_NDC_UPC_NUM(20) 1567 IDENDC21 Char 24 9863 REV_CNTR_IDE_NDC_UPC_NUM(21) 1568 IDENDC22 Char 24 9887 REV_CNTR_IDE_NDC_UPC_NUM(22) 1569 IDENDC23 Char 24 9911 REV_CNTR_IDE_NDC_UPC_NUM(23) 1570 IDENDC24 Char 24 9935 REV_CNTR_IDE_NDC_UPC_NUM(24) 1571 IDENDC25 Char 24 9959 REV_CNTR_IDE_NDC_UPC_NUM(25) 1572 IDENDC26 Char 24 9983 REV_CNTR_IDE_NDC_UPC_NUM(26) 1573 IDENDC27 Char 24 10007 REV_CNTR_IDE_NDC_UPC_NUM(27) 1574 IDENDC28 Char 24 10031 REV_CNTR_IDE_NDC_UPC_NUM(28) 1575 IDENDC29 Char 24 10055 REV_CNTR_IDE_NDC_UPC_NUM(29) 1576 IDENDC30 Char 24 10079 REV_CNTR_IDE_NDC_UPC_NUM(30) 1577 IDENDC31 Char 24 10103 REV_CNTR_IDE_NDC_UPC_NUM(31) 1578 IDENDC32 Char 24 10127 REV_CNTR_IDE_NDC_UPC_NUM(32) 1579 IDENDC33 Char 24 10151 REV_CNTR_IDE_NDC_UPC_NUM(33) 1580 IDENDC34 Char 24 10175 REV_CNTR_IDE_NDC_UPC_NUM(34) 1581 IDENDC35 Char 24 10199 REV_CNTR_IDE_NDC_UPC_NUM(35) 1582 IDENDC36 Char 24 10223 REV_CNTR_IDE_NDC_UPC_NUM(36) 1583 IDENDC37 Char 24 10247 REV_CNTR_IDE_NDC_UPC_NUM(37) 1584 IDENDC38 Char 24 10271 REV_CNTR_IDE_NDC_UPC_NUM(38) 1585 IDENDC39 Char 24 10295 REV_CNTR_IDE_NDC_UPC_NUM(39) 1586 IDENDC40 Char 24 10319 REV_CNTR_IDE_NDC_UPC_NUM(40) 1587 IDENDC41 Char 24 10343 REV_CNTR_IDE_NDC_UPC_NUM(41) 1588 IDENDC42 Char 24 10367 REV_CNTR_IDE_NDC_UPC_NUM(42) 1589 IDENDC43 Char 24 10391 REV_CNTR_IDE_NDC_UPC_NUM(43) 1590 IDENDC44 Char 24 10415 REV_CNTR_IDE_NDC_UPC_NUM(44) 1591 IDENDC45 Char 24 10439 REV_CNTR_IDE_NDC_UPC_NUM(45) 139 IME_AMT Num 8 272 COMMA14.2 CLM_PPS_CPTL_IME_AMT 18 IPCONCNT Num 3 10552 IP_CLM_RLT_COND_CD_CNT 15 IPDEMCNT Num 3 10543 IP_CLM_DEMO_ID_CNT 16 IPDGNCNT Num 3 10546 IP_CLM_DGNS_CD_CNT 11 IPEDCNT Num 3 10531 IP_NCH_EDIT_CD_CNT 13 IPMCOCNT Num 3 10537 IP_MCO_PRD_CNT 19 IPOCRCNT Num 3 10555 IP_CLM_RLT_OCRNC_CD_CNT 12 IPPATCNT Num 3 10534 IP_NCH_PATCH_CD_I_CNT 14 IPPLNCNT Num 3 10540 IP_CLM_HLTH_PLANID_CNT 17 IPPRCNT Num 3 10549 IP_CLM_PRCDR_CD_CNT 22 IPREVCNT Num 3 10564 IP_REV_CNTR_CD_I_CNT 20 IPSPNCNT Num 3 10558 IP_CLM_OCRNC_SPAN_CD_CNT 21 IPVALCNT Num 3 10561 IP_CLM_VAL_CD_CNT 158 KRON_IND Char 1 6254 CLM_KRON_IND_CD 9 LINECNT Num 3 10525 CLM_TOT_LINE_CNT 6 LINK_NUM Num 5 10514 COMMA11. NCH_SGMT_LINK_NUM 29 LRD_USE Num 3 10585 BENE_LRD_USE_CNT 281 MCFFDT1 Num 5 10753 DATE9. MCO_PRD_EFCTV_DT(1) 282 MCFFDT2 Num 5 10758 DATE9. MCO_PRD_EFCTV_DT(2) 275 MCOIND1 Char 1 6410 NCH_MCO_TRLR_IND_CD(1) 276 MCOIND2 Char 1 6411 NCH_MCO_TRLR_IND_CD(2) 277 MCONUM1 Char 5 6412 MCO_CNTRCT_NUM(1) 278 MCONUM2 Char 5 6417 MCO_CNTRCT_NUM(2) 279 MCOOPTN1 Char 1 6422 MCO_OPTN_CD(1) 280 MCOOPTN2 Char 1 6423 MCO_OPTN_CD(2) 107 MCOPDSW Char 1 6165 CLM_MCO_PD_SW 285 MCPLND1 Char 14 6424 MCO_HLTH_PLANID_NUM(1) 286 MCPLND2 Char 14 6438 MCO_HLTH_PLANID_NUM(2) 283 MCTRMDT1 Num 5 10763 DATE9. MCO_PRD_TRMNTN_DT(1) 284 MCTRMDT2 Num 5 10768 DATE9. MCO_PRD_TRMNTN_DT(2) 106 MDCDINFO Char 4 6161 CLM_MDCD_INFO_CD 105 MDCD_PRV Char 13 6148 MDCD_PRVDR_IDENT_NUM 110 MDCL_REC Char 17 6204 CLM_MDCL_REC_NUM 1052 MDFCD101 Char 2 8573 REV_CNTR_HCPCS_INITL_MDFR_CD(1) 1053 MDFCD102 Char 2 8575 REV_CNTR_HCPCS_INITL_MDFR_CD(2) 1054 MDFCD103 Char 2 8577 REV_CNTR_HCPCS_INITL_MDFR_CD(3) 1055 MDFCD104 Char 2 8579 REV_CNTR_HCPCS_INITL_MDFR_CD(4) 1056 MDFCD105 Char 2 8581 REV_CNTR_HCPCS_INITL_MDFR_CD(5) 1057 MDFCD106 Char 2 8583 REV_CNTR_HCPCS_INITL_MDFR_CD(6) 1058 MDFCD107 Char 2 8585 REV_CNTR_HCPCS_INITL_MDFR_CD(7) 1059 MDFCD108 Char 2 8587 REV_CNTR_HCPCS_INITL_MDFR_CD(8) 1060 MDFCD109 Char 2 8589 REV_CNTR_HCPCS_INITL_MDFR_CD(9) 1061 MDFCD110 Char 2 8591 REV_CNTR_HCPCS_INITL_MDFR_CD(10) 1062 MDFCD111 Char 2 8593 REV_CNTR_HCPCS_INITL_MDFR_CD(11) 1063 MDFCD112 Char 2 8595 REV_CNTR_HCPCS_INITL_MDFR_CD(12) 1064 MDFCD113 Char 2 8597 REV_CNTR_HCPCS_INITL_MDFR_CD(13) 1065 MDFCD114 Char 2 8599 REV_CNTR_HCPCS_INITL_MDFR_CD(14) 1066 MDFCD115 Char 2 8601 REV_CNTR_HCPCS_INITL_MDFR_CD(15) 1067 MDFCD116 Char 2 8603 REV_CNTR_HCPCS_INITL_MDFR_CD(16) 1068 MDFCD117 Char 2 8605 REV_CNTR_HCPCS_INITL_MDFR_CD(17) 1069 MDFCD118 Char 2 8607 REV_CNTR_HCPCS_INITL_MDFR_CD(18) 1070 MDFCD119 Char 2 8609 REV_CNTR_HCPCS_INITL_MDFR_CD(19) 1071 MDFCD120 Char 2 8611 REV_CNTR_HCPCS_INITL_MDFR_CD(20) 1072 MDFCD121 Char 2 8613 REV_CNTR_HCPCS_INITL_MDFR_CD(21) 1073 MDFCD122 Char 2 8615 REV_CNTR_HCPCS_INITL_MDFR_CD(22) 1074 MDFCD123 Char 2 8617 REV_CNTR_HCPCS_INITL_MDFR_CD(23) 1075 MDFCD124 Char 2 8619 REV_CNTR_HCPCS_INITL_MDFR_CD(24) 1076 MDFCD125 Char 2 8621 REV_CNTR_HCPCS_INITL_MDFR_CD(25) 1077 MDFCD126 Char 2 8623 REV_CNTR_HCPCS_INITL_MDFR_CD(26) 1078 MDFCD127 Char 2 8625 REV_CNTR_HCPCS_INITL_MDFR_CD(27) 1079 MDFCD128 Char 2 8627 REV_CNTR_HCPCS_INITL_MDFR_CD(28) 1080 MDFCD129 Char 2 8629 REV_CNTR_HCPCS_INITL_MDFR_CD(29) 1081 MDFCD130 Char 2 8631 REV_CNTR_HCPCS_INITL_MDFR_CD(30) 1082 MDFCD131 Char 2 8633 REV_CNTR_HCPCS_INITL_MDFR_CD(31) 1083 MDFCD132 Char 2 8635 REV_CNTR_HCPCS_INITL_MDFR_CD(32) 1084 MDFCD133 Char 2 8637 REV_CNTR_HCPCS_INITL_MDFR_CD(33) 1085 MDFCD134 Char 2 8639 REV_CNTR_HCPCS_INITL_MDFR_CD(34) 1086 MDFCD135 Char 2 8641 REV_CNTR_HCPCS_INITL_MDFR_CD(35) 1087 MDFCD136 Char 2 8643 REV_CNTR_HCPCS_INITL_MDFR_CD(36) 1088 MDFCD137 Char 2 8645 REV_CNTR_HCPCS_INITL_MDFR_CD(37) 1089 MDFCD138 Char 2 8647 REV_CNTR_HCPCS_INITL_MDFR_CD(38) 1090 MDFCD139 Char 2 8649 REV_CNTR_HCPCS_INITL_MDFR_CD(39) 1091 MDFCD140 Char 2 8651 REV_CNTR_HCPCS_INITL_MDFR_CD(40) 1092 MDFCD141 Char 2 8653 REV_CNTR_HCPCS_INITL_MDFR_CD(41) 1093 MDFCD142 Char 2 8655 REV_CNTR_HCPCS_INITL_MDFR_CD(42) 1094 MDFCD143 Char 2 8657 REV_CNTR_HCPCS_INITL_MDFR_CD(43) 1095 MDFCD144 Char 2 8659 REV_CNTR_HCPCS_INITL_MDFR_CD(44) 1096 MDFCD145 Char 2 8661 REV_CNTR_HCPCS_INITL_MDFR_CD(45) 1097 MDFCD201 Char 2 8663 REV_CNTR_HCPCS_2ND_MDFR_CD(1) 1098 MDFCD202 Char 2 8665 REV_CNTR_HCPCS_2ND_MDFR_CD(2) 1099 MDFCD203 Char 2 8667 REV_CNTR_HCPCS_2ND_MDFR_CD(3) 1100 MDFCD204 Char 2 8669 REV_CNTR_HCPCS_2ND_MDFR_CD(4) 1101 MDFCD205 Char 2 8671 REV_CNTR_HCPCS_2ND_MDFR_CD(5) 1102 MDFCD206 Char 2 8673 REV_CNTR_HCPCS_2ND_MDFR_CD(6) 1103 MDFCD207 Char 2 8675 REV_CNTR_HCPCS_2ND_MDFR_CD(7) 1104 MDFCD208 Char 2 8677 REV_CNTR_HCPCS_2ND_MDFR_CD(8) 1105 MDFCD209 Char 2 8679 REV_CNTR_HCPCS_2ND_MDFR_CD(9) 1106 MDFCD210 Char 2 8681 REV_CNTR_HCPCS_2ND_MDFR_CD(10) 1107 MDFCD211 Char 2 8683 REV_CNTR_HCPCS_2ND_MDFR_CD(11) 1108 MDFCD212 Char 2 8685 REV_CNTR_HCPCS_2ND_MDFR_CD(12) 1109 MDFCD213 Char 2 8687 REV_CNTR_HCPCS_2ND_MDFR_CD(13) 1110 MDFCD214 Char 2 8689 REV_CNTR_HCPCS_2ND_MDFR_CD(14) 1111 MDFCD215 Char 2 8691 REV_CNTR_HCPCS_2ND_MDFR_CD(15) 1112 MDFCD216 Char 2 8693 REV_CNTR_HCPCS_2ND_MDFR_CD(16) 1113 MDFCD217 Char 2 8695 REV_CNTR_HCPCS_2ND_MDFR_CD(17) 1114 MDFCD218 Char 2 8697 REV_CNTR_HCPCS_2ND_MDFR_CD(18) 1115 MDFCD219 Char 2 8699 REV_CNTR_HCPCS_2ND_MDFR_CD(19) 1116 MDFCD220 Char 2 8701 REV_CNTR_HCPCS_2ND_MDFR_CD(20) 1117 MDFCD221 Char 2 8703 REV_CNTR_HCPCS_2ND_MDFR_CD(21) 1118 MDFCD222 Char 2 8705 REV_CNTR_HCPCS_2ND_MDFR_CD(22) 1119 MDFCD223 Char 2 8707 REV_CNTR_HCPCS_2ND_MDFR_CD(23) 1120 MDFCD224 Char 2 8709 REV_CNTR_HCPCS_2ND_MDFR_CD(24) 1121 MDFCD225 Char 2 8711 REV_CNTR_HCPCS_2ND_MDFR_CD(25) 1122 MDFCD226 Char 2 8713 REV_CNTR_HCPCS_2ND_MDFR_CD(26) 1123 MDFCD227 Char 2 8715 REV_CNTR_HCPCS_2ND_MDFR_CD(27) 1124 MDFCD228 Char 2 8717 REV_CNTR_HCPCS_2ND_MDFR_CD(28) 1125 MDFCD229 Char 2 8719 REV_CNTR_HCPCS_2ND_MDFR_CD(29) 1126 MDFCD230 Char 2 8721 REV_CNTR_HCPCS_2ND_MDFR_CD(30) 1127 MDFCD231 Char 2 8723 REV_CNTR_HCPCS_2ND_MDFR_CD(31) 1128 MDFCD232 Char 2 8725 REV_CNTR_HCPCS_2ND_MDFR_CD(32) 1129 MDFCD233 Char 2 8727 REV_CNTR_HCPCS_2ND_MDFR_CD(33) 1130 MDFCD234 Char 2 8729 REV_CNTR_HCPCS_2ND_MDFR_CD(34) 1131 MDFCD235 Char 2 8731 REV_CNTR_HCPCS_2ND_MDFR_CD(35) 1132 MDFCD236 Char 2 8733 REV_CNTR_HCPCS_2ND_MDFR_CD(36) 1133 MDFCD237 Char 2 8735 REV_CNTR_HCPCS_2ND_MDFR_CD(37) 1134 MDFCD238 Char 2 8737 REV_CNTR_HCPCS_2ND_MDFR_CD(38) 1135 MDFCD239 Char 2 8739 REV_CNTR_HCPCS_2ND_MDFR_CD(39) 1136 MDFCD240 Char 2 8741 REV_CNTR_HCPCS_2ND_MDFR_CD(40) 1137 MDFCD241 Char 2 8743 REV_CNTR_HCPCS_2ND_MDFR_CD(41) 1138 MDFCD242 Char 2 8745 REV_CNTR_HCPCS_2ND_MDFR_CD(42) 1139 MDFCD243 Char 2 8747 REV_CNTR_HCPCS_2ND_MDFR_CD(43) 1140 MDFCD244 Char 2 8749 REV_CNTR_HCPCS_2ND_MDFR_CD(44) 1141 MDFCD245 Char 2 8751 REV_CNTR_HCPCS_2ND_MDFR_CD(45) 1142 MDFCD301 Char 2 8753 REV_CNTR_HCPCS_3RD_MDFR_CD(1) 1143 MDFCD302 Char 2 8755 REV_CNTR_HCPCS_3RD_MDFR_CD(2) 1144 MDFCD303 Char 2 8757 REV_CNTR_HCPCS_3RD_MDFR_CD(3) 1145 MDFCD304 Char 2 8759 REV_CNTR_HCPCS_3RD_MDFR_CD(4) 1146 MDFCD305 Char 2 8761 REV_CNTR_HCPCS_3RD_MDFR_CD(5) 1147 MDFCD306 Char 2 8763 REV_CNTR_HCPCS_3RD_MDFR_CD(6) 1148 MDFCD307 Char 2 8765 REV_CNTR_HCPCS_3RD_MDFR_CD(7) 1149 MDFCD308 Char 2 8767 REV_CNTR_HCPCS_3RD_MDFR_CD(8) 1150 MDFCD309 Char 2 8769 REV_CNTR_HCPCS_3RD_MDFR_CD(9) 1151 MDFCD310 Char 2 8771 REV_CNTR_HCPCS_3RD_MDFR_CD(10) 1152 MDFCD311 Char 2 8773 REV_CNTR_HCPCS_3RD_MDFR_CD(11) 