Ì 2
txns
[txn.procedure,txn.ins,txn.ser.date,txn.account,txn.urn]
*(HP8)HPRT[pdp,pdi,pzSD,pz,pzT]
Field Name Len Dat Typ J DPM Offset/Local/VAL
txn.procedure 10 FREE L PBR.PROC pdp
txn.ins 10 FREE L PBR.INS pdi
txn.ser.date 8 DATE L pzSD
txn.account 44 URN L PBR.ACT pz
txn.urn 10 PINT R pzT
txn.actnum 12 FREE L *(HP8)HPRT[pdp,pdi,pzSD,pz,pzT]|0
txn.amount 9 SMONEY R *(HP8)HPRT[pdp,pdi,pzSD,pz,pzT]|1
txn.amount.remaining 9 SMONEY R *(HP8)HPRT[pdp,pdi,pzSD,pz,pzT]|4
txn.ins.code 10 FREE L *(HP8)HPRT[pdp,pdi,pzSD,pz,pzT]|7
txn.last.bad.edi 8 DATE L *(HP8)HPRT[pdp,pdi,pzSD,pz,pzT]|11
txn.last.good.edi 8 DATE L *(HP8)HPRT[pdp,pdi,pzSD,pz,pzT]|10
txn.last.paper 8 DATE L *(HP8)HPRT[pdp,pdi,pzSD,pz,pzT]|9
txn.no.clm.rsn 10 FREE L *(HP8)HPRT[pdp,pdi,pzSD,pz,pzT]|13
txn.num.claims 5 INT R *(HP8)HPRT[pdp,pdi,pzSD,pz,pzT]|8
txn.pri.adj 9 SMONEY R *(HP8)HPRT[pdp,pdi,pzSD,pz,pzT]|3
txn.pri.dx 6 FREE L PBR.DIAGNOSIS *(HP8)HPRT[pdp,pdi,pzSD,pz,pzT]|5
txn.pri.rcpts 9 SMONEY R *(HP8)HPRT[pdp,pdi,pzSD,pz,pzT]|2
txn.rebilled 3 CHOICE L *(HP8)HPRT[pdp,pdi,pzSD,pz,pzT]|12
txn.sec.dx 6 FREE L PBR.DIAGNOSIS *(HP8)HPRT[pdp,pdi,pzSD,pz,pzT]|6
Ì € 2
claims
[txn.procedure,txn.ins,txn.ser.date,txn.account,txn.urn, ins.urn]
*(HP8)HPRT[pdp,pdi,pzSD,pz,pzT]I[ppi]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ins.urn 6 URN L ppi
ins.create.date 8 DATE L *(HP8)HPRT[pdp,pdi,pzSD,pz,pzT]I[ppi]|1
ins.dis.seq 5 FREE L *(HP8)HPRT[pdp,pdi,pzSD,pz,pzT]I[ppi]|5
ins.insurance 10 FREE L PBR.INS *(HP8)HPRT[pdp,pdi,pzSD,pz,pzT]I[ppi]|0
ins.media.type 1 CHOICE L *(HP8)HPRT[pdp,pdi,pzSD,pz,pzT]I[ppi]|4
ins.ser.date 8 DATE L *(HP8)HPRT[pdp,pdi,pzSD,pz,pzT]I[ppi]|2
ins.submit.ok 2 FREE L *(HP8)HPRT[pdp,pdi,pzSD,pz,pzT]I[ppi]|6
ins.type.claim 1 CHOICE L *(HP8)HPRT[pdp,pdi,pzSD,pz,pzT]I[ppi]|3
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