08:56 Thursday, November 18, 2004 1199 The CONTENTS Procedure Data Set Name: FINAL02.HHA02 Observations: 433072 Member Type: DATA Variables: 2245 Engine: V8 Indexes: 3 Created: 12:28 Saturday, September 25, 2004 Observation Length: 10926 Last Modified: 12:28 Saturday, September 25, 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: 107716 Index File Page Size: 4096 Number of Index File Pages: 4763 Number of Data Set Repairs: 0 File Name: j:\proddata\medicare\cy02\final\hha02.sas7bdat Release Created: 8.0202M0 Host Created: WIN_ASRV -----Alphabetic List of Variables and Attributes----- # Variable Type Len Pos Format Label ------------------------------------------------------------------------------------------- 34 ACRTN_DT Num 8 32 DATE9. CWF_CLM_ACRTN_DT 4 ACRTN_NM Num 3 10225 CWF_CLM_ACRTN_NUM 73 ACTIONCD Char 1 5819 FI_CLM_ACTN_CD 895 APCPPS01 Char 5 7837 REV_CNTR_APC_HIPPS_CD(1) 896 APCPPS02 Char 5 7842 REV_CNTR_APC_HIPPS_CD(2) 897 APCPPS03 Char 5 7847 REV_CNTR_APC_HIPPS_CD(3) 898 APCPPS04 Char 5 7852 REV_CNTR_APC_HIPPS_CD(4) 899 APCPPS05 Char 5 7857 REV_CNTR_APC_HIPPS_CD(5) 900 APCPPS06 Char 5 7862 REV_CNTR_APC_HIPPS_CD(6) 901 APCPPS07 Char 5 7867 REV_CNTR_APC_HIPPS_CD(7) 902 APCPPS08 Char 5 7872 REV_CNTR_APC_HIPPS_CD(8) 903 APCPPS09 Char 5 7877 REV_CNTR_APC_HIPPS_CD(9) 904 APCPPS10 Char 5 7882 REV_CNTR_APC_HIPPS_CD(10) 905 APCPPS11 Char 5 7887 REV_CNTR_APC_HIPPS_CD(11) 906 APCPPS12 Char 5 7892 REV_CNTR_APC_HIPPS_CD(12) 907 APCPPS13 Char 5 7897 REV_CNTR_APC_HIPPS_CD(13) 908 APCPPS14 Char 5 7902 REV_CNTR_APC_HIPPS_CD(14) 909 APCPPS15 Char 5 7907 REV_CNTR_APC_HIPPS_CD(15) 910 APCPPS16 Char 5 7912 REV_CNTR_APC_HIPPS_CD(16) 911 APCPPS17 Char 5 7917 REV_CNTR_APC_HIPPS_CD(17) 912 APCPPS18 Char 5 7922 REV_CNTR_APC_HIPPS_CD(18) 913 APCPPS19 Char 5 7927 REV_CNTR_APC_HIPPS_CD(19) 914 APCPPS20 Char 5 7932 REV_CNTR_APC_HIPPS_CD(20) 915 APCPPS21 Char 5 7937 REV_CNTR_APC_HIPPS_CD(21) 916 APCPPS22 Char 5 7942 REV_CNTR_APC_HIPPS_CD(22) 917 APCPPS23 Char 5 7947 REV_CNTR_APC_HIPPS_CD(23) 918 APCPPS24 Char 5 7952 REV_CNTR_APC_HIPPS_CD(24) 919 APCPPS25 Char 5 7957 REV_CNTR_APC_HIPPS_CD(25) 920 APCPPS26 Char 5 7962 REV_CNTR_APC_HIPPS_CD(26) 921 APCPPS27 Char 5 7967 REV_CNTR_APC_HIPPS_CD(27) 922 APCPPS28 Char 5 7972 REV_CNTR_APC_HIPPS_CD(28) 923 APCPPS29 Char 5 7977 REV_CNTR_APC_HIPPS_CD(29) 924 APCPPS30 Char 5 7982 REV_CNTR_APC_HIPPS_CD(30) 925 APCPPS31 Char 5 7987 REV_CNTR_APC_HIPPS_CD(31) 926 APCPPS32 Char 5 7992 REV_CNTR_APC_HIPPS_CD(32) 927 APCPPS33 Char 5 7997 REV_CNTR_APC_HIPPS_CD(33) 928 APCPPS34 Char 5 8002 REV_CNTR_APC_HIPPS_CD(34) 929 APCPPS35 Char 5 8007 REV_CNTR_APC_HIPPS_CD(35) 930 APCPPS36 Char 5 8012 REV_CNTR_APC_HIPPS_CD(36) 931 APCPPS37 Char 5 8017 REV_CNTR_APC_HIPPS_CD(37) 932 APCPPS38 Char 5 8022 REV_CNTR_APC_HIPPS_CD(38) 933 APCPPS39 Char 5 8027 REV_CNTR_APC_HIPPS_CD(39) 934 APCPPS40 Char 5 8032 REV_CNTR_APC_HIPPS_CD(40) 935 APCPPS41 Char 5 8037 REV_CNTR_APC_HIPPS_CD(41) 936 APCPPS42 Char 5 8042 REV_CNTR_APC_HIPPS_CD(42) 937 APCPPS43 Char 5 8047 REV_CNTR_APC_HIPPS_CD(43) 938 APCPPS44 Char 5 8052 REV_CNTR_APC_HIPPS_CD(44) 939 APCPPS45 Char 5 8057 REV_CNTR_APC_HIPPS_CD(45) 74 APRVL_DT Num 8 112 DATE9. FI_CLM_PROC_DT 55 ASGN_NUM Num 8 80 CWF_CLM_ASGN_NUM 80 AT_GVNNM Char 1 5854 CLM_ATNDG_PHYSN_GVN_NAME 81 AT_MDL Char 1 5855 CLM_ATNDG_PHYSN_MDL_INITL_NAME 78 AT_NPI Char 10 5838 CLM_ATNDG_PHYSN_NPI_NUM 79 AT_SRNM Char 6 5848 CLM_ATNDG_PHYSN_SRNM_NAME 77 AT_UPIN Char 6 5832 CLM_ATNDG_PHYSN_UPIN_NUM 95 AUTHRZTN Char 18 5922 CLM_TRTMT_AUTHRZTN_NUM 60 BENE_DOB Num 8 88 DATE9. BENE_BIRTH_DT 57 BENE_ZIP Char 9 5788 BENE_MLG_CNTCT_ZIP_CD 29 BIC Char 2 5707 BENE_IDENT_CD 49 BIC_MDFY Char 1 5775 NCH_CLM_BIC_MDFY_CD 27 CAN Char 9 5696 BENE_CLM_ACNT_NUM 72 CANCELCD Char 1 5818 FI_RQST_CLM_CNCL_RSN_CD 36 CLM_CNTL Char 23 5712 FI_DOC_CLM_CNTL_NUM 25 CLM_TYPE Char 2 5683 NCH_CLM_TYPE_CD 282 CNDND01 Char 1 6394 NCH_COND_TRLR_IND_CD(1) 283 CNDND02 Char 1 6395 NCH_COND_TRLR_IND_CD(2) 284 CNDND03 Char 1 6396 NCH_COND_TRLR_IND_CD(3) 285 CNDND04 Char 1 6397 NCH_COND_TRLR_IND_CD(4) 286 CNDND05 Char 1 6398 NCH_COND_TRLR_IND_CD(5) 287 CNDND06 Char 1 6399 NCH_COND_TRLR_IND_CD(6) 288 CNDND07 Char 1 6400 NCH_COND_TRLR_IND_CD(7) 289 CNDND08 Char 1 6401 NCH_COND_TRLR_IND_CD(8) 290 CNDND09 Char 1 6402 NCH_COND_TRLR_IND_CD(9) 291 CNDND10 Char 1 6403 NCH_COND_TRLR_IND_CD(10) 292 CNDND11 Char 1 6404 NCH_COND_TRLR_IND_CD(11) 293 CNDND12 Char 1 6405 NCH_COND_TRLR_IND_CD(12) 294 CNDND13 Char 1 6406 NCH_COND_TRLR_IND_CD(13) 295 CNDND14 Char 1 6407 NCH_COND_TRLR_IND_CD(14) 296 CNDND15 Char 1 6408 NCH_COND_TRLR_IND_CD(15) 297 CNDND16 Char 1 6409 NCH_COND_TRLR_IND_CD(16) 298 CNDND17 Char 1 6410 NCH_COND_TRLR_IND_CD(17) 299 CNDND18 Char 1 6411 NCH_COND_TRLR_IND_CD(18) 300 CNDND19 Char 1 6412 NCH_COND_TRLR_IND_CD(19) 301 CNDND20 Char 1 6413 NCH_COND_TRLR_IND_CD(20) 302 CNDND21 Char 1 6414 NCH_COND_TRLR_IND_CD(21) 303 CNDND22 Char 1 6415 NCH_COND_TRLR_IND_CD(22) 304 CNDND23 Char 1 6416 NCH_COND_TRLR_IND_CD(23) 305 CNDND24 Char 1 6417 NCH_COND_TRLR_IND_CD(24) 306 CNDND25 Char 1 6418 NCH_COND_TRLR_IND_CD(25) 307 CNDND26 Char 1 6419 NCH_COND_TRLR_IND_CD(26) 308 CNDND27 Char 1 6420 NCH_COND_TRLR_IND_CD(27) 309 CNDND28 Char 1 6421 NCH_COND_TRLR_IND_CD(28) 310 CNDND29 Char 1 6422 NCH_COND_TRLR_IND_CD(29) 311 CNDND30 Char 1 6423 NCH_COND_TRLR_IND_CD(30) 50 CNTY_CD Char 3 5776 BENE_RSDNC_SSA_STD_CNTY_CD 65 CWFLOCCD Char 1 5809 BENE_CWF_LOC_CD 40 DAILY_DT Num 8 48 DATE9. NCH_DAILY_PROC_DT 247 DEMOIND1 Char 1 6244 NCH_DEMO_TRLR_IND_CD(1) 248 DEMOIND2 Char 1 6245 NCH_DEMO_TRLR_IND_CD(2) 249 DEMOIND3 Char 1 6246 NCH_DEMO_TRLR_IND_CD(3) 250 DEMOIND4 Char 1 6247 NCH_DEMO_TRLR_IND_CD(4) 251 DEMOIND5 Char 1 6248 NCH_DEMO_TRLR_IND_CD(5) 252 DEMONUM1 Char 2 6249 CLM_DEMO_ID_NUM(1) 253 DEMONUM2 Char 2 6251 CLM_DEMO_ID_NUM(2) 254 DEMONUM3 Char 2 6253 CLM_DEMO_ID_NUM(3) 255 DEMONUM4 Char 2 6255 CLM_DEMO_ID_NUM(4) 256 DEMONUM5 Char 2 6257 CLM_DEMO_ID_NUM(5) 257 DEMOTXT1 Char 15 6259 CLM_DEMO_INFO_TXT(1) 258 DEMOTXT2 Char 15 6274 CLM_DEMO_INFO_TXT(2) 259 DEMOTXT3 Char 15 6289 CLM_DEMO_INFO_TXT(3) 260 DEMOTXT4 Char 15 6304 CLM_DEMO_INFO_TXT(4) 261 DEMOTXT5 Char 15 6319 CLM_DEMO_INFO_TXT(5) 272 DGNSCD01 Char 5 6344 CLM_DGNS_CD(1) 273 DGNSCD02 Char 5 6349 CLM_DGNS_CD(2) 274 DGNSCD03 Char 5 6354 CLM_DGNS_CD(3) 275 DGNSCD04 Char 5 6359 CLM_DGNS_CD(4) 276 DGNSCD05 Char 5 6364 CLM_DGNS_CD(5) 277 DGNSCD06 Char 5 6369 CLM_DGNS_CD(6) 278 DGNSCD07 Char 5 6374 CLM_DGNS_CD(7) 279 DGNSCD08 Char 5 6379 CLM_DGNS_CD(8) 280 DGNSCD09 Char 5 6384 CLM_DGNS_CD(9) 281 DGNSCD10 Char 5 6389 CLM_DGNS_CD(10) 262 DGNSND01 Char 1 6334 NCH_DGNS_TRLR_IND_CD(1) 263 DGNSND02 Char 1 6335 NCH_DGNS_TRLR_IND_CD(2) 264 DGNSND03 Char 1 6336 NCH_DGNS_TRLR_IND_CD(3) 265 DGNSND04 Char 1 6337 NCH_DGNS_TRLR_IND_CD(4) 266 DGNSND05 Char 1 6338 NCH_DGNS_TRLR_IND_CD(5) 267 DGNSND06 Char 1 6339 NCH_DGNS_TRLR_IND_CD(6) 268 DGNSND07 Char 1 6340 NCH_DGNS_TRLR_IND_CD(7) 269 DGNSND08 Char 1 6341 NCH_DGNS_TRLR_IND_CD(8) 270 DGNSND09 Char 1 6342 NCH_DGNS_TRLR_IND_CD(9) 271 DGNSND10 Char 1 6343 NCH_DGNS_TRLR_IND_CD(10) 101 DGNS_E Char 5 5991 CLM_DGNS_E_CD 47 DISP_CD Char 2 5771 CLM_DISP_CD 108 DSCHRGDT Num 8 152 DATE9. NCH_BENE_DSCHRG_DT 1255 DSCTND01 Char 1 8827 REV_CNTR_DSCNT_IND_CD(1) 1256 DSCTND02 Char 1 8828 REV_CNTR_DSCNT_IND_CD(2) 1257 DSCTND03 Char 1 8829 REV_CNTR_DSCNT_IND_CD(3) 1258 DSCTND04 Char 1 8830 REV_CNTR_DSCNT_IND_CD(4) 1259 DSCTND05 Char 1 8831 REV_CNTR_DSCNT_IND_CD(5) 1260 DSCTND06 Char 1 8832 REV_CNTR_DSCNT_IND_CD(6) 1261 DSCTND07 Char 1 8833 REV_CNTR_DSCNT_IND_CD(7) 1262 DSCTND08 Char 1 8834 REV_CNTR_DSCNT_IND_CD(8) 1263 DSCTND09 Char 1 8835 REV_CNTR_DSCNT_IND_CD(9) 1264 DSCTND10 Char 1 8836 REV_CNTR_DSCNT_IND_CD(10) 1265 DSCTND11 Char 1 8837 REV_CNTR_DSCNT_IND_CD(11) 1266 DSCTND12 Char 1 8838 REV_CNTR_DSCNT_IND_CD(12) 1267 DSCTND13 Char 1 8839 REV_CNTR_DSCNT_IND_CD(13) 1268 DSCTND14 Char 1 8840 REV_CNTR_DSCNT_IND_CD(14) 1269 DSCTND15 Char 1 8841 REV_CNTR_DSCNT_IND_CD(15) 1270 DSCTND16 Char 1 8842 REV_CNTR_DSCNT_IND_CD(16) 1271 DSCTND17 Char 1 8843 REV_CNTR_DSCNT_IND_CD(17) 1272 DSCTND18 Char 1 8844 REV_CNTR_DSCNT_IND_CD(18) 1273 DSCTND19 Char 1 8845 REV_CNTR_DSCNT_IND_CD(19) 1274 DSCTND20 Char 1 8846 REV_CNTR_DSCNT_IND_CD(20) 1275 DSCTND21 Char 1 8847 REV_CNTR_DSCNT_IND_CD(21) 1276 DSCTND22 Char 1 8848 REV_CNTR_DSCNT_IND_CD(22) 1277 DSCTND23 Char 1 8849 REV_CNTR_DSCNT_IND_CD(23) 1278 DSCTND24 Char 1 8850 REV_CNTR_DSCNT_IND_CD(24) 1279 DSCTND25 Char 1 8851 REV_CNTR_DSCNT_IND_CD(25) 1280 DSCTND26 Char 1 8852 REV_CNTR_DSCNT_IND_CD(26) 1281 DSCTND27 Char 1 8853 REV_CNTR_DSCNT_IND_CD(27) 1282 DSCTND28 Char 1 8854 REV_CNTR_DSCNT_IND_CD(28) 1283 DSCTND29 Char 1 8855 REV_CNTR_DSCNT_IND_CD(29) 1284 DSCTND30 Char 1 8856 REV_CNTR_DSCNT_IND_CD(30) 1285 DSCTND31 Char 1 8857 REV_CNTR_DSCNT_IND_CD(31) 1286 DSCTND32 Char 1 8858 REV_CNTR_DSCNT_IND_CD(32) 1287 DSCTND33 Char 1 8859 REV_CNTR_DSCNT_IND_CD(33) 1288 DSCTND34 Char 1 8860 REV_CNTR_DSCNT_IND_CD(34) 1289 DSCTND35 Char 1 8861 REV_CNTR_DSCNT_IND_CD(35) 1290 DSCTND36 Char 1 8862 REV_CNTR_DSCNT_IND_CD(36) 1291 DSCTND37 Char 1 8863 REV_CNTR_DSCNT_IND_CD(37) 1292 DSCTND38 Char 1 8864 REV_CNTR_DSCNT_IND_CD(38) 1293 DSCTND39 Char 1 8865 REV_CNTR_DSCNT_IND_CD(39) 1294 DSCTND40 Char 1 8866 REV_CNTR_DSCNT_IND_CD(40) 1295 DSCTND41 Char 1 8867 REV_CNTR_DSCNT_IND_CD(41) 1296 DSCTND42 Char 1 8868 REV_CNTR_DSCNT_IND_CD(42) 1297 DSCTND43 Char 1 8869 REV_CNTR_DSCNT_IND_CD(43) 1298 DSCTND44 Char 1 8870 REV_CNTR_DSCNT_IND_CD(44) 1299 DSCTND45 Char 1 8871 REV_CNTR_DSCNT_IND_CD(45) 123 EDITCD01 Char 4 6012 NCH_EDIT_CD(1) 124 EDITCD02 Char 4 6016 NCH_EDIT_CD(2) 125 EDITCD03 Char 4 6020 NCH_EDIT_CD(3) 126 EDITCD04 Char 4 6024 NCH_EDIT_CD(4) 127 EDITCD05 Char 4 6028 NCH_EDIT_CD(5) 128 EDITCD06 Char 4 6032 NCH_EDIT_CD(6) 129 EDITCD07 Char 4 6036 NCH_EDIT_CD(7) 130 EDITCD08 Char 4 6040 NCH_EDIT_CD(8) 131 EDITCD09 Char 4 6044 NCH_EDIT_CD(9) 132 EDITCD10 Char 4 6048 NCH_EDIT_CD(10) 133 EDITCD11 Char 4 6052 NCH_EDIT_CD(11) 134 EDITCD12 Char 4 6056 NCH_EDIT_CD(12) 135 EDITCD13 Char 4 6060 NCH_EDIT_CD(13) 48 EDITDISP Char 2 5773 NCH_EDIT_DISP_CD 110 EDTND01 Char 1 5999 NCH_EDIT_TRLR_IND_CD(1) 111 EDTND02 Char 1 6000 NCH_EDIT_TRLR_IND_CD(2) 112 EDTND03 Char 1 6001 NCH_EDIT_TRLR_IND_CD(3) 113 EDTND04 Char 1 6002 NCH_EDIT_TRLR_IND_CD(4) 114 EDTND05 Char 1 6003 NCH_EDIT_TRLR_IND_CD(5) 115 EDTND06 Char 1 6004 NCH_EDIT_TRLR_IND_CD(6) 116 EDTND07 Char 1 6005 NCH_EDIT_TRLR_IND_CD(7) 117 EDTND08 Char 1 6006 NCH_EDIT_TRLR_IND_CD(8) 118 EDTND09 Char 1 6007 NCH_EDIT_TRLR_IND_CD(9) 119 EDTND10 Char 1 6008 NCH_EDIT_TRLR_IND_CD(10) 120 EDTND11 Char 1 6009 NCH_EDIT_TRLR_IND_CD(11) 121 EDTND12 Char 1 6010 NCH_EDIT_TRLR_IND_CD(12) 122 EDTND13 Char 1 6011 NCH_EDIT_TRLR_IND_CD(13) 2245 EOR Char 3 10222 END_REC_CD 28 EQ_BIC Char 2 5705 NCH_CTGRY_EQTBL_BIC_CD 43 FAC_TYPE Char 1 5767 CLM_FAC_TYPE_CD 56 FIBATCH Char 4 5784 CWF_TRNSMSN_BATCH_NUM 54 FI_NUM Char 5 5779 FI_NUM 45 FREQ_CD Char 1 5769 CLM_FREQ_CD 32 FROM_DT Num 8 16 DATE9. CLM_FROM_DT 63 FRSTINIT Char 1 5807 CLM_PTNT_1ST_INITL_GVN_NAME 53 FRWRD_DT Num 8 72 DATE9. CWF_FRWRD_DT 940 HCPSCD01 Char 5 8062 REV_CNTR_HCPCS_CD(1) 941 HCPSCD02 Char 5 8067 REV_CNTR_HCPCS_CD(2) 942 HCPSCD03 Char 5 8072 REV_CNTR_HCPCS_CD(3) 943 HCPSCD04 Char 5 8077 REV_CNTR_HCPCS_CD(4) 944 HCPSCD05 Char 5 8082 REV_CNTR_HCPCS_CD(5) 945 HCPSCD06 Char 5 8087 REV_CNTR_HCPCS_CD(6) 946 HCPSCD07 Char 5 8092 REV_CNTR_HCPCS_CD(7) 947 HCPSCD08 Char 5 8097 REV_CNTR_HCPCS_CD(8) 948 HCPSCD09 Char 5 8102 REV_CNTR_HCPCS_CD(9) 949 HCPSCD10 Char 5 8107 REV_CNTR_HCPCS_CD(10) 950 HCPSCD11 Char 5 8112 REV_CNTR_HCPCS_CD(11) 951 HCPSCD12 Char 5 8117 REV_CNTR_HCPCS_CD(12) 952 HCPSCD13 Char 5 8122 REV_CNTR_HCPCS_CD(13) 953 HCPSCD14 Char 5 8127 REV_CNTR_HCPCS_CD(14) 954 HCPSCD15 Char 5 8132 REV_CNTR_HCPCS_CD(15) 955 HCPSCD16 Char 5 8137 REV_CNTR_HCPCS_CD(16) 956 HCPSCD17 Char 5 8142 REV_CNTR_HCPCS_CD(17) 957 HCPSCD18 Char 5 8147 REV_CNTR_HCPCS_CD(18) 958 HCPSCD19 Char 5 8152 REV_CNTR_HCPCS_CD(19) 959 HCPSCD20 Char 5 8157 REV_CNTR_HCPCS_CD(20) 960 HCPSCD21 Char 5 8162 REV_CNTR_HCPCS_CD(21) 961 HCPSCD22 Char 5 8167 REV_CNTR_HCPCS_CD(22) 962 HCPSCD23 Char 5 8172 REV_CNTR_HCPCS_CD(23) 963 HCPSCD24 Char 5 8177 REV_CNTR_HCPCS_CD(24) 964 HCPSCD25 Char 5 8182 REV_CNTR_HCPCS_CD(25) 965 HCPSCD26 Char 5 8187 REV_CNTR_HCPCS_CD(26) 966 HCPSCD27 Char 5 8192 REV_CNTR_HCPCS_CD(27) 967 HCPSCD28 Char 5 8197 REV_CNTR_HCPCS_CD(28) 968 HCPSCD29 Char 5 8202 REV_CNTR_HCPCS_CD(29) 969 HCPSCD30 Char 5 8207 REV_CNTR_HCPCS_CD(30) 970 HCPSCD31 Char 5 8212 REV_CNTR_HCPCS_CD(31) 971 HCPSCD32 Char 5 8217 REV_CNTR_HCPCS_CD(32) 972 HCPSCD33 Char 5 8222 REV_CNTR_HCPCS_CD(33) 973 HCPSCD34 Char 5 8227 REV_CNTR_HCPCS_CD(34) 974 HCPSCD35 Char 5 8232 REV_CNTR_HCPCS_CD(35) 975 HCPSCD36 Char 5 8237 REV_CNTR_HCPCS_CD(36) 976 HCPSCD37 Char 5 8242 REV_CNTR_HCPCS_CD(37) 977 HCPSCD38 Char 5 8247 REV_CNTR_HCPCS_CD(38) 978 HCPSCD39 Char 5 8252 REV_CNTR_HCPCS_CD(39) 979 HCPSCD40 Char 5 8257 REV_CNTR_HCPCS_CD(40) 980 HCPSCD41 Char 5 8262 REV_CNTR_HCPCS_CD(41) 981 HCPSCD42 Char 5 8267 REV_CNTR_HCPCS_CD(42) 982 HCPSCD43 Char 5 8272 REV_CNTR_HCPCS_CD(43) 983 HCPSCD44 Char 5 8277 REV_CNTR_HCPCS_CD(44) 984 HCPSCD45 Char 5 8282 REV_CNTR_HCPCS_CD(45) 105 HHA_RFRL Char 1 5998 CLM_HHA_RFRL_CD 16 HHCONCNT Num 3 10263 HHA_CLM_RLT_COND_CD_CNT 14 HHDEMCNT Num 3 10257 HHA_CLM_DEMO_ID_CNT 15 HHDGNCNT Num 3 10260 HHA_CLM_DGNS_CD_CNT 10 HHEDCNT Num 3 10245 HHA_NCH_EDIT_CD_CNT 12 HHMCOCNT Num 3 10251 HHA_MCO_PRD_CNT 17 HHOCRCNT Num 3 10266 HHA_CLM_RLT_OCRNC_CD_CNT 11 HHPATCNT Num 3 10248 HHA_NCH_PATCH_CD_I_CNT 13 HHPLANNT Num 3 10254 HHA_CLM_HLTH_PLANID_CNT 20 HHREVCNT Num 3 10275 HHA_REV_CNTR_CD_I_CNT 18 HHSPNCNT Num 3 10269 HHA_CLM_OCRNC_SPAN_CD_CNT 109 HHSTRTDT Num 8 160 DATE9. CLM_HHA_CARE_STRT_DT 19 HHVALCNT Num 3 10272 HHA_CLM_VAL_CD_CNT 26 HIC Char 11 5685 HEALTH_INS_CLAIM_ACCT_NUM 1480 IDENDC01 Char 24 9097 REV_CNTR_IDE_NDC_UPC_NUM(1) 1481 IDENDC02 Char 24 9121 REV_CNTR_IDE_NDC_UPC_NUM(2) 1482 IDENDC03 Char 24 9145 REV_CNTR_IDE_NDC_UPC_NUM(3) 1483 IDENDC04 Char 24 9169 REV_CNTR_IDE_NDC_UPC_NUM(4) 1484 IDENDC05 Char 24 9193 REV_CNTR_IDE_NDC_UPC_NUM(5) 1485 IDENDC06 Char 24 9217 REV_CNTR_IDE_NDC_UPC_NUM(6) 1486 IDENDC07 Char 24 9241 REV_CNTR_IDE_NDC_UPC_NUM(7) 1487 IDENDC08 Char 24 9265 REV_CNTR_IDE_NDC_UPC_NUM(8) 1488 IDENDC09 Char 24 9289 REV_CNTR_IDE_NDC_UPC_NUM(9) 1489 IDENDC10 Char 24 9313 REV_CNTR_IDE_NDC_UPC_NUM(10) 1490 IDENDC11 Char 24 9337 REV_CNTR_IDE_NDC_UPC_NUM(11) 1491 IDENDC12 Char 24 9361 REV_CNTR_IDE_NDC_UPC_NUM(12) 1492 IDENDC13 Char 24 9385 REV_CNTR_IDE_NDC_UPC_NUM(13) 1493 IDENDC14 Char 24 9409 REV_CNTR_IDE_NDC_UPC_NUM(14) 1494 IDENDC15 Char 24 9433 REV_CNTR_IDE_NDC_UPC_NUM(15) 1495 IDENDC16 Char 24 9457 REV_CNTR_IDE_NDC_UPC_NUM(16) 1496 IDENDC17 Char 24 9481 REV_CNTR_IDE_NDC_UPC_NUM(17) 1497 IDENDC18 Char 24 9505 REV_CNTR_IDE_NDC_UPC_NUM(18) 1498 IDENDC19 Char 24 9529 REV_CNTR_IDE_NDC_UPC_NUM(19) 1499 IDENDC20 Char 24 9553 REV_CNTR_IDE_NDC_UPC_NUM(20) 1500 IDENDC21 Char 24 9577 REV_CNTR_IDE_NDC_UPC_NUM(21) 1501 IDENDC22 Char 24 9601 REV_CNTR_IDE_NDC_UPC_NUM(22) 1502 IDENDC23 Char 24 9625 REV_CNTR_IDE_NDC_UPC_NUM(23) 1503 IDENDC24 Char 24 9649 REV_CNTR_IDE_NDC_UPC_NUM(24) 1504 IDENDC25 Char 24 9673 REV_CNTR_IDE_NDC_UPC_NUM(25) 1505 IDENDC26 Char 24 9697 REV_CNTR_IDE_NDC_UPC_NUM(26) 1506 IDENDC27 Char 24 9721 REV_CNTR_IDE_NDC_UPC_NUM(27) 1507 IDENDC28 Char 24 9745 REV_CNTR_IDE_NDC_UPC_NUM(28) 1508 IDENDC29 Char 24 9769 REV_CNTR_IDE_NDC_UPC_NUM(29) 1509 IDENDC30 Char 24 9793 REV_CNTR_IDE_NDC_UPC_NUM(30) 1510 IDENDC31 Char 24 9817 REV_CNTR_IDE_NDC_UPC_NUM(31) 1511 IDENDC32 Char 24 9841 REV_CNTR_IDE_NDC_UPC_NUM(32) 1512 IDENDC33 Char 24 9865 REV_CNTR_IDE_NDC_UPC_NUM(33) 1513 IDENDC34 Char 24 9889 REV_CNTR_IDE_NDC_UPC_NUM(34) 1514 IDENDC35 Char 24 9913 REV_CNTR_IDE_NDC_UPC_NUM(35) 1515 IDENDC36 Char 24 9937 REV_CNTR_IDE_NDC_UPC_NUM(36) 1516 IDENDC37 Char 24 9961 REV_CNTR_IDE_NDC_UPC_NUM(37) 1517 IDENDC38 Char 24 9985 REV_CNTR_IDE_NDC_UPC_NUM(38) 1518 IDENDC39 Char 24 10009 REV_CNTR_IDE_NDC_UPC_NUM(39) 1519 IDENDC40 Char 24 10033 REV_CNTR_IDE_NDC_UPC_NUM(40) 1520 IDENDC41 Char 24 10057 REV_CNTR_IDE_NDC_UPC_NUM(41) 