1153 MDFCD312 Char 2 8775 REV_CNTR_HCPCS_3RD_MDFR_CD(12) 1154 MDFCD313 Char 2 8777 REV_CNTR_HCPCS_3RD_MDFR_CD(13) 1155 MDFCD314 Char 2 8779 REV_CNTR_HCPCS_3RD_MDFR_CD(14) 1156 MDFCD315 Char 2 8781 REV_CNTR_HCPCS_3RD_MDFR_CD(15) 1157 MDFCD316 Char 2 8783 REV_CNTR_HCPCS_3RD_MDFR_CD(16) 1158 MDFCD317 Char 2 8785 REV_CNTR_HCPCS_3RD_MDFR_CD(17) 1159 MDFCD318 Char 2 8787 REV_CNTR_HCPCS_3RD_MDFR_CD(18) 1160 MDFCD319 Char 2 8789 REV_CNTR_HCPCS_3RD_MDFR_CD(19) 1161 MDFCD320 Char 2 8791 REV_CNTR_HCPCS_3RD_MDFR_CD(20) 1162 MDFCD321 Char 2 8793 REV_CNTR_HCPCS_3RD_MDFR_CD(21) 1163 MDFCD322 Char 2 8795 REV_CNTR_HCPCS_3RD_MDFR_CD(22) 1164 MDFCD323 Char 2 8797 REV_CNTR_HCPCS_3RD_MDFR_CD(23) 1165 MDFCD324 Char 2 8799 REV_CNTR_HCPCS_3RD_MDFR_CD(24) 1166 MDFCD325 Char 2 8801 REV_CNTR_HCPCS_3RD_MDFR_CD(25) 1167 MDFCD326 Char 2 8803 REV_CNTR_HCPCS_3RD_MDFR_CD(26) 1168 MDFCD327 Char 2 8805 REV_CNTR_HCPCS_3RD_MDFR_CD(27) 1169 MDFCD328 Char 2 8807 REV_CNTR_HCPCS_3RD_MDFR_CD(28) 1170 MDFCD329 Char 2 8809 REV_CNTR_HCPCS_3RD_MDFR_CD(29) 1171 MDFCD330 Char 2 8811 REV_CNTR_HCPCS_3RD_MDFR_CD(30) 1172 MDFCD331 Char 2 8813 REV_CNTR_HCPCS_3RD_MDFR_CD(31) 1173 MDFCD332 Char 2 8815 REV_CNTR_HCPCS_3RD_MDFR_CD(32) 1174 MDFCD333 Char 2 8817 REV_CNTR_HCPCS_3RD_MDFR_CD(33) 1175 MDFCD334 Char 2 8819 REV_CNTR_HCPCS_3RD_MDFR_CD(34) 1176 MDFCD335 Char 2 8821 REV_CNTR_HCPCS_3RD_MDFR_CD(35) 1177 MDFCD336 Char 2 8823 REV_CNTR_HCPCS_3RD_MDFR_CD(36) 1178 MDFCD337 Char 2 8825 REV_CNTR_HCPCS_3RD_MDFR_CD(37) 1179 MDFCD338 Char 2 8827 REV_CNTR_HCPCS_3RD_MDFR_CD(38) 1180 MDFCD339 Char 2 8829 REV_CNTR_HCPCS_3RD_MDFR_CD(39) 1181 MDFCD340 Char 2 8831 REV_CNTR_HCPCS_3RD_MDFR_CD(40) 1182 MDFCD341 Char 2 8833 REV_CNTR_HCPCS_3RD_MDFR_CD(41) 1183 MDFCD342 Char 2 8835 REV_CNTR_HCPCS_3RD_MDFR_CD(42) 1184 MDFCD343 Char 2 8837 REV_CNTR_HCPCS_3RD_MDFR_CD(43) 1185 MDFCD344 Char 2 8839 REV_CNTR_HCPCS_3RD_MDFR_CD(44) 1186 MDFCD345 Char 2 8841 REV_CNTR_HCPCS_3RD_MDFR_CD(45) 1187 MDFCD401 Char 2 8843 REV_CNTR_HCPCS_4TH_MDFR_CD(1) 1188 MDFCD402 Char 2 8845 REV_CNTR_HCPCS_4TH_MDFR_CD(2) 1189 MDFCD403 Char 2 8847 REV_CNTR_HCPCS_4TH_MDFR_CD(3) 1190 MDFCD404 Char 2 8849 REV_CNTR_HCPCS_4TH_MDFR_CD(4) 1191 MDFCD405 Char 2 8851 REV_CNTR_HCPCS_4TH_MDFR_CD(5) 1192 MDFCD406 Char 2 8853 REV_CNTR_HCPCS_4TH_MDFR_CD(6) 1193 MDFCD407 Char 2 8855 REV_CNTR_HCPCS_4TH_MDFR_CD(7) 1194 MDFCD408 Char 2 8857 REV_CNTR_HCPCS_4TH_MDFR_CD(8) 1195 MDFCD409 Char 2 8859 REV_CNTR_HCPCS_4TH_MDFR_CD(9) 1196 MDFCD410 Char 2 8861 REV_CNTR_HCPCS_4TH_MDFR_CD(10) 1197 MDFCD411 Char 2 8863 REV_CNTR_HCPCS_4TH_MDFR_CD(11) 1198 MDFCD412 Char 2 8865 REV_CNTR_HCPCS_4TH_MDFR_CD(12) 1199 MDFCD413 Char 2 8867 REV_CNTR_HCPCS_4TH_MDFR_CD(13) 1200 MDFCD414 Char 2 8869 REV_CNTR_HCPCS_4TH_MDFR_CD(14) 1201 MDFCD415 Char 2 8871 REV_CNTR_HCPCS_4TH_MDFR_CD(15) 1202 MDFCD416 Char 2 8873 REV_CNTR_HCPCS_4TH_MDFR_CD(16) 1203 MDFCD417 Char 2 8875 REV_CNTR_HCPCS_4TH_MDFR_CD(17) 1204 MDFCD418 Char 2 8877 REV_CNTR_HCPCS_4TH_MDFR_CD(18) 1205 MDFCD419 Char 2 8879 REV_CNTR_HCPCS_4TH_MDFR_CD(19) 1206 MDFCD420 Char 2 8881 REV_CNTR_HCPCS_4TH_MDFR_CD(20) 1207 MDFCD421 Char 2 8883 REV_CNTR_HCPCS_4TH_MDFR_CD(21) 1208 MDFCD422 Char 2 8885 REV_CNTR_HCPCS_4TH_MDFR_CD(22) 1209 MDFCD423 Char 2 8887 REV_CNTR_HCPCS_4TH_MDFR_CD(23) 1210 MDFCD424 Char 2 8889 REV_CNTR_HCPCS_4TH_MDFR_CD(24) 1211 MDFCD425 Char 2 8891 REV_CNTR_HCPCS_4TH_MDFR_CD(25) 1212 MDFCD426 Char 2 8893 REV_CNTR_HCPCS_4TH_MDFR_CD(26) 1213 MDFCD427 Char 2 8895 REV_CNTR_HCPCS_4TH_MDFR_CD(27) 1214 MDFCD428 Char 2 8897 REV_CNTR_HCPCS_4TH_MDFR_CD(28) 1215 MDFCD429 Char 2 8899 REV_CNTR_HCPCS_4TH_MDFR_CD(29) 1216 MDFCD430 Char 2 8901 REV_CNTR_HCPCS_4TH_MDFR_CD(30) 1217 MDFCD431 Char 2 8903 REV_CNTR_HCPCS_4TH_MDFR_CD(31) 1218 MDFCD432 Char 2 8905 REV_CNTR_HCPCS_4TH_MDFR_CD(32) 1219 MDFCD433 Char 2 8907 REV_CNTR_HCPCS_4TH_MDFR_CD(33) 1220 MDFCD434 Char 2 8909 REV_CNTR_HCPCS_4TH_MDFR_CD(34) 1221 MDFCD435 Char 2 8911 REV_CNTR_HCPCS_4TH_MDFR_CD(35) 1222 MDFCD436 Char 2 8913 REV_CNTR_HCPCS_4TH_MDFR_CD(36) 1223 MDFCD437 Char 2 8915 REV_CNTR_HCPCS_4TH_MDFR_CD(37) 1224 MDFCD438 Char 2 8917 REV_CNTR_HCPCS_4TH_MDFR_CD(38) 1225 MDFCD439 Char 2 8919 REV_CNTR_HCPCS_4TH_MDFR_CD(39) 1226 MDFCD440 Char 2 8921 REV_CNTR_HCPCS_4TH_MDFR_CD(40) 1227 MDFCD441 Char 2 8923 REV_CNTR_HCPCS_4TH_MDFR_CD(41) 1228 MDFCD442 Char 2 8925 REV_CNTR_HCPCS_4TH_MDFR_CD(42) 1229 MDFCD443 Char 2 8927 REV_CNTR_HCPCS_4TH_MDFR_CD(43) 1230 MDFCD444 Char 2 8929 REV_CNTR_HCPCS_4TH_MDFR_CD(44) 1231 MDFCD445 Char 2 8931 REV_CNTR_HCPCS_4TH_MDFR_CD(45) 1232 MDFCD501 Char 2 8933 REV_CNTR_HCPCS_5TH_MDFR_CD(1) 1233 MDFCD502 Char 2 8935 REV_CNTR_HCPCS_5TH_MDFR_CD(2) 1234 MDFCD503 Char 2 8937 REV_CNTR_HCPCS_5TH_MDFR_CD(3) 1235 MDFCD504 Char 2 8939 REV_CNTR_HCPCS_5TH_MDFR_CD(4) 1236 MDFCD505 Char 2 8941 REV_CNTR_HCPCS_5TH_MDFR_CD(5) 1237 MDFCD506 Char 2 8943 REV_CNTR_HCPCS_5TH_MDFR_CD(6) 1238 MDFCD507 Char 2 8945 REV_CNTR_HCPCS_5TH_MDFR_CD(7) 1239 MDFCD508 Char 2 8947 REV_CNTR_HCPCS_5TH_MDFR_CD(8) 1240 MDFCD509 Char 2 8949 REV_CNTR_HCPCS_5TH_MDFR_CD(9) 1241 MDFCD510 Char 2 8951 REV_CNTR_HCPCS_5TH_MDFR_CD(10) 1242 MDFCD511 Char 2 8953 REV_CNTR_HCPCS_5TH_MDFR_CD(11) 1243 MDFCD512 Char 2 8955 REV_CNTR_HCPCS_5TH_MDFR_CD(12) 1244 MDFCD513 Char 2 8957 REV_CNTR_HCPCS_5TH_MDFR_CD(13) 1245 MDFCD514 Char 2 8959 REV_CNTR_HCPCS_5TH_MDFR_CD(14) 1246 MDFCD515 Char 2 8961 REV_CNTR_HCPCS_5TH_MDFR_CD(15) 1247 MDFCD516 Char 2 8963 REV_CNTR_HCPCS_5TH_MDFR_CD(16) 1248 MDFCD517 Char 2 8965 REV_CNTR_HCPCS_5TH_MDFR_CD(17) 1249 MDFCD518 Char 2 8967 REV_CNTR_HCPCS_5TH_MDFR_CD(18) 1250 MDFCD519 Char 2 8969 REV_CNTR_HCPCS_5TH_MDFR_CD(19) 1251 MDFCD520 Char 2 8971 REV_CNTR_HCPCS_5TH_MDFR_CD(20) 1252 MDFCD521 Char 2 8973 REV_CNTR_HCPCS_5TH_MDFR_CD(21) 1253 MDFCD522 Char 2 8975 REV_CNTR_HCPCS_5TH_MDFR_CD(22) 1254 MDFCD523 Char 2 8977 REV_CNTR_HCPCS_5TH_MDFR_CD(23) 1255 MDFCD524 Char 2 8979 REV_CNTR_HCPCS_5TH_MDFR_CD(24) 1256 MDFCD525 Char 2 8981 REV_CNTR_HCPCS_5TH_MDFR_CD(25) 1257 MDFCD526 Char 2 8983 REV_CNTR_HCPCS_5TH_MDFR_CD(26) 1258 MDFCD527 Char 2 8985 REV_CNTR_HCPCS_5TH_MDFR_CD(27) 1259 MDFCD528 Char 2 8987 REV_CNTR_HCPCS_5TH_MDFR_CD(28) 1260 MDFCD529 Char 2 8989 REV_CNTR_HCPCS_5TH_MDFR_CD(29) 1261 MDFCD530 Char 2 8991 REV_CNTR_HCPCS_5TH_MDFR_CD(30) 1262 MDFCD531 Char 2 8993 REV_CNTR_HCPCS_5TH_MDFR_CD(31) 1263 MDFCD532 Char 2 8995 REV_CNTR_HCPCS_5TH_MDFR_CD(32) 1264 MDFCD533 Char 2 8997 REV_CNTR_HCPCS_5TH_MDFR_CD(33) 1265 MDFCD534 Char 2 8999 REV_CNTR_HCPCS_5TH_MDFR_CD(34) 1266 MDFCD535 Char 2 9001 REV_CNTR_HCPCS_5TH_MDFR_CD(35) 1267 MDFCD536 Char 2 9003 REV_CNTR_HCPCS_5TH_MDFR_CD(36) 1268 MDFCD537 Char 2 9005 REV_CNTR_HCPCS_5TH_MDFR_CD(37) 1269 MDFCD538 Char 2 9007 REV_CNTR_HCPCS_5TH_MDFR_CD(38) 1270 MDFCD539 Char 2 9009 REV_CNTR_HCPCS_5TH_MDFR_CD(39) 1271 MDFCD540 Char 2 9011 REV_CNTR_HCPCS_5TH_MDFR_CD(40) 1272 MDFCD541 Char 2 9013 REV_CNTR_HCPCS_5TH_MDFR_CD(41) 1273 MDFCD542 Char 2 9015 REV_CNTR_HCPCS_5TH_MDFR_CD(42) 1274 MDFCD543 Char 2 9017 REV_CNTR_HCPCS_5TH_MDFR_CD(43) 1275 MDFCD544 Char 2 9019 REV_CNTR_HCPCS_5TH_MDFR_CD(44) 1276 MDFCD545 Char 2 9021 REV_CNTR_HCPCS_5TH_MDFR_CD(45) 77 MDL_INIT Char 1 6052 CLM_PTNT_1ST_INITL_MDL_NAME 59 MQAQUERY Char 1 6014 NCH_MQA_QUERY_PATCH_CD 38 MQA_RIC Char 1 5937 NCH_MQA_RIC_CD 74 MS_CD Char 2 6043 CWF_BENE_MDCR_STUS_CD 132 NCCHGAMT Num 8 216 COMMA14.2 NCH_IP_NCOV_CHRG_AMT 148 NCOVFROM Num 8 344 DATE9. NCH_VRFY_NCOV_STAY_FROM_DT 149 NCOVTHRU Num 8 352 DATE9. NCH_VRFY_NCOV_STAY_THRU_DT 80 NOPAY_CD Char 1 6059 CLM_MDCR_NPMT_RSN_CD 30 NUTILDAY Num 4 5740 COMMA6. CLM_NUTLZTN_DAY_CNT 439 OCRCCD01 Char 2 6800 CLM_RLT_OCRNC_CD(1) 440 OCRCCD02 Char 2 6802 CLM_RLT_OCRNC_CD(2) 441 OCRCCD03 Char 2 6804 CLM_RLT_OCRNC_CD(3) 442 OCRCCD04 Char 2 6806 CLM_RLT_OCRNC_CD(4) 443 OCRCCD05 Char 2 6808 CLM_RLT_OCRNC_CD(5) 444 OCRCCD06 Char 2 6810 CLM_RLT_OCRNC_CD(6) 445 OCRCCD07 Char 2 6812 CLM_RLT_OCRNC_CD(7) 446 OCRCCD08 Char 2 6814 CLM_RLT_OCRNC_CD(8) 447 OCRCCD09 Char 2 6816 CLM_RLT_OCRNC_CD(9) 448 OCRCCD10 Char 2 6818 CLM_RLT_OCRNC_CD(10) 449 OCRCCD11 Char 2 6820 CLM_RLT_OCRNC_CD(11) 450 OCRCCD12 Char 2 6822 CLM_RLT_OCRNC_CD(12) 451 OCRCCD13 Char 2 6824 CLM_RLT_OCRNC_CD(13) 452 OCRCCD14 Char 2 6826 CLM_RLT_OCRNC_CD(14) 453 OCRCCD15 Char 2 6828 CLM_RLT_OCRNC_CD(15) 454 OCRCCD16 Char 2 6830 CLM_RLT_OCRNC_CD(16) 455 OCRCCD17 Char 2 6832 CLM_RLT_OCRNC_CD(17) 456 OCRCCD18 Char 2 6834 CLM_RLT_OCRNC_CD(18) 457 OCRCCD19 Char 2 6836 CLM_RLT_OCRNC_CD(19) 458 OCRCCD20 Char 2 6838 CLM_RLT_OCRNC_CD(20) 459 OCRCCD21 Char 2 6840 CLM_RLT_OCRNC_CD(21) 460 OCRCCD22 Char 2 6842 CLM_RLT_OCRNC_CD(22) 461 OCRCCD23 Char 2 6844 CLM_RLT_OCRNC_CD(23) 462 OCRCCD24 Char 2 6846 CLM_RLT_OCRNC_CD(24) 463 OCRCCD25 Char 2 6848 CLM_RLT_OCRNC_CD(25) 464 OCRCCD26 Char 2 6850 CLM_RLT_OCRNC_CD(26) 465 OCRCCD27 Char 2 6852 CLM_RLT_OCRNC_CD(27) 