08:56 Thursday, November 18, 2004 1190 The CONTENTS Procedure Data Set Name: FINAL01.OUTPT01 Observations: 9814101 Member Type: DATA Variables: 2272 Engine: V8 Indexes: 3 Created: 13:32 Tuesday, September 21, 2004 Observation Length: 11024 Last Modified: 13:32 Tuesday, September 21, 2004 Deleted Observations: 0 Protection: Compressed: CHAR Data Set Type: Reuse Space: NO Label: Point to Observations: YES Sorted: NO -----Engine/Host Dependent Information----- Data Set Page Size: 16384 Number of Data Set Pages: 3263580 Index File Page Size: 4096 Number of Index File Pages: 76468 Number of Data Set Repairs: 0 File Name: j:\proddata\medicare\cy01\final\outpt01.sas7bdat Release Created: 8.0202M0 Host Created: WIN_ASRV -----Alphabetic List of Variables and Attributes----- # Variable Type Len Pos Format Label ------------------------------------------------------------------------------------------- 39 ACRTN_DT Num 8 40 DATE9. CWF_CLM_ACRTN_DT 5 ACRTN_NM Num 3 10281 CWF_CLM_ACRTN_NUM 77 ACTIONCD Char 1 5843 FI_CLM_ACTN_CD 922 APCPPS01 Char 5 7893 REV_CNTR_APC_HIPPS_CD(1) 923 APCPPS02 Char 5 7898 REV_CNTR_APC_HIPPS_CD(2) 924 APCPPS03 Char 5 7903 REV_CNTR_APC_HIPPS_CD(3) 925 APCPPS04 Char 5 7908 REV_CNTR_APC_HIPPS_CD(4) 926 APCPPS05 Char 5 7913 REV_CNTR_APC_HIPPS_CD(5) 927 APCPPS06 Char 5 7918 REV_CNTR_APC_HIPPS_CD(6) 928 APCPPS07 Char 5 7923 REV_CNTR_APC_HIPPS_CD(7) 929 APCPPS08 Char 5 7928 REV_CNTR_APC_HIPPS_CD(8) 930 APCPPS09 Char 5 7933 REV_CNTR_APC_HIPPS_CD(9) 931 APCPPS10 Char 5 7938 REV_CNTR_APC_HIPPS_CD(10) 932 APCPPS11 Char 5 7943 REV_CNTR_APC_HIPPS_CD(11) 933 APCPPS12 Char 5 7948 REV_CNTR_APC_HIPPS_CD(12) 934 APCPPS13 Char 5 7953 REV_CNTR_APC_HIPPS_CD(13) 935 APCPPS14 Char 5 7958 REV_CNTR_APC_HIPPS_CD(14) 936 APCPPS15 Char 5 7963 REV_CNTR_APC_HIPPS_CD(15) 937 APCPPS16 Char 5 7968 REV_CNTR_APC_HIPPS_CD(16) 938 APCPPS17 Char 5 7973 REV_CNTR_APC_HIPPS_CD(17) 939 APCPPS18 Char 5 7978 REV_CNTR_APC_HIPPS_CD(18) 940 APCPPS19 Char 5 7983 REV_CNTR_APC_HIPPS_CD(19) 941 APCPPS20 Char 5 7988 REV_CNTR_APC_HIPPS_CD(20) 942 APCPPS21 Char 5 7993 REV_CNTR_APC_HIPPS_CD(21) 943 APCPPS22 Char 5 7998 REV_CNTR_APC_HIPPS_CD(22) 944 APCPPS23 Char 5 8003 REV_CNTR_APC_HIPPS_CD(23) 945 APCPPS24 Char 5 8008 REV_CNTR_APC_HIPPS_CD(24) 946 APCPPS25 Char 5 8013 REV_CNTR_APC_HIPPS_CD(25) 947 APCPPS26 Char 5 8018 REV_CNTR_APC_HIPPS_CD(26) 948 APCPPS27 Char 5 8023 REV_CNTR_APC_HIPPS_CD(27) 949 APCPPS28 Char 5 8028 REV_CNTR_APC_HIPPS_CD(28) 950 APCPPS29 Char 5 8033 REV_CNTR_APC_HIPPS_CD(29) 951 APCPPS30 Char 5 8038 