1521 IDENDC42 Char 24 10081 REV_CNTR_IDE_NDC_UPC_NUM(42) 1522 IDENDC43 Char 24 10105 REV_CNTR_IDE_NDC_UPC_NUM(43) 1523 IDENDC44 Char 24 10129 REV_CNTR_IDE_NDC_UPC_NUM(44) 1524 IDENDC45 Char 24 10153 REV_CNTR_IDE_NDC_UPC_NUM(45) 8 LINECNT Num 3 10239 CLM_TOT_LINE_CNT 5 LINK_NUM Num 5 10228 COMMA11. NCH_SGMT_LINK_NUM 104 LUPAIND Char 1 5997 CLM_HHA_LUPA_IND_CD 232 MCFFDT1 Num 5 10431 DATE9. MCO_PRD_EFCTV_DT(1) 233 MCFFDT2 Num 5 10436 DATE9. MCO_PRD_EFCTV_DT(2) 226 MCOIND1 Char 1 6154 NCH_MCO_TRLR_IND_CD(1) 227 MCOIND2 Char 1 6155 NCH_MCO_TRLR_IND_CD(2) 228 MCONUM1 Char 5 6156 MCO_CNTRCT_NUM(1) 229 MCONUM2 Char 5 6161 MCO_CNTRCT_NUM(2) 230 MCOOPTN1 Char 1 6166 MCO_OPTN_CD(1) 231 MCOOPTN2 Char 1 6167 MCO_OPTN_CD(2) 94 MCOPDSW Char 1 5921 CLM_MCO_PD_SW 236 MCPLND1 Char 14 6168 MCO_HLTH_PLANID_NUM(1) 237 MCPLND2 Char 14 6182 MCO_HLTH_PLANID_NUM(2) 234 MCTRMDT1 Num 5 10441 DATE9. MCO_PRD_TRMNTN_DT(1) 235 MCTRMDT2 Num 5 10446 DATE9. MCO_PRD_TRMNTN_DT(2) 93 MDCDINFO Char 4 5917 CLM_MDCD_INFO_CD 92 MDCD_PRV Char 13 5904 MDCD_PRVDR_IDENT_NUM 97 MDCL_REC Char 17 5960 CLM_MDCL_REC_NUM 985 MDFCD101 Char 2 8287 REV_CNTR_HCPCS_INITL_MDFR_CD(1) 986 MDFCD102 Char 2 8289 REV_CNTR_HCPCS_INITL_MDFR_CD(2) 987 MDFCD103 Char 2 8291 REV_CNTR_HCPCS_INITL_MDFR_CD(3) 988 MDFCD104 Char 2 8293 REV_CNTR_HCPCS_INITL_MDFR_CD(4) 989 MDFCD105 Char 2 8295 REV_CNTR_HCPCS_INITL_MDFR_CD(5) 990 MDFCD106 Char 2 8297 REV_CNTR_HCPCS_INITL_MDFR_CD(6) 991 MDFCD107 Char 2 8299 REV_CNTR_HCPCS_INITL_MDFR_CD(7) 992 MDFCD108 Char 2 8301 REV_CNTR_HCPCS_INITL_MDFR_CD(8) 993 MDFCD109 Char 2 8303 REV_CNTR_HCPCS_INITL_MDFR_CD(9) 994 MDFCD110 Char 2 8305 REV_CNTR_HCPCS_INITL_MDFR_CD(10) 995 MDFCD111 Char 2 8307 REV_CNTR_HCPCS_INITL_MDFR_CD(11) 996 MDFCD112 Char 2 8309 REV_CNTR_HCPCS_INITL_MDFR_CD(12) 997 MDFCD113 Char 2 8311 REV_CNTR_HCPCS_INITL_MDFR_CD(13) 998 MDFCD114 Char 2 8313 REV_CNTR_HCPCS_INITL_MDFR_CD(14) 999 MDFCD115 Char 2 8315 REV_CNTR_HCPCS_INITL_MDFR_CD(15) 1000 MDFCD116 Char 2 8317 REV_CNTR_HCPCS_INITL_MDFR_CD(16) 1001 MDFCD117 Char 2 8319 REV_CNTR_HCPCS_INITL_MDFR_CD(17) 1002 MDFCD118 Char 2 8321 REV_CNTR_HCPCS_INITL_MDFR_CD(18) 1003 MDFCD119 Char 2 8323 REV_CNTR_HCPCS_INITL_MDFR_CD(19) 1004 MDFCD120 Char 2 8325 REV_CNTR_HCPCS_INITL_MDFR_CD(20) 1005 MDFCD121 Char 2 8327 REV_CNTR_HCPCS_INITL_MDFR_CD(21) 1006 MDFCD122 Char 2 8329 REV_CNTR_HCPCS_INITL_MDFR_CD(22) 1007 MDFCD123 Char 2 8331 REV_CNTR_HCPCS_INITL_MDFR_CD(23) 1008 MDFCD124 Char 2 8333 REV_CNTR_HCPCS_INITL_MDFR_CD(24) 1009 MDFCD125 Char 2 8335 REV_CNTR_HCPCS_INITL_MDFR_CD(25) 1010 MDFCD126 Char 2 8337 REV_CNTR_HCPCS_INITL_MDFR_CD(26) 1011 MDFCD127 Char 2 8339 REV_CNTR_HCPCS_INITL_MDFR_CD(27) 1012 MDFCD128 Char 2 8341 REV_CNTR_HCPCS_INITL_MDFR_CD(28) 1013 MDFCD129 Char 2 8343 REV_CNTR_HCPCS_INITL_MDFR_CD(29) 1014 MDFCD130 Char 2 8345 REV_CNTR_HCPCS_INITL_MDFR_CD(30) 1015 MDFCD131 Char 2 8347 REV_CNTR_HCPCS_INITL_MDFR_CD(31) 1016 MDFCD132 Char 2 8349 REV_CNTR_HCPCS_INITL_MDFR_CD(32) 1017 MDFCD133 Char 2 8351 REV_CNTR_HCPCS_INITL_MDFR_CD(33) 1018 MDFCD134 Char 2 8353 REV_CNTR_HCPCS_INITL_MDFR_CD(34) 1019 MDFCD135 Char 2 8355 REV_CNTR_HCPCS_INITL_MDFR_CD(35) 1020 MDFCD136 Char 2 8357 REV_CNTR_HCPCS_INITL_MDFR_CD(36) 1021 MDFCD137 Char 2 8359 REV_CNTR_HCPCS_INITL_MDFR_CD(37) 1022 MDFCD138 Char 2 8361 REV_CNTR_HCPCS_INITL_MDFR_CD(38) 1023 MDFCD139 Char 2 8363 REV_CNTR_HCPCS_INITL_MDFR_CD(39) 1024 MDFCD140 Char 2 8365 REV_CNTR_HCPCS_INITL_MDFR_CD(40) 1025 MDFCD141 Char 2 8367 REV_CNTR_HCPCS_INITL_MDFR_CD(41) 1026 MDFCD142 Char 2 8369 REV_CNTR_HCPCS_INITL_MDFR_CD(42) 1027 MDFCD143 Char 2 8371 REV_CNTR_HCPCS_INITL_MDFR_CD(43) 1028 MDFCD144 Char 2 8373 REV_CNTR_HCPCS_INITL_MDFR_CD(44) 1029 MDFCD145 Char 2 8375 REV_CNTR_HCPCS_INITL_MDFR_CD(45) 1030 MDFCD201 Char 2 8377 REV_CNTR_HCPCS_2ND_MDFR_CD(1) 1031 MDFCD202 Char 2 8379 REV_CNTR_HCPCS_2ND_MDFR_CD(2) 1032 MDFCD203 Char 2 8381 REV_CNTR_HCPCS_2ND_MDFR_CD(3) 1033 MDFCD204 Char 2 8383 REV_CNTR_HCPCS_2ND_MDFR_CD(4) 1034 MDFCD205 Char 2 8385 REV_CNTR_HCPCS_2ND_MDFR_CD(5) 1035 MDFCD206 Char 2 8387 REV_CNTR_HCPCS_2ND_MDFR_CD(6) 1036 MDFCD207 Char 2 8389 REV_CNTR_HCPCS_2ND_MDFR_CD(7) 1037 MDFCD208 Char 2 8391 REV_CNTR_HCPCS_2ND_MDFR_CD(8) 1038 MDFCD209 Char 2 8393 REV_CNTR_HCPCS_2ND_MDFR_CD(9) 1039 MDFCD210 Char 2 8395 REV_CNTR_HCPCS_2ND_MDFR_CD(10) 1040 MDFCD211 Char 2 8397 REV_CNTR_HCPCS_2ND_MDFR_CD(11) 1041 MDFCD212 Char 2 8399 REV_CNTR_HCPCS_2ND_MDFR_CD(12) 1042 MDFCD213 Char 2 8401 REV_CNTR_HCPCS_2ND_MDFR_CD(13) 1043 MDFCD214 Char 2 8403 REV_CNTR_HCPCS_2ND_MDFR_CD(14) 1044 MDFCD215 Char 2 8405 REV_CNTR_HCPCS_2ND_MDFR_CD(15) 1045 MDFCD216 Char 2 8407 REV_CNTR_HCPCS_2ND_MDFR_CD(16) 1046 MDFCD217 Char 2 8409 REV_CNTR_HCPCS_2ND_MDFR_CD(17) 1047 MDFCD218 Char 2 8411 REV_CNTR_HCPCS_2ND_MDFR_CD(18) 1048 MDFCD219 Char 2 8413 REV_CNTR_HCPCS_2ND_MDFR_CD(19) 1049 MDFCD220 Char 2 8415 REV_CNTR_HCPCS_2ND_MDFR_CD(20) 1050 MDFCD221 Char 2 8417 REV_CNTR_HCPCS_2ND_MDFR_CD(21) 1051 MDFCD222 Char 2 8419 REV_CNTR_HCPCS_2ND_MDFR_CD(22) 1052 MDFCD223 Char 2 8421 REV_CNTR_HCPCS_2ND_MDFR_CD(23) 1053 MDFCD224 Char 2 8423 REV_CNTR_HCPCS_2ND_MDFR_CD(24) 1054 MDFCD225 Char 2 8425 REV_CNTR_HCPCS_2ND_MDFR_CD(25) 1055 MDFCD226 Char 2 8427 REV_CNTR_HCPCS_2ND_MDFR_CD(26) 1056 MDFCD227 Char 2 8429 REV_CNTR_HCPCS_2ND_MDFR_CD(27) 1057 MDFCD228 Char 2 8431 REV_CNTR_HCPCS_2ND_MDFR_CD(28) 1058 MDFCD229 Char 2 8433 REV_CNTR_HCPCS_2ND_MDFR_CD(29) 1059 MDFCD230 Char 2 8435 REV_CNTR_HCPCS_2ND_MDFR_CD(30) 1060 MDFCD231 Char 2 8437 REV_CNTR_HCPCS_2ND_MDFR_CD(31) 1061 MDFCD232 Char 2 8439 REV_CNTR_HCPCS_2ND_MDFR_CD(32) 1062 MDFCD233 Char 2 8441 REV_CNTR_HCPCS_2ND_MDFR_CD(33) 1063 MDFCD234 Char 2 8443 REV_CNTR_HCPCS_2ND_MDFR_CD(34) 1064 MDFCD235 Char 2 8445 REV_CNTR_HCPCS_2ND_MDFR_CD(35) 1065 MDFCD236 Char 2 8447 REV_CNTR_HCPCS_2ND_MDFR_CD(36) 1066 MDFCD237 Char 2 8449 REV_CNTR_HCPCS_2ND_MDFR_CD(37) 1067 MDFCD238 Char 2 8451 REV_CNTR_HCPCS_2ND_MDFR_CD(38) 1068 MDFCD239 Char 2 8453 REV_CNTR_HCPCS_2ND_MDFR_CD(39) 1069 MDFCD240 Char 2 8455 REV_CNTR_HCPCS_2ND_MDFR_CD(40) 1070 MDFCD241 Char 2 8457 REV_CNTR_HCPCS_2ND_MDFR_CD(41) 1071 MDFCD242 Char 2 8459 REV_CNTR_HCPCS_2ND_MDFR_CD(42) 1072 MDFCD243 Char 2 8461 REV_CNTR_HCPCS_2ND_MDFR_CD(43) 1073 MDFCD244 Char 2 8463 REV_CNTR_HCPCS_2ND_MDFR_CD(44) 1074 MDFCD245 Char 2 8465 REV_CNTR_HCPCS_2ND_MDFR_CD(45) 1075 MDFCD301 Char 2 8467 REV_CNTR_HCPCS_3RD_MDFR_CD(1) 1076 MDFCD302 Char 2 8469 REV_CNTR_HCPCS_3RD_MDFR_CD(2) 1077 MDFCD303 Char 2 8471 REV_CNTR_HCPCS_3RD_MDFR_CD(3) 1078 MDFCD304 Char 2 8473 REV_CNTR_HCPCS_3RD_MDFR_CD(4) 1079 MDFCD305 Char 2 8475 REV_CNTR_HCPCS_3RD_MDFR_CD(5) 1080 MDFCD306 Char 2 8477 REV_CNTR_HCPCS_3RD_MDFR_CD(6) 1081 MDFCD307 Char 2 8479 REV_CNTR_HCPCS_3RD_MDFR_CD(7) 1082 MDFCD308 Char 2 8481 REV_CNTR_HCPCS_3RD_MDFR_CD(8) 1083 MDFCD309 Char 2 8483 REV_CNTR_HCPCS_3RD_MDFR_CD(9) 1084 MDFCD310 Char 2 8485 REV_CNTR_HCPCS_3RD_MDFR_CD(10) 1085 MDFCD311 Char 2 8487 REV_CNTR_HCPCS_3RD_MDFR_CD(11) 1086 MDFCD312 Char 2 8489 REV_CNTR_HCPCS_3RD_MDFR_CD(12) 1087 MDFCD313 Char 2 8491 REV_CNTR_HCPCS_3RD_MDFR_CD(13) 1088 MDFCD314 Char 2 8493 REV_CNTR_HCPCS_3RD_MDFR_CD(14) 1089 MDFCD315 Char 2 8495 REV_CNTR_HCPCS_3RD_MDFR_CD(15) 1090 MDFCD316 Char 2 8497 REV_CNTR_HCPCS_3RD_MDFR_CD(16) 1091 MDFCD317 Char 2 8499 REV_CNTR_HCPCS_3RD_MDFR_CD(17) 1092 MDFCD318 Char 2 8501 REV_CNTR_HCPCS_3RD_MDFR_CD(18) 1093 MDFCD319 Char 2 8503 REV_CNTR_HCPCS_3RD_MDFR_CD(19) 1094 MDFCD320 Char 2 8505 REV_CNTR_HCPCS_3RD_MDFR_CD(20) 1095 MDFCD321 Char 2 8507 REV_CNTR_HCPCS_3RD_MDFR_CD(21) 1096 MDFCD322 Char 2 8509 REV_CNTR_HCPCS_3RD_MDFR_CD(22) 1097 MDFCD323 Char 2 8511 REV_CNTR_HCPCS_3RD_MDFR_CD(23) 1098 MDFCD324 Char 2 8513 REV_CNTR_HCPCS_3RD_MDFR_CD(24) 1099 MDFCD325 Char 2 8515 REV_CNTR_HCPCS_3RD_MDFR_CD(25) 1100 MDFCD326 Char 2 8517 REV_CNTR_HCPCS_3RD_MDFR_CD(26) 1101 MDFCD327 Char 2 8519 REV_CNTR_HCPCS_3RD_MDFR_CD(27) 1102 MDFCD328 Char 2 8521 REV_CNTR_HCPCS_3RD_MDFR_CD(28) 1103 MDFCD329 Char 2 8523 REV_CNTR_HCPCS_3RD_MDFR_CD(29) 1104 MDFCD330 Char 2 8525 REV_CNTR_HCPCS_3RD_MDFR_CD(30) 1105 MDFCD331 Char 2 8527 REV_CNTR_HCPCS_3RD_MDFR_CD(31) 1106 MDFCD332 Char 2 8529 REV_CNTR_HCPCS_3RD_MDFR_CD(32) 1107 MDFCD333 Char 2 8531 REV_CNTR_HCPCS_3RD_MDFR_CD(33) 1108 MDFCD334 Char 2 8533 REV_CNTR_HCPCS_3RD_MDFR_CD(34) 1109 MDFCD335 Char 2 8535 REV_CNTR_HCPCS_3RD_MDFR_CD(35) 1110 MDFCD336 Char 2 8537 REV_CNTR_HCPCS_3RD_MDFR_CD(36) 1111 MDFCD337 Char 2 8539 REV_CNTR_HCPCS_3RD_MDFR_CD(37) 1112 MDFCD338 Char 2 8541 REV_CNTR_HCPCS_3RD_MDFR_CD(38) 1113 MDFCD339 Char 2 8543 REV_CNTR_HCPCS_3RD_MDFR_CD(39) 1114 MDFCD340 Char 2 8545 REV_CNTR_HCPCS_3RD_MDFR_CD(40) 1115 MDFCD341 Char 2 8547 REV_CNTR_HCPCS_3RD_MDFR_CD(41) 1116 MDFCD342 Char 2 8549 REV_CNTR_HCPCS_3RD_MDFR_CD(42) 1117 MDFCD343 Char 2 8551 REV_CNTR_HCPCS_3RD_MDFR_CD(43) 1118 MDFCD344 Char 2 8553 REV_CNTR_HCPCS_3RD_MDFR_CD(44) 1119 MDFCD345 Char 2 8555 REV_CNTR_HCPCS_3RD_MDFR_CD(45) 1120 MDFCD401 Char 2 8557 REV_CNTR_HCPCS_4TH_MDFR_CD(1) 1121 MDFCD402 Char 2 8559 REV_CNTR_HCPCS_4TH_MDFR_CD(2) 1122 MDFCD403 Char 2 8561 REV_CNTR_HCPCS_4TH_MDFR_CD(3) 1123 MDFCD404 Char 2 8563 REV_CNTR_HCPCS_4TH_MDFR_CD(4) 1124 MDFCD405 Char 2 8565 REV_CNTR_HCPCS_4TH_MDFR_CD(5) 1125 MDFCD406 Char 2 8567 REV_CNTR_HCPCS_4TH_MDFR_CD(6) 1126 MDFCD407 Char 2 8569 REV_CNTR_HCPCS_4TH_MDFR_CD(7) 1127 MDFCD408 Char 2 8571 REV_CNTR_HCPCS_4TH_MDFR_CD(8) 1128 MDFCD409 Char 2 8573 REV_CNTR_HCPCS_4TH_MDFR_CD(9) 1129 MDFCD410 Char 2 8575 REV_CNTR_HCPCS_4TH_MDFR_CD(10) 1130 MDFCD411 Char 2 8577 REV_CNTR_HCPCS_4TH_MDFR_CD(11) 1131 MDFCD412 Char 2 8579 REV_CNTR_HCPCS_4TH_MDFR_CD(12) 1132 MDFCD413 Char 2 8581 REV_CNTR_HCPCS_4TH_MDFR_CD(13) 1133 MDFCD414 Char 2 8583 REV_CNTR_HCPCS_4TH_MDFR_CD(14) 1134 MDFCD415 Char 2 8585 REV_CNTR_HCPCS_4TH_MDFR_CD(15) 1135 MDFCD416 Char 2 8587 REV_CNTR_HCPCS_4TH_MDFR_CD(16) 1136 MDFCD417 Char 2 8589 REV_CNTR_HCPCS_4TH_MDFR_CD(17) 1137 MDFCD418 Char 2 8591 REV_CNTR_HCPCS_4TH_MDFR_CD(18) 1138 MDFCD419 Char 2 8593 REV_CNTR_HCPCS_4TH_MDFR_CD(19) 1139 MDFCD420 Char 2 8595 REV_CNTR_HCPCS_4TH_MDFR_CD(20) 1140 MDFCD421 Char 2 8597 REV_CNTR_HCPCS_4TH_MDFR_CD(21) 1141 MDFCD422 Char 2 8599 REV_CNTR_HCPCS_4TH_MDFR_CD(22) 1142 MDFCD423 Char 2 8601 REV_CNTR_HCPCS_4TH_MDFR_CD(23) 1143 MDFCD424 Char 2 8603 REV_CNTR_HCPCS_4TH_MDFR_CD(24) 1144 MDFCD425 Char 2 8605 REV_CNTR_HCPCS_4TH_MDFR_CD(25) 1145 MDFCD426 Char 2 8607 REV_CNTR_HCPCS_4TH_MDFR_CD(26) 1146 MDFCD427 Char 2 8609 REV_CNTR_HCPCS_4TH_MDFR_CD(27) 1147 MDFCD428 Char 2 8611 REV_CNTR_HCPCS_4TH_MDFR_CD(28) 1148 MDFCD429 Char 2 8613 REV_CNTR_HCPCS_4TH_MDFR_CD(29) 1149 MDFCD430 Char 2 8615 REV_CNTR_HCPCS_4TH_MDFR_CD(30) 1150 MDFCD431 Char 2 8617 REV_CNTR_HCPCS_4TH_MDFR_CD(31) 1151 MDFCD432 Char 2 8619 REV_CNTR_HCPCS_4TH_MDFR_CD(32) 1152 MDFCD433 Char 2 8621 REV_CNTR_HCPCS_4TH_MDFR_CD(33) 1153 MDFCD434 Char 2 8623 REV_CNTR_HCPCS_4TH_MDFR_CD(34) 1154 MDFCD435 Char 2 8625 REV_CNTR_HCPCS_4TH_MDFR_CD(35) 1155 MDFCD436 Char 2 8627 REV_CNTR_HCPCS_4TH_MDFR_CD(36) 1156 MDFCD437 Char 2 8629 REV_CNTR_HCPCS_4TH_MDFR_CD(37) 1157 MDFCD438 Char 2 8631 REV_CNTR_HCPCS_4TH_MDFR_CD(38) 1158 MDFCD439 Char 2 8633 REV_CNTR_HCPCS_4TH_MDFR_CD(39) 1159 MDFCD440 Char 2 8635 REV_CNTR_HCPCS_4TH_MDFR_CD(40) 1160 MDFCD441 Char 2 8637 REV_CNTR_HCPCS_4TH_MDFR_CD(41) 1161 MDFCD442 Char 2 8639 REV_CNTR_HCPCS_4TH_MDFR_CD(42) 1162 MDFCD443 Char 2 8641 REV_CNTR_HCPCS_4TH_MDFR_CD(43) 1163 MDFCD444 Char 2 8643 REV_CNTR_HCPCS_4TH_MDFR_CD(44) 1164 MDFCD445 Char 2 8645 REV_CNTR_HCPCS_4TH_MDFR_CD(45) 1165 MDFCD501 Char 2 8647 REV_CNTR_HCPCS_5TH_MDFR_CD(1) 1166 MDFCD502 Char 2 8649 REV_CNTR_HCPCS_5TH_MDFR_CD(2) 1167 MDFCD503 Char 2 8651 REV_CNTR_HCPCS_5TH_MDFR_CD(3) 1168 MDFCD504 Char 2 8653 REV_CNTR_HCPCS_5TH_MDFR_CD(4) 1169 MDFCD505 Char 2 8655 REV_CNTR_HCPCS_5TH_MDFR_CD(5) 1170 MDFCD506 Char 2 8657 REV_CNTR_HCPCS_5TH_MDFR_CD(6) 1171 MDFCD507 Char 2 8659 REV_CNTR_HCPCS_5TH_MDFR_CD(7) 1172 MDFCD508 Char 2 8661 REV_CNTR_HCPCS_5TH_MDFR_CD(8) 1173 MDFCD509 Char 2 8663 REV_CNTR_HCPCS_5TH_MDFR_CD(9) 1174 MDFCD510 Char 2 8665 REV_CNTR_HCPCS_5TH_MDFR_CD(10) 1175 MDFCD511 Char 2 8667 REV_CNTR_HCPCS_5TH_MDFR_CD(11) 1176 MDFCD512 Char 2 8669 REV_CNTR_HCPCS_5TH_MDFR_CD(12) 1177 MDFCD513 Char 2 8671 REV_CNTR_HCPCS_5TH_MDFR_CD(13) 1178 MDFCD514 Char 2 8673 REV_CNTR_HCPCS_5TH_MDFR_CD(14) 1179 MDFCD515 Char 2 8675 REV_CNTR_HCPCS_5TH_MDFR_CD(15) 1180 MDFCD516 Char 2 8677 REV_CNTR_HCPCS_5TH_MDFR_CD(16) 1181 MDFCD517 Char 2 8679 REV_CNTR_HCPCS_5TH_MDFR_CD(17) 1182 MDFCD518 Char 2 8681 REV_CNTR_HCPCS_5TH_MDFR_CD(18) 1183 MDFCD519 Char 2 8683 REV_CNTR_HCPCS_5TH_MDFR_CD(19) 1184 MDFCD520 Char 2 8685 REV_CNTR_HCPCS_5TH_MDFR_CD(20) 1185 MDFCD521 Char 2 8687 REV_CNTR_HCPCS_5TH_MDFR_CD(21) 1186 MDFCD522 Char 2 8689 REV_CNTR_HCPCS_5TH_MDFR_CD(22) 1187 MDFCD523 Char 2 8691 REV_CNTR_HCPCS_5TH_MDFR_CD(23) 1188 MDFCD524 Char 2 8693 REV_CNTR_HCPCS_5TH_MDFR_CD(24) 1189 MDFCD525 Char 2 8695 REV_CNTR_HCPCS_5TH_MDFR_CD(25) 1190 MDFCD526 Char 2 8697 REV_CNTR_HCPCS_5TH_MDFR_CD(26) 1191 MDFCD527 Char 2 8699 REV_CNTR_HCPCS_5TH_MDFR_CD(27) 1192 MDFCD528 Char 2 8701 REV_CNTR_HCPCS_5TH_MDFR_CD(28) 1193 MDFCD529 Char 2 8703 REV_CNTR_HCPCS_5TH_MDFR_CD(29) 1194 MDFCD530 Char 2 8705 REV_CNTR_HCPCS_5TH_MDFR_CD(30) 1195 MDFCD531 Char 2 8707 REV_CNTR_HCPCS_5TH_MDFR_CD(31) 1196 MDFCD532 Char 2 8709 REV_CNTR_HCPCS_5TH_MDFR_CD(32) 1197 MDFCD533 Char 2 8711 REV_CNTR_HCPCS_5TH_MDFR_CD(33) 1198 MDFCD534 Char 2 8713 REV_CNTR_HCPCS_5TH_MDFR_CD(34) 1199 MDFCD535 Char 2 8715 REV_CNTR_HCPCS_5TH_MDFR_CD(35) 1200 MDFCD536 Char 2 8717 REV_CNTR_HCPCS_5TH_MDFR_CD(36) 1201 MDFCD537 Char 2 8719 REV_CNTR_HCPCS_5TH_MDFR_CD(37) 1202 MDFCD538 Char 2 8721 REV_CNTR_HCPCS_5TH_MDFR_CD(38) 1203 MDFCD539 Char 2 8723 REV_CNTR_HCPCS_5TH_MDFR_CD(39) 1204 MDFCD540 Char 2 8725 REV_CNTR_HCPCS_5TH_MDFR_CD(40) 1205 MDFCD541 Char 2 8727 REV_CNTR_HCPCS_5TH_MDFR_CD(41) 1206 MDFCD542 Char 2 8729 REV_CNTR_HCPCS_5TH_MDFR_CD(42) 1207 MDFCD543 Char 2 8731 REV_CNTR_HCPCS_5TH_MDFR_CD(43) 1208 MDFCD544 Char 2 8733 REV_CNTR_HCPCS_5TH_MDFR_CD(44) 1209 MDFCD545 Char 2 8735 REV_CNTR_HCPCS_5TH_MDFR_CD(45) 64 MDL_INIT Char 1 5808 CLM_PTNT_1ST_INITL_MDL_NAME 46 MQAQUERY Char 1 5770 NCH_MQA_QUERY_PATCH_CD 24 MQA_RIC Char 1 5682 NCH_MQA_RIC_CD 61 MS_CD Char 2 5799 CWF_BENE_MDCR_STUS_CD 67 NOPAY_CD Char 1 5815 CLM_MDCR_NPMT_RSN_CD 372 OCRCCD01 Char 2 6514 CLM_RLT_OCRNC_CD(1) 373 OCRCCD02 Char 2 6516 CLM_RLT_OCRNC_CD(2) 374 OCRCCD03 Char 2 6518 CLM_RLT_OCRNC_CD(3) 375 OCRCCD04 Char 2 6520 CLM_RLT_OCRNC_CD(4) 376 OCRCCD05 Char 2 6522 CLM_RLT_OCRNC_CD(5) 377 OCRCCD06 Char 2 6524 CLM_RLT_OCRNC_CD(6) 378 OCRCCD07 Char 2 6526 CLM_RLT_OCRNC_CD(7) 379 OCRCCD08 Char 2 6528 CLM_RLT_OCRNC_CD(8) 380 OCRCCD09 Char 2 6530 CLM_RLT_OCRNC_CD(9) 381 OCRCCD10 Char 2 6532 CLM_RLT_OCRNC_CD(10) 382 OCRCCD11 Char 2 6534 CLM_RLT_OCRNC_CD(11) 383 OCRCCD12 Char 2 6536 CLM_RLT_OCRNC_CD(12) 384 OCRCCD13 Char 2 6538 CLM_RLT_OCRNC_CD(13) 385 OCRCCD14 Char 2 6540 CLM_RLT_OCRNC_CD(14) 386 OCRCCD15 Char 2 6542 CLM_RLT_OCRNC_CD(15) 387 OCRCCD16 Char 2 6544 CLM_RLT_OCRNC_CD(16) 388 OCRCCD17 Char 2 6546 CLM_RLT_OCRNC_CD(17) 389 OCRCCD18 Char 2 6548 CLM_RLT_OCRNC_CD(18) 390 OCRCCD19 Char 2 6550 CLM_RLT_OCRNC_CD(19) 391 OCRCCD20 Char 2 6552 CLM_RLT_OCRNC_CD(20) 392 OCRCCD21 Char 2 6554 CLM_RLT_OCRNC_CD(21) 393 OCRCCD22 Char 2 6556 CLM_RLT_OCRNC_CD(22) 394 OCRCCD23 Char 2 6558 CLM_RLT_OCRNC_CD(23) 395 OCRCCD24 Char 2 6560 CLM_RLT_OCRNC_CD(24) 396 OCRCCD25 Char 2 6562 CLM_RLT_OCRNC_CD(25) 397 OCRCCD26 Char 2 6564 CLM_RLT_OCRNC_CD(26) 398 OCRCCD27 Char 2 6566 CLM_RLT_OCRNC_CD(27) 399 OCRCCD28 Char 2 6568 CLM_RLT_OCRNC_CD(28) 400 OCRCCD29 Char 2 6570 CLM_RLT_OCRNC_CD(29) 401 OCRCCD30 Char 2 6572 CLM_RLT_OCRNC_CD(30) 402 OCRCDT01 Num 5 10451 DATE9. CLM_RLT_OCRNC_DT(1) 403 OCRCDT02 Num 5 10456 DATE9. CLM_RLT_OCRNC_DT(2) 404 OCRCDT03 Num 5 10461 DATE9. CLM_RLT_OCRNC_DT(3) 405 OCRCDT04 Num 5 10466 DATE9. CLM_RLT_OCRNC_DT(4) 406 OCRCDT05 Num 5 10471 DATE9. CLM_RLT_OCRNC_DT(5) 407 OCRCDT06 Num 5 10476 DATE9. CLM_RLT_OCRNC_DT(6) 408 OCRCDT07 Num 5 10481 DATE9. CLM_RLT_OCRNC_DT(7) 409 OCRCDT08 Num 5 10486 DATE9. CLM_RLT_OCRNC_DT(8) 410 OCRCDT09 Num 5 10491 DATE9. CLM_RLT_OCRNC_DT(9) 411 OCRCDT10 Num 5 10496 DATE9. CLM_RLT_OCRNC_DT(10) 