466 OCRCCD28 Char 2 6854 CLM_RLT_OCRNC_CD(28) 467 OCRCCD29 Char 2 6856 CLM_RLT_OCRNC_CD(29) 468 OCRCCD30 Char 2 6858 CLM_RLT_OCRNC_CD(30) 469 OCRCDT01 Num 5 10803 DATE9. CLM_RLT_OCRNC_DT(1) 470 OCRCDT02 Num 5 10808 DATE9. CLM_RLT_OCRNC_DT(2) 471 OCRCDT03 Num 5 10813 DATE9. CLM_RLT_OCRNC_DT(3) 472 OCRCDT04 Num 5 10818 DATE9. CLM_RLT_OCRNC_DT(4) 473 OCRCDT05 Num 5 10823 DATE9. CLM_RLT_OCRNC_DT(5) 474 OCRCDT06 Num 5 10828 DATE9. CLM_RLT_OCRNC_DT(6) 475 OCRCDT07 Num 5 10833 DATE9. CLM_RLT_OCRNC_DT(7) 476 OCRCDT08 Num 5 10838 DATE9. CLM_RLT_OCRNC_DT(8) 477 OCRCDT09 Num 5 10843 DATE9. CLM_RLT_OCRNC_DT(9) 478 OCRCDT10 Num 5 10848 DATE9. CLM_RLT_OCRNC_DT(10) 479 OCRCDT11 Num 5 10853 DATE9. CLM_RLT_OCRNC_DT(11) 480 OCRCDT12 Num 5 10858 DATE9. CLM_RLT_OCRNC_DT(12) 481 OCRCDT13 Num 5 10863 DATE9. CLM_RLT_OCRNC_DT(13) 482 OCRCDT14 Num 5 10868 DATE9. CLM_RLT_OCRNC_DT(14) 483 OCRCDT15 Num 5 10873 DATE9. CLM_RLT_OCRNC_DT(15) 484 OCRCDT16 Num 5 10878 DATE9. CLM_RLT_OCRNC_DT(16) 485 OCRCDT17 Num 5 10883 DATE9. CLM_RLT_OCRNC_DT(17) 486 OCRCDT18 Num 5 10888 DATE9. CLM_RLT_OCRNC_DT(18) 487 OCRCDT19 Num 5 10893 DATE9. CLM_RLT_OCRNC_DT(19) 488 OCRCDT20 Num 5 10898 DATE9. CLM_RLT_OCRNC_DT(20) 489 OCRCDT21 Num 5 10903 DATE9. CLM_RLT_OCRNC_DT(21) 490 OCRCDT22 Num 5 10908 DATE9. CLM_RLT_OCRNC_DT(22) 491 OCRCDT23 Num 5 10913 DATE9. CLM_RLT_OCRNC_DT(23) 492 OCRCDT24 Num 5 10918 DATE9. CLM_RLT_OCRNC_DT(24) 493 OCRCDT25 Num 5 10923 DATE9. CLM_RLT_OCRNC_DT(25) 494 OCRCDT26 Num 5 10928 DATE9. CLM_RLT_OCRNC_DT(26) 495 OCRCDT27 Num 5 10933 DATE9. CLM_RLT_OCRNC_DT(27) 496 OCRCDT28 Num 5 10938 DATE9. CLM_RLT_OCRNC_DT(28) 497 OCRCDT29 Num 5 10943 DATE9. CLM_RLT_OCRNC_DT(29) 498 OCRCDT30 Num 5 10948 DATE9. CLM_RLT_OCRNC_DT(30) 409 OCRCND01 Char 1 6770 NCH_OCRNC_TRLR_IND_CD(1) 410 OCRCND02 Char 1 6771 NCH_OCRNC_TRLR_IND_CD(2) 411 OCRCND03 Char 1 6772 NCH_OCRNC_TRLR_IND_CD(3) 412 OCRCND04 Char 1 6773 NCH_OCRNC_TRLR_IND_CD(4) 413 OCRCND05 Char 1 6774 NCH_OCRNC_TRLR_IND_CD(5) 414 OCRCND06 Char 1 6775 NCH_OCRNC_TRLR_IND_CD(6) 415 OCRCND07 Char 1 6776 NCH_OCRNC_TRLR_IND_CD(7) 416 OCRCND08 Char 1 6777 NCH_OCRNC_TRLR_IND_CD(8) 417 OCRCND09 Char 1 6778 NCH_OCRNC_TRLR_IND_CD(9) 418 OCRCND10 Char 1 6779 NCH_OCRNC_TRLR_IND_CD(10) 419 OCRCND11 Char 1 6780 NCH_OCRNC_TRLR_IND_CD(11) 420 OCRCND12 Char 1 6781 NCH_OCRNC_TRLR_IND_CD(12) 421 OCRCND13 Char 1 6782 NCH_OCRNC_TRLR_IND_CD(13) 422 OCRCND14 Char 1 6783 NCH_OCRNC_TRLR_IND_CD(14) 423 OCRCND15 Char 1 6784 NCH_OCRNC_TRLR_IND_CD(15) 424 OCRCND16 Char 1 6785 NCH_OCRNC_TRLR_IND_CD(16) 425 OCRCND17 Char 1 6786 NCH_OCRNC_TRLR_IND_CD(17) 426 OCRCND18 Char 1 6787 NCH_OCRNC_TRLR_IND_CD(18) 427 OCRCND19 Char 1 6788 NCH_OCRNC_TRLR_IND_CD(19) 428 OCRCND20 Char 1 6789 NCH_OCRNC_TRLR_IND_CD(20) 429 OCRCND21 Char 1 6790 NCH_OCRNC_TRLR_IND_CD(21) 430 OCRCND22 Char 1 6791 NCH_OCRNC_TRLR_IND_CD(22) 431 OCRCND23 Char 1 6792 NCH_OCRNC_TRLR_IND_CD(23) 432 OCRCND24 Char 1 6793 NCH_OCRNC_TRLR_IND_CD(24) 433 OCRCND25 Char 1 6794 NCH_OCRNC_TRLR_IND_CD(25) 434 OCRCND26 Char 1 6795 NCH_OCRNC_TRLR_IND_CD(26) 435 OCRCND27 Char 1 6796 NCH_OCRNC_TRLR_IND_CD(27) 436 OCRCND28 Char 1 6797 NCH_OCRNC_TRLR_IND_CD(28) 437 OCRCND29 Char 1 6798 NCH_OCRNC_TRLR_IND_CD(29) 438 OCRCND30 Char 1 6799 NCH_OCRNC_TRLR_IND_CD(30) 98 OP_GVN Char 1 6122 CLM_OPRTG_PHYSN_GVN_NAME 99 OP_MDL Char 1 6123 CLM_OPRTG_PHYSN_MDL_INITL_NAME 96 OP_NPI Char 10 6106 CLM_OPRTG_PHYSN_NPI_NUM 97 OP_SRNM Char 6 6116 CLM_OPRTG_PHYSN_SRNM_NAME 95 OP_UPIN Char 6 6100 CLM_OPRTG_PHYSN_UPIN_NUM 89 ORGNPINM Char 10 6066 ORG_NPI_NUM 50 ORIGCNTL Char 23 5979 FI_ORIG_CLM_CNTL_NUM 1457 OTAF_101 Char 1 9293 REV_CNTR_OTAF_1_IND_CD(1) 1458 OTAF_102 Char 1 9294 REV_CNTR_OTAF_1_IND_CD(2) 1459 OTAF_103 Char 1 9295 REV_CNTR_OTAF_1_IND_CD(3) 1460 OTAF_104 Char 1 9296 REV_CNTR_OTAF_1_IND_CD(4) 1461 OTAF_105 Char 1 9297 REV_CNTR_OTAF_1_IND_CD(5) 1462 OTAF_106 Char 1 9298 REV_CNTR_OTAF_1_IND_CD(6) 1463 OTAF_107 Char 1 9299 REV_CNTR_OTAF_1_IND_CD(7) 1464 OTAF_108 Char 1 9300 REV_CNTR_OTAF_1_IND_CD(8) 1465 OTAF_109 Char 1 9301 REV_CNTR_OTAF_1_IND_CD(9) 1466 OTAF_110 Char 1 9302 REV_CNTR_OTAF_1_IND_CD(10) 1467 OTAF_111 Char 1 9303 REV_CNTR_OTAF_1_IND_CD(11) 1468 OTAF_112 Char 1 9304 REV_CNTR_OTAF_1_IND_CD(12) 1469 OTAF_113 Char 1 9305 REV_CNTR_OTAF_1_IND_CD(13) 1470 OTAF_114 Char 1 9306 REV_CNTR_OTAF_1_IND_CD(14) 1471 OTAF_115 Char 1 9307 REV_CNTR_OTAF_1_IND_CD(15) 1472 OTAF_116 Char 1 9308 REV_CNTR_OTAF_1_IND_CD(16) 1473 OTAF_117 Char 1 9309 REV_CNTR_OTAF_1_IND_CD(17) 1474 OTAF_118 Char 1 9310 REV_CNTR_OTAF_1_IND_CD(18) 1475 OTAF_119 Char 1 9311 REV_CNTR_OTAF_1_IND_CD(19) 1476 OTAF_120 Char 1 9312 REV_CNTR_OTAF_1_IND_CD(20) 1477 OTAF_121 Char 1 9313 REV_CNTR_OTAF_1_IND_CD(21) 1478 OTAF_122 Char 1 9314 REV_CNTR_OTAF_1_IND_CD(22) 1479 OTAF_123 Char 1 9315 REV_CNTR_OTAF_1_IND_CD(23) 1480 OTAF_124 Char 1 9316 REV_CNTR_OTAF_1_IND_CD(24) 1481 OTAF_125 Char 1 9317 REV_CNTR_OTAF_1_IND_CD(25) 1482 OTAF_126 Char 1 9318 REV_CNTR_OTAF_1_IND_CD(26) 1483 OTAF_127 Char 1 9319 REV_CNTR_OTAF_1_IND_CD(27) 1484 OTAF_128 Char 1 9320 REV_CNTR_OTAF_1_IND_CD(28) 1485 OTAF_129 Char 1 9321 REV_CNTR_OTAF_1_IND_CD(29) 1486 OTAF_130 Char 1 9322 REV_CNTR_OTAF_1_IND_CD(30) 1487 OTAF_131 Char 1 9323 REV_CNTR_OTAF_1_IND_CD(31) 1488 OTAF_132 Char 1 9324 REV_CNTR_OTAF_1_IND_CD(32) 1489 OTAF_133 Char 1 9325 REV_CNTR_OTAF_1_IND_CD(33) 1490 OTAF_134 Char 1 9326 REV_CNTR_OTAF_1_IND_CD(34) 1491 OTAF_135 Char 1 9327 REV_CNTR_OTAF_1_IND_CD(35) 1492 OTAF_136 Char 1 9328 REV_CNTR_OTAF_1_IND_CD(36) 1493 OTAF_137 Char 1 9329 REV_CNTR_OTAF_1_IND_CD(37) 1494 OTAF_138 Char 1 9330 REV_CNTR_OTAF_1_IND_CD(38) 1495 OTAF_139 Char 1 9331 REV_CNTR_OTAF_1_IND_CD(39) 1496 OTAF_140 Char 1 9332 REV_CNTR_OTAF_1_IND_CD(40) 1497 OTAF_141 Char 1 9333 REV_CNTR_OTAF_1_IND_CD(41) 1498 OTAF_142 Char 1 9334 REV_CNTR_OTAF_1_IND_CD(42) 1499 OTAF_143 Char 1 9335 REV_CNTR_OTAF_1_IND_CD(43) 1500 OTAF_144 Char 1 9336 REV_CNTR_OTAF_1_IND_CD(44) 1501 OTAF_145 Char 1 9337 REV_CNTR_OTAF_1_IND_CD(45) 1502 OTAF_201 Char 1 9338 REV_CNTR_OTAF_2_IND_CD(1) 1503 OTAF_202 Char 1 9339 REV_CNTR_OTAF_2_IND_CD(2) 1504 OTAF_203 Char 1 9340 REV_CNTR_OTAF_2_IND_CD(3) 1505 OTAF_204 Char 1 9341 REV_CNTR_OTAF_2_IND_CD(4) 1506 OTAF_205 Char 1 9342 REV_CNTR_OTAF_2_IND_CD(5) 1507 OTAF_206 Char 1 9343 REV_CNTR_OTAF_2_IND_CD(6) 1508 OTAF_207 Char 1 9344 REV_CNTR_OTAF_2_IND_CD(7) 1509 OTAF_208 Char 1 9345 REV_CNTR_OTAF_2_IND_CD(8) 1510 OTAF_209 Char 1 9346 REV_CNTR_OTAF_2_IND_CD(9) 1511 OTAF_210 Char 1 9347 REV_CNTR_OTAF_2_IND_CD(10) 1512 OTAF_211 Char 1 9348 REV_CNTR_OTAF_2_IND_CD(11) 1513 OTAF_212 Char 1 9349 REV_CNTR_OTAF_2_IND_CD(12) 1514 OTAF_213 Char 1 9350 REV_CNTR_OTAF_2_IND_CD(13) 1515 OTAF_214 Char 1 9351 REV_CNTR_OTAF_2_IND_CD(14) 1516 OTAF_215 Char 1 9352 REV_CNTR_OTAF_2_IND_CD(15) 1517 OTAF_216 Char 1 9353 REV_CNTR_OTAF_2_IND_CD(16) 1518 OTAF_217 Char 1 9354 REV_CNTR_OTAF_2_IND_CD(17) 1519 OTAF_218 Char 1 9355 REV_CNTR_OTAF_2_IND_CD(18) 1520 OTAF_219 Char 1 9356 REV_CNTR_OTAF_2_IND_CD(19) 1521 OTAF_220 Char 1 9357 REV_CNTR_OTAF_2_IND_CD(20) 1522 OTAF_221 Char 1 9358 REV_CNTR_OTAF_2_IND_CD(21) 1523 OTAF_222 Char 1 9359 REV_CNTR_OTAF_2_IND_CD(22) 1524 OTAF_223 Char 1 9360 REV_CNTR_OTAF_2_IND_CD(23) 1525 OTAF_224 Char 1 9361 REV_CNTR_OTAF_2_IND_CD(24) 1526 OTAF_225 Char 1 9362 REV_CNTR_OTAF_2_IND_CD(25) 1527 OTAF_226 Char 1 9363 REV_CNTR_OTAF_2_IND_CD(26) 1528 OTAF_227 Char 1 9364 REV_CNTR_OTAF_2_IND_CD(27) 1529 OTAF_228 Char 1 9365 REV_CNTR_OTAF_2_IND_CD(28) 1530 OTAF_229 Char 1 9366 REV_CNTR_OTAF_2_IND_CD(29) 1531 OTAF_230 Char 1 9367 REV_CNTR_OTAF_2_IND_CD(30) 1532 OTAF_231 Char 1 9368 REV_CNTR_OTAF_2_IND_CD(31) 1533 OTAF_232 Char 1 9369 REV_CNTR_OTAF_2_IND_CD(32) 1534 OTAF_233 Char 1 9370 REV_CNTR_OTAF_2_IND_CD(33) 1535 OTAF_234 Char 1 9371 REV_CNTR_OTAF_2_IND_CD(34) 1536 OTAF_235 Char 1 9372 REV_CNTR_OTAF_2_IND_CD(35) 1537 OTAF_236 Char 1 9373 REV_CNTR_OTAF_2_IND_CD(36) 1538 OTAF_237 Char 1 9374 REV_CNTR_OTAF_2_IND_CD(37) 1539 OTAF_238 Char 1 9375 REV_CNTR_OTAF_2_IND_CD(38) 1540 OTAF_239 Char 1 9376 REV_CNTR_OTAF_2_IND_CD(39) 1541 OTAF_240 Char 1 9377 REV_CNTR_OTAF_2_IND_CD(40) 1542 OTAF_241 Char 1 9378 REV_CNTR_OTAF_2_IND_CD(41) 1543 OTAF_242 Char 1 9379 REV_CNTR_OTAF_2_IND_CD(42) 1544 OTAF_243 Char 1 9380 REV_CNTR_OTAF_2_IND_CD(43) 1545 OTAF_244 Char 1 9381 REV_CNTR_OTAF_2_IND_CD(44) 1546 OTAF_245 Char 1 9382 REV_CNTR_OTAF_2_IND_CD(45) 103 OT_GVN Char 1 6146 CLM_OTHR_PHYSN_GVN_NAME 104 OT_MDL Char 1 6147 CLM_OTHR_PHYSN_MDL_INITL_NAME 101 OT_NPI Char 10 6130 CLM_OTHR_PHYSN_NPI_NUM 102 OT_SRNM Char 6 6140 CLM_OTHR_PHYSN_SRNM_NAME 100 OT_UPIN Char 6 6124 CLM_OTHR_PHYSN_UPIN_NUM 157 OUTLRPMT Num 8 400 COMMA14.2 NCH_DRG_OUTLIER_APRV_PMT_AMT 156 OUTLR_CD Char 1 6253 CLM_DRG_OUTLIER_STAY_CD 131 PCCHGAMT Num 8 208 COMMA14.2 NCH_PROFNL_CMPNT_CHRG_AMT 