REV_CNTR_APC_HIPPS_CD(30) 952 APCPPS31 Char 5 8043 REV_CNTR_APC_HIPPS_CD(31) 953 APCPPS32 Char 5 8048 REV_CNTR_APC_HIPPS_CD(32) 954 APCPPS33 Char 5 8053 REV_CNTR_APC_HIPPS_CD(33) 955 APCPPS34 Char 5 8058 REV_CNTR_APC_HIPPS_CD(34) 956 APCPPS35 Char 5 8063 REV_CNTR_APC_HIPPS_CD(35) 957 APCPPS36 Char 5 8068 REV_CNTR_APC_HIPPS_CD(36) 958 APCPPS37 Char 5 8073 REV_CNTR_APC_HIPPS_CD(37) 959 APCPPS38 Char 5 8078 REV_CNTR_APC_HIPPS_CD(38) 960 APCPPS39 Char 5 8083 REV_CNTR_APC_HIPPS_CD(39) 961 APCPPS40 Char 5 8088 REV_CNTR_APC_HIPPS_CD(40) 962 APCPPS41 Char 5 8093 REV_CNTR_APC_HIPPS_CD(41) 963 APCPPS42 Char 5 8098 REV_CNTR_APC_HIPPS_CD(42) 964 APCPPS43 Char 5 8103 REV_CNTR_APC_HIPPS_CD(43) 965 APCPPS44 Char 5 8108 REV_CNTR_APC_HIPPS_CD(44) 966 APCPPS45 Char 5 8113 REV_CNTR_APC_HIPPS_CD(45) 78 APRVL_DT Num 8 112 DATE9. FI_CLM_PROC_DT 59 ASGN_NUM Num 8 80 CWF_CLM_ASGN_NUM 84 AT_GVNNM Char 1 5878 CLM_ATNDG_PHYSN_GVN_NAME 85 AT_MDL Char 1 5879 CLM_ATNDG_PHYSN_MDL_INITL_NAME 82 AT_NPI Char 10 5862 CLM_ATNDG_PHYSN_NPI_NUM 83 AT_SRNM Char 6 5872 CLM_ATNDG_PHYSN_SRNM_NAME 81 AT_UPIN Char 6 5856 CLM_ATNDG_PHYSN_UPIN_NUM 99 AUTHRZTN Char 18 5946 CLM_TRTMT_AUTHRZTN_NUM 116 BENEPMT Num 8 184 COMMA14.2 CLM_OP_BENE_PMT_AMT 64 BENE_DOB Num 8 88 DATE9. BENE_BIRTH_DT 61 BENE_ZIP Char 9 5812 BENE_MLG_CNTCT_ZIP_CD 33 BIC Char 2 5731 BENE_IDENT_CD 53 BIC_MDFY Char 1 5799 NCH_CLM_BIC_MDFY_CD 110 BLDDEDAM Num 8 136 COMMA14.2 NCH_BENE_BLOOD_DDCTBL_AMT 26 BLDDEDPT Num 3 10346 NCH_BLOOD_DDCTBL_PT_QTY 23 BLDFRNSH Num 3 10337 NCH_BLOOD_PT_FRNSH_QTY 25 BLDNRPLC Num 3 10343 NCH_BLOOD_PT_NRPLC_QTY 24 BLD_RPLC Num 3 10340 NCH_BLOOD_PT_RPLC_QTY 31 CAN Char 9 5720 BENE_CLM_ACNT_NUM 76 CANCELCD Char 1 5842 FI_RQST_CLM_CNCL_RSN_CD 40 CLM_CNTL Char 23 5736 FI_DOC_CLM_CNTL_NUM 30 CLM_TYPE Char 2 5718 NCH_CLM_TYPE_CD 309 CNDND01 Char 1 6450 NCH_COND_TRLR_IND_CD(1) 310 CNDND02 Char 1 6451 NCH_COND_TRLR_IND_CD(2) 311 CNDND03 Char 1 6452 NCH_COND_TRLR_IND_CD(3) 312 CNDND04 Char 1 6453 NCH_COND_TRLR_IND_CD(4) 313 CNDND05 Char 1 6454 NCH_COND_TRLR_IND_CD(5) 314 CNDND06 Char 1 6455 NCH_COND_TRLR_IND_CD(6) 315 CNDND07 Char 1 6456 NCH_COND_TRLR_IND_CD(7) 316 CNDND08 Char 1 6457 NCH_COND_TRLR_IND_CD(8) 317 CNDND09 Char 1 6458 NCH_COND_TRLR_IND_CD(9) 318 CNDND10 Char 1 6459 NCH_COND_TRLR_IND_CD(10) 319 CNDND11 Char 1 6460 NCH_COND_TRLR_IND_CD(11) 320 CNDND12 Char 1 6461 NCH_COND_TRLR_IND_CD(12) 321 CNDND13 Char 1 6462 NCH_COND_TRLR_IND_CD(13) 322 CNDND14 Char 1 6463 NCH_COND_TRLR_IND_CD(14) 323 CNDND15 Char 1 6464 NCH_COND_TRLR_IND_CD(15) 324 CNDND16 Char 1 6465 