412 OCRCDT11 Num 5 10501 DATE9. CLM_RLT_OCRNC_DT(11) 413 OCRCDT12 Num 5 10506 DATE9. CLM_RLT_OCRNC_DT(12) 414 OCRCDT13 Num 5 10511 DATE9. CLM_RLT_OCRNC_DT(13) 415 OCRCDT14 Num 5 10516 DATE9. CLM_RLT_OCRNC_DT(14) 416 OCRCDT15 Num 5 10521 DATE9. CLM_RLT_OCRNC_DT(15) 417 OCRCDT16 Num 5 10526 DATE9. CLM_RLT_OCRNC_DT(16) 418 OCRCDT17 Num 5 10531 DATE9. CLM_RLT_OCRNC_DT(17) 419 OCRCDT18 Num 5 10536 DATE9. CLM_RLT_OCRNC_DT(18) 420 OCRCDT19 Num 5 10541 DATE9. CLM_RLT_OCRNC_DT(19) 421 OCRCDT20 Num 5 10546 DATE9. CLM_RLT_OCRNC_DT(20) 422 OCRCDT21 Num 5 10551 DATE9. CLM_RLT_OCRNC_DT(21) 423 OCRCDT22 Num 5 10556 DATE9. CLM_RLT_OCRNC_DT(22) 424 OCRCDT23 Num 5 10561 DATE9. CLM_RLT_OCRNC_DT(23) 425 OCRCDT24 Num 5 10566 DATE9. CLM_RLT_OCRNC_DT(24) 426 OCRCDT25 Num 5 10571 DATE9. CLM_RLT_OCRNC_DT(25) 427 OCRCDT26 Num 5 10576 DATE9. CLM_RLT_OCRNC_DT(26) 428 OCRCDT27 Num 5 10581 DATE9. CLM_RLT_OCRNC_DT(27) 429 OCRCDT28 Num 5 10586 DATE9. CLM_RLT_OCRNC_DT(28) 430 OCRCDT29 Num 5 10591 DATE9. CLM_RLT_OCRNC_DT(29) 431 OCRCDT30 Num 5 10596 DATE9. CLM_RLT_OCRNC_DT(30) 342 OCRCND01 Char 1 6484 NCH_OCRNC_TRLR_IND_CD(1) 343 OCRCND02 Char 1 6485 NCH_OCRNC_TRLR_IND_CD(2) 344 OCRCND03 Char 1 6486 NCH_OCRNC_TRLR_IND_CD(3) 345 OCRCND04 Char 1 6487 NCH_OCRNC_TRLR_IND_CD(4) 346 OCRCND05 Char 1 6488 NCH_OCRNC_TRLR_IND_CD(5) 347 OCRCND06 Char 1 6489 NCH_OCRNC_TRLR_IND_CD(6) 348 OCRCND07 Char 1 6490 NCH_OCRNC_TRLR_IND_CD(7) 349 OCRCND08 Char 1 6491 NCH_OCRNC_TRLR_IND_CD(8) 350 OCRCND09 Char 1 6492 NCH_OCRNC_TRLR_IND_CD(9) 351 OCRCND10 Char 1 6493 NCH_OCRNC_TRLR_IND_CD(10) 352 OCRCND11 Char 1 6494 NCH_OCRNC_TRLR_IND_CD(11) 353 OCRCND12 Char 1 6495 NCH_OCRNC_TRLR_IND_CD(12) 354 OCRCND13 Char 1 6496 NCH_OCRNC_TRLR_IND_CD(13) 355 OCRCND14 Char 1 6497 NCH_OCRNC_TRLR_IND_CD(14) 356 OCRCND15 Char 1 6498 NCH_OCRNC_TRLR_IND_CD(15) 357 OCRCND16 Char 1 6499 NCH_OCRNC_TRLR_IND_CD(16) 358 OCRCND17 Char 1 6500 NCH_OCRNC_TRLR_IND_CD(17) 359 OCRCND18 Char 1 6501 NCH_OCRNC_TRLR_IND_CD(18) 360 OCRCND19 Char 1 6502 NCH_OCRNC_TRLR_IND_CD(19) 361 OCRCND20 Char 1 6503 NCH_OCRNC_TRLR_IND_CD(20) 362 OCRCND21 Char 1 6504 NCH_OCRNC_TRLR_IND_CD(21) 363 OCRCND22 Char 1 6505 NCH_OCRNC_TRLR_IND_CD(22) 364 OCRCND23 Char 1 6506 NCH_OCRNC_TRLR_IND_CD(23) 365 OCRCND24 Char 1 6507 NCH_OCRNC_TRLR_IND_CD(24) 366 OCRCND25 Char 1 6508 NCH_OCRNC_TRLR_IND_CD(25) 367 OCRCND26 Char 1 6509 NCH_OCRNC_TRLR_IND_CD(26) 368 OCRCND27 Char 1 6510 NCH_OCRNC_TRLR_IND_CD(27) 369 OCRCND28 Char 1 6511 NCH_OCRNC_TRLR_IND_CD(28) 370 OCRCND29 Char 1 6512 NCH_OCRNC_TRLR_IND_CD(29) 371 OCRCND30 Char 1 6513 NCH_OCRNC_TRLR_IND_CD(30) 85 OP_GVN Char 1 5878 CLM_OPRTG_PHYSN_GVN_NAME 86 OP_MDL Char 1 5879 CLM_OPRTG_PHYSN_MDL_INITL_NAME 83 OP_NPI Char 10 5862 CLM_OPRTG_PHYSN_NPI_NUM 84 OP_SRNM Char 6 5872 CLM_OPRTG_PHYSN_SRNM_NAME 82 OP_UPIN Char 6 5856 CLM_OPRTG_PHYSN_UPIN_NUM 76 ORGNPINM Char 10 5822 ORG_NPI_NUM 37 ORIGCNTL Char 23 5735 FI_ORIG_CLM_CNTL_NUM 1390 OTAF_101 Char 1 9007 REV_CNTR_OTAF_1_IND_CD(1) 1391 OTAF_102 Char 1 9008 REV_CNTR_OTAF_1_IND_CD(2) 1392 OTAF_103 Char 1 9009 REV_CNTR_OTAF_1_IND_CD(3) 1393 OTAF_104 Char 1 9010 REV_CNTR_OTAF_1_IND_CD(4) 1394 OTAF_105 Char 1 9011 REV_CNTR_OTAF_1_IND_CD(5) 1395 OTAF_106 Char 1 9012 REV_CNTR_OTAF_1_IND_CD(6) 1396 OTAF_107 Char 1 9013 REV_CNTR_OTAF_1_IND_CD(7) 1397 OTAF_108 Char 1 9014 REV_CNTR_OTAF_1_IND_CD(8) 1398 OTAF_109 Char 1 9015 REV_CNTR_OTAF_1_IND_CD(9) 1399 OTAF_110 Char 1 9016 REV_CNTR_OTAF_1_IND_CD(10) 1400 OTAF_111 Char 1 9017 REV_CNTR_OTAF_1_IND_CD(11) 1401 OTAF_112 Char 1 9018 REV_CNTR_OTAF_1_IND_CD(12) 1402 OTAF_113 Char 1 9019 REV_CNTR_OTAF_1_IND_CD(13) 1403 OTAF_114 Char 1 9020 REV_CNTR_OTAF_1_IND_CD(14) 1404 OTAF_115 Char 1 9021 REV_CNTR_OTAF_1_IND_CD(15) 1405 OTAF_116 Char 1 9022 REV_CNTR_OTAF_1_IND_CD(16) 1406 OTAF_117 Char 1 9023 REV_CNTR_OTAF_1_IND_CD(17) 1407 OTAF_118 Char 1 9024 REV_CNTR_OTAF_1_IND_CD(18) 1408 OTAF_119 Char 1 9025 REV_CNTR_OTAF_1_IND_CD(19) 1409 OTAF_120 Char 1 9026 REV_CNTR_OTAF_1_IND_CD(20) 1410 OTAF_121 Char 1 9027 REV_CNTR_OTAF_1_IND_CD(21) 1411 OTAF_122 Char 1 9028 REV_CNTR_OTAF_1_IND_CD(22) 1412 OTAF_123 Char 1 9029 REV_CNTR_OTAF_1_IND_CD(23) 1413 OTAF_124 Char 1 9030 REV_CNTR_OTAF_1_IND_CD(24) 1414 OTAF_125 Char 1 9031 REV_CNTR_OTAF_1_IND_CD(25) 1415 OTAF_126 Char 1 9032 REV_CNTR_OTAF_1_IND_CD(26) 1416 OTAF_127 Char 1 9033 REV_CNTR_OTAF_1_IND_CD(27) 1417 OTAF_128 Char 1 9034 REV_CNTR_OTAF_1_IND_CD(28) 1418 OTAF_129 Char 1 9035 REV_CNTR_OTAF_1_IND_CD(29) 1419 OTAF_130 Char 1 9036 REV_CNTR_OTAF_1_IND_CD(30) 1420 OTAF_131 Char 1 9037 REV_CNTR_OTAF_1_IND_CD(31) 1421 OTAF_132 Char 1 9038 REV_CNTR_OTAF_1_IND_CD(32) 1422 OTAF_133 Char 1 9039 REV_CNTR_OTAF_1_IND_CD(33) 1423 OTAF_134 Char 1 9040 REV_CNTR_OTAF_1_IND_CD(34) 1424 OTAF_135 Char 1 9041 REV_CNTR_OTAF_1_IND_CD(35) 1425 OTAF_136 Char 1 9042 REV_CNTR_OTAF_1_IND_CD(36) 1426 OTAF_137 Char 1 9043 REV_CNTR_OTAF_1_IND_CD(37) 1427 OTAF_138 Char 1 9044 REV_CNTR_OTAF_1_IND_CD(38) 1428 OTAF_139 Char 1 9045 REV_CNTR_OTAF_1_IND_CD(39) 1429 OTAF_140 Char 1 9046 REV_CNTR_OTAF_1_IND_CD(40) 1430 OTAF_141 Char 1 9047 REV_CNTR_OTAF_1_IND_CD(41) 1431 OTAF_142 Char 1 9048 REV_CNTR_OTAF_1_IND_CD(42) 1432 OTAF_143 Char 1 9049 REV_CNTR_OTAF_1_IND_CD(43) 1433 OTAF_144 Char 1 9050 REV_CNTR_OTAF_1_IND_CD(44) 1434 OTAF_145 Char 1 9051 REV_CNTR_OTAF_1_IND_CD(45) 1435 OTAF_201 Char 1 9052 REV_CNTR_OTAF_2_IND_CD(1) 1436 OTAF_202 Char 1 9053 REV_CNTR_OTAF_2_IND_CD(2) 1437 OTAF_203 Char 1 9054 REV_CNTR_OTAF_2_IND_CD(3) 1438 OTAF_204 Char 1 9055 REV_CNTR_OTAF_2_IND_CD(4) 1439 OTAF_205 Char 1 9056 REV_CNTR_OTAF_2_IND_CD(5) 1440 OTAF_206 Char 1 9057 REV_CNTR_OTAF_2_IND_CD(6) 1441 OTAF_207 Char 1 9058 REV_CNTR_OTAF_2_IND_CD(7) 1442 OTAF_208 Char 1 9059 REV_CNTR_OTAF_2_IND_CD(8) 1443 OTAF_209 Char 1 9060 REV_CNTR_OTAF_2_IND_CD(9) 1444 OTAF_210 Char 1 9061 REV_CNTR_OTAF_2_IND_CD(10) 1445 OTAF_211 Char 1 9062 REV_CNTR_OTAF_2_IND_CD(11) 1446 OTAF_212 Char 1 9063 REV_CNTR_OTAF_2_IND_CD(12) 1447 OTAF_213 Char 1 9064 REV_CNTR_OTAF_2_IND_CD(13) 1448 OTAF_214 Char 1 9065 REV_CNTR_OTAF_2_IND_CD(14) 1449 OTAF_215 Char 1 9066 REV_CNTR_OTAF_2_IND_CD(15) 1450 OTAF_216 Char 1 9067 REV_CNTR_OTAF_2_IND_CD(16) 1451 OTAF_217 Char 1 9068 REV_CNTR_OTAF_2_IND_CD(17) 1452 OTAF_218 Char 1 9069 REV_CNTR_OTAF_2_IND_CD(18) 1453 OTAF_219 Char 1 9070 REV_CNTR_OTAF_2_IND_CD(19) 1454 OTAF_220 Char 1 9071 REV_CNTR_OTAF_2_IND_CD(20) 1455 OTAF_221 Char 1 9072 REV_CNTR_OTAF_2_IND_CD(21) 1456 OTAF_222 Char 1 9073 REV_CNTR_OTAF_2_IND_CD(22) 1457 OTAF_223 Char 1 9074 REV_CNTR_OTAF_2_IND_CD(23) 1458 OTAF_224 Char 1 9075 REV_CNTR_OTAF_2_IND_CD(24) 1459 OTAF_225 Char 1 9076 REV_CNTR_OTAF_2_IND_CD(25) 1460 OTAF_226 Char 1 9077 REV_CNTR_OTAF_2_IND_CD(26) 1461 OTAF_227 Char 1 9078 REV_CNTR_OTAF_2_IND_CD(27) 1462 OTAF_228 Char 1 9079 REV_CNTR_OTAF_2_IND_CD(28) 1463 OTAF_229 Char 1 9080 REV_CNTR_OTAF_2_IND_CD(29) 1464 OTAF_230 Char 1 9081 REV_CNTR_OTAF_2_IND_CD(30) 1465 OTAF_231 Char 1 9082 REV_CNTR_OTAF_2_IND_CD(31) 1466 OTAF_232 Char 1 9083 REV_CNTR_OTAF_2_IND_CD(32) 1467 OTAF_233 Char 1 9084 REV_CNTR_OTAF_2_IND_CD(33) 1468 OTAF_234 Char 1 9085 REV_CNTR_OTAF_2_IND_CD(34) 1469 OTAF_235 Char 1 9086 REV_CNTR_OTAF_2_IND_CD(35) 1470 OTAF_236 Char 1 9087 REV_CNTR_OTAF_2_IND_CD(36) 1471 OTAF_237 Char 1 9088 REV_CNTR_OTAF_2_IND_CD(37) 1472 OTAF_238 Char 1 9089 REV_CNTR_OTAF_2_IND_CD(38) 1473 OTAF_239 Char 1 9090 REV_CNTR_OTAF_2_IND_CD(39) 1474 OTAF_240 Char 1 9091 REV_CNTR_OTAF_2_IND_CD(40) 1475 OTAF_241 Char 1 9092 REV_CNTR_OTAF_2_IND_CD(41) 1476 OTAF_242 Char 1 9093 REV_CNTR_OTAF_2_IND_CD(42) 1477 OTAF_243 Char 1 9094 REV_CNTR_OTAF_2_IND_CD(43) 1478 OTAF_244 Char 1 9095 REV_CNTR_OTAF_2_IND_CD(44) 1479 OTAF_245 Char 1 9096 REV_CNTR_OTAF_2_IND_CD(45) 90 OT_GVN Char 1 5902 CLM_OTHR_PHYSN_GVN_NAME 91 OT_MDL Char 1 5903 CLM_OTHR_PHYSN_MDL_INITL_NAME 88 OT_NPI Char 10 5886 CLM_OTHR_PHYSN_NPI_NUM 89 OT_SRNM Char 6 5896 CLM_OTHR_PHYSN_SRNM_NAME 87 OT_UPIN Char 6 5880 CLM_OTHR_PHYSN_UPIN_NUM 1300 PCKGND01 Char 1 8872 REV_CNTR_PACKG_IND_CD(1) 1301 PCKGND02 Char 1 8873 REV_CNTR_PACKG_IND_CD(2) 1302 PCKGND03 Char 1 8874 REV_CNTR_PACKG_IND_CD(3) 1303 PCKGND04 Char 1 8875 REV_CNTR_PACKG_IND_CD(4) 1304 PCKGND05 Char 1 8876 REV_CNTR_PACKG_IND_CD(5) 1305 PCKGND06 Char 1 8877 REV_CNTR_PACKG_IND_CD(6) 1306 PCKGND07 Char 1 8878 REV_CNTR_PACKG_IND_CD(7) 1307 PCKGND08 Char 1 8879 REV_CNTR_PACKG_IND_CD(8) 1308 PCKGND09 Char 1 8880 REV_CNTR_PACKG_IND_CD(9) 1309 PCKGND10 Char 1 8881 REV_CNTR_PACKG_IND_CD(10) 1310 PCKGND11 Char 1 8882 REV_CNTR_PACKG_IND_CD(11) 1311 PCKGND12 Char 1 8883 REV_CNTR_PACKG_IND_CD(12) 1312 PCKGND13 Char 1 8884 REV_CNTR_PACKG_IND_CD(13) 1313 PCKGND14 Char 1 8885 REV_CNTR_PACKG_IND_CD(14) 1314 PCKGND15 Char 1 8886 REV_CNTR_PACKG_IND_CD(15) 1315 PCKGND16 Char 1 8887 REV_CNTR_PACKG_IND_CD(16) 1316 PCKGND17 Char 1 8888 REV_CNTR_PACKG_IND_CD(17) 1317 PCKGND18 Char 1 8889 REV_CNTR_PACKG_IND_CD(18) 1318 PCKGND19 Char 1 8890 REV_CNTR_PACKG_IND_CD(19) 1319 PCKGND20 Char 1 8891 REV_CNTR_PACKG_IND_CD(20) 1320 PCKGND21 Char 1 8892 REV_CNTR_PACKG_IND_CD(21) 1321 PCKGND22 Char 1 8893 REV_CNTR_PACKG_IND_CD(22) 1322 PCKGND23 Char 1 8894 REV_CNTR_PACKG_IND_CD(23) 1323 PCKGND24 Char 1 8895 REV_CNTR_PACKG_IND_CD(24) 1324 PCKGND25 Char 1 8896 REV_CNTR_PACKG_IND_CD(25) 1325 PCKGND26 Char 1 8897 REV_CNTR_PACKG_IND_CD(26) 1326 PCKGND27 Char 1 8898 REV_CNTR_PACKG_IND_CD(27) 1327 PCKGND28 Char 1 8899 REV_CNTR_PACKG_IND_CD(28) 1328 PCKGND29 Char 1 8900 REV_CNTR_PACKG_IND_CD(29) 1329 PCKGND30 Char 1 8901 REV_CNTR_PACKG_IND_CD(30) 1330 PCKGND31 Char 1 8902 REV_CNTR_PACKG_IND_CD(31) 1331 PCKGND32 Char 1 8903 REV_CNTR_PACKG_IND_CD(32) 1332 PCKGND33 Char 1 8904 REV_CNTR_PACKG_IND_CD(33) 1333 PCKGND34 Char 1 8905 REV_CNTR_PACKG_IND_CD(34) 1334 PCKGND35 Char 1 8906 REV_CNTR_PACKG_IND_CD(35) 1335 PCKGND36 Char 1 8907 REV_CNTR_PACKG_IND_CD(36) 1336 PCKGND37 Char 1 8908 REV_CNTR_PACKG_IND_CD(37) 1337 PCKGND38 Char 1 8909 REV_CNTR_PACKG_IND_CD(38) 1338 PCKGND39 Char 1 8910 REV_CNTR_PACKG_IND_CD(39) 1339 PCKGND40 Char 1 8911 REV_CNTR_PACKG_IND_CD(40) 1340 PCKGND41 Char 1 8912 REV_CNTR_PACKG_IND_CD(41) 1341 PCKGND42 Char 1 8913 REV_CNTR_PACKG_IND_CD(42) 1342 PCKGND43 Char 1 8914 REV_CNTR_PACKG_IND_CD(43) 1343 PCKGND44 Char 1 8915 REV_CNTR_PACKG_IND_CD(44) 1344 PCKGND45 Char 1 8916 REV_CNTR_PACKG_IND_CD(45) 66 PDGNS_CD Char 5 5810 CLM_PRNCPAL_DGNS_CD 41 PE_RIC Char 1 5765 NCH_PMT_EDIT_RIC_CD 244 PLANID1 Char 14 6202 CLM_HLTH_PLANID_NUM(1) 245 PLANID2 Char 14 6216 CLM_HLTH_PLANID_NUM(2) 246 PLANID3 Char 14 6230 CLM_HLTH_PLANID_NUM(3) 241 PLNDCD1 Char 1 6199 CLM_HLTH_PLANID_CD(1) 242 PLNDCD2 Char 1 6200 CLM_HLTH_PLANID_CD(2) 243 PLNDCD3 Char 1 6201 CLM_HLTH_PLANID_CD(3) 238 PLNDND1 Char 1 6196 NCH_HLTH_PLANID_TRLR_IND_CD(1) 239 PLNDND2 Char 1 6197 NCH_HLTH_PLANID_TRLR_IND_CD(2) 240 PLNDND3 Char 1 6198 NCH_HLTH_PLANID_TRLR_IND_CD(3) 1210 PMTTHD01 Char 2 8737 REV_CNTR_PMT_MTHD_IND_CD(1) 1211 PMTTHD02 Char 2 8739 REV_CNTR_PMT_MTHD_IND_CD(2) 1212 PMTTHD03 Char 2 8741 REV_CNTR_PMT_MTHD_IND_CD(3) 1213 PMTTHD04 Char 2 8743 REV_CNTR_PMT_MTHD_IND_CD(4) 1214 PMTTHD05 Char 2 8745 REV_CNTR_PMT_MTHD_IND_CD(5) 1215 PMTTHD06 Char 2 8747 REV_CNTR_PMT_MTHD_IND_CD(6) 1216 PMTTHD07 Char 2 8749 REV_CNTR_PMT_MTHD_IND_CD(7) 1217 PMTTHD08 Char 2 8751 REV_CNTR_PMT_MTHD_IND_CD(8) 1218 PMTTHD09 Char 2 8753 REV_CNTR_PMT_MTHD_IND_CD(9) 1219 PMTTHD10 Char 2 8755 REV_CNTR_PMT_MTHD_IND_CD(10) 1220 PMTTHD11 Char 2 8757 REV_CNTR_PMT_MTHD_IND_CD(11) 1221 PMTTHD12 Char 2 8759 REV_CNTR_PMT_MTHD_IND_CD(12) 1222 PMTTHD13 Char 2 8761 REV_CNTR_PMT_MTHD_IND_CD(13) 1223 PMTTHD14 Char 2 8763 REV_CNTR_PMT_MTHD_IND_CD(14) 1224 PMTTHD15 Char 2 8765 REV_CNTR_PMT_MTHD_IND_CD(15) 1225 PMTTHD16 Char 2 8767 REV_CNTR_PMT_MTHD_IND_CD(16) 1226 PMTTHD17 Char 2 8769 REV_CNTR_PMT_MTHD_IND_CD(17) 1227 PMTTHD18 Char 2 8771 REV_CNTR_PMT_MTHD_IND_CD(18) 1228 PMTTHD19 Char 2 8773 REV_CNTR_PMT_MTHD_IND_CD(19) 1229 PMTTHD20 Char 2 8775 REV_CNTR_PMT_MTHD_IND_CD(20) 1230 PMTTHD21 Char 2 8777 REV_CNTR_PMT_MTHD_IND_CD(21) 1231 PMTTHD22 Char 2 8779 REV_CNTR_PMT_MTHD_IND_CD(22) 1232 PMTTHD23 Char 2 8781 REV_CNTR_PMT_MTHD_IND_CD(23) 1233 PMTTHD24 Char 2 8783 REV_CNTR_PMT_MTHD_IND_CD(24) 1234 PMTTHD25 Char 2 8785 REV_CNTR_PMT_MTHD_IND_CD(25) 1235 PMTTHD26 Char 2 8787 REV_CNTR_PMT_MTHD_IND_CD(26) 1236 PMTTHD27 Char 2 8789 REV_CNTR_PMT_MTHD_IND_CD(27) 1237 PMTTHD28 Char 2 8791 REV_CNTR_PMT_MTHD_IND_CD(28) 1238 PMTTHD29 Char 2 8793 REV_CNTR_PMT_MTHD_IND_CD(29) 1239 PMTTHD30 Char 2 8795 REV_CNTR_PMT_MTHD_IND_CD(30) 1240 PMTTHD31 Char 2 8797 REV_CNTR_PMT_MTHD_IND_CD(31) 1241 PMTTHD32 Char 2 8799 REV_CNTR_PMT_MTHD_IND_CD(32) 1242 PMTTHD33 Char 2 8801 REV_CNTR_PMT_MTHD_IND_CD(33) 1243 PMTTHD34 Char 2 8803 REV_CNTR_PMT_MTHD_IND_CD(34) 1244 PMTTHD35 Char 2 8805 REV_CNTR_PMT_MTHD_IND_CD(35) 1245 PMTTHD36 Char 2 8807 REV_CNTR_PMT_MTHD_IND_CD(36) 1246 PMTTHD37 Char 2 8809 REV_CNTR_PMT_MTHD_IND_CD(37) 1247 PMTTHD38 Char 2 8811 REV_CNTR_PMT_MTHD_IND_CD(38) 1248 PMTTHD39 Char 2 8813 REV_CNTR_PMT_MTHD_IND_CD(39) 1249 PMTTHD40 Char 2 8815 REV_CNTR_PMT_MTHD_IND_CD(40) 1250 PMTTHD41 Char 2 8817 REV_CNTR_PMT_MTHD_IND_CD(41) 1251 PMTTHD42 Char 2 8819 REV_CNTR_PMT_MTHD_IND_CD(42) 1252 PMTTHD43 Char 2 8821 REV_CNTR_PMT_MTHD_IND_CD(43) 1253 PMTTHD44 Char 2 8823 REV_CNTR_PMT_MTHD_IND_CD(44) 1254 PMTTHD45 Char 2 8825 REV_CNTR_PMT_MTHD_IND_CD(45) 69 PMT_AMT Num 8 96 COMMA14.2 CLM_PMT_AMT 102 PPS_IND Char 1 5996 CLM_PPS_IND_CD 1345 PRICNG01 Char 2 8917 REV_CNTR_PRICNG_IND_CD(1) 1346 PRICNG02 Char 2 8919 REV_CNTR_PRICNG_IND_CD(2) 1347 PRICNG03 Char 2 8921 REV_CNTR_PRICNG_IND_CD(3) 1348 PRICNG04 Char 2 8923 REV_CNTR_PRICNG_IND_CD(4) 1349 PRICNG05 Char 2 8925 REV_CNTR_PRICNG_IND_CD(5) 1350 PRICNG06 Char 2 8927 REV_CNTR_PRICNG_IND_CD(6) 1351 PRICNG07 Char 2 8929 REV_CNTR_PRICNG_IND_CD(7) 1352 PRICNG08 Char 2 8931 REV_CNTR_PRICNG_IND_CD(8) 1353 PRICNG09 Char 2 8933 REV_CNTR_PRICNG_IND_CD(9) 1354 PRICNG10 Char 2 8935 REV_CNTR_PRICNG_IND_CD(10) 1355 PRICNG11 Char 2 8937 REV_CNTR_PRICNG_IND_CD(11) 1356 PRICNG12 Char 2 8939 REV_CNTR_PRICNG_IND_CD(12) 1357 PRICNG13 Char 2 8941 REV_CNTR_PRICNG_IND_CD(13) 1358 PRICNG14 Char 2 8943 REV_CNTR_PRICNG_IND_CD(14) 1359 PRICNG15 Char 2 8945 REV_CNTR_PRICNG_IND_CD(15) 1360 PRICNG16 Char 2 8947 REV_CNTR_PRICNG_IND_CD(16) 1361 PRICNG17 Char 2 8949 REV_CNTR_PRICNG_IND_CD(17) 1362 PRICNG18 Char 2 8951 REV_CNTR_PRICNG_IND_CD(18) 1363 PRICNG19 Char 2 8953 REV_CNTR_PRICNG_IND_CD(19) 1364 PRICNG20 Char 2 8955 REV_CNTR_PRICNG_IND_CD(20) 1365 PRICNG21 Char 2 8957 REV_CNTR_PRICNG_IND_CD(21) 1366 PRICNG22 Char 2 8959 REV_CNTR_PRICNG_IND_CD(22) 1367 PRICNG23 Char 2 8961 REV_CNTR_PRICNG_IND_CD(23) 1368 PRICNG24 Char 2 8963 REV_CNTR_PRICNG_IND_CD(24) 1369 PRICNG25 Char 2 8965 REV_CNTR_PRICNG_IND_CD(25) 1370 PRICNG26 Char 2 8967 REV_CNTR_PRICNG_IND_CD(26) 1371 PRICNG27 Char 2 8969 REV_CNTR_PRICNG_IND_CD(27) 1372 PRICNG28 Char 2 8971 REV_CNTR_PRICNG_IND_CD(28) 1373 PRICNG29 Char 2 8973 REV_CNTR_PRICNG_IND_CD(29) 1374 PRICNG30 Char 2 8975 REV_CNTR_PRICNG_IND_CD(30) 1375 PRICNG31 Char 2 8977 REV_CNTR_PRICNG_IND_CD(31) 1376 PRICNG32 Char 2 8979 REV_CNTR_PRICNG_IND_CD(32) 1377 PRICNG33 Char 2 8981 REV_CNTR_PRICNG_IND_CD(33) 1378 PRICNG34 Char 2 8983 REV_CNTR_PRICNG_IND_CD(34) 1379 PRICNG35 Char 2 8985 REV_CNTR_PRICNG_IND_CD(35) 1380 PRICNG36 Char 2 8987 REV_CNTR_PRICNG_IND_CD(36) 1381 PRICNG37 Char 2 8989 REV_CNTR_PRICNG_IND_CD(37) 1382 PRICNG38 Char 2 8991 REV_CNTR_PRICNG_IND_CD(38) 1383 PRICNG39 Char 2 8993 REV_CNTR_PRICNG_IND_CD(39) 1384 PRICNG40 Char 2 8995 REV_CNTR_PRICNG_IND_CD(40) 1385 PRICNG41 Char 2 8997 REV_CNTR_PRICNG_IND_CD(41) 1386 PRICNG42 Char 2 8999 REV_CNTR_PRICNG_IND_CD(42) 1387 PRICNG43 Char 2 9001 REV_CNTR_PRICNG_IND_CD(43) 1388 PRICNG44 Char 2 9003 REV_CNTR_PRICNG_IND_CD(44) 1389 PRICNG45 Char 2 9005 REV_CNTR_PRICNG_IND_CD(45) 39 PROVIDER Char 6 5759 PRVDR_NUM 98 PRO_CNTL Char 12 5977 CLM_PRO_CNTL_NUM 99 PRO_DT Num 8 120 DATE9. CLM_PRO_PROC_DT 70 PRPAYAMT Num 8 104 COMMA14.2 NCH_PRMRY_PYR_CLM_PD_AMT 71 PRPAY_CD Char 1 5817 NCH_PRMRY_PYR_CD 75 PRSTATE Char 2 5820 NCH_PRVDR_STATE_CD 166 PTCHCD01 Char 2 6094 NCH_PATCH_CD(1) 167 PTCHCD02 Char 2 6096 NCH_PATCH_CD(2) 168 PTCHCD03 Char 2 6098 