1367 PCKGND01 Char 1 9158 REV_CNTR_PACKG_IND_CD(1) 1368 PCKGND02 Char 1 9159 REV_CNTR_PACKG_IND_CD(2) 1369 PCKGND03 Char 1 9160 REV_CNTR_PACKG_IND_CD(3) 1370 PCKGND04 Char 1 9161 REV_CNTR_PACKG_IND_CD(4) 1371 PCKGND05 Char 1 9162 REV_CNTR_PACKG_IND_CD(5) 1372 PCKGND06 Char 1 9163 REV_CNTR_PACKG_IND_CD(6) 1373 PCKGND07 Char 1 9164 REV_CNTR_PACKG_IND_CD(7) 1374 PCKGND08 Char 1 9165 REV_CNTR_PACKG_IND_CD(8) 1375 PCKGND09 Char 1 9166 REV_CNTR_PACKG_IND_CD(9) 1376 PCKGND10 Char 1 9167 REV_CNTR_PACKG_IND_CD(10) 1377 PCKGND11 Char 1 9168 REV_CNTR_PACKG_IND_CD(11) 1378 PCKGND12 Char 1 9169 REV_CNTR_PACKG_IND_CD(12) 1379 PCKGND13 Char 1 9170 REV_CNTR_PACKG_IND_CD(13) 1380 PCKGND14 Char 1 9171 REV_CNTR_PACKG_IND_CD(14) 1381 PCKGND15 Char 1 9172 REV_CNTR_PACKG_IND_CD(15) 1382 PCKGND16 Char 1 9173 REV_CNTR_PACKG_IND_CD(16) 1383 PCKGND17 Char 1 9174 REV_CNTR_PACKG_IND_CD(17) 1384 PCKGND18 Char 1 9175 REV_CNTR_PACKG_IND_CD(18) 1385 PCKGND19 Char 1 9176 REV_CNTR_PACKG_IND_CD(19) 1386 PCKGND20 Char 1 9177 REV_CNTR_PACKG_IND_CD(20) 1387 PCKGND21 Char 1 9178 REV_CNTR_PACKG_IND_CD(21) 1388 PCKGND22 Char 1 9179 REV_CNTR_PACKG_IND_CD(22) 1389 PCKGND23 Char 1 9180 REV_CNTR_PACKG_IND_CD(23) 1390 PCKGND24 Char 1 9181 REV_CNTR_PACKG_IND_CD(24) 1391 PCKGND25 Char 1 9182 REV_CNTR_PACKG_IND_CD(25) 1392 PCKGND26 Char 1 9183 REV_CNTR_PACKG_IND_CD(26) 1393 PCKGND27 Char 1 9184 REV_CNTR_PACKG_IND_CD(27) 1394 PCKGND28 Char 1 9185 REV_CNTR_PACKG_IND_CD(28) 1395 PCKGND29 Char 1 9186 REV_CNTR_PACKG_IND_CD(29) 1396 PCKGND30 Char 1 9187 REV_CNTR_PACKG_IND_CD(30) 1397 PCKGND31 Char 1 9188 REV_CNTR_PACKG_IND_CD(31) 1398 PCKGND32 Char 1 9189 REV_CNTR_PACKG_IND_CD(32) 1399 PCKGND33 Char 1 9190 REV_CNTR_PACKG_IND_CD(33) 1400 PCKGND34 Char 1 9191 REV_CNTR_PACKG_IND_CD(34) 1401 PCKGND35 Char 1 9192 REV_CNTR_PACKG_IND_CD(35) 1402 PCKGND36 Char 1 9193 REV_CNTR_PACKG_IND_CD(36) 1403 PCKGND37 Char 1 9194 REV_CNTR_PACKG_IND_CD(37) 1404 PCKGND38 Char 1 9195 REV_CNTR_PACKG_IND_CD(38) 1405 PCKGND39 Char 1 9196 REV_CNTR_PACKG_IND_CD(39) 1406 PCKGND40 Char 1 9197 REV_CNTR_PACKG_IND_CD(40) 1407 PCKGND41 Char 1 9198 REV_CNTR_PACKG_IND_CD(41) 1408 PCKGND42 Char 1 9199 REV_CNTR_PACKG_IND_CD(42) 1409 PCKGND43 Char 1 9200 REV_CNTR_PACKG_IND_CD(43) 1410 PCKGND44 Char 1 9201 REV_CNTR_PACKG_IND_CD(44) 1411 PCKGND45 Char 1 9202 REV_CNTR_PACKG_IND_CD(45) 79 PDGNS_CD Char 5 6054 CLM_PRNCPAL_DGNS_CD 125 PER_DIEM Num 8 160 COMMA14.2 CLM_PASS_THRU_PER_DIEM_AMT 54 PE_RIC Char 1 6009 NCH_PMT_EDIT_RIC_CD 293 PLANID1 Char 14 6458 CLM_HLTH_PLANID_NUM(1) 294 PLANID2 Char 14 6472 CLM_HLTH_PLANID_NUM(2) 295 PLANID3 Char 14 6486 CLM_HLTH_PLANID_NUM(3) 290 PLNDCD1 Char 1 6455 CLM_HLTH_PLANID_CD(1) 291 PLNDCD2 Char 1 6456 CLM_HLTH_PLANID_CD(2) 292 PLNDCD3 Char 1 6457 CLM_HLTH_PLANID_CD(3) 287 PLNDND1 Char 1 6452 NCH_HLTH_PLANID_TRLR_IND_CD(1) 288 PLNDND2 Char 1 6453 NCH_HLTH_PLANID_TRLR_IND_CD(2) 289 PLNDND3 Char 1 6454 NCH_HLTH_PLANID_TRLR_IND_CD(3) 1277 PMTTHD01 Char 2 9023 REV_CNTR_PMT_MTHD_IND_CD(1) 1278 PMTTHD02 Char 2 9025 REV_CNTR_PMT_MTHD_IND_CD(2) 1279 PMTTHD03 Char 2 9027 REV_CNTR_PMT_MTHD_IND_CD(3) 1280 PMTTHD04 Char 2 9029 REV_CNTR_PMT_MTHD_IND_CD(4) 1281 PMTTHD05 Char 2 9031 REV_CNTR_PMT_MTHD_IND_CD(5) 1282 PMTTHD06 Char 2 9033 REV_CNTR_PMT_MTHD_IND_CD(6) 1283 PMTTHD07 Char 2 9035 REV_CNTR_PMT_MTHD_IND_CD(7) 1284 PMTTHD08 Char 2 9037 REV_CNTR_PMT_MTHD_IND_CD(8) 1285 PMTTHD09 Char 2 9039 REV_CNTR_PMT_MTHD_IND_CD(9) 1286 PMTTHD10 Char 2 9041 REV_CNTR_PMT_MTHD_IND_CD(10) 1287 PMTTHD11 Char 2 9043 REV_CNTR_PMT_MTHD_IND_CD(11) 1288 PMTTHD12 Char 2 9045 REV_CNTR_PMT_MTHD_IND_CD(12) 1289 PMTTHD13 Char 2 9047 REV_CNTR_PMT_MTHD_IND_CD(13) 1290 PMTTHD14 Char 2 9049 REV_CNTR_PMT_MTHD_IND_CD(14) 1291 PMTTHD15 Char 2 9051 REV_CNTR_PMT_MTHD_IND_CD(15) 1292 PMTTHD16 Char 2 9053 REV_CNTR_PMT_MTHD_IND_CD(16) 1293 PMTTHD17 Char 2 9055 REV_CNTR_PMT_MTHD_IND_CD(17) 1294 PMTTHD18 Char 2 9057 REV_CNTR_PMT_MTHD_IND_CD(18) 1295 PMTTHD19 Char 2 9059 REV_CNTR_PMT_MTHD_IND_CD(19) 1296 PMTTHD20 Char 2 9061 REV_CNTR_PMT_MTHD_IND_CD(20) 1297 PMTTHD21 Char 2 9063 REV_CNTR_PMT_MTHD_IND_CD(21) 1298 PMTTHD22 Char 2 9065 REV_CNTR_PMT_MTHD_IND_CD(22) 1299 PMTTHD23 Char 2 9067 REV_CNTR_PMT_MTHD_IND_CD(23) 1300 PMTTHD24 Char 2 9069 REV_CNTR_PMT_MTHD_IND_CD(24) 1301 PMTTHD25 Char 2 9071 REV_CNTR_PMT_MTHD_IND_CD(25) 1302 PMTTHD26 Char 2 9073 REV_CNTR_PMT_MTHD_IND_CD(26) 1303 PMTTHD27 Char 2 9075 REV_CNTR_PMT_MTHD_IND_CD(27) 1304 PMTTHD28 Char 2 9077 REV_CNTR_PMT_MTHD_IND_CD(28) 1305 PMTTHD29 Char 2 9079 REV_CNTR_PMT_MTHD_IND_CD(29) 1306 PMTTHD30 Char 2 9081 REV_CNTR_PMT_MTHD_IND_CD(30) 1307 PMTTHD31 Char 2 9083 REV_CNTR_PMT_MTHD_IND_CD(31) 1308 PMTTHD32 Char 2 9085 REV_CNTR_PMT_MTHD_IND_CD(32) 1309 PMTTHD33 Char 2 9087 REV_CNTR_PMT_MTHD_IND_CD(33) 1310 PMTTHD34 Char 2 9089 REV_CNTR_PMT_MTHD_IND_CD(34) 1311 PMTTHD35 Char 2 9091 REV_CNTR_PMT_MTHD_IND_CD(35) 1312 PMTTHD36 Char 2 9093 REV_CNTR_PMT_MTHD_IND_CD(36) 1313 PMTTHD37 Char 2 9095 REV_CNTR_PMT_MTHD_IND_CD(37) 1314 PMTTHD38 Char 2 9097 REV_CNTR_PMT_MTHD_IND_CD(38) 1315 PMTTHD39 Char 2 9099 REV_CNTR_PMT_MTHD_IND_CD(39) 1316 PMTTHD40 Char 2 9101 REV_CNTR_PMT_MTHD_IND_CD(40) 1317 PMTTHD41 Char 2 9103 REV_CNTR_PMT_MTHD_IND_CD(41) 1318 PMTTHD42 Char 2 9105 REV_CNTR_PMT_MTHD_IND_CD(42) 1319 PMTTHD43 Char 2 9107 REV_CNTR_PMT_MTHD_IND_CD(43) 1320 PMTTHD44 Char 2 9109 REV_CNTR_PMT_MTHD_IND_CD(44) 1321 PMTTHD45 Char 2 9111 REV_CNTR_PMT_MTHD_IND_CD(45) 82 PMT_AMT Num 8 96 COMMA14.2 CLM_PMT_AMT 134 PPS_CPTL Num 8 232 COMMA14.2 CLM_TOT_PPS_CPTL_AMT 115 PPS_IND Char 1 6240 CLM_PPS_IND_CD 337 PRCDRCD1 Char 4 6656 CLM_PRCDR_CD(1) 338 PRCDRCD2 Char 4 6660 CLM_PRCDR_CD(2) 339 PRCDRCD3 Char 4 6664 CLM_PRCDR_CD(3) 340 PRCDRCD4 Char 4 6668 CLM_PRCDR_CD(4) 341 PRCDRCD5 Char 4 6672 CLM_PRCDR_CD(5) 342 PRCDRCD6 Char 4 6676 CLM_PRCDR_CD(6) 343 PRCDRDT1 Num 5 10773 DATE9. CLM_PRCDR_PRFRM_DT(1) 344 PRCDRDT2 Num 5 10778 DATE9. CLM_PRCDR_PRFRM_DT(2) 345 PRCDRDT3 Num 5 10783 DATE9. CLM_PRCDR_PRFRM_DT(3) 346 PRCDRDT4 Num 5 10788 DATE9. CLM_PRCDR_PRFRM_DT(4) 347 PRCDRDT5 Num 5 10793 DATE9. CLM_PRCDR_PRFRM_DT(5) 348 PRCDRDT6 Num 5 10798 DATE9. CLM_PRCDR_PRFRM_DT(6) 331 PRCDRND1 Char 1 6650 NCH_PRCDR_TRLR_IND_CD(1) 332 PRCDRND2 Char 1 6651 NCH_PRCDR_TRLR_IND_CD(2) 333 PRCDRND3 Char 1 6652 NCH_PRCDR_TRLR_IND_CD(3) 334 PRCDRND4 Char 1 6653 NCH_PRCDR_TRLR_IND_CD(4) 335 PRCDRND5 Char 1 6654 NCH_PRCDR_TRLR_IND_CD(5) 336 PRCDRND6 Char 1 6655 NCH_PRCDR_TRLR_IND_CD(6) 1412 PRICNG01 Char 2 9203 REV_CNTR_PRICNG_IND_CD(1) 1413 PRICNG02 Char 2 9205 REV_CNTR_PRICNG_IND_CD(2) 1414 PRICNG03 Char 2 9207 REV_CNTR_PRICNG_IND_CD(3) 1415 PRICNG04 Char 2 9209 REV_CNTR_PRICNG_IND_CD(4) 1416 PRICNG05 Char 2 9211 REV_CNTR_PRICNG_IND_CD(5) 1417 PRICNG06 Char 2 9213 REV_CNTR_PRICNG_IND_CD(6) 1418 PRICNG07 Char 2 9215 REV_CNTR_PRICNG_IND_CD(7) 1419 PRICNG08 Char 2 9217 REV_CNTR_PRICNG_IND_CD(8) 1420 PRICNG09 Char 2 9219 REV_CNTR_PRICNG_IND_CD(9) 1421 PRICNG10 Char 2 9221 REV_CNTR_PRICNG_IND_CD(10) 1422 PRICNG11 Char 2 9223 REV_CNTR_PRICNG_IND_CD(11) 1423 PRICNG12 Char 2 9225 REV_CNTR_PRICNG_IND_CD(12) 1424 PRICNG13 Char 2 9227 REV_CNTR_PRICNG_IND_CD(13) 1425 PRICNG14 Char 2 9229 REV_CNTR_PRICNG_IND_CD(14) 1426 PRICNG15 Char 2 9231 REV_CNTR_PRICNG_IND_CD(15) 1427 PRICNG16 Char 2 9233 REV_CNTR_PRICNG_IND_CD(16) 1428 PRICNG17 Char 2 9235 REV_CNTR_PRICNG_IND_CD(17) 1429 PRICNG18 Char 2 9237 REV_CNTR_PRICNG_IND_CD(18) 1430 PRICNG19 Char 2 9239 REV_CNTR_PRICNG_IND_CD(19) 1431 PRICNG20 Char 2 9241 REV_CNTR_PRICNG_IND_CD(20) 1432 PRICNG21 Char 2 9243 REV_CNTR_PRICNG_IND_CD(21) 1433 PRICNG22 Char 2 9245 REV_CNTR_PRICNG_IND_CD(22) 1434 PRICNG23 Char 2 9247 REV_CNTR_PRICNG_IND_CD(23) 1435 PRICNG24 Char 2 9249 REV_CNTR_PRICNG_IND_CD(24) 1436 PRICNG25 Char 2 9251 REV_CNTR_PRICNG_IND_CD(25) 1437 PRICNG26 Char 2 9253 REV_CNTR_PRICNG_IND_CD(26) 1438 PRICNG27 Char 2 9255 REV_CNTR_PRICNG_IND_CD(27) 1439 PRICNG28 Char 2 9257 REV_CNTR_PRICNG_IND_CD(28) 1440 PRICNG29 Char 2 9259 REV_CNTR_PRICNG_IND_CD(29) 1441 PRICNG30 Char 2 9261 REV_CNTR_PRICNG_IND_CD(30) 1442 PRICNG31 Char 2 9263 REV_CNTR_PRICNG_IND_CD(31) 1443 PRICNG32 Char 2 9265 REV_CNTR_PRICNG_IND_CD(32) 1444 PRICNG33 Char 2 9267 REV_CNTR_PRICNG_IND_CD(33) 1445 PRICNG34 Char 2 9269 REV_CNTR_PRICNG_IND_CD(34) 1446 PRICNG35 Char 2 9271 REV_CNTR_PRICNG_IND_CD(35) 1447 PRICNG36 Char 2 9273 REV_CNTR_PRICNG_IND_CD(36) 1448 PRICNG37 Char 2 9275 REV_CNTR_PRICNG_IND_CD(37) 1449 PRICNG38 Char 2 9277 REV_CNTR_PRICNG_IND_CD(38) 1450 PRICNG39 Char 2 9279 REV_CNTR_PRICNG_IND_CD(39) 1451 PRICNG40 Char 2 9281 REV_CNTR_PRICNG_IND_CD(40) 1452 PRICNG41 Char 2 9283 REV_CNTR_PRICNG_IND_CD(41) 1453 PRICNG42 Char 2 9285 REV_CNTR_PRICNG_IND_CD(42) 1454 PRICNG43 Char 2 9287 REV_CNTR_PRICNG_IND_CD(43) 1455 PRICNG44 Char 2 9289 REV_CNTR_PRICNG_IND_CD(44) 1456 PRICNG45 Char 