NCH_COND_TRLR_IND_CD(16) 325 CNDND17 Char 1 6466 NCH_COND_TRLR_IND_CD(17) 326 CNDND18 Char 1 6467 NCH_COND_TRLR_IND_CD(18) 327 CNDND19 Char 1 6468 NCH_COND_TRLR_IND_CD(19) 328 CNDND20 Char 1 6469 NCH_COND_TRLR_IND_CD(20) 329 CNDND21 Char 1 6470 NCH_COND_TRLR_IND_CD(21) 330 CNDND22 Char 1 6471 NCH_COND_TRLR_IND_CD(22) 331 CNDND23 Char 1 6472 NCH_COND_TRLR_IND_CD(23) 332 CNDND24 Char 1 6473 NCH_COND_TRLR_IND_CD(24) 333 CNDND25 Char 1 6474 NCH_COND_TRLR_IND_CD(25) 334 CNDND26 Char 1 6475 NCH_COND_TRLR_IND_CD(26) 335 CNDND27 Char 1 6476 NCH_COND_TRLR_IND_CD(27) 336 CNDND28 Char 1 6477 NCH_COND_TRLR_IND_CD(28) 337 CNDND29 Char 1 6478 NCH_COND_TRLR_IND_CD(29) 338 CNDND30 Char 1 6479 NCH_COND_TRLR_IND_CD(30) 54 CNTY_CD Char 3 5800 BENE_RSDNC_SSA_STD_CNTY_CD 69 CWFLOCCD Char 1 5833 BENE_CWF_LOC_CD 44 DAILY_DT Num 8 48 DATE9. NCH_DAILY_PROC_DT 256 DEMOIND1 Char 1 6270 NCH_DEMO_TRLR_IND_CD(1) 257 DEMOIND2 Char 1 6271 NCH_DEMO_TRLR_IND_CD(2) 258 DEMOIND3 Char 1 6272 NCH_DEMO_TRLR_IND_CD(3) 259 DEMOIND4 Char 1 6273 NCH_DEMO_TRLR_IND_CD(4) 260 DEMOIND5 Char 1 6274 NCH_DEMO_TRLR_IND_CD(5) 261 DEMONUM1 Char 2 6275 CLM_DEMO_ID_NUM(1) 262 DEMONUM2 Char 2 6277 CLM_DEMO_ID_NUM(2) 263 DEMONUM3 Char 2 6279 CLM_DEMO_ID_NUM(3) 264 DEMONUM4 Char 2 6281 CLM_DEMO_ID_NUM(4) 265 DEMONUM5 Char 2 6283 CLM_DEMO_ID_NUM(5) 266 DEMOTXT1 Char 15 6285 CLM_DEMO_INFO_TXT(1) 267 DEMOTXT2 Char 15 6300 CLM_DEMO_INFO_TXT(2) 268 DEMOTXT3 Char 15 6315 CLM_DEMO_INFO_TXT(3) 269 DEMOTXT4 Char 15 6330 CLM_DEMO_INFO_TXT(4) 270 DEMOTXT5 Char 15 6345 CLM_DEMO_INFO_TXT(5) 281 DGNSCD01 Char 5 6370 CLM_DGNS_CD(1) 282 DGNSCD02 Char 5 6375 CLM_DGNS_CD(2) 283 DGNSCD03 Char 5 6380 CLM_DGNS_CD(3) 284 DGNSCD04 Char 5 6385 CLM_DGNS_CD(4) 285 DGNSCD05 Char 5 6390 CLM_DGNS_CD(5) 286 DGNSCD06 Char 5 6395 CLM_DGNS_CD(6) 287 DGNSCD07 Char 5 6400 CLM_DGNS_CD(7) 288 DGNSCD08 Char 5 6405 CLM_DGNS_CD(8) 289 DGNSCD09 Char 5 6410 CLM_DGNS_CD(9) 290 DGNSCD10 Char 5 6415 CLM_DGNS_CD(10) 271 DGNSND01 Char 1 6360 NCH_DGNS_TRLR_IND_CD(1) 272 DGNSND02 Char 1 6361 NCH_DGNS_TRLR_IND_CD(2) 273 DGNSND03 Char 1 6362 NCH_DGNS_TRLR_IND_CD(3) 274 DGNSND04 Char 1 6363 NCH_DGNS_TRLR_IND_CD(4) 275 DGNSND05 Char 1 6364 NCH_DGNS_TRLR_IND_CD(5) 276 DGNSND06 Char 1 6365 NCH_DGNS_TRLR_IND_CD(6) 277 DGNSND07 Char 1 6366 NCH_DGNS_TRLR_IND_CD(7) 278 DGNSND08 Char 1 6367 NCH_DGNS_TRLR_IND_CD(8) 279 DGNSND09 Char 1 6368 NCH_DGNS_TRLR_IND_CD(9) 280 DGNSND10 Char 1 6369 NCH_DGNS_TRLR_IND_CD(10) 105 DGNS_E Char 5 6015 CLM_DGNS_E_CD 51 DISP_CD Char 2 5795 CLM_DISP_CD 1282 DSCTND01 Char 1 8883 