NCH_PATCH_CD(3) 169 PTCHCD04 Char 2 6100 NCH_PATCH_CD(4) 170 PTCHCD05 Char 2 6102 NCH_PATCH_CD(5) 171 PTCHCD06 Char 2 6104 NCH_PATCH_CD(6) 172 PTCHCD07 Char 2 6106 NCH_PATCH_CD(7) 173 PTCHCD08 Char 2 6108 NCH_PATCH_CD(8) 174 PTCHCD09 Char 2 6110 NCH_PATCH_CD(9) 175 PTCHCD10 Char 2 6112 NCH_PATCH_CD(10) 176 PTCHCD11 Char 2 6114 NCH_PATCH_CD(11) 177 PTCHCD12 Char 2 6116 NCH_PATCH_CD(12) 178 PTCHCD13 Char 2 6118 NCH_PATCH_CD(13) 179 PTCHCD14 Char 2 6120 NCH_PATCH_CD(14) 180 PTCHCD15 Char 2 6122 NCH_PATCH_CD(15) 181 PTCHCD16 Char 2 6124 NCH_PATCH_CD(16) 182 PTCHCD17 Char 2 6126 NCH_PATCH_CD(17) 183 PTCHCD18 Char 2 6128 NCH_PATCH_CD(18) 184 PTCHCD19 Char 2 6130 NCH_PATCH_CD(19) 185 PTCHCD20 Char 2 6132 NCH_PATCH_CD(20) 186 PTCHCD21 Char 2 6134 NCH_PATCH_CD(21) 187 PTCHCD22 Char 2 6136 NCH_PATCH_CD(22) 188 PTCHCD23 Char 2 6138 NCH_PATCH_CD(23) 189 PTCHCD24 Char 2 6140 NCH_PATCH_CD(24) 190 PTCHCD25 Char 2 6142 NCH_PATCH_CD(25) 191 PTCHCD26 Char 2 6144 NCH_PATCH_CD(26) 192 PTCHCD27 Char 2 6146 NCH_PATCH_CD(27) 193 PTCHCD28 Char 2 6148 NCH_PATCH_CD(28) 194 PTCHCD29 Char 2 6150 NCH_PATCH_CD(29) 195 PTCHCD30 Char 2 6152 NCH_PATCH_CD(30) 196 PTCHDT01 Num 5 10281 DATE9. NCH_PATCH_APPLY_DT(1) 197 PTCHDT02 Num 5 10286 DATE9. NCH_PATCH_APPLY_DT(2) 198 PTCHDT03 Num 5 10291 DATE9. NCH_PATCH_APPLY_DT(3) 199 PTCHDT04 Num 5 10296 DATE9. NCH_PATCH_APPLY_DT(4) 200 PTCHDT05 Num 5 10301 DATE9. NCH_PATCH_APPLY_DT(5) 201 PTCHDT06 Num 5 10306 DATE9. NCH_PATCH_APPLY_DT(6) 202 PTCHDT07 Num 5 10311 DATE9. NCH_PATCH_APPLY_DT(7) 203 PTCHDT08 Num 5 10316 DATE9. NCH_PATCH_APPLY_DT(8) 204 PTCHDT09 Num 5 10321 DATE9. NCH_PATCH_APPLY_DT(9) 205 PTCHDT10 Num 5 10326 DATE9. NCH_PATCH_APPLY_DT(10) 206 PTCHDT11 Num 5 10331 DATE9. NCH_PATCH_APPLY_DT(11) 207 PTCHDT12 Num 5 10336 DATE9. NCH_PATCH_APPLY_DT(12) 208 PTCHDT13 Num 5 10341 DATE9. NCH_PATCH_APPLY_DT(13) 209 PTCHDT14 Num 5 10346 DATE9. NCH_PATCH_APPLY_DT(14) 210 PTCHDT15 Num 5 10351 DATE9. NCH_PATCH_APPLY_DT(15) 211 PTCHDT16 Num 5 10356 DATE9. NCH_PATCH_APPLY_DT(16) 212 PTCHDT17 Num 5 10361 DATE9. NCH_PATCH_APPLY_DT(17) 213 PTCHDT18 Num 5 10366 DATE9. NCH_PATCH_APPLY_DT(18) 214 PTCHDT19 Num 5 10371 DATE9. NCH_PATCH_APPLY_DT(19) 215 PTCHDT20 Num 5 10376 DATE9. NCH_PATCH_APPLY_DT(20) 216 PTCHDT21 Num 5 10381 DATE9. NCH_PATCH_APPLY_DT(21) 217 PTCHDT22 Num 5 10386 DATE9. NCH_PATCH_APPLY_DT(22) 218 PTCHDT23 Num 5 10391 DATE9. NCH_PATCH_APPLY_DT(23) 219 PTCHDT24 Num 5 10396 DATE9. NCH_PATCH_APPLY_DT(24) 220 PTCHDT25 Num 5 10401 DATE9. NCH_PATCH_APPLY_DT(25) 221 PTCHDT26 Num 5 10406 DATE9. NCH_PATCH_APPLY_DT(26) 222 PTCHDT27 Num 5 10411 DATE9. NCH_PATCH_APPLY_DT(27) 223 PTCHDT28 Num 5 10416 DATE9. NCH_PATCH_APPLY_DT(28) 224 PTCHDT29 Num 5 10421 DATE9. NCH_PATCH_APPLY_DT(29) 225 PTCHDT30 Num 5 10426 DATE9. NCH_PATCH_APPLY_DT(30) 136 PTCHND01 Char 1 6064 NCH_PATCH_TRLR_IND_CD(1) 137 PTCHND02 Char 1 6065 NCH_PATCH_TRLR_IND_CD(2) 138 PTCHND03 Char 1 6066 NCH_PATCH_TRLR_IND_CD(3) 139 PTCHND04 Char 1 6067 NCH_PATCH_TRLR_IND_CD(4) 140 PTCHND05 Char 1 6068 NCH_PATCH_TRLR_IND_CD(5) 141 PTCHND06 Char 1 6069 NCH_PATCH_TRLR_IND_CD(6) 142 PTCHND07 Char 1 6070 NCH_PATCH_TRLR_IND_CD(7) 143 PTCHND08 Char 1 6071 NCH_PATCH_TRLR_IND_CD(8) 144 PTCHND09 Char 1 6072 NCH_PATCH_TRLR_IND_CD(9) 145 PTCHND10 Char 1 6073 NCH_PATCH_TRLR_IND_CD(10) 146 PTCHND11 Char 1 6074 NCH_PATCH_TRLR_IND_CD(11) 147 PTCHND12 Char 1 6075 NCH_PATCH_TRLR_IND_CD(12) 148 PTCHND13 Char 1 6076 NCH_PATCH_TRLR_IND_CD(13) 149 PTCHND14 Char 1 6077 NCH_PATCH_TRLR_IND_CD(14) 150 PTCHND15 Char 1 6078 NCH_PATCH_TRLR_IND_CD(15) 151 PTCHND16 Char 1 6079 NCH_PATCH_TRLR_IND_CD(16) 152 PTCHND17 Char 1 6080 NCH_PATCH_TRLR_IND_CD(17) 153 PTCHND18 Char 1 6081 NCH_PATCH_TRLR_IND_CD(18) 154 PTCHND19 Char 1 6082 NCH_PATCH_TRLR_IND_CD(19) 155 PTCHND20 Char 1 6083 NCH_PATCH_TRLR_IND_CD(20) 156 PTCHND21 Char 1 6084 NCH_PATCH_TRLR_IND_CD(21) 157 PTCHND22 Char 1 6085 NCH_PATCH_TRLR_IND_CD(22) 158 PTCHND23 Char 1 6086 NCH_PATCH_TRLR_IND_CD(23) 159 PTCHND24 Char 1 6087 NCH_PATCH_TRLR_IND_CD(24) 160 PTCHND25 Char 1 6088 NCH_PATCH_TRLR_IND_CD(25) 161 PTCHND26 Char 1 6089 NCH_PATCH_TRLR_IND_CD(26) 162 PTCHND27 Char 1 6090 NCH_PATCH_TRLR_IND_CD(27) 163 PTCHND28 Char 1 6091 NCH_PATCH_TRLR_IND_CD(28) 164 PTCHND29 Char 1 6092 NCH_PATCH_TRLR_IND_CD(29) 165 PTCHND30 Char 1 6093 NCH_PATCH_TRLR_IND_CD(30) 2020 PTNRSP01 Num 8 4056 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(1) 2021 PTNRSP02 Num 8 4064 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(2) 2022 PTNRSP03 Num 8 4072 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(3) 2023 PTNRSP04 Num 8 4080 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(4) 2024 PTNRSP05 Num 8 4088 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(5) 2025 PTNRSP06 Num 8 4096 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(6) 2026 PTNRSP07 Num 8 4104 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(7) 2027 PTNRSP08 Num 8 4112 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(8) 2028 PTNRSP09 Num 8 4120 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(9) 2029 PTNRSP10 Num 8 4128 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(10) 2030 PTNRSP11 Num 8 4136 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(11) 2031 PTNRSP12 Num 8 4144 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(12) 2032 PTNRSP13 Num 8 4152 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(13) 2033 PTNRSP14 Num 8 4160 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(14) 2034 PTNRSP15 Num 8 4168 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(15) 2035 PTNRSP16 Num 8 4176 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(16) 2036 PTNRSP17 Num 8 4184 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(17) 2037 PTNRSP18 Num 8 4192 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(18) 2038 PTNRSP19 Num 8 4200 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(19) 2039 PTNRSP20 Num 8 4208 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(20) 2040 PTNRSP21 Num 8 4216 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(21) 2041 PTNRSP22 Num 8 4224 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(22) 2042 PTNRSP23 Num 8 4232 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(23) 2043 PTNRSP24 Num 8 4240 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(24) 2044 PTNRSP25 Num 8 4248 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(25) 2045 PTNRSP26 Num 8 4256 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(26) 2046 PTNRSP27 Num 8 4264 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(27) 2047 PTNRSP28 Num 8 4272 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(28) 2048 PTNRSP29 Num 8 4280 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(29) 2049 PTNRSP30 Num 8 4288 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(30) 2050 PTNRSP31 Num 8 4296 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(31) 2051 PTNRSP32 Num 8 4304 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(32) 2052 PTNRSP33 Num 8 4312 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(33) 2053 PTNRSP34 Num 8 4320 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(34) 2054 PTNRSP35 Num 8 4328 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(35) 2055 PTNRSP36 Num 8 4336 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(36) 2056 PTNRSP37 Num 8 4344 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(37) 2057 PTNRSP38 Num 8 4352 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(38) 2058 PTNRSP39 Num 8 4360 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(39) 2059 PTNRSP40 Num 8 4368 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(40) 2060 PTNRSP41 Num 8 4376 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(41) 2061 PTNRSP42 Num 8 4384 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(42) 2062 PTNRSP43 Num 8 4392 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(43) 2063 PTNRSP44 Num 8 4400 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(44) 2064 PTNRSP45 Num 8 4408 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(45) 96 PTNTCNTL Char 20 5940 PTNT_CNTL_NUM 106 QLFYFROM Num 8 136 DATE9. NCH_QLFY_STAY_FROM_DT 107 QLFYTHRU Num 8 144 DATE9. NCH_QLFY_STAY_THRU_DT 38 QUERY_CD Char 1 5758 CLM_QUERY_CD 59 RACE Char 1 5798 BENE_RACE_CD 1975 RBNPMT01 Num 8 3696 COMMA14.2 REV_CNTR_BENE_PMT_AMT(1) 1976 RBNPMT02 Num 8 3704 COMMA14.2 REV_CNTR_BENE_PMT_AMT(2) 1977 RBNPMT03 Num 8 3712 COMMA14.2 REV_CNTR_BENE_PMT_AMT(3) 1978 RBNPMT04 Num 8 3720 COMMA14.2 REV_CNTR_BENE_PMT_AMT(4) 1979 RBNPMT05 Num 8 3728 COMMA14.2 REV_CNTR_BENE_PMT_AMT(5) 1980 RBNPMT06 Num 8 3736 COMMA14.2 REV_CNTR_BENE_PMT_AMT(6) 1981 RBNPMT07 Num 8 3744 COMMA14.2 REV_CNTR_BENE_PMT_AMT(7) 1982 RBNPMT08 Num 8 3752 COMMA14.2 REV_CNTR_BENE_PMT_AMT(8) 1983 RBNPMT09 Num 8 3760 COMMA14.2 REV_CNTR_BENE_PMT_AMT(9) 1984 RBNPMT10 Num 8 3768 COMMA14.2 REV_CNTR_BENE_PMT_AMT(10) 1985 RBNPMT11 Num 8 3776 COMMA14.2 REV_CNTR_BENE_PMT_AMT(11) 1986 RBNPMT12 Num 8 3784 COMMA14.2 REV_CNTR_BENE_PMT_AMT(12) 1987 RBNPMT13 Num 8 3792 COMMA14.2 REV_CNTR_BENE_PMT_AMT(13) 1988 RBNPMT14 Num 8 3800 COMMA14.2 REV_CNTR_BENE_PMT_AMT(14) 1989 RBNPMT15 Num 8 3808 COMMA14.2 REV_CNTR_BENE_PMT_AMT(15) 1990 RBNPMT16 Num 8 3816 COMMA14.2 REV_CNTR_BENE_PMT_AMT(16) 1991 RBNPMT17 Num 8 3824 COMMA14.2 REV_CNTR_BENE_PMT_AMT(17) 1992 RBNPMT18 Num 8 3832 COMMA14.2 REV_CNTR_BENE_PMT_AMT(18) 1993 RBNPMT19 Num 8 3840 COMMA14.2 REV_CNTR_BENE_PMT_AMT(19) 1994 RBNPMT20 Num 8 3848 COMMA14.2 REV_CNTR_BENE_PMT_AMT(20) 1995 RBNPMT21 Num 8 3856 COMMA14.2 REV_CNTR_BENE_PMT_AMT(21) 1996 RBNPMT22 Num 8 3864 COMMA14.2 REV_CNTR_BENE_PMT_AMT(22) 1997 RBNPMT23 Num 8 3872 COMMA14.2 REV_CNTR_BENE_PMT_AMT(23) 1998 RBNPMT24 Num 8 3880 COMMA14.2 REV_CNTR_BENE_PMT_AMT(24) 1999 RBNPMT25 Num 8 3888 COMMA14.2 REV_CNTR_BENE_PMT_AMT(25) 2000 RBNPMT26 Num 8 3896 COMMA14.2 REV_CNTR_BENE_PMT_AMT(26) 2001 RBNPMT27 Num 8 3904 COMMA14.2 REV_CNTR_BENE_PMT_AMT(27) 2002 RBNPMT28 Num 8 3912 COMMA14.2 REV_CNTR_BENE_PMT_AMT(28) 2003 RBNPMT29 Num 8 3920 COMMA14.2 REV_CNTR_BENE_PMT_AMT(29) 2004 RBNPMT30 Num 8 3928 COMMA14.2 REV_CNTR_BENE_PMT_AMT(30) 2005 RBNPMT31 Num 8 3936 COMMA14.2 REV_CNTR_BENE_PMT_AMT(31) 2006 RBNPMT32 Num 8 3944 COMMA14.2 REV_CNTR_BENE_PMT_AMT(32) 2007 RBNPMT33 Num 8 3952 COMMA14.2 REV_CNTR_BENE_PMT_AMT(33) 2008 RBNPMT34 Num 8 3960 COMMA14.2 REV_CNTR_BENE_PMT_AMT(34) 2009 RBNPMT35 Num 8 3968 COMMA14.2 REV_CNTR_BENE_PMT_AMT(35) 2010 RBNPMT36 Num 8 3976 COMMA14.2 REV_CNTR_BENE_PMT_AMT(36) 2011 RBNPMT37 Num 8 3984 COMMA14.2 REV_CNTR_BENE_PMT_AMT(37) 2012 RBNPMT38 Num 8 3992 COMMA14.2 REV_CNTR_BENE_PMT_AMT(38) 2013 RBNPMT39 Num 8 4000 COMMA14.2 REV_CNTR_BENE_PMT_AMT(39) 2014 RBNPMT40 Num 8 4008 COMMA14.2 REV_CNTR_BENE_PMT_AMT(40) 2015 RBNPMT41 Num 8 4016 COMMA14.2 REV_CNTR_BENE_PMT_AMT(41) 2016 RBNPMT42 Num 8 4024 COMMA14.2 REV_CNTR_BENE_PMT_AMT(42) 2017 RBNPMT43 Num 8 4032 COMMA14.2 REV_CNTR_BENE_PMT_AMT(43) 2018 RBNPMT44 Num 8 4040 COMMA14.2 REV_CNTR_BENE_PMT_AMT(44) 2019 RBNPMT45 Num 8 4048 COMMA14.2 REV_CNTR_BENE_PMT_AMT(45) 51 RCPT_DT Num 8 56 DATE9. FI_CLM_RCPT_DT 1750 RDCDCN01 Num 8 1896 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(1) 1751 RDCDCN02 Num 8 1904 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(2) 1752 RDCDCN03 Num 8 1912 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(3) 1753 RDCDCN04 Num 8 1920 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(4) 1754 RDCDCN05 Num 8 1928 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(5) 1755 RDCDCN06 Num 8 1936 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(6) 1756 RDCDCN07 Num 8 1944 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(7) 1757 RDCDCN08 Num 8 1952 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(8) 1758 RDCDCN09 Num 8 1960 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(9) 1759 RDCDCN10 Num 8 1968 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(10) 1760 RDCDCN11 Num 8 1976 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(11) 1761 RDCDCN12 Num 8 1984 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(12) 1762 RDCDCN13 Num 8 1992 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(13) 1763 RDCDCN14 Num 8 2000 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(14) 1764 RDCDCN15 Num 8 2008 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(15) 1765 RDCDCN16 Num 8 2016 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(16) 1766 RDCDCN17 Num 8 2024 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(17) 1767 RDCDCN18 Num 8 2032 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(18) 1768 RDCDCN19 Num 8 2040 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(19) 1769 RDCDCN20 Num 8 2048 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(20) 1770 RDCDCN21 Num 8 2056 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(21) 1771 RDCDCN22 Num 8 2064 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(22) 1772 RDCDCN23 Num 8 2072 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(23) 1773 RDCDCN24 Num 8 2080 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(24) 1774 RDCDCN25 Num 8 2088 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(25) 1775 RDCDCN26 Num 8 2096 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(26) 1776 RDCDCN27 Num 8 2104 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(27) 1777 RDCDCN28 Num 8 2112 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(28) 1778 RDCDCN29 Num 8 2120 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(29) 1779 RDCDCN30 Num 8 2128 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(30) 1780 RDCDCN31 Num 8 2136 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(31) 1781 RDCDCN32 Num 8 2144 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(32) 1782 RDCDCN33 Num 8 2152 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(33) 1783 RDCDCN34 Num 8 2160 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(34) 1784 RDCDCN35 Num 8 2168 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(35) 1785 RDCDCN36 Num 8 2176 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(36) 1786 RDCDCN37 Num 8 2184 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(37) 1787 RDCDCN38 Num 8 2192 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(38) 1788 RDCDCN39 Num 8 2200 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(39) 1789 RDCDCN40 Num 8 2208 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(40) 1790 RDCDCN41 Num 8 2216 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(41) 1791 RDCDCN42 Num 8 2224 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(42) 1792 RDCDCN43 Num 8 2232 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(43) 1793 RDCDCN44 Num 8 2240 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(44) 1794 RDCDCN45 Num 8 2248 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(45) 1 REALSSN Num 8 0 SSN11. REAL_SSN 3 REC_LEN Num 4 5496 COMMA6. REC_LNGTH_CNT 22 REC_LVL Char 1 5680 NCH_NEAR_LINE_REC_VRSN_CD 580 REVIND01 Char 1 6712 NCH_REV_CNTR_TRLR_IND_CD(1) 581 REVIND02 Char 1 6713 NCH_REV_CNTR_TRLR_IND_CD(2) 582 REVIND03 Char 1 6714 NCH_REV_CNTR_TRLR_IND_CD(3) 583 REVIND04 Char 1 6715 NCH_REV_CNTR_TRLR_IND_CD(4) 584 REVIND05 Char 1 6716 NCH_REV_CNTR_TRLR_IND_CD(5) 585 REVIND06 Char 1 6717 NCH_REV_CNTR_TRLR_IND_CD(6) 586 REVIND07 Char 1 6718 NCH_REV_CNTR_TRLR_IND_CD(7) 587 REVIND08 Char 1 6719 NCH_REV_CNTR_TRLR_IND_CD(8) 588 REVIND09 Char 1 6720 NCH_REV_CNTR_TRLR_IND_CD(9) 589 REVIND10 Char 1 6721 NCH_REV_CNTR_TRLR_IND_CD(10) 590 REVIND11 Char 1 6722 NCH_REV_CNTR_TRLR_IND_CD(11) 591 REVIND12 Char 1 6723 NCH_REV_CNTR_TRLR_IND_CD(12) 592 REVIND13 Char 1 6724 NCH_REV_CNTR_TRLR_IND_CD(13) 593 REVIND14 Char 1 6725 NCH_REV_CNTR_TRLR_IND_CD(14) 594 REVIND15 Char 1 6726 NCH_REV_CNTR_TRLR_IND_CD(15) 595 REVIND16 Char 1 6727 NCH_REV_CNTR_TRLR_IND_CD(16) 596 REVIND17 Char 1 6728 NCH_REV_CNTR_TRLR_IND_CD(17) 597 REVIND18 Char 1 6729 NCH_REV_CNTR_TRLR_IND_CD(18) 598 REVIND19 Char 1 6730 NCH_REV_CNTR_TRLR_IND_CD(19) 599 REVIND20 Char 1 6731 NCH_REV_CNTR_TRLR_IND_CD(20) 600 REVIND21 Char 1 6732 NCH_REV_CNTR_TRLR_IND_CD(21) 601 REVIND22 Char 1 6733 NCH_REV_CNTR_TRLR_IND_CD(22) 602 REVIND23 