2 9291 REV_CNTR_PRICNG_IND_CD(45) 52 PROVIDER Char 6 6003 PRVDR_NUM 111 PRO_CNTL Char 12 6221 CLM_PRO_CNTL_NUM 112 PRO_DT Num 8 120 DATE9. CLM_PRO_PROC_DT 123 PRO_FROM Num 8 144 DATE9. NCH_IP_PRO_SRVC_FROM_DT 124 PRO_THRU Num 8 152 DATE9. NCH_IP_PRO_SRVC_THRU_DT 83 PRPAYAMT Num 8 104 COMMA14.2 NCH_PRMRY_PYR_CLM_PD_AMT 84 PRPAY_CD Char 1 6061 NCH_PRMRY_PYR_CD 88 PRSTATE Char 2 6064 NCH_PRVDR_STATE_CD 31 PSYCHDAY Num 3 10588 BENE_PRIOR_PSYCH_DAY_CNT 215 PTCHCD01 Char 2 6350 NCH_PATCH_CD(1) 216 PTCHCD02 Char 2 6352 NCH_PATCH_CD(2) 217 PTCHCD03 Char 2 6354 NCH_PATCH_CD(3) 218 PTCHCD04 Char 2 6356 NCH_PATCH_CD(4) 219 PTCHCD05 Char 2 6358 NCH_PATCH_CD(5) 220 PTCHCD06 Char 2 6360 NCH_PATCH_CD(6) 221 PTCHCD07 Char 2 6362 NCH_PATCH_CD(7) 222 PTCHCD08 Char 2 6364 NCH_PATCH_CD(8) 223 PTCHCD09 Char 2 6366 NCH_PATCH_CD(9) 224 PTCHCD10 Char 2 6368 NCH_PATCH_CD(10) 225 PTCHCD11 Char 2 6370 NCH_PATCH_CD(11) 226 PTCHCD12 Char 2 6372 NCH_PATCH_CD(12) 227 PTCHCD13 Char 2 6374 NCH_PATCH_CD(13) 228 PTCHCD14 Char 2 6376 NCH_PATCH_CD(14) 229 PTCHCD15 Char 2 6378 NCH_PATCH_CD(15) 230 PTCHCD16 Char 2 6380 NCH_PATCH_CD(16) 231 PTCHCD17 Char 2 6382 NCH_PATCH_CD(17) 232 PTCHCD18 Char 2 6384 NCH_PATCH_CD(18) 233 PTCHCD19 Char 2 6386 NCH_PATCH_CD(19) 234 PTCHCD20 Char 2 6388 NCH_PATCH_CD(20) 235 PTCHCD21 Char 2 6390 NCH_PATCH_CD(21) 236 PTCHCD22 Char 2 6392 NCH_PATCH_CD(22) 237 PTCHCD23 Char 2 6394 NCH_PATCH_CD(23) 238 PTCHCD24 Char 2 6396 NCH_PATCH_CD(24) 239 PTCHCD25 Char 2 6398 NCH_PATCH_CD(25) 240 PTCHCD26 Char 2 6400 NCH_PATCH_CD(26) 241 PTCHCD27 Char 2 6402 NCH_PATCH_CD(27) 242 PTCHCD28 Char 2 6404 NCH_PATCH_CD(28) 243 PTCHCD29 Char 2 6406 NCH_PATCH_CD(29) 244 PTCHCD30 Char 2 6408 NCH_PATCH_CD(30) 245 PTCHDT01 Num 5 10603 DATE9. NCH_PATCH_APPLY_DT(1) 246 PTCHDT02 Num 5 10608 DATE9. NCH_PATCH_APPLY_DT(2) 247 PTCHDT03 Num 5 10613 DATE9. NCH_PATCH_APPLY_DT(3) 248 PTCHDT04 Num 5 10618 DATE9. NCH_PATCH_APPLY_DT(4) 249 PTCHDT05 Num 5 10623 DATE9. NCH_PATCH_APPLY_DT(5) 250 PTCHDT06 Num 5 10628 DATE9. NCH_PATCH_APPLY_DT(6) 251 PTCHDT07 Num 5 10633 DATE9. NCH_PATCH_APPLY_DT(7) 252 PTCHDT08 Num 5 10638 DATE9. NCH_PATCH_APPLY_DT(8) 253 PTCHDT09 Num 5 10643 DATE9. NCH_PATCH_APPLY_DT(9) 254 PTCHDT10 Num 5 10648 DATE9. NCH_PATCH_APPLY_DT(10) 255 PTCHDT11 Num 5 10653 DATE9. NCH_PATCH_APPLY_DT(11) 256 PTCHDT12 Num 5 10658 DATE9. NCH_PATCH_APPLY_DT(12) 257 PTCHDT13 Num 5 10663 DATE9. NCH_PATCH_APPLY_DT(13) 258 PTCHDT14 Num 5 10668 DATE9. NCH_PATCH_APPLY_DT(14) 259 PTCHDT15 Num 5 10673 DATE9. NCH_PATCH_APPLY_DT(15) 260 PTCHDT16 Num 5 10678 DATE9. NCH_PATCH_APPLY_DT(16) 261 PTCHDT17 Num 5 10683 DATE9. NCH_PATCH_APPLY_DT(17) 262 PTCHDT18 Num 5 10688 DATE9. NCH_PATCH_APPLY_DT(18) 263 PTCHDT19 Num 5 10693 DATE9. NCH_PATCH_APPLY_DT(19) 264 PTCHDT20 Num 5 10698 DATE9. NCH_PATCH_APPLY_DT(20) 265 PTCHDT21 Num 5 10703 DATE9. NCH_PATCH_APPLY_DT(21) 266 PTCHDT22 Num 5 10708 DATE9. NCH_PATCH_APPLY_DT(22) 267 PTCHDT23 Num 5 10713 DATE9. NCH_PATCH_APPLY_DT(23) 268 PTCHDT24 Num 5 10718 DATE9. NCH_PATCH_APPLY_DT(24) 269 PTCHDT25 Num 5 10723 DATE9. NCH_PATCH_APPLY_DT(25) 270 PTCHDT26 Num 5 10728 DATE9. NCH_PATCH_APPLY_DT(26) 271 PTCHDT27 Num 5 10733 DATE9. NCH_PATCH_APPLY_DT(27) 272 PTCHDT28 Num 5 10738 DATE9. NCH_PATCH_APPLY_DT(28) 273 PTCHDT29 Num 5 10743 DATE9. NCH_PATCH_APPLY_DT(29) 274 PTCHDT30 Num 5 10748 DATE9. NCH_PATCH_APPLY_DT(30) 185 PTCHND01 Char 1 6320 NCH_PATCH_TRLR_IND_CD(1) 186 PTCHND02 Char 1 6321 NCH_PATCH_TRLR_IND_CD(2) 187 PTCHND03 Char 1 6322 NCH_PATCH_TRLR_IND_CD(3) 188 PTCHND04 Char 1 6323 NCH_PATCH_TRLR_IND_CD(4) 189 PTCHND05 Char 1 6324 NCH_PATCH_TRLR_IND_CD(5) 190 PTCHND06 Char 1 6325 NCH_PATCH_TRLR_IND_CD(6) 191 PTCHND07 Char 1 6326 NCH_PATCH_TRLR_IND_CD(7) 192 PTCHND08 Char 1 6327 NCH_PATCH_TRLR_IND_CD(8) 193 PTCHND09 Char 1 6328 NCH_PATCH_TRLR_IND_CD(9) 194 PTCHND10 Char 1 6329 NCH_PATCH_TRLR_IND_CD(10) 195 PTCHND11 Char 1 6330 NCH_PATCH_TRLR_IND_CD(11) 196 PTCHND12 Char 1 6331 NCH_PATCH_TRLR_IND_CD(12) 197 PTCHND13 Char 1 6332 NCH_PATCH_TRLR_IND_CD(13) 198 PTCHND14 Char 1 6333 NCH_PATCH_TRLR_IND_CD(14) 199 PTCHND15 Char 1 6334 NCH_PATCH_TRLR_IND_CD(15) 200 PTCHND16 Char 1 6335 NCH_PATCH_TRLR_IND_CD(16) 201 PTCHND17 Char 1 6336 NCH_PATCH_TRLR_IND_CD(17) 202 PTCHND18 Char 1 6337 NCH_PATCH_TRLR_IND_CD(18) 203 PTCHND19 Char 1 6338 NCH_PATCH_TRLR_IND_CD(19) 204 PTCHND20 Char 1 6339 NCH_PATCH_TRLR_IND_CD(20) 205 PTCHND21 Char 1 6340 NCH_PATCH_TRLR_IND_CD(21) 206 PTCHND22 Char 1 6341 NCH_PATCH_TRLR_IND_CD(22) 207 PTCHND23 Char 1 6342 NCH_PATCH_TRLR_IND_CD(23) 208 PTCHND24 Char 1 6343 NCH_PATCH_TRLR_IND_CD(24) 209 PTCHND25 Char 1 6344 NCH_PATCH_TRLR_IND_CD(25) 210 PTCHND26 Char 1 6345 NCH_PATCH_TRLR_IND_CD(26) 211 PTCHND27 Char 1 6346 NCH_PATCH_TRLR_IND_CD(27) 212 PTCHND28 Char 1 6347 NCH_PATCH_TRLR_IND_CD(28) 213 PTCHND29 Char 1 6348 NCH_PATCH_TRLR_IND_CD(29) 214 PTCHND30 Char 1 6349 NCH_PATCH_TRLR_IND_CD(30) 2087 PTNRSP01 Num 8 4296 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(1) 2088 PTNRSP02 Num 8 4304 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(2) 2089 PTNRSP03 Num 8 4312 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(3) 2090 PTNRSP04 Num 8 4320 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(4) 2091 PTNRSP05 Num 8 4328 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(5) 2092 PTNRSP06 Num 8 4336 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(6) 2093 PTNRSP07 Num 8 4344 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(7) 2094 PTNRSP08 Num 8 4352 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(8) 2095 PTNRSP09 Num 8 4360 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(9) 2096 PTNRSP10 Num 8 4368 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(10) 2097 PTNRSP11 Num 8 4376 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(11) 2098 PTNRSP12 Num 8 4384 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(12) 2099 PTNRSP13 Num 8 4392 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(13) 2100 PTNRSP14 Num 8 4400 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(14) 2101 PTNRSP15 Num 8 4408 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(15) 2102 PTNRSP16 Num 8 4416 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(16) 2103 PTNRSP17 Num 8 4424 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(17) 2104 PTNRSP18 Num 8 4432 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(18) 2105 PTNRSP19 Num 8 4440 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(19) 2106 PTNRSP20 Num 8 4448 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(20) 2107 PTNRSP21 Num 8 4456 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(21) 2108 PTNRSP22 Num 8 4464 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(22) 2109 PTNRSP23 Num 8 4472 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(23) 2110 PTNRSP24 Num 8 4480 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(24) 2111 PTNRSP25 Num 8 4488 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(25) 2112 PTNRSP26 Num 8 4496 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(26) 2113 PTNRSP27 Num 8 4504 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(27) 2114 PTNRSP28 Num 8 4512 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(28) 2115 PTNRSP29 Num 8 4520 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(29) 2116 PTNRSP30 Num 8 4528 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(30) 2117 PTNRSP31 Num 8 4536 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(31) 2118 PTNRSP32 Num 8 4544 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(32) 2119 PTNRSP33 Num 8 4552 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(33) 2120 PTNRSP34 Num 8 4560 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(34) 2121 PTNRSP35 Num 8 4568 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(35) 2122 PTNRSP36 Num 8 4576 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(36) 2123 PTNRSP37 Num 8 4584 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(37) 2124 PTNRSP38 Num 8 4592 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(38) 2125 PTNRSP39 Num 8 4600 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(39) 2126 PTNRSP40 Num 8 4608 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(40) 2127 PTNRSP41 Num 8 4616 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(41) 2128 PTNRSP42 Num 8 4624 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(42) 2129 PTNRSP43 Num 8 4632 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(43) 2130 PTNRSP44 Num 8 4640 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(44) 2131 PTNRSP45 Num 8 4648 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(45) 109 PTNTCNTL Char 20 6184 PTNT_CNTL_NUM 121 PTNTSTUS Char 1 6248 NCH_PTNT_STUS_IND_CD 146 QLFYFROM Num 8 328 DATE9. NCH_QLFY_STAY_FROM_DT 147 