REV_CNTR_DSCNT_IND_CD(1) 1283 DSCTND02 Char 1 8884 REV_CNTR_DSCNT_IND_CD(2) 1284 DSCTND03 Char 1 8885 REV_CNTR_DSCNT_IND_CD(3) 1285 DSCTND04 Char 1 8886 REV_CNTR_DSCNT_IND_CD(4) 1286 DSCTND05 Char 1 8887 REV_CNTR_DSCNT_IND_CD(5) 1287 DSCTND06 Char 1 8888 REV_CNTR_DSCNT_IND_CD(6) 1288 DSCTND07 Char 1 8889 REV_CNTR_DSCNT_IND_CD(7) 1289 DSCTND08 Char 1 8890 REV_CNTR_DSCNT_IND_CD(8) 1290 DSCTND09 Char 1 8891 REV_CNTR_DSCNT_IND_CD(9) 1291 DSCTND10 Char 1 8892 REV_CNTR_DSCNT_IND_CD(10) 1292 DSCTND11 Char 1 8893 REV_CNTR_DSCNT_IND_CD(11) 1293 DSCTND12 Char 1 8894 REV_CNTR_DSCNT_IND_CD(12) 1294 DSCTND13 Char 1 8895 REV_CNTR_DSCNT_IND_CD(13) 1295 DSCTND14 Char 1 8896 REV_CNTR_DSCNT_IND_CD(14) 1296 DSCTND15 Char 1 8897 REV_CNTR_DSCNT_IND_CD(15) 1297 DSCTND16 Char 1 8898 REV_CNTR_DSCNT_IND_CD(16) 1298 DSCTND17 Char 1 8899 REV_CNTR_DSCNT_IND_CD(17) 1299 DSCTND18 Char 1 8900 REV_CNTR_DSCNT_IND_CD(18) 1300 DSCTND19 Char 1 8901 REV_CNTR_DSCNT_IND_CD(19) 1301 DSCTND20 Char 1 8902 REV_CNTR_DSCNT_IND_CD(20) 1302 DSCTND21 Char 1 8903 REV_CNTR_DSCNT_IND_CD(21) 1303 DSCTND22 Char 1 8904 REV_CNTR_DSCNT_IND_CD(22) 1304 DSCTND23 Char 1 8905 REV_CNTR_DSCNT_IND_CD(23) 1305 DSCTND24 Char 1 8906 REV_CNTR_DSCNT_IND_CD(24) 1306 DSCTND25 Char 1 8907 REV_CNTR_DSCNT_IND_CD(25) 1307 DSCTND26 Char 1 8908 REV_CNTR_DSCNT_IND_CD(26) 1308 DSCTND27 Char 1 8909 REV_CNTR_DSCNT_IND_CD(27) 1309 DSCTND28 Char 1 8910 REV_CNTR_DSCNT_IND_CD(28) 1310 DSCTND29 Char 1 8911 REV_CNTR_DSCNT_IND_CD(29) 1311 DSCTND30 Char 1 8912 REV_CNTR_DSCNT_IND_CD(30) 1312 DSCTND31 Char 1 8913 REV_CNTR_DSCNT_IND_CD(31) 1313 DSCTND32 Char 1 8914 REV_CNTR_DSCNT_IND_CD(32) 1314 DSCTND33 Char 1 8915 REV_CNTR_DSCNT_IND_CD(33) 1315 DSCTND34 Char 1 8916 REV_CNTR_DSCNT_IND_CD(34) 1316 DSCTND35 Char 1 8917 REV_CNTR_DSCNT_IND_CD(35) 1317 DSCTND36 Char 1 8918 REV_CNTR_DSCNT_IND_CD(36) 1318 DSCTND37 Char 1 8919 REV_CNTR_DSCNT_IND_CD(37) 1319 DSCTND38 Char 1 8920 REV_CNTR_DSCNT_IND_CD(38) 1320 DSCTND39 Char 1 8921 REV_CNTR_DSCNT_IND_CD(39) 1321 DSCTND40 Char 1 8922 REV_CNTR_DSCNT_IND_CD(40) 1322 DSCTND41 Char 1 8923 REV_CNTR_DSCNT_IND_CD(41) 1323 DSCTND42 Char 1 8924 REV_CNTR_DSCNT_IND_CD(42) 1324 DSCTND43 Char 1 8925 REV_CNTR_DSCNT_IND_CD(43) 1325 DSCTND44 Char 1 8926 REV_CNTR_DSCNT_IND_CD(44) 1326 DSCTND45 Char 1 8927 REV_CNTR_DSCNT_IND_CD(45) 132 EDITCD01 Char 4 6038 NCH_EDIT_CD(1) 133 EDITCD02 Char 4 6042 NCH_EDIT_CD(2) 134 EDITCD03 Char 4 6046 NCH_EDIT_CD(3) 135 EDITCD04 Char 4 6050 NCH_EDIT_CD(4) 136 EDITCD05 Char 4 6054 NCH_EDIT_CD(5) 137 EDITCD06 Char 4 6058 NCH_EDIT_CD(6) 