Char 1 6734 NCH_REV_CNTR_TRLR_IND_CD(23) 603 REVIND24 Char 1 6735 NCH_REV_CNTR_TRLR_IND_CD(24) 604 REVIND25 Char 1 6736 NCH_REV_CNTR_TRLR_IND_CD(25) 605 REVIND26 Char 1 6737 NCH_REV_CNTR_TRLR_IND_CD(26) 606 REVIND27 Char 1 6738 NCH_REV_CNTR_TRLR_IND_CD(27) 607 REVIND28 Char 1 6739 NCH_REV_CNTR_TRLR_IND_CD(28) 608 REVIND29 Char 1 6740 NCH_REV_CNTR_TRLR_IND_CD(29) 609 REVIND30 Char 1 6741 NCH_REV_CNTR_TRLR_IND_CD(30) 610 REVIND31 Char 1 6742 NCH_REV_CNTR_TRLR_IND_CD(31) 611 REVIND32 Char 1 6743 NCH_REV_CNTR_TRLR_IND_CD(32) 612 REVIND33 Char 1 6744 NCH_REV_CNTR_TRLR_IND_CD(33) 613 REVIND34 Char 1 6745 NCH_REV_CNTR_TRLR_IND_CD(34) 614 REVIND35 Char 1 6746 NCH_REV_CNTR_TRLR_IND_CD(35) 615 REVIND36 Char 1 6747 NCH_REV_CNTR_TRLR_IND_CD(36) 616 REVIND37 Char 1 6748 NCH_REV_CNTR_TRLR_IND_CD(37) 617 REVIND38 Char 1 6749 NCH_REV_CNTR_TRLR_IND_CD(38) 618 REVIND39 Char 1 6750 NCH_REV_CNTR_TRLR_IND_CD(39) 619 REVIND40 Char 1 6751 NCH_REV_CNTR_TRLR_IND_CD(40) 620 REVIND41 Char 1 6752 NCH_REV_CNTR_TRLR_IND_CD(41) 621 REVIND42 Char 1 6753 NCH_REV_CNTR_TRLR_IND_CD(42) 622 REVIND43 Char 1 6754 NCH_REV_CNTR_TRLR_IND_CD(43) 623 REVIND44 Char 1 6755 NCH_REV_CNTR_TRLR_IND_CD(44) 624 REVIND45 Char 1 6756 NCH_REV_CNTR_TRLR_IND_CD(45) 2065 REVPMT01 Num 8 4416 COMMA14.2 REV_CNTR_PMT_AMT(1) 2066 REVPMT02 Num 8 4424 COMMA14.2 REV_CNTR_PMT_AMT(2) 2067 REVPMT03 Num 8 4432 COMMA14.2 REV_CNTR_PMT_AMT(3) 2068 REVPMT04 Num 8 4440 COMMA14.2 REV_CNTR_PMT_AMT(4) 2069 REVPMT05 Num 8 4448 COMMA14.2 REV_CNTR_PMT_AMT(5) 2070 REVPMT06 Num 8 4456 COMMA14.2 REV_CNTR_PMT_AMT(6) 2071 REVPMT07 Num 8 4464 COMMA14.2 REV_CNTR_PMT_AMT(7) 2072 REVPMT08 Num 8 4472 COMMA14.2 REV_CNTR_PMT_AMT(8) 2073 REVPMT09 Num 8 4480 COMMA14.2 REV_CNTR_PMT_AMT(9) 2074 REVPMT10 Num 8 4488 COMMA14.2 REV_CNTR_PMT_AMT(10) 2075 REVPMT11 Num 8 4496 COMMA14.2 REV_CNTR_PMT_AMT(11) 2076 REVPMT12 Num 8 4504 COMMA14.2 REV_CNTR_PMT_AMT(12) 2077 REVPMT13 Num 8 4512 COMMA14.2 REV_CNTR_PMT_AMT(13) 2078 REVPMT14 Num 8 4520 COMMA14.2 REV_CNTR_PMT_AMT(14) 2079 REVPMT15 Num 8 4528 COMMA14.2 REV_CNTR_PMT_AMT(15) 2080 REVPMT16 Num 8 4536 COMMA14.2 REV_CNTR_PMT_AMT(16) 2081 REVPMT17 Num 8 4544 COMMA14.2 REV_CNTR_PMT_AMT(17) 2082 REVPMT18 Num 8 4552 COMMA14.2 REV_CNTR_PMT_AMT(18) 2083 REVPMT19 Num 8 4560 COMMA14.2 REV_CNTR_PMT_AMT(19) 2084 REVPMT20 Num 8 4568 COMMA14.2 REV_CNTR_PMT_AMT(20) 2085 REVPMT21 Num 8 4576 COMMA14.2 REV_CNTR_PMT_AMT(21) 2086 REVPMT22 Num 8 4584 COMMA14.2 REV_CNTR_PMT_AMT(22) 2087 REVPMT23 Num 8 4592 COMMA14.2 REV_CNTR_PMT_AMT(23) 2088 REVPMT24 Num 8 4600 COMMA14.2 REV_CNTR_PMT_AMT(24) 2089 REVPMT25 Num 8 4608 COMMA14.2 REV_CNTR_PMT_AMT(25) 2090 REVPMT26 Num 8 4616 COMMA14.2 REV_CNTR_PMT_AMT(26) 2091 REVPMT27 Num 8 4624 COMMA14.2 REV_CNTR_PMT_AMT(27) 2092 REVPMT28 Num 8 4632 COMMA14.2 REV_CNTR_PMT_AMT(28) 2093 REVPMT29 Num 8 4640 COMMA14.2 REV_CNTR_PMT_AMT(29) 2094 REVPMT30 Num 8 4648 COMMA14.2 REV_CNTR_PMT_AMT(30) 2095 REVPMT31 Num 8 4656 COMMA14.2 REV_CNTR_PMT_AMT(31) 2096 REVPMT32 Num 8 4664 COMMA14.2 REV_CNTR_PMT_AMT(32) 2097 REVPMT33 Num 8 4672 COMMA14.2 REV_CNTR_PMT_AMT(33) 2098 REVPMT34 Num 8 4680 COMMA14.2 REV_CNTR_PMT_AMT(34) 2099 REVPMT35 Num 8 4688 COMMA14.2 REV_CNTR_PMT_AMT(35) 2100 REVPMT36 Num 8 4696 COMMA14.2 REV_CNTR_PMT_AMT(36) 2101 REVPMT37 Num 8 4704 COMMA14.2 REV_CNTR_PMT_AMT(37) 2102 REVPMT38 Num 8 4712 COMMA14.2 REV_CNTR_PMT_AMT(38) 2103 REVPMT39 Num 8 4720 COMMA14.2 REV_CNTR_PMT_AMT(39) 2104 REVPMT40 Num 8 4728 COMMA14.2 REV_CNTR_PMT_AMT(40) 2105 REVPMT41 Num 8 4736 COMMA14.2 REV_CNTR_PMT_AMT(41) 2106 REVPMT42 Num 8 4744 COMMA14.2 REV_CNTR_PMT_AMT(42) 2107 REVPMT43 Num 8 4752 COMMA14.2 REV_CNTR_PMT_AMT(43) 2108 REVPMT44 Num 8 4760 COMMA14.2 REV_CNTR_PMT_AMT(44) 2109 REVPMT45 Num 8 4768 COMMA14.2 REV_CNTR_PMT_AMT(45) 670 REV_DT01 Num 5 10701 DATE9. REV_CNTR_DT(1) 671 REV_DT02 Num 5 10706 DATE9. REV_CNTR_DT(2) 672 REV_DT03 Num 5 10711 DATE9. REV_CNTR_DT(3) 673 REV_DT04 Num 5 10716 DATE9. REV_CNTR_DT(4) 674 REV_DT05 Num 5 10721 DATE9. REV_CNTR_DT(5) 675 REV_DT06 Num 5 10726 DATE9. REV_CNTR_DT(6) 676 REV_DT07 Num 5 10731 DATE9. REV_CNTR_DT(7) 677 REV_DT08 Num 5 10736 DATE9. REV_CNTR_DT(8) 678 REV_DT09 Num 5 10741 DATE9. REV_CNTR_DT(9) 679 REV_DT10 Num 5 10746 DATE9. REV_CNTR_DT(10) 680 REV_DT11 Num 5 10751 DATE9. REV_CNTR_DT(11) 681 REV_DT12 Num 5 10756 DATE9. REV_CNTR_DT(12) 682 REV_DT13 Num 5 10761 DATE9. REV_CNTR_DT(13) 683 REV_DT14 Num 5 10766 DATE9. REV_CNTR_DT(14) 684 REV_DT15 Num 5 10771 DATE9. REV_CNTR_DT(15) 685 REV_DT16 Num 5 10776 DATE9. REV_CNTR_DT(16) 686 REV_DT17 Num 5 10781 DATE9. REV_CNTR_DT(17) 687 REV_DT18 Num 5 10786 DATE9. REV_CNTR_DT(18) 688 REV_DT19 Num 5 10791 DATE9. REV_CNTR_DT(19) 689 REV_DT20 Num 5 10796 DATE9. REV_CNTR_DT(20) 690 REV_DT21 Num 5 10801 DATE9. REV_CNTR_DT(21) 691 REV_DT22 Num 5 10806 DATE9. REV_CNTR_DT(22) 692 REV_DT23 Num 5 10811 DATE9. REV_CNTR_DT(23) 693 REV_DT24 Num 5 10816 DATE9. REV_CNTR_DT(24) 694 REV_DT25 Num 5 10821 DATE9. REV_CNTR_DT(25) 695 REV_DT26 Num 5 10826 DATE9. REV_CNTR_DT(26) 696 REV_DT27 Num 5 10831 DATE9. REV_CNTR_DT(27) 697 REV_DT28 Num 5 10836 DATE9. REV_CNTR_DT(28) 698 REV_DT29 Num 5 10841 DATE9. REV_CNTR_DT(29) 699 REV_DT30 Num 5 10846 DATE9. REV_CNTR_DT(30) 700 REV_DT31 Num 5 10851 DATE9. REV_CNTR_DT(31) 701 REV_DT32 Num 5 10856 DATE9. REV_CNTR_DT(32) 702 REV_DT33 Num 5 10861 DATE9. REV_CNTR_DT(33) 703 REV_DT34 Num 5 10866 DATE9. REV_CNTR_DT(34) 704 REV_DT35 Num 5 10871 DATE9. REV_CNTR_DT(35) 705 REV_DT36 Num 5 10876 DATE9. REV_CNTR_DT(36) 706 REV_DT37 Num 5 10881 DATE9. REV_CNTR_DT(37) 707 REV_DT38 Num 5 10886 DATE9. REV_CNTR_DT(38) 708 REV_DT39 Num 5 10891 DATE9. REV_CNTR_DT(39) 709 REV_DT40 Num 5 10896 DATE9. REV_CNTR_DT(40) 710 REV_DT41 Num 5 10901 DATE9. REV_CNTR_DT(41) 711 REV_DT42 Num 5 10906 DATE9. REV_CNTR_DT(42) 712 REV_DT43 Num 5 10911 DATE9. REV_CNTR_DT(43) 713 REV_DT44 Num 5 10916 DATE9. REV_CNTR_DT(44) 714 REV_DT45 Num 5 10921 DATE9. REV_CNTR_DT(45) 23 RIC_CD Char 1 5681 NCH_NEAR_LINE_RIC_CD 312 RLTCND01 Char 2 6424 CLM_RLT_COND_CD(1) 313 RLTCND02 Char 2 6426 CLM_RLT_COND_CD(2) 314 RLTCND03 Char 2 6428 CLM_RLT_COND_CD(3) 315 RLTCND04 Char 2 6430 CLM_RLT_COND_CD(4) 316 RLTCND05 Char 2 6432 CLM_RLT_COND_CD(5) 317 RLTCND06 Char 2 6434 CLM_RLT_COND_CD(6) 318 RLTCND07 Char 2 6436 CLM_RLT_COND_CD(7) 319 RLTCND08 Char 2 6438 CLM_RLT_COND_CD(8) 320 RLTCND09 Char 2 6440 CLM_RLT_COND_CD(9) 321 RLTCND10 Char 2 6442 CLM_RLT_COND_CD(10) 322 RLTCND11 Char 2 6444 CLM_RLT_COND_CD(11) 323 RLTCND12 Char 2 6446 CLM_RLT_COND_CD(12) 324 RLTCND13 Char 2 6448 CLM_RLT_COND_CD(13) 325 RLTCND14 Char 2 6450 CLM_RLT_COND_CD(14) 326 RLTCND15 Char 2 6452 CLM_RLT_COND_CD(15) 327 RLTCND16 Char 2 6454 CLM_RLT_COND_CD(16) 328 RLTCND17 Char 2 6456 CLM_RLT_COND_CD(17) 329 RLTCND18 Char 2 6458 CLM_RLT_COND_CD(18) 330 RLTCND19 Char 2 6460 CLM_RLT_COND_CD(19) 331 RLTCND20 Char 2 6462 CLM_RLT_COND_CD(20) 332 RLTCND21 Char 2 6464 CLM_RLT_COND_CD(21) 333 RLTCND22 Char 2 6466 CLM_RLT_COND_CD(22) 334 RLTCND23 Char 2 6468 CLM_RLT_COND_CD(23) 335 RLTCND24 Char 2 6470 CLM_RLT_COND_CD(24) 336 RLTCND25 Char 2 6472 CLM_RLT_COND_CD(25) 337 RLTCND26 Char 2 6474 CLM_RLT_COND_CD(26) 338 RLTCND27 Char 2 6476 CLM_RLT_COND_CD(27) 339 RLTCND28 Char 2 6478 CLM_RLT_COND_CD(28) 340 RLTCND29 Char 2 6480 CLM_RLT_COND_CD(29) 341 RLTCND30 Char 2 6482 CLM_RLT_COND_CD(30) 1930 RPRPMT01 Num 8 3336 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(1) 1931 RPRPMT02 Num 8 3344 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(2) 1932 RPRPMT03 Num 8 3352 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(3) 1933 RPRPMT04 Num 8 3360 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(4) 1934 RPRPMT05 Num 8 3368 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(5) 1935 RPRPMT06 Num 8 3376 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(6) 1936 RPRPMT07 Num 8 3384 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(7) 1937 RPRPMT08 Num 8 3392 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(8) 1938 RPRPMT09 Num 8 3400 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(9) 1939 RPRPMT10 Num 8 3408 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(10) 1940 RPRPMT11 Num 8 3416 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(11) 1941 RPRPMT12 Num 8 3424 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(12) 1942 RPRPMT13 Num 8 3432 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(13) 1943 RPRPMT14 Num 8 3440 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(14) 1944 RPRPMT15 Num 8 3448 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(15) 1945 RPRPMT16 Num 8 3456 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(16) 1946 RPRPMT17 Num 8 3464 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(17) 1947 RPRPMT18 Num 8 3472 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(18) 1948 RPRPMT19 Num 8 3480 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(19) 1949 RPRPMT20 Num 8 3488 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(20) 1950 RPRPMT21 Num 8 3496 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(21) 1951 RPRPMT22 Num 8 3504 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(22) 1952 RPRPMT23 Num 8 3512 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(23) 1953 RPRPMT24 Num 8 3520 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(24) 1954 RPRPMT25 Num 8 3528 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(25) 1955 RPRPMT26 Num 8 3536 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(26) 1956 RPRPMT27 Num 8 3544 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(27) 1957 RPRPMT28 Num 8 3552 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(28) 1958 RPRPMT29 Num 8 3560 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(29) 1959 RPRPMT30 Num 8 3568 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(30) 1960 RPRPMT31 Num 8 3576 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(31) 1961 RPRPMT32 Num 8 3584 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(32) 1962 RPRPMT33 Num 8 3592 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(33) 1963 RPRPMT34 Num 8 3600 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(34) 1964 RPRPMT35 Num 8 3608 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(35) 1965 RPRPMT36 Num 8 3616 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(36) 1966 RPRPMT37 Num 8 3624 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(37) 1967 RPRPMT38 Num 8 3632 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(38) 1968 RPRPMT39 Num 8 3640 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(39) 1969 RPRPMT40 Num 8 3648 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(40) 1970 RPRPMT41 Num 8 3656 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(41) 1971 RPRPMT42 Num 8 3664 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(42) 1972 RPRPMT43 Num 8 3672 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(43) 1973 RPRPMT44 Num 8 3680 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(44) 1974 RPRPMT45 Num 8 3688 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(45) 1615 RVBLD01 Num 8 816 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(1) 1616 RVBLD02 Num 8 824 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(2) 1617 RVBLD03 Num 8 832 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(3) 1618 RVBLD04 Num 8 840 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(4) 1619 RVBLD05 Num 8 848 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(5) 1620 RVBLD06 Num 8 856 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(6) 1621 RVBLD07 Num 8 864 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(7) 1622 RVBLD08 Num 8 872 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(8) 1623 RVBLD09 Num 8 880 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(9) 1624 RVBLD10 Num 8 888 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(10) 1625 RVBLD11 Num 8 896 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(11) 1626 RVBLD12 Num 8 904 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(12) 1627 RVBLD13 Num 8 912 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(13) 1628 RVBLD14 Num 8 920 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(14) 1629 RVBLD15 Num 8 928 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(15) 1630 RVBLD16 Num 8 936 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(16) 1631 RVBLD17 Num 8 944 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(17) 1632 RVBLD18 Num 8 952 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(18) 1633 RVBLD19 Num 8 960 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(19) 1634 RVBLD20 Num 8 968 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(20) 1635 RVBLD21 Num 8 976 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(21) 1636 RVBLD22 Num 8 984 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(22) 1637 RVBLD23 Num 8 992 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(23) 1638 RVBLD24 Num 8 1000 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(24) 1639 RVBLD25 Num 8 1008 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(25) 1640 RVBLD26 Num 8 1016 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(26) 1641 RVBLD27 Num 8 1024 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(27) 1642 RVBLD28 Num 8 1032 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(28) 1643 RVBLD29 Num 8 1040 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(29) 1644 RVBLD30 Num 8 1048 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(30) 1645 RVBLD31 Num 8 1056 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(31) 1646 RVBLD32 Num 8 1064 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(32) 1647 RVBLD33 Num 8 1072 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(33) 1648 RVBLD34 Num 8 1080 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(34) 1649 RVBLD35 Num 8 1088 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(35) 1650 RVBLD36 Num 8 1096 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(36) 1651 RVBLD37 Num 8 1104 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(37) 1652 RVBLD38 Num 8 1112 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(38) 1653 RVBLD39 Num 8 1120 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(39) 1654 RVBLD40 Num 8 1128 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(40) 1655 RVBLD41 Num 8 1136 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(41) 1656 RVBLD42 Num 8 1144 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(42) 1657 RVBLD43 Num 8 1152 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(43) 1658 RVBLD44 Num 8 1160 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(44) 1659 RVBLD45 Num 8 1168 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(45) 2110 RVCHRG01 Num 8 4776 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(1) 2111 RVCHRG02 Num 8 4784 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(2) 2112 RVCHRG03 Num 8 4792 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(3) 2113 RVCHRG04 Num 8 4800 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(4) 2114 RVCHRG05 Num 8 4808 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(5) 2115 RVCHRG06 Num 8 4816 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(6) 2116 RVCHRG07 Num 8 4824 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(7) 2117 RVCHRG08 Num 8 4832 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(8) 2118 RVCHRG09 Num 8 4840 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(9) 2119 RVCHRG10 Num 8 4848 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(10) 2120 RVCHRG11 Num 8 4856 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(11) 2121 RVCHRG12 Num 8 4864 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(12) 2122 RVCHRG13 Num 8 4872 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(13) 2123 RVCHRG14 Num 8 4880 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(14) 2124 RVCHRG15 Num 8 4888 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(15) 2125 RVCHRG16 Num 8 4896 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(16) 2126 RVCHRG17 Num 8 4904 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(17) 2127 