QLFYTHRU Num 8 336 DATE9. NCH_QLFY_STAY_THRU_DT 51 QUERY_CD Char 1 6002 CLM_QUERY_CD 72 RACE Char 1 6042 BENE_RACE_CD 2042 RBNPMT01 Num 8 3936 COMMA14.2 REV_CNTR_BENE_PMT_AMT(1) 2043 RBNPMT02 Num 8 3944 COMMA14.2 REV_CNTR_BENE_PMT_AMT(2) 2044 RBNPMT03 Num 8 3952 COMMA14.2 REV_CNTR_BENE_PMT_AMT(3) 2045 RBNPMT04 Num 8 3960 COMMA14.2 REV_CNTR_BENE_PMT_AMT(4) 2046 RBNPMT05 Num 8 3968 COMMA14.2 REV_CNTR_BENE_PMT_AMT(5) 2047 RBNPMT06 Num 8 3976 COMMA14.2 REV_CNTR_BENE_PMT_AMT(6) 2048 RBNPMT07 Num 8 3984 COMMA14.2 REV_CNTR_BENE_PMT_AMT(7) 2049 RBNPMT08 Num 8 3992 COMMA14.2 REV_CNTR_BENE_PMT_AMT(8) 2050 RBNPMT09 Num 8 4000 COMMA14.2 REV_CNTR_BENE_PMT_AMT(9) 2051 RBNPMT10 Num 8 4008 COMMA14.2 REV_CNTR_BENE_PMT_AMT(10) 2052 RBNPMT11 Num 8 4016 COMMA14.2 REV_CNTR_BENE_PMT_AMT(11) 2053 RBNPMT12 Num 8 4024 COMMA14.2 REV_CNTR_BENE_PMT_AMT(12) 2054 RBNPMT13 Num 8 4032 COMMA14.2 REV_CNTR_BENE_PMT_AMT(13) 2055 RBNPMT14 Num 8 4040 COMMA14.2 REV_CNTR_BENE_PMT_AMT(14) 2056 RBNPMT15 Num 8 4048 COMMA14.2 REV_CNTR_BENE_PMT_AMT(15) 2057 RBNPMT16 Num 8 4056 COMMA14.2 REV_CNTR_BENE_PMT_AMT(16) 2058 RBNPMT17 Num 8 4064 COMMA14.2 REV_CNTR_BENE_PMT_AMT(17) 2059 RBNPMT18 Num 8 4072 COMMA14.2 REV_CNTR_BENE_PMT_AMT(18) 2060 RBNPMT19 Num 8 4080 COMMA14.2 REV_CNTR_BENE_PMT_AMT(19) 2061 RBNPMT20 Num 8 4088 COMMA14.2 REV_CNTR_BENE_PMT_AMT(20) 2062 RBNPMT21 Num 8 4096 COMMA14.2 REV_CNTR_BENE_PMT_AMT(21) 2063 RBNPMT22 Num 8 4104 COMMA14.2 REV_CNTR_BENE_PMT_AMT(22) 2064 RBNPMT23 Num 8 4112 COMMA14.2 REV_CNTR_BENE_PMT_AMT(23) 2065 RBNPMT24 Num 8 4120 COMMA14.2 REV_CNTR_BENE_PMT_AMT(24) 2066 RBNPMT25 Num 8 4128 COMMA14.2 REV_CNTR_BENE_PMT_AMT(25) 2067 RBNPMT26 Num 8 4136 COMMA14.2 REV_CNTR_BENE_PMT_AMT(26) 2068 RBNPMT27 Num 8 4144 COMMA14.2 REV_CNTR_BENE_PMT_AMT(27) 2069 RBNPMT28 Num 8 4152 COMMA14.2 REV_CNTR_BENE_PMT_AMT(28) 2070 RBNPMT29 Num 8 4160 COMMA14.2 REV_CNTR_BENE_PMT_AMT(29) 2071 RBNPMT30 Num 8 4168 COMMA14.2 REV_CNTR_BENE_PMT_AMT(30) 2072 RBNPMT31 Num 8 4176 COMMA14.2 REV_CNTR_BENE_PMT_AMT(31) 2073 RBNPMT32 Num 8 4184 COMMA14.2 REV_CNTR_BENE_PMT_AMT(32) 2074 RBNPMT33 Num 8 4192 COMMA14.2 REV_CNTR_BENE_PMT_AMT(33) 2075 RBNPMT34 Num 8 4200 COMMA14.2 REV_CNTR_BENE_PMT_AMT(34) 2076 RBNPMT35 Num 8 4208 COMMA14.2 REV_CNTR_BENE_PMT_AMT(35) 2077 RBNPMT36 Num 8 4216 COMMA14.2 REV_CNTR_BENE_PMT_AMT(36) 2078 RBNPMT37 Num 8 4224 COMMA14.2 REV_CNTR_BENE_PMT_AMT(37) 2079 RBNPMT38 Num 8 4232 COMMA14.2 REV_CNTR_BENE_PMT_AMT(38) 2080 RBNPMT39 Num 8 4240 COMMA14.2 REV_CNTR_BENE_PMT_AMT(39) 2081 RBNPMT40 Num 8 4248 COMMA14.2 REV_CNTR_BENE_PMT_AMT(40) 2082 RBNPMT41 Num 8 4256 COMMA14.2 REV_CNTR_BENE_PMT_AMT(41) 2083 RBNPMT42 Num 8 4264 COMMA14.2 REV_CNTR_BENE_PMT_AMT(42) 2084 RBNPMT43 Num 8 4272 COMMA14.2 REV_CNTR_BENE_PMT_AMT(43) 2085 RBNPMT44 Num 8 4280 COMMA14.2 REV_CNTR_BENE_PMT_AMT(44) 2086 RBNPMT45 Num 8 4288 COMMA14.2 REV_CNTR_BENE_PMT_AMT(45) 64 RCPT_DT Num 8 56 DATE9. FI_CLM_RCPT_DT 1817 RDCDCN01 Num 8 2136 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(1) 1818 RDCDCN02 Num 8 2144 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(2) 1819 RDCDCN03 Num 8 2152 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(3) 1820 RDCDCN04 Num 8 2160 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(4) 1821 RDCDCN05 Num 8 2168 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(5) 1822 RDCDCN06 Num 8 2176 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(6) 1823 RDCDCN07 Num 8 2184 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(7) 1824 RDCDCN08 Num 8 2192 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(8) 1825 RDCDCN09 Num 8 2200 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(9) 1826 RDCDCN10 Num 8 2208 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(10) 1827 RDCDCN11 Num 8 2216 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(11) 1828 RDCDCN12 Num 8 2224 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(12) 1829 RDCDCN13 Num 8 2232 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(13) 1830 RDCDCN14 Num 8 2240 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(14) 1831 RDCDCN15 Num 8 2248 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(15) 1832 RDCDCN16 Num 8 2256 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(16) 1833 RDCDCN17 Num 8 2264 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(17) 1834 RDCDCN18 Num 8 2272 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(18) 1835 RDCDCN19 Num 8 2280 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(19) 1836 RDCDCN20 Num 8 2288 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(20) 1837 RDCDCN21 Num 8 2296 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(21) 1838 RDCDCN22 Num 8 2304 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(22) 1839 RDCDCN23 Num 8 2312 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(23) 1840 RDCDCN24 Num 8 2320 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(24) 1841 RDCDCN25 Num 8 2328 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(25) 1842 RDCDCN26 Num 8 2336 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(26) 1843 RDCDCN27 Num 8 2344 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(27) 1844 RDCDCN28 Num 8 2352 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(28) 1845 RDCDCN29 Num 8 2360 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(29) 1846 RDCDCN30 Num 8 2368 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(30) 1847 RDCDCN31 Num 8 2376 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(31) 1848 RDCDCN32 Num 8 2384 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(32) 1849 RDCDCN33 Num 8 2392 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(33) 1850 RDCDCN34 Num 8 2400 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(34) 1851 RDCDCN35 Num 8 2408 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(35) 1852 RDCDCN36 Num 8 2416 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(36) 1853 RDCDCN37 Num 8 2424 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(37) 1854 RDCDCN38 Num 8 2432 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(38) 1855 RDCDCN39 Num 8 2440 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(39) 1856 RDCDCN40 Num 8 2448 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(40) 1857 RDCDCN41 Num 8 2456 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(41) 1858 RDCDCN42 Num 8 2464 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(42) 1859 RDCDCN43 Num 8 2472 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(43) 1860 RDCDCN44 Num 8 2480 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(44) 1861 RDCDCN45 Num 8 2488 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(45) 1 REALSSN Num 8 0 SSN11. REAL_SSN 4 REC_LEN Num 4 5736 COMMA6. REC_LNGTH_CNT 36 REC_LVL Char 1 5935 NCH_NEAR_LINE_REC_VRSN_CD 647 REVIND01 Char 1 6998 NCH_REV_CNTR_TRLR_IND_CD(1) 648 REVIND02 Char 1 6999 NCH_REV_CNTR_TRLR_IND_CD(2) 649 REVIND03 Char 1 7000 NCH_REV_CNTR_TRLR_IND_CD(3) 650 REVIND04 Char 1 7001 NCH_REV_CNTR_TRLR_IND_CD(4) 651 REVIND05 Char 1 7002 NCH_REV_CNTR_TRLR_IND_CD(5) 652 REVIND06 Char 1 7003 NCH_REV_CNTR_TRLR_IND_CD(6) 653 REVIND07 Char 1 7004 NCH_REV_CNTR_TRLR_IND_CD(7) 654 REVIND08 Char 1 7005 NCH_REV_CNTR_TRLR_IND_CD(8) 655 REVIND09 Char 1 7006 NCH_REV_CNTR_TRLR_IND_CD(9) 656 REVIND10 Char 1 7007 NCH_REV_CNTR_TRLR_IND_CD(10) 657 REVIND11 Char 1 7008 NCH_REV_CNTR_TRLR_IND_CD(11) 658 REVIND12 Char 1 7009 NCH_REV_CNTR_TRLR_IND_CD(12) 659 REVIND13 Char 1 7010 NCH_REV_CNTR_TRLR_IND_CD(13) 660 REVIND14 Char 1 7011 NCH_REV_CNTR_TRLR_IND_CD(14) 661 REVIND15 Char 1 7012 NCH_REV_CNTR_TRLR_IND_CD(15) 662 REVIND16 Char 1 7013 NCH_REV_CNTR_TRLR_IND_CD(16) 663 REVIND17 Char 1 7014 NCH_REV_CNTR_TRLR_IND_CD(17) 664 REVIND18 Char 1 7015 NCH_REV_CNTR_TRLR_IND_CD(18) 665 REVIND19 Char 1 7016 NCH_REV_CNTR_TRLR_IND_CD(19) 666 REVIND20 Char 1 7017 NCH_REV_CNTR_TRLR_IND_CD(20) 667 REVIND21 Char 1 7018 NCH_REV_CNTR_TRLR_IND_CD(21) 668 REVIND22 Char 1 7019 NCH_REV_CNTR_TRLR_IND_CD(22) 669 REVIND23 Char 1 7020 NCH_REV_CNTR_TRLR_IND_CD(23) 670 REVIND24 Char 1 7021 NCH_REV_CNTR_TRLR_IND_CD(24) 671 REVIND25 Char 1 7022 NCH_REV_CNTR_TRLR_IND_CD(25) 672 REVIND26 Char 1 7023 NCH_REV_CNTR_TRLR_IND_CD(26) 673 REVIND27 Char 1 7024 NCH_REV_CNTR_TRLR_IND_CD(27) 674 REVIND28 Char 1 7025 NCH_REV_CNTR_TRLR_IND_CD(28) 675 REVIND29 Char 1 7026 NCH_REV_CNTR_TRLR_IND_CD(29) 676 REVIND30 Char 1 7027 NCH_REV_CNTR_TRLR_IND_CD(30) 677 REVIND31 Char 1 7028 NCH_REV_CNTR_TRLR_IND_CD(31) 678 REVIND32 Char 1 7029 NCH_REV_CNTR_TRLR_IND_CD(32) 679 REVIND33 Char 1 7030 NCH_REV_CNTR_TRLR_IND_CD(33) 680 REVIND34 Char 1 7031 NCH_REV_CNTR_TRLR_IND_CD(34) 681 REVIND35 Char 1 7032 NCH_REV_CNTR_TRLR_IND_CD(35) 682 REVIND36 Char 1 7033 NCH_REV_CNTR_TRLR_IND_CD(36) 683 REVIND37 Char 1 7034 NCH_REV_CNTR_TRLR_IND_CD(37) 