138 EDITCD07 Char 4 6062 NCH_EDIT_CD(7) 139 EDITCD08 Char 4 6066 NCH_EDIT_CD(8) 140 EDITCD09 Char 4 6070 NCH_EDIT_CD(9) 141 EDITCD10 Char 4 6074 NCH_EDIT_CD(10) 142 EDITCD11 Char 4 6078 NCH_EDIT_CD(11) 143 EDITCD12 Char 4 6082 NCH_EDIT_CD(12) 144 EDITCD13 Char 4 6086 NCH_EDIT_CD(13) 52 EDITDISP Char 2 5797 NCH_EDIT_DISP_CD 119 EDTND01 Char 1 6025 NCH_EDIT_TRLR_IND_CD(1) 120 EDTND02 Char 1 6026 NCH_EDIT_TRLR_IND_CD(2) 121 EDTND03 Char 1 6027 NCH_EDIT_TRLR_IND_CD(3) 122 EDTND04 Char 1 6028 NCH_EDIT_TRLR_IND_CD(4) 123 EDTND05 Char 1 6029 NCH_EDIT_TRLR_IND_CD(5) 124 EDTND06 Char 1 6030 NCH_EDIT_TRLR_IND_CD(6) 125 EDTND07 Char 1 6031 NCH_EDIT_TRLR_IND_CD(7) 126 EDTND08 Char 1 6032 NCH_EDIT_TRLR_IND_CD(8) 127 EDTND09 Char 1 6033 NCH_EDIT_TRLR_IND_CD(9) 128 EDTND10 Char 1 6034 NCH_EDIT_TRLR_IND_CD(10) 129 EDTND11 Char 1 6035 NCH_EDIT_TRLR_IND_CD(11) 130 EDTND12 Char 1 6036 NCH_EDIT_TRLR_IND_CD(12) 131 EDTND13 Char 1 6037 NCH_EDIT_TRLR_IND_CD(13) 2272 EOR Char 3 10278 END_REC_CD 32 EQ_BIC Char 2 5729 NCH_CTGRY_EQTBL_BIC_CD 118 ESRDMTHD Char 1 6024 CLM_OP_ESRD_MTHD_REIMBRSMT_CD 47 FAC_TYPE Char 1 5791 CLM_FAC_TYPE_CD 60 FIBATCH Char 4 5808 CWF_TRNSMSN_BATCH_NUM 58 FI_NUM Char 5 5803 FI_NUM 49 FREQ_CD Char 1 5793 CLM_FREQ_CD 36 FROM_DT Num 8 16 DATE9. CLM_FROM_DT 67 FRSTINIT Char 1 5831 CLM_PTNT_1ST_INITL_GVN_NAME 57 FRWRD_DT Num 8 72 DATE9. CWF_FRWRD_DT 967 HCPSCD01 Char 5 8118 REV_CNTR_HCPCS_CD(1) 968 HCPSCD02 Char 5 8123 REV_CNTR_HCPCS_CD(2) 969 HCPSCD03 Char 5 8128 REV_CNTR_HCPCS_CD(3) 970 HCPSCD04 Char 5 8133 REV_CNTR_HCPCS_CD(4) 971 HCPSCD05 Char 5 8138 REV_CNTR_HCPCS_CD(5) 972 HCPSCD06 Char 5 8143 REV_CNTR_HCPCS_CD(6) 973 HCPSCD07 Char 5 8148 REV_CNTR_HCPCS_CD(7) 974 HCPSCD08 Char 5 8153 REV_CNTR_HCPCS_CD(8) 975 HCPSCD09 Char 5 8158 REV_CNTR_HCPCS_CD(9) 976 HCPSCD10 Char 5 8163 REV_CNTR_HCPCS_CD(10) 977 HCPSCD11 Char 5 8168 REV_CNTR_HCPCS_CD(11) 978 HCPSCD12 Char 5 8173 REV_CNTR_HCPCS_CD(12) 979 HCPSCD13 Char 5 8178 REV_CNTR_HCPCS_CD(13) 980 HCPSCD14 Char 5 8183 REV_CNTR_HCPCS_CD(14) 981 HCPSCD15 Char 5 8188 REV_CNTR_HCPCS_CD(15) 982 HCPSCD16 Char 5 8193 REV_CNTR_HCPCS_CD(16) 983 HCPSCD17 Char 5 8198 REV_CNTR_HCPCS_CD(17) 984 HCPSCD18 Char 5 8203 REV_CNTR_HCPCS_CD(18) 985 HCPSCD19 Char 5 8208 REV_CNTR_HCPCS_CD(19) 986 HCPSCD20 Char 5 8213 REV_CNTR_HCPCS_CD(20) 987 HCPSCD21 Char 5 8218 REV_CNTR_HCPCS_CD(21) 988 HCPSCD22 Char 5 8223 REV_CNTR_HCPCS_CD(22) 989 HCPSCD23 Char 5 8228 REV_CNTR_HCPCS_CD(23) 990 HCPSCD24 Char 5 8233 REV_CNTR_HCPCS_CD(24) 991 HCPSCD25 Char 5 8238 REV_CNTR_HCPCS_CD(25) 