RVCHRG18 Num 8 4912 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(18) 2128 RVCHRG19 Num 8 4920 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(19) 2129 RVCHRG20 Num 8 4928 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(20) 2130 RVCHRG21 Num 8 4936 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(21) 2131 RVCHRG22 Num 8 4944 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(22) 2132 RVCHRG23 Num 8 4952 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(23) 2133 RVCHRG24 Num 8 4960 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(24) 2134 RVCHRG25 Num 8 4968 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(25) 2135 RVCHRG26 Num 8 4976 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(26) 2136 RVCHRG27 Num 8 4984 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(27) 2137 RVCHRG28 Num 8 4992 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(28) 2138 RVCHRG29 Num 8 5000 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(29) 2139 RVCHRG30 Num 8 5008 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(30) 2140 RVCHRG31 Num 8 5016 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(31) 2141 RVCHRG32 Num 8 5024 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(32) 2142 RVCHRG33 Num 8 5032 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(33) 2143 RVCHRG34 Num 8 5040 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(34) 2144 RVCHRG35 Num 8 5048 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(35) 2145 RVCHRG36 Num 8 5056 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(36) 2146 RVCHRG37 Num 8 5064 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(37) 2147 RVCHRG38 Num 8 5072 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(38) 2148 RVCHRG39 Num 8 5080 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(39) 2149 RVCHRG40 Num 8 5088 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(40) 2150 RVCHRG41 Num 8 5096 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(41) 2151 RVCHRG42 Num 8 5104 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(42) 2152 RVCHRG43 Num 8 5112 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(43) 2153 RVCHRG44 Num 8 5120 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(44) 2154 RVCHRG45 Num 8 5128 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(45) 625 RVCNTR01 Char 4 6757 REV_CNTR_CD(1) 626 RVCNTR02 Char 4 6761 REV_CNTR_CD(2) 627 RVCNTR03 Char 4 6765 REV_CNTR_CD(3) 628 RVCNTR04 Char 4 6769 REV_CNTR_CD(4) 629 RVCNTR05 Char 4 6773 REV_CNTR_CD(5) 630 RVCNTR06 Char 4 6777 REV_CNTR_CD(6) 631 RVCNTR07 Char 4 6781 REV_CNTR_CD(7) 632 RVCNTR08 Char 4 6785 REV_CNTR_CD(8) 633 RVCNTR09 Char 4 6789 REV_CNTR_CD(9) 634 RVCNTR10 Char 4 6793 REV_CNTR_CD(10) 635 RVCNTR11 Char 4 6797 REV_CNTR_CD(11) 636 RVCNTR12 Char 4 6801 REV_CNTR_CD(12) 637 RVCNTR13 Char 4 6805 REV_CNTR_CD(13) 638 RVCNTR14 Char 4 6809 REV_CNTR_CD(14) 639 RVCNTR15 Char 4 6813 REV_CNTR_CD(15) 640 RVCNTR16 Char 4 6817 REV_CNTR_CD(16) 641 RVCNTR17 Char 4 6821 REV_CNTR_CD(17) 642 RVCNTR18 Char 4 6825 REV_CNTR_CD(18) 643 RVCNTR19 Char 4 6829 REV_CNTR_CD(19) 644 RVCNTR20 Char 4 6833 REV_CNTR_CD(20) 645 RVCNTR21 Char 4 6837 REV_CNTR_CD(21) 646 RVCNTR22 Char 4 6841 REV_CNTR_CD(22) 647 RVCNTR23 Char 4 6845 REV_CNTR_CD(23) 648 RVCNTR24 Char 4 6849 REV_CNTR_CD(24) 649 RVCNTR25 Char 4 6853 REV_CNTR_CD(25) 650 RVCNTR26 Char 4 6857 REV_CNTR_CD(26) 651 RVCNTR27 Char 4 6861 REV_CNTR_CD(27) 652 RVCNTR28 Char 4 6865 REV_CNTR_CD(28) 653 RVCNTR29 Char 4 6869 REV_CNTR_CD(29) 654 RVCNTR30 Char 4 6873 REV_CNTR_CD(30) 655 RVCNTR31 Char 4 6877 REV_CNTR_CD(31) 656 RVCNTR32 Char 4 6881 REV_CNTR_CD(32) 657 RVCNTR33 Char 4 6885 REV_CNTR_CD(33) 658 RVCNTR34 Char 4 6889 REV_CNTR_CD(34) 659 RVCNTR35 Char 4 6893 REV_CNTR_CD(35) 660 RVCNTR36 Char 4 6897 REV_CNTR_CD(36) 661 RVCNTR37 Char 4 6901 REV_CNTR_CD(37) 662 RVCNTR38 Char 4 6905 REV_CNTR_CD(38) 663 RVCNTR39 Char 4 6909 REV_CNTR_CD(39) 664 RVCNTR40 Char 4 6913 REV_CNTR_CD(40) 665 RVCNTR41 Char 4 6917 REV_CNTR_CD(41) 666 RVCNTR42 Char 4 6921 REV_CNTR_CD(42) 667 RVCNTR43 Char 4 6925 REV_CNTR_CD(43) 668 RVCNTR44 Char 4 6929 REV_CNTR_CD(44) 669 RVCNTR45 Char 4 6933 REV_CNTR_CD(45) 2200 RVDDCD01 Char 1 10177 REV_CNTR_DDCTBL_COINSRNC_CD(1) 2201 RVDDCD02 Char 1 10178 REV_CNTR_DDCTBL_COINSRNC_CD(2) 2202 RVDDCD03 Char 1 10179 REV_CNTR_DDCTBL_COINSRNC_CD(3) 2203 RVDDCD04 Char 1 10180 REV_CNTR_DDCTBL_COINSRNC_CD(4) 2204 RVDDCD05 Char 1 10181 REV_CNTR_DDCTBL_COINSRNC_CD(5) 2205 RVDDCD06 Char 1 10182 REV_CNTR_DDCTBL_COINSRNC_CD(6) 2206 RVDDCD07 Char 1 10183 REV_CNTR_DDCTBL_COINSRNC_CD(7) 2207 RVDDCD08 Char 1 10184 REV_CNTR_DDCTBL_COINSRNC_CD(8) 2208 RVDDCD09 Char 1 10185 REV_CNTR_DDCTBL_COINSRNC_CD(9) 2209 RVDDCD10 Char 1 10186 REV_CNTR_DDCTBL_COINSRNC_CD(10) 2210 RVDDCD11 Char 1 10187 REV_CNTR_DDCTBL_COINSRNC_CD(11) 2211 RVDDCD12 Char 1 10188 REV_CNTR_DDCTBL_COINSRNC_CD(12) 2212 RVDDCD13 Char 1 10189 REV_CNTR_DDCTBL_COINSRNC_CD(13) 2213 RVDDCD14 Char 1 10190 REV_CNTR_DDCTBL_COINSRNC_CD(14) 2214 RVDDCD15 Char 1 10191 REV_CNTR_DDCTBL_COINSRNC_CD(15) 2215 RVDDCD16 Char 1 10192 REV_CNTR_DDCTBL_COINSRNC_CD(16) 2216 RVDDCD17 Char 1 10193 REV_CNTR_DDCTBL_COINSRNC_CD(17) 2217 RVDDCD18 Char 1 10194 REV_CNTR_DDCTBL_COINSRNC_CD(18) 2218 RVDDCD19 Char 1 10195 REV_CNTR_DDCTBL_COINSRNC_CD(19) 2219 RVDDCD20 Char 1 10196 REV_CNTR_DDCTBL_COINSRNC_CD(20) 2220 RVDDCD21 Char 1 10197 REV_CNTR_DDCTBL_COINSRNC_CD(21) 2221 RVDDCD22 Char 1 10198 REV_CNTR_DDCTBL_COINSRNC_CD(22) 2222 RVDDCD23 Char 1 10199 REV_CNTR_DDCTBL_COINSRNC_CD(23) 2223 RVDDCD24 Char 1 10200 REV_CNTR_DDCTBL_COINSRNC_CD(24) 2224 RVDDCD25 Char 1 10201 REV_CNTR_DDCTBL_COINSRNC_CD(25) 2225 RVDDCD26 Char 1 10202 REV_CNTR_DDCTBL_COINSRNC_CD(26) 2226 RVDDCD27 Char 1 10203 REV_CNTR_DDCTBL_COINSRNC_CD(27) 2227 RVDDCD28 Char 1 10204 REV_CNTR_DDCTBL_COINSRNC_CD(28) 2228 RVDDCD29 Char 1 10205 REV_CNTR_DDCTBL_COINSRNC_CD(29) 2229 RVDDCD30 Char 1 10206 REV_CNTR_DDCTBL_COINSRNC_CD(30) 2230 RVDDCD31 Char 1 10207 REV_CNTR_DDCTBL_COINSRNC_CD(31) 2231 RVDDCD32 Char 1 10208 REV_CNTR_DDCTBL_COINSRNC_CD(32) 2232 RVDDCD33 Char 1 10209 REV_CNTR_DDCTBL_COINSRNC_CD(33) 2233 RVDDCD34 Char 1 10210 REV_CNTR_DDCTBL_COINSRNC_CD(34) 2234 RVDDCD35 Char 1 10211 REV_CNTR_DDCTBL_COINSRNC_CD(35) 2235 RVDDCD36 Char 1 10212 REV_CNTR_DDCTBL_COINSRNC_CD(36) 2236 RVDDCD37 Char 1 10213 REV_CNTR_DDCTBL_COINSRNC_CD(37) 2237 RVDDCD38 Char 1 10214 REV_CNTR_DDCTBL_COINSRNC_CD(38) 2238 RVDDCD39 Char 1 10215 REV_CNTR_DDCTBL_COINSRNC_CD(39) 2239 RVDDCD40 Char 1 10216 REV_CNTR_DDCTBL_COINSRNC_CD(40) 2240 RVDDCD41 Char 1 10217 REV_CNTR_DDCTBL_COINSRNC_CD(41) 2241 RVDDCD42 Char 1 10218 REV_CNTR_DDCTBL_COINSRNC_CD(42) 2242 RVDDCD43 Char 1 10219 REV_CNTR_DDCTBL_COINSRNC_CD(43) 2243 RVDDCD44 Char 1 10220 REV_CNTR_DDCTBL_COINSRNC_CD(44) 2244 RVDDCD45 Char 1 10221 REV_CNTR_DDCTBL_COINSRNC_CD(45) 1660 RVDTBL01 Num 8 1176 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(1) 1661 RVDTBL02 Num 8 1184 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(2) 1662 RVDTBL03 Num 8 1192 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(3) 1663 RVDTBL04 Num 8 1200 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(4) 1664 RVDTBL05 Num 8 1208 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(5) 1665 RVDTBL06 Num 8 1216 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(6) 1666 RVDTBL07 Num 8 1224 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(7) 1667 RVDTBL08 Num 8 1232 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(8) 1668 RVDTBL09 Num 8 1240 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(9) 1669 RVDTBL10 Num 8 1248 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(10) 1670 RVDTBL11 Num 8 1256 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(11) 1671 RVDTBL12 Num 8 1264 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(12) 1672 RVDTBL13 Num 8 1272 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(13) 1673 RVDTBL14 Num 8 1280 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(14) 1674 RVDTBL15 Num 8 1288 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(15) 1675 RVDTBL16 Num 8 1296 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(16) 1676 RVDTBL17 Num 8 1304 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(17) 1677 RVDTBL18 Num 8 1312 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(18) 1678 RVDTBL19 Num 8 1320 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(19) 1679 RVDTBL20 Num 8 1328 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(20) 1680 RVDTBL21 Num 8 1336 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(21) 1681 RVDTBL22 Num 8 1344 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(22) 1682 RVDTBL23 Num 8 1352 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(23) 1683 RVDTBL24 Num 8 1360 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(24) 1684 RVDTBL25 Num 8 1368 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(25) 1685 RVDTBL26 Num 8 1376 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(26) 1686 RVDTBL27 Num 8 1384 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(27) 1687 RVDTBL28 Num 8 1392 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(28) 1688 RVDTBL29 Num 8 1400 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(29) 1689 RVDTBL30 Num 8 1408 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(30) 1690 RVDTBL31 Num 8 1416 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(31) 1691 RVDTBL32 Num 8 1424 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(32) 1692 RVDTBL33 Num 8 1432 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(33) 1693 RVDTBL34 Num 8 1440 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(34) 1694 RVDTBL35 Num 8 1448 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(35) 1695 RVDTBL36 Num 8 1456 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(36) 1696 RVDTBL37 Num 8 1464 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(37) 1697 RVDTBL38 Num 8 1472 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(38) 1698 RVDTBL39 Num 8 1480 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(39) 1699 RVDTBL40 Num 8 1488 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(40) 1700 RVDTBL41 Num 8 1496 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(41) 1701 RVDTBL42 Num 8 1504 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(42) 1702 RVDTBL43 Num 8 1512 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(43) 1703 RVDTBL44 Num 8 1520 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(44) 1704 RVDTBL45 Num 8 1528 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(45) 1795 RVMSP101 Num 8 2256 COMMA14.2 REV_CNTR_MSP1_PD_AMT(1) 1796 RVMSP102 Num 8 2264 COMMA14.2 REV_CNTR_MSP1_PD_AMT(2) 1797 RVMSP103 Num 8 2272 COMMA14.2 REV_CNTR_MSP1_PD_AMT(3) 1798 RVMSP104 Num 8 2280 COMMA14.2 REV_CNTR_MSP1_PD_AMT(4) 1799 RVMSP105 Num 8 2288 COMMA14.2 REV_CNTR_MSP1_PD_AMT(5) 1800 RVMSP106 Num 8 2296 COMMA14.2 REV_CNTR_MSP1_PD_AMT(6) 1801 RVMSP107 Num 8 2304 COMMA14.2 REV_CNTR_MSP1_PD_AMT(7) 1802 RVMSP108 Num 8 2312 COMMA14.2 REV_CNTR_MSP1_PD_AMT(8) 1803 RVMSP109 Num 8 2320 COMMA14.2 REV_CNTR_MSP1_PD_AMT(9) 1804 RVMSP110 Num 8 2328 COMMA14.2 REV_CNTR_MSP1_PD_AMT(10) 1805 RVMSP111 Num 8 2336 COMMA14.2 REV_CNTR_MSP1_PD_AMT(11) 1806 RVMSP112 Num 8 2344 COMMA14.2 REV_CNTR_MSP1_PD_AMT(12) 1807 RVMSP113 Num 8 2352 COMMA14.2 REV_CNTR_MSP1_PD_AMT(13) 1808 RVMSP114 Num 8 2360 COMMA14.2 REV_CNTR_MSP1_PD_AMT(14) 1809 RVMSP115 Num 8 2368 COMMA14.2 REV_CNTR_MSP1_PD_AMT(15) 1810 RVMSP116 Num 8 2376 COMMA14.2 REV_CNTR_MSP1_PD_AMT(16) 1811 RVMSP117 Num 8 2384 COMMA14.2 REV_CNTR_MSP1_PD_AMT(17) 1812 RVMSP118 Num 8 2392 COMMA14.2 REV_CNTR_MSP1_PD_AMT(18) 1813 RVMSP119 Num 8 2400 COMMA14.2 REV_CNTR_MSP1_PD_AMT(19) 1814 RVMSP120 Num 8 2408 COMMA14.2 REV_CNTR_MSP1_PD_AMT(20) 1815 RVMSP121 Num 8 2416 COMMA14.2 REV_CNTR_MSP1_PD_AMT(21) 1816 RVMSP122 Num 8 2424 COMMA14.2 REV_CNTR_MSP1_PD_AMT(22) 1817 RVMSP123 Num 8 2432 COMMA14.2 REV_CNTR_MSP1_PD_AMT(23) 1818 RVMSP124 Num 8 2440 COMMA14.2 REV_CNTR_MSP1_PD_AMT(24) 1819 RVMSP125 Num 8 2448 COMMA14.2 REV_CNTR_MSP1_PD_AMT(25) 1820 RVMSP126 Num 8 2456 COMMA14.2 REV_CNTR_MSP1_PD_AMT(26) 1821 RVMSP127 Num 8 2464 COMMA14.2 REV_CNTR_MSP1_PD_AMT(27) 1822 RVMSP128 Num 8 2472 COMMA14.2 REV_CNTR_MSP1_PD_AMT(28) 1823 RVMSP129 Num 8 2480 COMMA14.2 REV_CNTR_MSP1_PD_AMT(29) 1824 RVMSP130 Num 8 2488 COMMA14.2 REV_CNTR_MSP1_PD_AMT(30) 1825 RVMSP131 Num 8 2496 COMMA14.2 REV_CNTR_MSP1_PD_AMT(31) 1826 RVMSP132 Num 8 2504 COMMA14.2 REV_CNTR_MSP1_PD_AMT(32) 1827 RVMSP133 Num 8 2512 COMMA14.2 REV_CNTR_MSP1_PD_AMT(33) 1828 RVMSP134 Num 8 2520 COMMA14.2 REV_CNTR_MSP1_PD_AMT(34) 1829 RVMSP135 Num 8 2528 COMMA14.2 REV_CNTR_MSP1_PD_AMT(35) 1830 RVMSP136 Num 8 2536 COMMA14.2 REV_CNTR_MSP1_PD_AMT(36) 1831 RVMSP137 Num 8 2544 COMMA14.2 REV_CNTR_MSP1_PD_AMT(37) 1832 RVMSP138 Num 8 2552 COMMA14.2 REV_CNTR_MSP1_PD_AMT(38) 1833 RVMSP139 Num 8 2560 COMMA14.2 REV_CNTR_MSP1_PD_AMT(39) 1834 RVMSP140 Num 8 2568 COMMA14.2 REV_CNTR_MSP1_PD_AMT(40) 1835 RVMSP141 Num 8 2576 COMMA14.2 REV_CNTR_MSP1_PD_AMT(41) 1836 RVMSP142 Num 8 2584 COMMA14.2 REV_CNTR_MSP1_PD_AMT(42) 1837 RVMSP143 Num 8 2592 COMMA14.2 REV_CNTR_MSP1_PD_AMT(43) 1838 RVMSP144 Num 8 2600 COMMA14.2 REV_CNTR_MSP1_PD_AMT(44) 1839 RVMSP145 Num 8 2608 COMMA14.2 REV_CNTR_MSP1_PD_AMT(45) 1840 RVMSP201 Num 8 2616 COMMA14.2 REV_CNTR_MSP2_PD_AMT(1) 1841 RVMSP202 Num 8 2624 COMMA14.2 REV_CNTR_MSP2_PD_AMT(2) 1842 RVMSP203 Num 8 2632 COMMA14.2 REV_CNTR_MSP2_PD_AMT(3) 1843 RVMSP204 Num 8 2640 COMMA14.2 REV_CNTR_MSP2_PD_AMT(4) 1844 RVMSP205 Num 8 2648 COMMA14.2 REV_CNTR_MSP2_PD_AMT(5) 1845 RVMSP206 Num 8 2656 COMMA14.2 REV_CNTR_MSP2_PD_AMT(6) 1846 RVMSP207 Num 8 2664 COMMA14.2 REV_CNTR_MSP2_PD_AMT(7) 1847 RVMSP208 Num 8 2672 COMMA14.2 REV_CNTR_MSP2_PD_AMT(8) 1848 RVMSP209 Num 8 2680 COMMA14.2 REV_CNTR_MSP2_PD_AMT(9) 1849 RVMSP210 Num 8 2688 COMMA14.2 REV_CNTR_MSP2_PD_AMT(10) 1850 RVMSP211 Num 8 2696 COMMA14.2 REV_CNTR_MSP2_PD_AMT(11) 1851 RVMSP212 Num 8 2704 COMMA14.2 REV_CNTR_MSP2_PD_AMT(12) 1852 RVMSP213 Num 8 2712 COMMA14.2 REV_CNTR_MSP2_PD_AMT(13) 1853 RVMSP214 Num 8 2720 COMMA14.2 REV_CNTR_MSP2_PD_AMT(14) 1854 RVMSP215 Num 8 2728 COMMA14.2 REV_CNTR_MSP2_PD_AMT(15) 1855 RVMSP216 Num 8 2736 COMMA14.2 REV_CNTR_MSP2_PD_AMT(16) 1856 RVMSP217 Num 8 2744 COMMA14.2 REV_CNTR_MSP2_PD_AMT(17) 1857 RVMSP218 Num 8 2752 COMMA14.2 REV_CNTR_MSP2_PD_AMT(18) 1858 RVMSP219 Num 8 2760 COMMA14.2 REV_CNTR_MSP2_PD_AMT(19) 1859 RVMSP220 Num 8 2768 COMMA14.2 REV_CNTR_MSP2_PD_AMT(20) 1860 RVMSP221 Num 8 2776 COMMA14.2 REV_CNTR_MSP2_PD_AMT(21) 1861 RVMSP222 Num 8 2784 COMMA14.2 REV_CNTR_MSP2_PD_AMT(22) 1862 RVMSP223 Num 8 2792 COMMA14.2 REV_CNTR_MSP2_PD_AMT(23) 1863 RVMSP224 Num 8 2800 COMMA14.2 REV_CNTR_MSP2_PD_AMT(24) 1864 RVMSP225 Num 8 2808 COMMA14.2 REV_CNTR_MSP2_PD_AMT(25) 1865 RVMSP226 Num 8 2816 COMMA14.2 REV_CNTR_MSP2_PD_AMT(26) 1866 RVMSP227 Num 8 2824 COMMA14.2 REV_CNTR_MSP2_PD_AMT(27) 1867 RVMSP228 Num 8 2832 COMMA14.2 REV_CNTR_MSP2_PD_AMT(28) 1868 RVMSP229 Num 8 2840 COMMA14.2 REV_CNTR_MSP2_PD_AMT(29) 1869 RVMSP230 Num 8 2848 COMMA14.2 REV_CNTR_MSP2_PD_AMT(30) 1870 RVMSP231 Num 8 2856 COMMA14.2 REV_CNTR_MSP2_PD_AMT(31) 1871 RVMSP232 Num 8 2864 COMMA14.2 REV_CNTR_MSP2_PD_AMT(32) 1872 RVMSP233 Num 8 2872 COMMA14.2 REV_CNTR_MSP2_PD_AMT(33) 1873 RVMSP234 Num 8 2880 COMMA14.2 REV_CNTR_MSP2_PD_AMT(34) 1874 RVMSP235 Num 8 2888 COMMA14.2 REV_CNTR_MSP2_PD_AMT(35) 1875 RVMSP236 Num 8 2896 COMMA14.2 REV_CNTR_MSP2_PD_AMT(36) 1876 RVMSP237 Num 8 2904 COMMA14.2 REV_CNTR_MSP2_PD_AMT(37) 1877 RVMSP238 Num 8 2912 COMMA14.2 REV_CNTR_MSP2_PD_AMT(38) 1878 RVMSP239 Num 8 2920 COMMA14.2 REV_CNTR_MSP2_PD_AMT(39) 1879 RVMSP240 Num 8 2928 COMMA14.2 REV_CNTR_MSP2_PD_AMT(40) 1880 RVMSP241 Num 8 2936 COMMA14.2 REV_CNTR_MSP2_PD_AMT(41) 1881 RVMSP242 Num 8 2944 COMMA14.2 REV_CNTR_MSP2_PD_AMT(42) 1882 RVMSP243 Num 8 2952 COMMA14.2 REV_CNTR_MSP2_PD_AMT(43) 1883 RVMSP244 Num 8 2960 COMMA14.2 REV_CNTR_MSP2_PD_AMT(44) 1884 RVMSP245 Num 8 2968 COMMA14.2 REV_CNTR_MSP2_PD_AMT(45) 2155 RVNCVR01 Num 8 5136 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(1) 2156 RVNCVR02 Num 8 5144 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(2) 