684 REVIND38 Char 1 7035 NCH_REV_CNTR_TRLR_IND_CD(38) 685 REVIND39 Char 1 7036 NCH_REV_CNTR_TRLR_IND_CD(39) 686 REVIND40 Char 1 7037 NCH_REV_CNTR_TRLR_IND_CD(40) 687 REVIND41 Char 1 7038 NCH_REV_CNTR_TRLR_IND_CD(41) 688 REVIND42 Char 1 7039 NCH_REV_CNTR_TRLR_IND_CD(42) 689 REVIND43 Char 1 7040 NCH_REV_CNTR_TRLR_IND_CD(43) 690 REVIND44 Char 1 7041 NCH_REV_CNTR_TRLR_IND_CD(44) 691 REVIND45 Char 1 7042 NCH_REV_CNTR_TRLR_IND_CD(45) 2132 REVPMT01 Num 8 4656 COMMA14.2 REV_CNTR_PMT_AMT(1) 2133 REVPMT02 Num 8 4664 COMMA14.2 REV_CNTR_PMT_AMT(2) 2134 REVPMT03 Num 8 4672 COMMA14.2 REV_CNTR_PMT_AMT(3) 2135 REVPMT04 Num 8 4680 COMMA14.2 REV_CNTR_PMT_AMT(4) 2136 REVPMT05 Num 8 4688 COMMA14.2 REV_CNTR_PMT_AMT(5) 2137 REVPMT06 Num 8 4696 COMMA14.2 REV_CNTR_PMT_AMT(6) 2138 REVPMT07 Num 8 4704 COMMA14.2 REV_CNTR_PMT_AMT(7) 2139 REVPMT08 Num 8 4712 COMMA14.2 REV_CNTR_PMT_AMT(8) 2140 REVPMT09 Num 8 4720 COMMA14.2 REV_CNTR_PMT_AMT(9) 2141 REVPMT10 Num 8 4728 COMMA14.2 REV_CNTR_PMT_AMT(10) 2142 REVPMT11 Num 8 4736 COMMA14.2 REV_CNTR_PMT_AMT(11) 2143 REVPMT12 Num 8 4744 COMMA14.2 REV_CNTR_PMT_AMT(12) 2144 REVPMT13 Num 8 4752 COMMA14.2 REV_CNTR_PMT_AMT(13) 2145 REVPMT14 Num 8 4760 COMMA14.2 REV_CNTR_PMT_AMT(14) 2146 REVPMT15 Num 8 4768 COMMA14.2 REV_CNTR_PMT_AMT(15) 2147 REVPMT16 Num 8 4776 COMMA14.2 REV_CNTR_PMT_AMT(16) 2148 REVPMT17 Num 8 4784 COMMA14.2 REV_CNTR_PMT_AMT(17) 2149 REVPMT18 Num 8 4792 COMMA14.2 REV_CNTR_PMT_AMT(18) 2150 REVPMT19 Num 8 4800 COMMA14.2 REV_CNTR_PMT_AMT(19) 2151 REVPMT20 Num 8 4808 COMMA14.2 REV_CNTR_PMT_AMT(20) 2152 REVPMT21 Num 8 4816 COMMA14.2 REV_CNTR_PMT_AMT(21) 2153 REVPMT22 Num 8 4824 COMMA14.2 REV_CNTR_PMT_AMT(22) 2154 REVPMT23 Num 8 4832 COMMA14.2 REV_CNTR_PMT_AMT(23) 2155 REVPMT24 Num 8 4840 COMMA14.2 REV_CNTR_PMT_AMT(24) 2156 REVPMT25 Num 8 4848 COMMA14.2 REV_CNTR_PMT_AMT(25) 2157 REVPMT26 Num 8 4856 COMMA14.2 REV_CNTR_PMT_AMT(26) 2158 REVPMT27 Num 8 4864 COMMA14.2 REV_CNTR_PMT_AMT(27) 2159 REVPMT28 Num 8 4872 COMMA14.2 REV_CNTR_PMT_AMT(28) 2160 REVPMT29 Num 8 4880 COMMA14.2 REV_CNTR_PMT_AMT(29) 2161 REVPMT30 Num 8 4888 COMMA14.2 REV_CNTR_PMT_AMT(30) 2162 REVPMT31 Num 8 4896 COMMA14.2 REV_CNTR_PMT_AMT(31) 2163 REVPMT32 Num 8 4904 COMMA14.2 REV_CNTR_PMT_AMT(32) 2164 REVPMT33 Num 8 4912 COMMA14.2 REV_CNTR_PMT_AMT(33) 2165 REVPMT34 Num 8 4920 COMMA14.2 REV_CNTR_PMT_AMT(34) 2166 REVPMT35 Num 8 4928 COMMA14.2 REV_CNTR_PMT_AMT(35) 2167 REVPMT36 Num 8 4936 COMMA14.2 REV_CNTR_PMT_AMT(36) 2168 REVPMT37 Num 8 4944 COMMA14.2 REV_CNTR_PMT_AMT(37) 2169 REVPMT38 Num 8 4952 COMMA14.2 REV_CNTR_PMT_AMT(38) 2170 REVPMT39 Num 8 4960 COMMA14.2 REV_CNTR_PMT_AMT(39) 2171 REVPMT40 Num 8 4968 COMMA14.2 REV_CNTR_PMT_AMT(40) 2172 REVPMT41 Num 8 4976 COMMA14.2 REV_CNTR_PMT_AMT(41) 2173 REVPMT42 Num 8 4984 COMMA14.2 REV_CNTR_PMT_AMT(42) 2174 REVPMT43 Num 8 4992 COMMA14.2 REV_CNTR_PMT_AMT(43) 2175 REVPMT44 Num 8 5000 COMMA14.2 REV_CNTR_PMT_AMT(44) 2176 REVPMT45 Num 8 5008 COMMA14.2 REV_CNTR_PMT_AMT(45) 737 REV_DT01 Num 5 11053 DATE9. REV_CNTR_DT(1) 738 REV_DT02 Num 5 11058 DATE9. REV_CNTR_DT(2) 739 REV_DT03 Num 5 11063 DATE9. REV_CNTR_DT(3) 740 REV_DT04 Num 5 11068 DATE9. REV_CNTR_DT(4) 741 REV_DT05 Num 5 11073 DATE9. REV_CNTR_DT(5) 742 REV_DT06 Num 5 11078 DATE9. REV_CNTR_DT(6) 743 REV_DT07 Num 5 11083 DATE9. REV_CNTR_DT(7) 744 REV_DT08 Num 5 11088 DATE9. REV_CNTR_DT(8) 745 REV_DT09 Num 5 11093 DATE9. REV_CNTR_DT(9) 746 REV_DT10 Num 5 11098 DATE9. REV_CNTR_DT(10) 747 REV_DT11 Num 5 11103 DATE9. REV_CNTR_DT(11) 748 REV_DT12 Num 5 11108 DATE9. REV_CNTR_DT(12) 749 REV_DT13 Num 5 11113 DATE9. REV_CNTR_DT(13) 750 REV_DT14 Num 5 11118 DATE9. REV_CNTR_DT(14) 751 REV_DT15 Num 5 11123 DATE9. REV_CNTR_DT(15) 752 REV_DT16 Num 5 11128 DATE9. REV_CNTR_DT(16) 753 REV_DT17 Num 5 11133 DATE9. REV_CNTR_DT(17) 754 REV_DT18 Num 5 11138 DATE9. REV_CNTR_DT(18) 755 REV_DT19 Num 5 11143 DATE9. REV_CNTR_DT(19) 756 REV_DT20 Num 5 11148 DATE9. REV_CNTR_DT(20) 757 REV_DT21 Num 5 11153 DATE9. REV_CNTR_DT(21) 758 REV_DT22 Num 5 11158 DATE9. REV_CNTR_DT(22) 759 REV_DT23 Num 5 11163 DATE9. REV_CNTR_DT(23) 760 REV_DT24 Num 5 11168 DATE9. REV_CNTR_DT(24) 761 REV_DT25 Num 5 11173 DATE9. REV_CNTR_DT(25) 762 REV_DT26 Num 5 11178 DATE9. REV_CNTR_DT(26) 763 REV_DT27 Num 5 11183 DATE9. REV_CNTR_DT(27) 764 REV_DT28 Num 5 11188 DATE9. REV_CNTR_DT(28) 765 REV_DT29 Num 5 11193 DATE9. REV_CNTR_DT(29) 766 REV_DT30 Num 5 11198 DATE9. REV_CNTR_DT(30) 767 REV_DT31 Num 5 11203 DATE9. REV_CNTR_DT(31) 768 REV_DT32 Num 5 11208 DATE9. REV_CNTR_DT(32) 769 REV_DT33 Num 5 11213 DATE9. REV_CNTR_DT(33) 770 REV_DT34 Num 5 11218 DATE9. REV_CNTR_DT(34) 771 REV_DT35 Num 5 11223 DATE9. REV_CNTR_DT(35) 772 REV_DT36 Num 5 11228 DATE9. REV_CNTR_DT(36) 773 REV_DT37 Num 5 11233 DATE9. REV_CNTR_DT(37) 774 REV_DT38 Num 5 11238 DATE9. REV_CNTR_DT(38) 775 REV_DT39 Num 5 11243 DATE9. REV_CNTR_DT(39) 776 REV_DT40 Num 5 11248 DATE9. REV_CNTR_DT(40) 777 REV_DT41 Num 5 11253 DATE9. REV_CNTR_DT(41) 778 REV_DT42 Num 5 11258 DATE9. REV_CNTR_DT(42) 779 REV_DT43 Num 5 11263 DATE9. REV_CNTR_DT(43) 780 REV_DT44 Num 5 11268 DATE9. REV_CNTR_DT(44) 781 REV_DT45 Num 5 11273 DATE9. REV_CNTR_DT(45) 37 RIC_CD Char 1 5936 NCH_NEAR_LINE_RIC_CD 379 RLTCND01 Char 2 6710 CLM_RLT_COND_CD(1) 380 RLTCND02 Char 2 6712 CLM_RLT_COND_CD(2) 381 RLTCND03 Char 2 6714 CLM_RLT_COND_CD(3) 382 RLTCND04 Char 2 6716 CLM_RLT_COND_CD(4) 383 RLTCND05 Char 2 6718 CLM_RLT_COND_CD(5) 384 RLTCND06 Char 2 6720 CLM_RLT_COND_CD(6) 385 RLTCND07 Char 2 6722 CLM_RLT_COND_CD(7) 386 RLTCND08 Char 2 6724 CLM_RLT_COND_CD(8) 387 RLTCND09 Char 2 6726 CLM_RLT_COND_CD(9) 388 RLTCND10 Char 2 6728 CLM_RLT_COND_CD(10) 389 RLTCND11 Char 2 6730 CLM_RLT_COND_CD(11) 390 RLTCND12 Char 2 6732 CLM_RLT_COND_CD(12) 391 RLTCND13 Char 2 6734 CLM_RLT_COND_CD(13) 392 RLTCND14 Char 2 6736 CLM_RLT_COND_CD(14) 393 RLTCND15 Char 2 6738 CLM_RLT_COND_CD(15) 394 RLTCND16 Char 2 6740 CLM_RLT_COND_CD(16) 395 RLTCND17 Char 2 6742 CLM_RLT_COND_CD(17) 396 RLTCND18 Char 2 6744 CLM_RLT_COND_CD(18) 397 RLTCND19 Char 2 6746 CLM_RLT_COND_CD(19) 398 RLTCND20 Char 2 6748 CLM_RLT_COND_CD(20) 399 RLTCND21 Char 2 6750 CLM_RLT_COND_CD(21) 400 RLTCND22 Char 2 6752 CLM_RLT_COND_CD(22) 401 RLTCND23 Char 2 6754 CLM_RLT_COND_CD(23) 402 RLTCND24 Char 2 6756 CLM_RLT_COND_CD(24) 403 RLTCND25 Char 2 6758 CLM_RLT_COND_CD(25) 404 RLTCND26 Char 2 6760 CLM_RLT_COND_CD(26) 405 RLTCND27 Char 2 6762 CLM_RLT_COND_CD(27) 406 RLTCND28 Char 2 6764 CLM_RLT_COND_CD(28) 407 RLTCND29 Char 2 6766 CLM_RLT_COND_CD(29) 408 RLTCND30 Char 2 6768 CLM_RLT_COND_CD(30) 1997 RPRPMT01 Num 8 3576 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(1) 1998 RPRPMT02 Num 8 3584 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(2) 1999 RPRPMT03 Num 8 3592 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(3) 2000 RPRPMT04 Num 8 3600 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(4) 2001 RPRPMT05 Num 8 3608 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(5) 2002 RPRPMT06 Num 8 3616 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(6) 2003 RPRPMT07 Num 8 3624 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(7) 2004 RPRPMT08 Num 8 3632 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(8) 2005 RPRPMT09 Num 8 3640 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(9) 2006 RPRPMT10 Num 8 3648 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(10) 2007 RPRPMT11 Num 8 3656 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(11) 2008 RPRPMT12 Num 8 3664 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(12) 2009 RPRPMT13 Num 8 3672 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(13) 2010 RPRPMT14 Num 8 3680 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(14) 2011 RPRPMT15 Num 8 3688 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(15) 2012 RPRPMT16 Num 8 3696 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(16) 2013 RPRPMT17 Num 8 3704 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(17) 2014 RPRPMT18 Num 8 3712 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(18) 2015 RPRPMT19 Num 8 3720 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(19) 2016 RPRPMT20 Num 8 3728 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(20) 2017 RPRPMT21 Num 8 3736 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(21) 2018 RPRPMT22 Num 8 3744 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(22) 2019 RPRPMT23 Num 8 3752 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(23) 2020 RPRPMT24 Num 8 3760 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(24) 2021 RPRPMT25 Num 8 3768 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(25) 2022 RPRPMT26 Num 8 3776 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(26) 2023 RPRPMT27 Num 8 3784 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(27) 2024 RPRPMT28 Num 8 3792 