992 HCPSCD26 Char 5 8243 REV_CNTR_HCPCS_CD(26) 993 HCPSCD27 Char 5 8248 REV_CNTR_HCPCS_CD(27) 994 HCPSCD28 Char 5 8253 REV_CNTR_HCPCS_CD(28) 995 HCPSCD29 Char 5 8258 REV_CNTR_HCPCS_CD(29) 996 HCPSCD30 Char 5 8263 REV_CNTR_HCPCS_CD(30) 997 HCPSCD31 Char 5 8268 REV_CNTR_HCPCS_CD(31) 998 HCPSCD32 Char 5 8273 REV_CNTR_HCPCS_CD(32) 999 HCPSCD33 Char 5 8278 REV_CNTR_HCPCS_CD(33) 1000 HCPSCD34 Char 5 8283 REV_CNTR_HCPCS_CD(34) 1001 HCPSCD35 Char 5 8288 REV_CNTR_HCPCS_CD(35) 1002 HCPSCD36 Char 5 8293 REV_CNTR_HCPCS_CD(36) 1003 HCPSCD37 Char 5 8298 REV_CNTR_HCPCS_CD(37) 1004 HCPSCD38 Char 5 8303 REV_CNTR_HCPCS_CD(38) 1005 HCPSCD39 Char 5 8308 REV_CNTR_HCPCS_CD(39) 1006 HCPSCD40 Char 5 8313 REV_CNTR_HCPCS_CD(40) 1007 HCPSCD41 Char 5 8318 REV_CNTR_HCPCS_CD(41) 1008 HCPSCD42 Char 5 8323 REV_CNTR_HCPCS_CD(42) 1009 HCPSCD43 Char 5 8328 REV_CNTR_HCPCS_CD(43) 1010 HCPSCD44 Char 5 8333 REV_CNTR_HCPCS_CD(44) 1011 HCPSCD45 Char 5 8338 REV_CNTR_HCPCS_CD(45) 2 HIC Char 11 5704 HEALTH_INS_CLAIM_ACCT_NUM 1507 IDENDC01 Char 24 9153 REV_CNTR_IDE_NDC_UPC_NUM(1) 1508 IDENDC02 Char 24 9177 REV_CNTR_IDE_NDC_UPC_NUM(2) 1509 IDENDC03 Char 24 9201 REV_CNTR_IDE_NDC_UPC_NUM(3) 1510 IDENDC04 Char 24 9225 REV_CNTR_IDE_NDC_UPC_NUM(4) 1511 IDENDC05 Char 24 9249 REV_CNTR_IDE_NDC_UPC_NUM(5) 1512 IDENDC06 Char 24 9273 REV_CNTR_IDE_NDC_UPC_NUM(6) 1513 IDENDC07 Char 24 9297 REV_CNTR_IDE_NDC_UPC_NUM(7) 1514 IDENDC08 Char 24 9321 REV_CNTR_IDE_NDC_UPC_NUM(8) 1515 IDENDC09 Char 24 9345 REV_CNTR_IDE_NDC_UPC_NUM(9) 1516 IDENDC10 Char 24 9369 REV_CNTR_IDE_NDC_UPC_NUM(10) 1517 IDENDC11 Char 24 9393 REV_CNTR_IDE_NDC_UPC_NUM(11) 1518 IDENDC12 Char 24 9417 REV_CNTR_IDE_NDC_UPC_NUM(12) 1519 IDENDC13 Char 24 9441 REV_CNTR_IDE_NDC_UPC_NUM(13) 1520 IDENDC14 Char 24 9465 REV_CNTR_IDE_NDC_UPC_NUM(14) 1521 IDENDC15 Char 24 9489 REV_CNTR_IDE_NDC_UPC_NUM(15) 1522 IDENDC16 Char 24 9513 REV_CNTR_IDE_NDC_UPC_NUM(16) 1523 IDENDC17 Char 24 9537 REV_CNTR_IDE_NDC_UPC_NUM(17) 1524 IDENDC18 Char 24 9561 REV_CNTR_IDE_NDC_UPC_NUM(18) 1525 IDENDC19 Char 24 9585 REV_CNTR_IDE_NDC_UPC_NUM(19) 1526 IDENDC20 Char 24 9609 REV_CNTR_IDE_NDC_UPC_NUM(20) 1527 IDENDC21 Char 24 9633 REV_CNTR_IDE_NDC_UPC_NUM(21) 1528 IDENDC22 Char 24 9657 REV_CNTR_IDE_NDC_UPC_NUM(22) 1529 IDENDC23 Char 24 9681 REV_CNTR_IDE_NDC_UPC_NUM(23) 1530 IDENDC24 Char 24 9705 REV_CNTR_IDE_NDC_UPC_NUM(24) 1531 IDENDC25 Char 24 9729 REV_CNTR_IDE_NDC_UPC_NUM(25) 1532 IDENDC26 Char 24 9753 REV_CNTR_IDE_NDC_UPC_NUM(26) 1533 IDENDC27 Char 24 9777 REV_CNTR_IDE_NDC_UPC_NUM(27) 1534 IDENDC28 Char 24 9801 