2157 RVNCVR03 Num 8 5152 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(3) 2158 RVNCVR04 Num 8 5160 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(4) 2159 RVNCVR05 Num 8 5168 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(5) 2160 RVNCVR06 Num 8 5176 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(6) 2161 RVNCVR07 Num 8 5184 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(7) 2162 RVNCVR08 Num 8 5192 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(8) 2163 RVNCVR09 Num 8 5200 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(9) 2164 RVNCVR10 Num 8 5208 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(10) 2165 RVNCVR11 Num 8 5216 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(11) 2166 RVNCVR12 Num 8 5224 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(12) 2167 RVNCVR13 Num 8 5232 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(13) 2168 RVNCVR14 Num 8 5240 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(14) 2169 RVNCVR15 Num 8 5248 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(15) 2170 RVNCVR16 Num 8 5256 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(16) 2171 RVNCVR17 Num 8 5264 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(17) 2172 RVNCVR18 Num 8 5272 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(18) 2173 RVNCVR19 Num 8 5280 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(19) 2174 RVNCVR20 Num 8 5288 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(20) 2175 RVNCVR21 Num 8 5296 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(21) 2176 RVNCVR22 Num 8 5304 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(22) 2177 RVNCVR23 Num 8 5312 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(23) 2178 RVNCVR24 Num 8 5320 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(24) 2179 RVNCVR25 Num 8 5328 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(25) 2180 RVNCVR26 Num 8 5336 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(26) 2181 RVNCVR27 Num 8 5344 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(27) 2182 RVNCVR28 Num 8 5352 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(28) 2183 RVNCVR29 Num 8 5360 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(29) 2184 RVNCVR30 Num 8 5368 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(30) 2185 RVNCVR31 Num 8 5376 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(31) 2186 RVNCVR32 Num 8 5384 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(32) 2187 RVNCVR33 Num 8 5392 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(33) 2188 RVNCVR34 Num 8 5400 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(34) 2189 RVNCVR35 Num 8 5408 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(35) 2190 RVNCVR36 Num 8 5416 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(36) 2191 RVNCVR37 Num 8 5424 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(37) 2192 RVNCVR38 Num 8 5432 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(38) 2193 RVNCVR39 Num 8 5440 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(39) 2194 RVNCVR40 Num 8 5448 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(40) 2195 RVNCVR41 Num 8 5456 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(41) 2196 RVNCVR42 Num 8 5464 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(42) 2197 RVNCVR43 Num 8 5472 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(43) 2198 RVNCVR44 Num 8 5480 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(44) 2199 RVNCVR45 Num 8 5488 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(45) 715 RVNS101 Char 5 6937 REV_CNTR_ANSI_1_CD(1) 716 RVNS102 Char 5 6942 REV_CNTR_ANSI_1_CD(2) 717 RVNS103 Char 5 6947 REV_CNTR_ANSI_1_CD(3) 718 RVNS104 Char 5 6952 REV_CNTR_ANSI_1_CD(4) 719 RVNS105 Char 5 6957 REV_CNTR_ANSI_1_CD(5) 720 RVNS106 Char 5 6962 REV_CNTR_ANSI_1_CD(6) 721 RVNS107 Char 5 6967 REV_CNTR_ANSI_1_CD(7) 722 RVNS108 Char 5 6972 REV_CNTR_ANSI_1_CD(8) 723 RVNS109 Char 5 6977 REV_CNTR_ANSI_1_CD(9) 724 RVNS110 Char 5 6982 REV_CNTR_ANSI_1_CD(10) 725 RVNS111 Char 5 6987 REV_CNTR_ANSI_1_CD(11) 726 RVNS112 Char 5 6992 REV_CNTR_ANSI_1_CD(12) 727 RVNS113 Char 5 6997 REV_CNTR_ANSI_1_CD(13) 728 RVNS114 Char 5 7002 REV_CNTR_ANSI_1_CD(14) 729 RVNS115 Char 5 7007 REV_CNTR_ANSI_1_CD(15) 730 RVNS116 Char 5 7012 REV_CNTR_ANSI_1_CD(16) 731 RVNS117 Char 5 7017 REV_CNTR_ANSI_1_CD(17) 732 RVNS118 Char 5 7022 REV_CNTR_ANSI_1_CD(18) 733 RVNS119 Char 5 7027 REV_CNTR_ANSI_1_CD(19) 734 RVNS120 Char 5 7032 REV_CNTR_ANSI_1_CD(20) 735 RVNS121 Char 5 7037 REV_CNTR_ANSI_1_CD(21) 736 RVNS122 Char 5 7042 REV_CNTR_ANSI_1_CD(22) 737 RVNS123 Char 5 7047 REV_CNTR_ANSI_1_CD(23) 738 RVNS124 Char 5 7052 REV_CNTR_ANSI_1_CD(24) 739 RVNS125 Char 5 7057 REV_CNTR_ANSI_1_CD(25) 740 RVNS126 Char 5 7062 REV_CNTR_ANSI_1_CD(26) 741 RVNS127 Char 5 7067 REV_CNTR_ANSI_1_CD(27) 742 RVNS128 Char 5 7072 REV_CNTR_ANSI_1_CD(28) 743 RVNS129 Char 5 7077 REV_CNTR_ANSI_1_CD(29) 744 RVNS130 Char 5 7082 REV_CNTR_ANSI_1_CD(30) 745 RVNS131 Char 5 7087 REV_CNTR_ANSI_1_CD(31) 746 RVNS132 Char 5 7092 REV_CNTR_ANSI_1_CD(32) 747 RVNS133 Char 5 7097 REV_CNTR_ANSI_1_CD(33) 748 RVNS134 Char 5 7102 REV_CNTR_ANSI_1_CD(34) 749 RVNS135 Char 5 7107 REV_CNTR_ANSI_1_CD(35) 750 RVNS136 Char 5 7112 REV_CNTR_ANSI_1_CD(36) 751 RVNS137 Char 5 7117 REV_CNTR_ANSI_1_CD(37) 752 RVNS138 Char 5 7122 REV_CNTR_ANSI_1_CD(38) 753 RVNS139 Char 5 7127 REV_CNTR_ANSI_1_CD(39) 754 RVNS140 Char 5 7132 REV_CNTR_ANSI_1_CD(40) 755 RVNS141 Char 5 7137 REV_CNTR_ANSI_1_CD(41) 756 RVNS142 Char 5 7142 REV_CNTR_ANSI_1_CD(42) 757 RVNS143 Char 5 7147 REV_CNTR_ANSI_1_CD(43) 758 RVNS144 Char 5 7152 REV_CNTR_ANSI_1_CD(44) 759 RVNS145 Char 5 7157 REV_CNTR_ANSI_1_CD(45) 760 RVNS201 Char 5 7162 REV_CNTR_ANSI_2_CD(1) 761 RVNS202 Char 5 7167 REV_CNTR_ANSI_2_CD(2) 762 RVNS203 Char 5 7172 REV_CNTR_ANSI_2_CD(3) 763 RVNS204 Char 5 7177 REV_CNTR_ANSI_2_CD(4) 764 RVNS205 Char 5 7182 REV_CNTR_ANSI_2_CD(5) 765 RVNS206 Char 5 7187 REV_CNTR_ANSI_2_CD(6) 766 RVNS207 Char 5 7192 REV_CNTR_ANSI_2_CD(7) 767 RVNS208 Char 5 7197 REV_CNTR_ANSI_2_CD(8) 768 RVNS209 Char 5 7202 REV_CNTR_ANSI_2_CD(9) 769 RVNS210 Char 5 7207 REV_CNTR_ANSI_2_CD(10) 770 RVNS211 Char 5 7212 REV_CNTR_ANSI_2_CD(11) 771 RVNS212 Char 5 7217 REV_CNTR_ANSI_2_CD(12) 772 RVNS213 Char 5 7222 REV_CNTR_ANSI_2_CD(13) 773 RVNS214 Char 5 7227 REV_CNTR_ANSI_2_CD(14) 774 RVNS215 Char 5 7232 REV_CNTR_ANSI_2_CD(15) 775 RVNS216 Char 5 7237 REV_CNTR_ANSI_2_CD(16) 776 RVNS217 Char 5 7242 REV_CNTR_ANSI_2_CD(17) 777 RVNS218 Char 5 7247 REV_CNTR_ANSI_2_CD(18) 778 RVNS219 Char 5 7252 REV_CNTR_ANSI_2_CD(19) 779 RVNS220 Char 5 7257 REV_CNTR_ANSI_2_CD(20) 780 RVNS221 Char 5 7262 REV_CNTR_ANSI_2_CD(21) 781 RVNS222 Char 5 7267 REV_CNTR_ANSI_2_CD(22) 782 RVNS223 Char 5 7272 REV_CNTR_ANSI_2_CD(23) 783 RVNS224 Char 5 7277 REV_CNTR_ANSI_2_CD(24) 784 RVNS225 Char 5 7282 REV_CNTR_ANSI_2_CD(25) 785 RVNS226 Char 5 7287 REV_CNTR_ANSI_2_CD(26) 786 RVNS227 Char 5 7292 REV_CNTR_ANSI_2_CD(27) 787 RVNS228 Char 5 7297 REV_CNTR_ANSI_2_CD(28) 788 RVNS229 Char 5 7302 REV_CNTR_ANSI_2_CD(29) 789 RVNS230 Char 5 7307 REV_CNTR_ANSI_2_CD(30) 790 RVNS231 Char 5 7312 REV_CNTR_ANSI_2_CD(31) 791 RVNS232 Char 5 7317 REV_CNTR_ANSI_2_CD(32) 792 RVNS233 Char 5 7322 REV_CNTR_ANSI_2_CD(33) 793 RVNS234 Char 5 7327 REV_CNTR_ANSI_2_CD(34) 794 RVNS235 Char 5 7332 REV_CNTR_ANSI_2_CD(35) 795 RVNS236 Char 5 7337 REV_CNTR_ANSI_2_CD(36) 796 RVNS237 Char 5 7342 REV_CNTR_ANSI_2_CD(37) 797 RVNS238 Char 5 7347 REV_CNTR_ANSI_2_CD(38) 798 RVNS239 Char 5 7352 REV_CNTR_ANSI_2_CD(39) 799 RVNS240 Char 5 7357 REV_CNTR_ANSI_2_CD(40) 800 RVNS241 Char 5 7362 REV_CNTR_ANSI_2_CD(41) 801 RVNS242 Char 5 7367 REV_CNTR_ANSI_2_CD(42) 802 RVNS243 Char 5 7372 REV_CNTR_ANSI_2_CD(43) 803 RVNS244 Char 5 7377 REV_CNTR_ANSI_2_CD(44) 804 RVNS245 Char 5 7382 REV_CNTR_ANSI_2_CD(45) 805 RVNS301 Char 5 7387 REV_CNTR_ANSI_3_CD(1) 806 RVNS302 Char 5 7392 REV_CNTR_ANSI_3_CD(2) 807 RVNS303 Char 5 7397 REV_CNTR_ANSI_3_CD(3) 808 RVNS304 Char 5 7402 REV_CNTR_ANSI_3_CD(4) 809 RVNS305 Char 5 7407 REV_CNTR_ANSI_3_CD(5) 810 RVNS306 Char 5 7412 REV_CNTR_ANSI_3_CD(6) 811 RVNS307 Char 5 7417 REV_CNTR_ANSI_3_CD(7) 812 RVNS308 Char 5 7422 REV_CNTR_ANSI_3_CD(8) 813 RVNS309 Char 5 7427 REV_CNTR_ANSI_3_CD(9) 814 RVNS310 Char 5 7432 REV_CNTR_ANSI_3_CD(10) 815 RVNS311 Char 5 7437 REV_CNTR_ANSI_3_CD(11) 816 RVNS312 Char 5 7442 REV_CNTR_ANSI_3_CD(12) 817 RVNS313 Char 5 7447 REV_CNTR_ANSI_3_CD(13) 818 RVNS314 Char 5 7452 REV_CNTR_ANSI_3_CD(14) 819 RVNS315 Char 5 7457 REV_CNTR_ANSI_3_CD(15) 820 RVNS316 Char 5 7462 REV_CNTR_ANSI_3_CD(16) 821 RVNS317 Char 5 7467 REV_CNTR_ANSI_3_CD(17) 822 RVNS318 Char 5 7472 REV_CNTR_ANSI_3_CD(18) 823 RVNS319 Char 5 7477 REV_CNTR_ANSI_3_CD(19) 824 RVNS320 Char 5 7482 REV_CNTR_ANSI_3_CD(20) 825 RVNS321 Char 5 7487 REV_CNTR_ANSI_3_CD(21) 826 RVNS322 Char 5 7492 REV_CNTR_ANSI_3_CD(22) 827 RVNS323 Char 5 7497 REV_CNTR_ANSI_3_CD(23) 828 RVNS324 Char 5 7502 REV_CNTR_ANSI_3_CD(24) 829 RVNS325 Char 5 7507 REV_CNTR_ANSI_3_CD(25) 830 RVNS326 Char 5 7512 REV_CNTR_ANSI_3_CD(26) 831 RVNS327 Char 5 7517 REV_CNTR_ANSI_3_CD(27) 832 RVNS328 Char 5 7522 REV_CNTR_ANSI_3_CD(28) 833 RVNS329 Char 5 7527 REV_CNTR_ANSI_3_CD(29) 834 RVNS330 Char 5 7532 REV_CNTR_ANSI_3_CD(30) 835 RVNS331 Char 5 7537 REV_CNTR_ANSI_3_CD(31) 836 RVNS332 Char 5 7542 REV_CNTR_ANSI_3_CD(32) 837 RVNS333 Char 5 7547 REV_CNTR_ANSI_3_CD(33) 838 RVNS334 Char 5 7552 REV_CNTR_ANSI_3_CD(34) 839 RVNS335 Char 5 7557 REV_CNTR_ANSI_3_CD(35) 840 RVNS336 Char 5 7562 REV_CNTR_ANSI_3_CD(36) 841 RVNS337 Char 5 7567 REV_CNTR_ANSI_3_CD(37) 842 RVNS338 Char 5 7572 REV_CNTR_ANSI_3_CD(38) 843 RVNS339 Char 5 7577 REV_CNTR_ANSI_3_CD(39) 844 RVNS340 Char 5 7582 REV_CNTR_ANSI_3_CD(40) 845 RVNS341 Char 5 7587 REV_CNTR_ANSI_3_CD(41) 846 RVNS342 Char 5 7592 REV_CNTR_ANSI_3_CD(42) 847 RVNS343 Char 5 7597 REV_CNTR_ANSI_3_CD(43) 848 RVNS344 Char 5 7602 REV_CNTR_ANSI_3_CD(44) 849 RVNS345 Char 5 7607 REV_CNTR_ANSI_3_CD(45) 850 RVNS401 Char 5 7612 REV_CNTR_ANSI_4_CD(1) 851 RVNS402 Char 5 7617 REV_CNTR_ANSI_4_CD(2) 852 RVNS403 Char 5 7622 REV_CNTR_ANSI_4_CD(3) 853 RVNS404 Char 5 7627 REV_CNTR_ANSI_4_CD(4) 854 RVNS405 Char 5 7632 REV_CNTR_ANSI_4_CD(5) 855 RVNS406 Char 5 7637 REV_CNTR_ANSI_4_CD(6) 856 RVNS407 Char 5 7642 REV_CNTR_ANSI_4_CD(7) 857 RVNS408 Char 5 7647 REV_CNTR_ANSI_4_CD(8) 858 RVNS409 Char 5 7652 REV_CNTR_ANSI_4_CD(9) 859 RVNS410 Char 5 7657 REV_CNTR_ANSI_4_CD(10) 860 RVNS411 Char 5 7662 REV_CNTR_ANSI_4_CD(11) 861 RVNS412 Char 5 7667 REV_CNTR_ANSI_4_CD(12) 862 RVNS413 Char 5 7672 REV_CNTR_ANSI_4_CD(13) 863 RVNS414 Char 5 7677 REV_CNTR_ANSI_4_CD(14) 864 RVNS415 Char 5 7682 REV_CNTR_ANSI_4_CD(15) 865 RVNS416 Char 5 7687 REV_CNTR_ANSI_4_CD(16) 866 RVNS417 Char 5 7692 REV_CNTR_ANSI_4_CD(17) 867 RVNS418 Char 5 7697 REV_CNTR_ANSI_4_CD(18) 868 RVNS419 Char 5 7702 REV_CNTR_ANSI_4_CD(19) 869 RVNS420 Char 5 7707 REV_CNTR_ANSI_4_CD(20) 870 RVNS421 Char 5 7712 REV_CNTR_ANSI_4_CD(21) 871 RVNS422 Char 5 7717 REV_CNTR_ANSI_4_CD(22) 872 RVNS423 Char 5 7722 REV_CNTR_ANSI_4_CD(23) 873 RVNS424 Char 5 7727 REV_CNTR_ANSI_4_CD(24) 874 RVNS425 Char 5 7732 REV_CNTR_ANSI_4_CD(25) 875 RVNS426 Char 5 7737 REV_CNTR_ANSI_4_CD(26) 876 RVNS427 Char 5 7742 REV_CNTR_ANSI_4_CD(27) 877 RVNS428 Char 5 7747 REV_CNTR_ANSI_4_CD(28) 878 RVNS429 Char 5 7752 REV_CNTR_ANSI_4_CD(29) 879 RVNS430 Char 5 7757 REV_CNTR_ANSI_4_CD(30) 880 RVNS431 Char 5 7762 REV_CNTR_ANSI_4_CD(31) 881 RVNS432 Char 5 7767 REV_CNTR_ANSI_4_CD(32) 882 RVNS433 Char 5 7772 REV_CNTR_ANSI_4_CD(33) 883 RVNS434 Char 5 7777 REV_CNTR_ANSI_4_CD(34) 884 RVNS435 Char 5 7782 REV_CNTR_ANSI_4_CD(35) 885 RVNS436 Char 5 7787 REV_CNTR_ANSI_4_CD(36) 886 RVNS437 Char 5 7792 REV_CNTR_ANSI_4_CD(37) 887 RVNS438 Char 5 7797 REV_CNTR_ANSI_4_CD(38) 888 RVNS439 Char 5 7802 REV_CNTR_ANSI_4_CD(39) 889 RVNS440 Char 5 7807 REV_CNTR_ANSI_4_CD(40) 890 RVNS441 Char 5 7812 REV_CNTR_ANSI_4_CD(41) 891 RVNS442 Char 5 7817 REV_CNTR_ANSI_4_CD(42) 892 RVNS443 Char 5 7822 REV_CNTR_ANSI_4_CD(43) 893 RVNS444 Char 5 7827 REV_CNTR_ANSI_4_CD(44) 894 RVNS445 Char 5 7832 REV_CNTR_ANSI_4_CD(45) 1885 RVPCHG01 Num 8 2976 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(1) 1886 RVPCHG02 Num 8 2984 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(2) 1887 RVPCHG03 Num 8 2992 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(3) 1888 RVPCHG04 Num 8 3000 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(4) 1889 RVPCHG05 Num 8 3008 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(5) 1890 RVPCHG06 Num 8 3016 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(6) 1891 RVPCHG07 Num 8 3024 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(7) 1892 RVPCHG08 Num 8 3032 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(8) 1893 RVPCHG09 Num 8 3040 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(9) 1894 RVPCHG10 Num 8 3048 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(10) 1895 RVPCHG11 Num 8 3056 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(11) 1896 RVPCHG12 Num 8 3064 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(12) 1897 RVPCHG13 Num 8 3072 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(13) 1898 RVPCHG14 Num 8 3080 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(14) 1899 RVPCHG15 Num 8 3088 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(15) 1900 RVPCHG16 Num 8 3096 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(16) 1901 RVPCHG17 Num 8 3104 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(17) 1902 RVPCHG18 Num 8 3112 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(18) 1903 RVPCHG19 Num 8 3120 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(19) 1904 RVPCHG20 Num 8 3128 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(20) 1905 RVPCHG21 Num 8 3136 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(21) 1906 RVPCHG22 Num 8 3144 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(22) 1907 RVPCHG23 Num 8 3152 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(23) 1908 RVPCHG24 Num 8 3160 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(24) 1909 RVPCHG25 Num 8 3168 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(25) 1910 RVPCHG26 Num 8 3176 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(26) 1911 RVPCHG27 Num 8 3184 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(27) 1912 RVPCHG28 Num 8 3192 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(28) 1913 RVPCHG29 Num 8 3200 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(29) 1914 RVPCHG30 Num 8 3208 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(30) 1915 RVPCHG31 Num 8 3216 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(31) 1916 RVPCHG32 Num 8 3224 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(32) 1917 RVPCHG33 Num 8 3232 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(33) 1918 RVPCHG34 Num 8 3240 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(34) 1919 RVPCHG35 Num 8 3248 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(35) 1920 RVPCHG36 Num 8 3256 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(36) 1921 RVPCHG37 Num 8 3264 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(37) 1922 RVPCHG38 Num 8 3272 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(38) 1923 RVPCHG39 Num 8 3280 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(39) 1924 RVPCHG40 Num 8 3288 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(40) 1925 RVPCHG41 Num 8 3296 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(41) 1926 RVPCHG42 Num 8 3304 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(42) 1927 RVPCHG43 Num 8 3312 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(43) 1928 RVPCHG44 Num 8 3320 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(44) 1929 RVPCHG45 Num 8 3328 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(45) 1570 RVRT01 Num 8 456 COMMA14.2 REV_CNTR_RATE_AMT(1) 1571 RVRT02 Num 8 464 COMMA14.2 REV_CNTR_RATE_AMT(2) 1572 RVRT03 Num 8 472 COMMA14.2 REV_CNTR_RATE_AMT(3) 1573 RVRT04 Num 8 480 COMMA14.2 REV_CNTR_RATE_AMT(4) 1574 RVRT05 Num 8 488 COMMA14.2 REV_CNTR_RATE_AMT(5) 1575 RVRT06 Num 8 496 COMMA14.2 REV_CNTR_RATE_AMT(6) 1576 RVRT07 Num 8 504 