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(28) 2025 RPRPMT29 Num 8 3800 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(29) 2026 RPRPMT30 Num 8 3808 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(30) 2027 RPRPMT31 Num 8 3816 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(31) 2028 RPRPMT32 Num 8 3824 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(32) 2029 RPRPMT33 Num 8 3832 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(33) 2030 RPRPMT34 Num 8 3840 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(34) 2031 RPRPMT35 Num 8 3848 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(35) 2032 RPRPMT36 Num 8 3856 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(36) 2033 RPRPMT37 Num 8 3864 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(37) 2034 RPRPMT38 Num 8 3872 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(38) 2035 RPRPMT39 Num 8 3880 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(39) 2036 RPRPMT40 Num 8 3888 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(40) 2037 RPRPMT41 Num 8 3896 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(41) 2038 RPRPMT42 Num 8 3904 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(42) 2039 RPRPMT43 Num 8 3912 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(43) 2040 RPRPMT44 Num 8 3920 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(44) 2041 RPRPMT45 Num 8 3928 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(45) 1682 RVBLD01 Num 8 1056 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(1) 1683 RVBLD02 Num 8 1064 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(2) 1684 RVBLD03 Num 8 1072 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(3) 1685 RVBLD04 Num 8 1080 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(4) 1686 RVBLD05 Num 8 1088 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(5) 1687 RVBLD06 Num 8 1096 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(6) 1688 RVBLD07 Num 8 1104 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(7) 1689 RVBLD08 Num 8 1112 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(8) 1690 RVBLD09 Num 8 1120 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(9) 1691 RVBLD10 Num 8 1128 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(10) 1692 RVBLD11 Num 8 1136 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(11) 1693 RVBLD12 Num 8 1144 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(12) 1694 RVBLD13 Num 8 1152 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(13) 1695 RVBLD14 Num 8 1160 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(14) 1696 RVBLD15 Num 8 1168 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(15) 1697 RVBLD16 Num 8 1176 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(16) 1698 RVBLD17 Num 8 1184 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(17) 1699 RVBLD18 Num 8 1192 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(18) 1700 RVBLD19 Num 8 1200 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(19) 1701 RVBLD20 Num 8 1208 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(20) 1702 RVBLD21 Num 8 1216 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(21) 1703 RVBLD22 Num 8 1224 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(22) 1704 RVBLD23 Num 8 1232 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(23) 1705 RVBLD24 Num 8 1240 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(24) 1706 RVBLD25 Num 8 1248 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(25) 1707 RVBLD26 Num 8 1256 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(26) 1708 RVBLD27 Num 8 1264 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(27) 1709 RVBLD28 Num 8 1272 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(28) 1710 RVBLD29 Num 8 1280 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(29) 1711 RVBLD30 Num 8 1288 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(30) 1712 RVBLD31 Num 8 1296 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(31) 1713 RVBLD32 Num 8 1304 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(32) 1714 RVBLD33 Num 8 1312 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(33) 1715 RVBLD34 Num 8 1320 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(34) 1716 RVBLD35 Num 8 1328 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(35) 1717 RVBLD36 Num 8 1336 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(36) 1718 RVBLD37 Num 8 1344 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(37) 1719 RVBLD38 Num 8 1352 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(38) 1720 RVBLD39 Num 8 1360 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(39) 1721 RVBLD40 Num 8 1368 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(40) 1722 RVBLD41 Num 8 1376 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(41) 1723 RVBLD42 Num 8 1384 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(42) 1724 RVBLD43 Num 8 1392 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(43) 1725 RVBLD44 Num 8 1400 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(44) 1726 RVBLD45 Num 8 1408 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(45) 2177 RVCHRG01 Num 8 5016 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(1) 2178 RVCHRG02 Num 8 5024 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(2) 2179 RVCHRG03 Num 8 5032 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(3) 2180 RVCHRG04 Num 8 5040 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(4) 2181 RVCHRG05 Num 8 5048 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(5) 2182 RVCHRG06 Num 8 5056 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(6) 2183 RVCHRG07 Num 8 5064 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(7) 2184 RVCHRG08 Num 8 5072 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(8) 2185 RVCHRG09 Num 8 5080 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(9) 2186 RVCHRG10 Num 8 5088 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(10) 2187 RVCHRG11 Num 8 5096 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(11) 2188 RVCHRG12 Num 8 5104 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(12) 2189 RVCHRG13 Num 8 5112 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(13) 2190 RVCHRG14 Num 8 5120 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(14) 2191 RVCHRG15 Num 8 5128 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(15) 2192 RVCHRG16 Num 8 5136 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(16) 2193 RVCHRG17 Num 8 5144 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(17) 2194 RVCHRG18 Num 8 5152 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(18) 2195 RVCHRG19 Num 8 5160 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(19) 2196 RVCHRG20 Num 8 5168 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(20) 2197 RVCHRG21 Num 8 5176 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(21) 2198 RVCHRG22 Num 8 5184 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(22) 2199 RVCHRG23 Num 8 5192 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(23) 2200 RVCHRG24 Num 8 5200 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(24) 2201 RVCHRG25 Num 8 5208 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(25) 2202 RVCHRG26 Num 8 5216 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(26) 2203 RVCHRG27 Num 8 5224 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(27) 2204 RVCHRG28 Num 8 5232 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(28) 2205 RVCHRG29 Num 8 5240 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(29) 2206 RVCHRG30 Num 8 5248 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(30) 2207 RVCHRG31 Num 8 5256 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(31) 2208 RVCHRG32 Num 8 5264 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(32) 2209 RVCHRG33 Num 8 5272 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(33) 2210 RVCHRG34 Num 8 5280 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(34) 2211 RVCHRG35 Num 8 5288 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(35) 2212 RVCHRG36 Num 8 5296 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(36) 2213 RVCHRG37 Num 8 5304 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(37) 2214 RVCHRG38 Num 8 5312 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(38) 2215 RVCHRG39 Num 8 5320 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(39) 2216 RVCHRG40 Num 8 5328 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(40) 2217 RVCHRG41 Num 8 5336 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(41) 2218 RVCHRG42 Num 8 5344 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(42) 2219 RVCHRG43 Num 8 5352 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(43) 2220 RVCHRG44 Num 8 5360