REV_CNTR_IDE_NDC_UPC_NUM(28) 1535 IDENDC29 Char 24 9825 REV_CNTR_IDE_NDC_UPC_NUM(29) 1536 IDENDC30 Char 24 9849 REV_CNTR_IDE_NDC_UPC_NUM(30) 1537 IDENDC31 Char 24 9873 REV_CNTR_IDE_NDC_UPC_NUM(31) 1538 IDENDC32 Char 24 9897 REV_CNTR_IDE_NDC_UPC_NUM(32) 1539 IDENDC33 Char 24 9921 REV_CNTR_IDE_NDC_UPC_NUM(33) 1540 IDENDC34 Char 24 9945 REV_CNTR_IDE_NDC_UPC_NUM(34) 1541 IDENDC35 Char 24 9969 REV_CNTR_IDE_NDC_UPC_NUM(35) 1542 IDENDC36 Char 24 9993 REV_CNTR_IDE_NDC_UPC_NUM(36) 1543 IDENDC37 Char 24 10017 REV_CNTR_IDE_NDC_UPC_NUM(37) 1544 IDENDC38 Char 24 10041 REV_CNTR_IDE_NDC_UPC_NUM(38) 1545 IDENDC39 Char 24 10065 REV_CNTR_IDE_NDC_UPC_NUM(39) 1546 IDENDC40 Char 24 10089 REV_CNTR_IDE_NDC_UPC_NUM(40) 1547 IDENDC41 Char 24 10113 REV_CNTR_IDE_NDC_UPC_NUM(41) 1548 IDENDC42 Char 24 10137 REV_CNTR_IDE_NDC_UPC_NUM(42) 1549 IDENDC43 Char 24 10161 REV_CNTR_IDE_NDC_UPC_NUM(43) 1550 IDENDC44 Char 24 10185 REV_CNTR_IDE_NDC_UPC_NUM(44) 1551 IDENDC45 Char 24 10209 REV_CNTR_IDE_NDC_UPC_NUM(45) 114 INTRMDED Num 8 168 COMMA14.2 CLM_OP_BENE_INTRM_DDCTBL_AMT 9 LINECNT Num 3 10295 CLM_TOT_LINE_CNT 6 LINK_NUM Num 5 10284 COMMA11. NCH_SGMT_LINK_NUM 241 MCFFDT1 Num 5 10499 DATE9. MCO_PRD_EFCTV_DT(1) 242 MCFFDT2 Num 5 10504 DATE9. MCO_PRD_EFCTV_DT(2) 235 MCOIND1 Char 1 6180 NCH_MCO_TRLR_IND_CD(1) 236 MCOIND2 Char 1 6181 NCH_MCO_TRLR_IND_CD(2) 237 MCONUM1 Char 5 6182 MCO_CNTRCT_NUM(1) 238 MCONUM2 Char 5 6187 MCO_CNTRCT_NUM(2) 239 MCOOPTN1 Char 1 6192 MCO_OPTN_CD(1) 240 MCOOPTN2 Char 1 6193 MCO_OPTN_CD(2) 98 MCOPDSW Char 1 5945 CLM_MCO_PD_SW 245 MCPLND1 Char 14 6194 MCO_HLTH_PLANID_NUM(1) 246 MCPLND2 Char 14 6208 MCO_HLTH_PLANID_NUM(2) 243 MCTRMDT1 Num 5 10509 DATE9. MCO_PRD_TRMNTN_DT(1) 244 MCTRMDT2 Num 5 10514 DATE9. MCO_PRD_TRMNTN_DT(2) 97 MDCDINFO Char 4 5941 CLM_MDCD_INFO_CD 96 MDCD_PRV Char 13 5928 MDCD_PRVDR_IDENT_NUM 101 MDCL_REC Char 17 5984 CLM_MDCL_REC_NUM 1012 MDFCD101 Char 2 8343 REV_CNTR_HCPCS_INITL_MDFR_CD(1) 1013 MDFCD102 Char 2 8345 REV_CNTR_HCPCS_INITL_MDFR_CD(2) 1014 MDFCD103 Char 2 8347 REV_CNTR_HCPCS_INITL_MDFR_CD(3) 1015 MDFCD104 Char 2 8349 REV_CNTR_HCPCS_INITL_MDFR_CD(4) 1016 MDFCD105 Char 2 8351 REV_CNTR_HCPCS_INITL_MDFR_CD(5) 1017 MDFCD106 Char 2 8353 REV_CNTR_HCPCS_INITL_MDFR_CD(6) 1018 MDFCD107 Char 2 8355 REV_CNTR_HCPCS_INITL_MDFR_CD(7) 1019 MDFCD108 Char 2 8357 REV_CNTR_HCPCS_INITL_MDFR_CD(8) 1020 MDFCD109 Char 2 8359 REV_CNTR_HCPCS_INITL_MDFR_CD(9) 1021 MDFCD110 Char 2 8361 REV_CNTR_HCPCS_INITL_MDFR_CD(10) 1022 MDFCD111 Char 2 8363 REV_CNTR_HCPCS_INITL_MDFR_CD(11) 1023 MDFCD112 Char 2 8365 