COMMA14.2 REV_CNTR_RATE_AMT(7) 1577 RVRT08 Num 8 512 COMMA14.2 REV_CNTR_RATE_AMT(8) 1578 RVRT09 Num 8 520 COMMA14.2 REV_CNTR_RATE_AMT(9) 1579 RVRT10 Num 8 528 COMMA14.2 REV_CNTR_RATE_AMT(10) 1580 RVRT11 Num 8 536 COMMA14.2 REV_CNTR_RATE_AMT(11) 1581 RVRT12 Num 8 544 COMMA14.2 REV_CNTR_RATE_AMT(12) 1582 RVRT13 Num 8 552 COMMA14.2 REV_CNTR_RATE_AMT(13) 1583 RVRT14 Num 8 560 COMMA14.2 REV_CNTR_RATE_AMT(14) 1584 RVRT15 Num 8 568 COMMA14.2 REV_CNTR_RATE_AMT(15) 1585 RVRT16 Num 8 576 COMMA14.2 REV_CNTR_RATE_AMT(16) 1586 RVRT17 Num 8 584 COMMA14.2 REV_CNTR_RATE_AMT(17) 1587 RVRT18 Num 8 592 COMMA14.2 REV_CNTR_RATE_AMT(18) 1588 RVRT19 Num 8 600 COMMA14.2 REV_CNTR_RATE_AMT(19) 1589 RVRT20 Num 8 608 COMMA14.2 REV_CNTR_RATE_AMT(20) 1590 RVRT21 Num 8 616 COMMA14.2 REV_CNTR_RATE_AMT(21) 1591 RVRT22 Num 8 624 COMMA14.2 REV_CNTR_RATE_AMT(22) 1592 RVRT23 Num 8 632 COMMA14.2 REV_CNTR_RATE_AMT(23) 1593 RVRT24 Num 8 640 COMMA14.2 REV_CNTR_RATE_AMT(24) 1594 RVRT25 Num 8 648 COMMA14.2 REV_CNTR_RATE_AMT(25) 1595 RVRT26 Num 8 656 COMMA14.2 REV_CNTR_RATE_AMT(26) 1596 RVRT27 Num 8 664 COMMA14.2 REV_CNTR_RATE_AMT(27) 1597 RVRT28 Num 8 672 COMMA14.2 REV_CNTR_RATE_AMT(28) 1598 RVRT29 Num 8 680 COMMA14.2 REV_CNTR_RATE_AMT(29) 1599 RVRT30 Num 8 688 COMMA14.2 REV_CNTR_RATE_AMT(30) 1600 RVRT31 Num 8 696 COMMA14.2 REV_CNTR_RATE_AMT(31) 1601 RVRT32 Num 8 704 COMMA14.2 REV_CNTR_RATE_AMT(32) 1602 RVRT33 Num 8 712 COMMA14.2 REV_CNTR_RATE_AMT(33) 1603 RVRT34 Num 8 720 COMMA14.2 REV_CNTR_RATE_AMT(34) 1604 RVRT35 Num 8 728 COMMA14.2 REV_CNTR_RATE_AMT(35) 1605 RVRT36 Num 8 736 COMMA14.2 REV_CNTR_RATE_AMT(36) 1606 RVRT37 Num 8 744 COMMA14.2 REV_CNTR_RATE_AMT(37) 1607 RVRT38 Num 8 752 COMMA14.2 REV_CNTR_RATE_AMT(38) 1608 RVRT39 Num 8 760 COMMA14.2 REV_CNTR_RATE_AMT(39) 1609 RVRT40 Num 8 768 COMMA14.2 REV_CNTR_RATE_AMT(40) 1610 RVRT41 Num 8 776 COMMA14.2 REV_CNTR_RATE_AMT(41) 1611 RVRT42 Num 8 784 COMMA14.2 REV_CNTR_RATE_AMT(42) 1612 RVRT43 Num 8 792 COMMA14.2 REV_CNTR_RATE_AMT(43) 1613 RVRT44 Num 8 800 COMMA14.2 REV_CNTR_RATE_AMT(44) 1614 RVRT45 Num 8 808 COMMA14.2 REV_CNTR_RATE_AMT(45) 1525 RVUNT01 Num 4 5500 COMMA9. REV_CNTR_UNIT_CNT(1) 1526 RVUNT02 Num 4 5504 COMMA9. REV_CNTR_UNIT_CNT(2) 1527 RVUNT03 Num 4 5508 COMMA9. REV_CNTR_UNIT_CNT(3) 1528 RVUNT04 Num 4 5512 COMMA9. REV_CNTR_UNIT_CNT(4) 1529 RVUNT05 Num 4 5516 COMMA9. REV_CNTR_UNIT_CNT(5) 1530 RVUNT06 Num 4 5520 COMMA9. REV_CNTR_UNIT_CNT(6) 1531 RVUNT07 Num 4 5524 COMMA9. REV_CNTR_UNIT_CNT(7) 1532 RVUNT08 Num 4 5528 COMMA9. REV_CNTR_UNIT_CNT(8) 1533 RVUNT09 Num 4 5532 COMMA9. REV_CNTR_UNIT_CNT(9) 1534 RVUNT10 Num 4 5536 COMMA9. REV_CNTR_UNIT_CNT(10) 1535 RVUNT11 Num 4 5540 COMMA9. REV_CNTR_UNIT_CNT(11) 1536 RVUNT12 Num 4 5544 COMMA9. REV_CNTR_UNIT_CNT(12) 1537 RVUNT13 Num 4 5548 COMMA9. REV_CNTR_UNIT_CNT(13) 1538 RVUNT14 Num 4 5552 COMMA9. REV_CNTR_UNIT_CNT(14) 1539 RVUNT15 Num 4 5556 COMMA9. REV_CNTR_UNIT_CNT(15) 1540 RVUNT16 Num 4 5560 COMMA9. REV_CNTR_UNIT_CNT(16) 1541 RVUNT17 Num 4 5564 COMMA9. REV_CNTR_UNIT_CNT(17) 1542 RVUNT18 Num 4 5568 COMMA9. REV_CNTR_UNIT_CNT(18) 1543 RVUNT19 Num 4 5572 COMMA9. REV_CNTR_UNIT_CNT(19) 1544 RVUNT20 Num 4 5576 COMMA9. REV_CNTR_UNIT_CNT(20) 1545 RVUNT21 Num 4 5580 COMMA9. REV_CNTR_UNIT_CNT(21) 1546 RVUNT22 Num 4 5584 COMMA9. REV_CNTR_UNIT_CNT(22) 1547 RVUNT23 Num 4 5588 COMMA9. REV_CNTR_UNIT_CNT(23) 1548 RVUNT24 Num 4 5592 COMMA9. REV_CNTR_UNIT_CNT(24) 1549 RVUNT25 Num 4 5596 COMMA9. REV_CNTR_UNIT_CNT(25) 1550 RVUNT26 Num 4 5600 COMMA9. REV_CNTR_UNIT_CNT(26) 1551 RVUNT27 Num 4 5604 COMMA9. REV_CNTR_UNIT_CNT(27) 1552 RVUNT28 Num 4 5608 COMMA9. REV_CNTR_UNIT_CNT(28) 1553 RVUNT29 Num 4 5612 COMMA9. REV_CNTR_UNIT_CNT(29) 1554 RVUNT30 Num 4 5616 COMMA9. REV_CNTR_UNIT_CNT(30) 1555 RVUNT31 Num 4 5620 COMMA9. REV_CNTR_UNIT_CNT(31) 1556 RVUNT32 Num 4 5624 COMMA9. REV_CNTR_UNIT_CNT(32) 1557 RVUNT33 Num 4 5628 COMMA9. REV_CNTR_UNIT_CNT(33) 1558 RVUNT34 Num 4 5632 COMMA9. REV_CNTR_UNIT_CNT(34) 1559 RVUNT35 Num 4 5636 COMMA9. REV_CNTR_UNIT_CNT(35) 1560 RVUNT36 Num 4 5640 COMMA9. REV_CNTR_UNIT_CNT(36) 1561 RVUNT37 Num 4 5644 COMMA9. REV_CNTR_UNIT_CNT(37) 1562 RVUNT38 Num 4 5648 COMMA9. REV_CNTR_UNIT_CNT(38) 1563 RVUNT39 Num 4 5652 COMMA9. REV_CNTR_UNIT_CNT(39) 1564 RVUNT40 Num 4 5656 COMMA9. REV_CNTR_UNIT_CNT(40) 1565 RVUNT41 Num 4 5660 COMMA9. REV_CNTR_UNIT_CNT(41) 1566 RVUNT42 Num 4 5664 COMMA9. REV_CNTR_UNIT_CNT(42) 1567 RVUNT43 Num 4 5668 COMMA9. REV_CNTR_UNIT_CNT(43) 1568 RVUNT44 Num 4 5672 COMMA9. REV_CNTR_UNIT_CNT(44) 1569 RVUNT45 Num 4 5676 COMMA9. REV_CNTR_UNIT_CNT(45) 52 SCHLD_DT Num 8 64 DATE9. FI_CLM_SCHLD_PMT_DT 2 SCRSSN Num 8 8 SCRAMBLED_SSN 58 SEX Char 1 5797 BENE_SEX_IDENT_CD 9 SGMTLINE Num 3 10242 CLM_SGMT_LINE_CNT 6 SGMT_CNT Num 3 10233 CLM_TOT_SGMT_CNT 7 SGMT_NUM Num 3 10236 CLM_SGMT_NUM 442 SPANCD01 Char 2 6584 CLM_OCRNC_SPAN_CD(1) 443 SPANCD02 Char 2 6586 CLM_OCRNC_SPAN_CD(2) 444 SPANCD03 Char 2 6588 CLM_OCRNC_SPAN_CD(3) 445 SPANCD04 Char 2 6590 CLM_OCRNC_SPAN_CD(4) 446 SPANCD05 Char 2 6592 CLM_OCRNC_SPAN_CD(5) 447 SPANCD06 Char 2 6594 CLM_OCRNC_SPAN_CD(6) 448 SPANCD07 Char 2 6596 CLM_OCRNC_SPAN_CD(7) 449 SPANCD08 Char 2 6598 CLM_OCRNC_SPAN_CD(8) 450 SPANCD09 Char 2 6600 CLM_OCRNC_SPAN_CD(9) 451 SPANCD10 Char 2 6602 CLM_OCRNC_SPAN_CD(10) 452 SPNFRM01 Num 5 10601 DATE9. CLM_OCRNC_SPAN_FROM_DT(1) 453 SPNFRM02 Num 5 10606 DATE9. CLM_OCRNC_SPAN_FROM_DT(2) 454 SPNFRM03 Num 5 10611 DATE9. CLM_OCRNC_SPAN_FROM_DT(3) 455 SPNFRM04 Num 5 10616 DATE9. CLM_OCRNC_SPAN_FROM_DT(4) 456 SPNFRM05 Num 5 10621 DATE9. CLM_OCRNC_SPAN_FROM_DT(5) 457 SPNFRM06 Num 5 10626 DATE9. CLM_OCRNC_SPAN_FROM_DT(6) 458 SPNFRM07 Num 5 10631 DATE9. CLM_OCRNC_SPAN_FROM_DT(7) 459 SPNFRM08 Num 5 10636 DATE9. CLM_OCRNC_SPAN_FROM_DT(8) 460 SPNFRM09 Num 5 10641 DATE9. CLM_OCRNC_SPAN_FROM_DT(9) 461 SPNFRM10 Num 5 10646 DATE9. CLM_OCRNC_SPAN_FROM_DT(10) 432 SPNND01 Char 1 6574 NCH_SPAN_TRLR_IND_CD(1) 433 SPNND02 Char 1 6575 NCH_SPAN_TRLR_IND_CD(2) 434 SPNND03 Char 1 6576 NCH_SPAN_TRLR_IND_CD(3) 435 SPNND04 Char 1 6577 NCH_SPAN_TRLR_IND_CD(4) 436 SPNND05 Char 1 6578 NCH_SPAN_TRLR_IND_CD(5) 437 SPNND06 Char 1 6579 NCH_SPAN_TRLR_IND_CD(6) 438 SPNND07 Char 1 6580 NCH_SPAN_TRLR_IND_CD(7) 439 SPNND08 Char 1 6581 NCH_SPAN_TRLR_IND_CD(8) 440 SPNND09 Char 1 6582 NCH_SPAN_TRLR_IND_CD(9) 441 SPNND10 Char 1 6583 NCH_SPAN_TRLR_IND_CD(10) 462 SPNTHR01 Num 5 10651 DATE9. CLM_OCRNC_SPAN_THRU_DT(1) 463 SPNTHR02 Num 5 10656 DATE9. CLM_OCRNC_SPAN_THRU_DT(2) 464 SPNTHR03 Num 5 10661 DATE9. CLM_OCRNC_SPAN_THRU_DT(3) 465 SPNTHR04 Num 5 10666 DATE9. CLM_OCRNC_SPAN_THRU_DT(4) 466 SPNTHR05 Num 5 10671 DATE9. CLM_OCRNC_SPAN_THRU_DT(5) 467 SPNTHR06 Num 5 10676 DATE9. CLM_OCRNC_SPAN_THRU_DT(6) 468 SPNTHR07 Num 5 10681 DATE9. CLM_OCRNC_SPAN_THRU_DT(7) 469 SPNTHR08 Num 5 10686 DATE9. CLM_OCRNC_SPAN_THRU_DT(8) 470 SPNTHR09 Num 5 10691 DATE9. CLM_OCRNC_SPAN_THRU_DT(9) 471 SPNTHR10 Num 5 10696 DATE9. CLM_OCRNC_SPAN_THRU_DT(10) 31 STATE_CD Char 2 5710 BENE_RSDNC_SSA_STD_STATE_CD 100 STUS_CD Char 2 5989 PTNT_DSCHRG_STUS_CD 30 ST_SGMT Char 1 5709 NCH_STATE_SGMT_CD 62 SURNAME Char 6 5801 CLM_PTNT_6_PSTN_SRNM_NAME 33 THRU_DT Num 8 24 DATE9. CLM_THRU_DT 103 TOT_CHRG Num 8 128 COMMA14.2 CLM_TOT_CHRG_AMT 42 TRANS_CD Char 1 5766 CLM_TRANS_CD 68 TRTMT_CD Char 1 5816 CLM_EXCPTD_NEXCPTD_TRTMT_CD 44 TYPESRVC Char 1 5768 CLM_SRVC_CLSFCTN_TYPE_CD 544 VALAMT01 Num 8 168 COMMA14.2 CLM_VAL_AMT(1) 545 VALAMT02 Num 8 176 COMMA14.2 CLM_VAL_AMT(2) 546 VALAMT03 Num 8 184 COMMA14.2 CLM_VAL_AMT(3) 547 VALAMT04 Num 8 192 COMMA14.2 CLM_VAL_AMT(4) 548 VALAMT05 Num 8 200 COMMA14.2 CLM_VAL_AMT(5) 549 VALAMT06 Num 8 208 COMMA14.2 CLM_VAL_AMT(6) 550 VALAMT07 Num 8 216 COMMA14.2 CLM_VAL_AMT(7) 551 VALAMT08 Num 8 224 COMMA14.2 CLM_VAL_AMT(8) 552 VALAMT09 Num 8 232 COMMA14.2 CLM_VAL_AMT(9) 553 VALAMT10 Num 8 240 COMMA14.2 CLM_VAL_AMT(10) 554 VALAMT11 Num 8 248 COMMA14.2 CLM_VAL_AMT(11) 555 VALAMT12 Num 8 256 COMMA14.2 CLM_VAL_AMT(12) 556 VALAMT13 Num 8 264 COMMA14.2 CLM_VAL_AMT(13) 557 VALAMT14 Num 8 272 COMMA14.2 CLM_VAL_AMT(14) 558 VALAMT15 Num 8 280 COMMA14.2 CLM_VAL_AMT(15) 559 VALAMT16 Num 8 288 COMMA14.2 CLM_VAL_AMT(16) 560 VALAMT17 Num 8 296 COMMA14.2 CLM_VAL_AMT(17) 561 VALAMT18 Num 8 304 COMMA14.2 CLM_VAL_AMT(18) 562 VALAMT19 Num 8 312 COMMA14.2 CLM_VAL_AMT(19) 563 VALAMT20 Num 8 320 COMMA14.2 CLM_VAL_AMT(20) 564 VALAMT21 Num 8 328 COMMA14.2 CLM_VAL_AMT(21) 565 VALAMT22 Num 8 336 COMMA14.2 CLM_VAL_AMT(22) 566 VALAMT23 Num 8 344 COMMA14.2 CLM_VAL_AMT(23) 567 VALAMT24 Num 8 352 COMMA14.2 CLM_VAL_AMT(24) 568 VALAMT25 Num 8 360 COMMA14.2 CLM_VAL_AMT(25) 569 VALAMT26 Num 8 368 COMMA14.2 CLM_VAL_AMT(26) 570 VALAMT27 Num 8 376 COMMA14.2 CLM_VAL_AMT(27) 571 VALAMT28 Num 8 384 COMMA14.2 CLM_VAL_AMT(28) 572 VALAMT29 Num 8 392 COMMA14.2 CLM_VAL_AMT(29) 573 VALAMT30 Num 8 400 COMMA14.2 CLM_VAL_AMT(30) 574 VALAMT31 Num 8 408 COMMA14.2 CLM_VAL_AMT(31) 575 VALAMT32 Num 8 416 COMMA14.2 CLM_VAL_AMT(32) 576 VALAMT33 Num 8 424 COMMA14.2 CLM_VAL_AMT(33) 577 VALAMT34 Num 8 432 COMMA14.2 CLM_VAL_AMT(34) 578 VALAMT35 Num 8 440 COMMA14.2 CLM_VAL_AMT(35) 579 VALAMT36 Num 8 448 COMMA14.2 CLM_VAL_AMT(36) 472 VALIND01 Char 1 6604 NCH_VAL_TRLR_IND_CD(1) 473 VALIND02 Char 1 6605 NCH_VAL_TRLR_IND_CD(2) 474 VALIND03 Char 1 6606 NCH_VAL_TRLR_IND_CD(3) 475 VALIND04 Char 1 6607 NCH_VAL_TRLR_IND_CD(4) 476 VALIND05 Char 1 6608 NCH_VAL_TRLR_IND_CD(5) 477 VALIND06 Char 1 6609 NCH_VAL_TRLR_IND_CD(6) 478 VALIND07 Char 1 6610 NCH_VAL_TRLR_IND_CD(7) 479 VALIND08 Char 1 6611 NCH_VAL_TRLR_IND_CD(8) 480 VALIND09 Char 1 6612 NCH_VAL_TRLR_IND_CD(9) 481 VALIND10 Char 1 6613 NCH_VAL_TRLR_IND_CD(10) 482 VALIND11 Char 1 6614 NCH_VAL_TRLR_IND_CD(11) 483 VALIND12 Char 1 6615 NCH_VAL_TRLR_IND_CD(12) 484 VALIND13 Char 1 6616 NCH_VAL_TRLR_IND_CD(13) 485 VALIND14 Char 1 6617 NCH_VAL_TRLR_IND_CD(14) 486 VALIND15 Char 1 6618 NCH_VAL_TRLR_IND_CD(15) 487 VALIND16 Char 1 6619 NCH_VAL_TRLR_IND_CD(16) 488 VALIND17 Char 1 6620 NCH_VAL_TRLR_IND_CD(17) 489 VALIND18 Char 1 6621 NCH_VAL_TRLR_IND_CD(18) 490 VALIND19 Char 1 6622 NCH_VAL_TRLR_IND_CD(19) 491 VALIND20 Char 1 6623 NCH_VAL_TRLR_IND_CD(20) 492 VALIND21 Char 1 6624 NCH_VAL_TRLR_IND_CD(21) 493 VALIND22 Char 1 6625 NCH_VAL_TRLR_IND_CD(22) 494 VALIND23 Char 1 6626 NCH_VAL_TRLR_IND_CD(23) 495 VALIND24 Char 1 6627 NCH_VAL_TRLR_IND_CD(24) 496 VALIND25 Char 1 6628 NCH_VAL_TRLR_IND_CD(25) 497 VALIND26 Char 1 6629 NCH_VAL_TRLR_IND_CD(26) 498 VALIND27 Char 1 6630 NCH_VAL_TRLR_IND_CD(27) 499 VALIND28 Char 1 6631 NCH_VAL_TRLR_IND_CD(28) 500 VALIND29 Char 1 6632 NCH_VAL_TRLR_IND_CD(29) 501 VALIND30 Char 1 6633 NCH_VAL_TRLR_IND_CD(30) 502 VALIND31 Char 1 6634 NCH_VAL_TRLR_IND_CD(31) 503 VALIND32 Char 1 6635 NCH_VAL_TRLR_IND_CD(32) 504 VALIND33 Char 1 6636 NCH_VAL_TRLR_IND_CD(33) 505 VALIND34 Char 1 6637 NCH_VAL_TRLR_IND_CD(34) 506 VALIND35 Char 1 6638 NCH_VAL_TRLR_IND_CD(35) 507 VALIND36 Char 1 6639 NCH_VAL_TRLR_IND_CD(36) 508 VAL_CD01 Char 2 6640 CLM_VAL_CD(1) 509 VAL_CD02 Char 2 6642 CLM_VAL_CD(2) 510 VAL_CD03 Char 2 6644 CLM_VAL_CD(3) 511 VAL_CD04 Char 2 6646 CLM_VAL_CD(4) 512 VAL_CD05 Char 2 6648 CLM_VAL_CD(5) 513 VAL_CD06 Char 2 6650 CLM_VAL_CD(6) 514 VAL_CD07 Char 2 6652 CLM_VAL_CD(7) 515 VAL_CD08 Char 2 6654 CLM_VAL_CD(8) 516 VAL_CD09 Char 2 6656 CLM_VAL_CD(9) 517 VAL_CD10 Char 2 6658 CLM_VAL_CD(10) 518 VAL_CD11 Char 2 6660 CLM_VAL_CD(11) 519 VAL_CD12 Char 2 6662 CLM_VAL_CD(12) 520 VAL_CD13 Char 2 6664 CLM_VAL_CD(13) 521 VAL_CD14 Char 2 6666 CLM_VAL_CD(14) 522 VAL_CD15 Char 2 6668 CLM_VAL_CD(15) 523 VAL_CD16 Char 2 6670 CLM_VAL_CD(16) 524 VAL_CD17 Char 2 6672 CLM_VAL_CD(17) 525 VAL_CD18 Char 2 6674 CLM_VAL_CD(18) 526 VAL_CD19 Char 2 6676 CLM_VAL_CD(19) 527 VAL_CD20 Char 2 6678 CLM_VAL_CD(20) 528 VAL_CD21 Char 2 6680 CLM_VAL_CD(21) 529 VAL_CD22 Char 2 6682 CLM_VAL_CD(22) 530 VAL_CD23 Char 2 6684 CLM_VAL_CD(23) 531 VAL_CD24 Char 2 6686 CLM_VAL_CD(24) 532 VAL_CD25 Char 2 6688 CLM_VAL_CD(25) 533 VAL_CD26 Char 2 6690 CLM_VAL_CD(26) 534 VAL_CD27 Char 2 6692 CLM_VAL_CD(27) 535 VAL_CD28 Char 2 6694 CLM_VAL_CD(28) 536 VAL_CD29 Char 2 6696 CLM_VAL_CD(29) 537 VAL_CD30 Char 2 6698 CLM_VAL_CD(30) 538 VAL_CD31 Char 2 6700 CLM_VAL_CD(31) 539 VAL_CD32 Char 2 6702 CLM_VAL_CD(32) 540 VAL_CD33 Char 2 6704 CLM_VAL_CD(33) 541 VAL_CD34 Char 2 6706 CLM_VAL_CD(34) 542 VAL_CD35 Char 2 6708 CLM_VAL_CD(35) 543 VAL_CD36 Char 2 6710 CLM_VAL_CD(36) 21 VISITCNT Num 3 10278 CLM_HHA_TOT_VISIT_CNT 1705 WGDJ01 Num 8 1536 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(1) 1706 WGDJ02 Num 8 1544 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(2) 1707 WGDJ03 Num 8 1552 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(3) 1708 WGDJ04 Num 8 1560 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(4) 1709 WGDJ05 Num 8 1568 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(5) 1710 WGDJ06 Num 8 1576 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(6) 1711 WGDJ07 Num 8 1584 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(7) 1712 WGDJ08 Num 8 1592 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(8) 1713 WGDJ09 Num 8 1600 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(9) 1714 WGDJ10 Num 8 1608 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(10) 1715 WGDJ11 Num 8 1616 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(11) 1716 WGDJ12 Num 8 1624 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(12) 1717 WGDJ13 Num 8 1632 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(13) 1718 WGDJ14 Num 8 1640 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(14) 1719 WGDJ15 Num 8 1648 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(15) 1720 WGDJ16 Num 8 1656 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(16) 1721 WGDJ17 Num 8 1664 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(17) 1722 WGDJ18 Num 8 1672 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(18) 1723 WGDJ19 Num 8 1680 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(19) 1724 WGDJ20 Num 8 1688 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(20) 1725 WGDJ21 Num 8 1696 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(21) 1726 WGDJ22 Num 8 1704 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(22) 1727 WGDJ23 Num 8 1712 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(23) 1728 WGDJ24 Num 8 1720 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(24) 1729 WGDJ25 Num 8 1728 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(25) 1730 WGDJ26 Num 8 1736 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(26) 1731 WGDJ27 Num 8 1744 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(27) 1732 WGDJ28 Num 8 1752 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(28) 1733 WGDJ29 Num 8 1760 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(29) 1734 WGDJ30 Num 8 1768 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(30) 1735 WGDJ31 Num 8 1776 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(31) 1736 WGDJ32 Num 8 1784 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(32) 1737 WGDJ33 Num 8 1792 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(33) 1738 WGDJ34 Num 8 1800 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(34) 1739 WGDJ35 Num 8 1808 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(35) 1740 WGDJ36 Num 8 1816 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(36) 1741 WGDJ37 Num 8 1824 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(37) 1742 WGDJ38 Num 8 1832 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(38) 1743 WGDJ39 Num 8 1840 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(39) 1744 WGDJ40 Num 8 1848 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(40) 1745 WGDJ41 Num 8 1856 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(41) 1746 WGDJ42 Num 8 1864 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(42) 1747 WGDJ43 Num 8 1872 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(43) 1748 WGDJ44 Num 8 1880 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(44) 1749 WGDJ45 Num 8 1888 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(45) 35 WKLY_DT Num 8 40 DATE9. NCH_WKLY_PROC_DT -----Alphabetic List of Indexes and Attributes----- # of Unique # Index Values ---------------------- 1 HIC 252088 2 REALSSN 252077 3 SCRSSN 252077