REV_CNTR_HCPCS_INITL_MDFR_CD(12) 1024 MDFCD113 Char 2 8367 REV_CNTR_HCPCS_INITL_MDFR_CD(13) 1025 MDFCD114 Char 2 8369 REV_CNTR_HCPCS_INITL_MDFR_CD(14) 1026 MDFCD115 Char 2 8371 REV_CNTR_HCPCS_INITL_MDFR_CD(15) 1027 MDFCD116 Char 2 8373 REV_CNTR_HCPCS_INITL_MDFR_CD(16) 1028 MDFCD117 Char 2 8375 REV_CNTR_HCPCS_INITL_MDFR_CD(17) 1029 MDFCD118 Char 2 8377 REV_CNTR_HCPCS_INITL_MDFR_CD(18) 1030 MDFCD119 Char 2 8379 REV_CNTR_HCPCS_INITL_MDFR_CD(19) 1031 MDFCD120 Char 2 8381 REV_CNTR_HCPCS_INITL_MDFR_CD(20) 1032 MDFCD121 Char 2 8383 REV_CNTR_HCPCS_INITL_MDFR_CD(21) 1033 MDFCD122 Char 2 8385 REV_CNTR_HCPCS_INITL_MDFR_CD(22) 1034 MDFCD123 Char 2 8387 REV_CNTR_HCPCS_INITL_MDFR_CD(23) 1035 MDFCD124 Char 2 8389 REV_CNTR_HCPCS_INITL_MDFR_CD(24) 1036 MDFCD125 Char 2 8391 REV_CNTR_HCPCS_INITL_MDFR_CD(25) 1037 MDFCD126 Char 2 8393 REV_CNTR_HCPCS_INITL_MDFR_CD(26) 1038 MDFCD127 Char 2 8395 REV_CNTR_HCPCS_INITL_MDFR_CD(27) 1039 MDFCD128 Char 2 8397 REV_CNTR_HCPCS_INITL_MDFR_CD(28) 1040 MDFCD129 Char 2 8399 REV_CNTR_HCPCS_INITL_MDFR_CD(29) 1041 MDFCD130 Char 2 8401 REV_CNTR_HCPCS_INITL_MDFR_CD(30) 1042 MDFCD131 Char 2 8403 REV_CNTR_HCPCS_INITL_MDFR_CD(31) 1043 MDFCD132 Char 2 8405 REV_CNTR_HCPCS_INITL_MDFR_CD(32) 1044 MDFCD133 Char 2 8407 REV_CNTR_HCPCS_INITL_MDFR_CD(33) 1045 MDFCD134 Char 2 8409 REV_CNTR_HCPCS_INITL_MDFR_CD(34) 1046 MDFCD135 Char 2 8411 REV_CNTR_HCPCS_INITL_MDFR_CD(35) 1047 MDFCD136 Char 2 8413 REV_CNTR_HCPCS_INITL_MDFR_CD(36) 1048 MDFCD137 Char 2 8415 REV_CNTR_HCPCS_INITL_MDFR_CD(37) 1049 MDFCD138 Char 2 8417 REV_CNTR_HCPCS_INITL_MDFR_CD(38) 1050 MDFCD139 Char 2 8419 REV_CNTR_HCPCS_INITL_MDFR_CD(39) 1051 MDFCD140 Char 2 8421 REV_CNTR_HCPCS_INITL_MDFR_CD(40) 1052 MDFCD141 Char 2 8423 REV_CNTR_HCPCS_INITL_MDFR_CD(41) 1053 MDFCD142 Char 2 8425 REV_CNTR_HCPCS_INITL_MDFR_CD(42) 1054 MDFCD143 Char 2 8427 REV_CNTR_HCPCS_INITL_MDFR_CD(43) 1055 MDFCD144 Char 2 8429 REV_CNTR_HCPCS_INITL_MDFR_CD(44) 1056 MDFCD145 Char 2 8431 REV_CNTR_HCPCS_INITL_MDFR_CD(45) 1057 MDFCD201 Char 2 8433 REV_CNTR_HCPCS_2ND_MDFR_CD(1) 1058 MDFCD202 Char 2 8435 REV_CNTR_HCPCS_2ND_MDFR_CD(2) 1059 MDFCD203 Char 2 8437 REV_CNTR_HCPCS_2ND_MDFR_CD(3) 1060 MDFCD204 Char 2 8439 REV_CNTR_HCPCS_2ND_MDFR_CD(4) 1061 MDFCD205 Char 2 8441 REV_CNTR_HCPCS_2ND_MDFR_CD(5) 1062 MDFCD206 Char 2 8443 REV_CNTR_HCPCS_2ND_MDFR_CD(6) 1063 MDFCD207 Char 2 8445 REV_CNTR_HCPCS_2ND_MDFR_CD(7) 1064 MDFCD208 Char 2 8447 REV_CNTR_HCPCS_2ND_MDFR_CD(8) 1065 MDFCD209 Char 2 8449 REV_CNTR_HCPCS_2ND_MDFR_CD(9) 1066 MDFCD210 Char 2 8451 REV_CNTR_HCPCS_2ND_MDFR_CD(10) 1067 MDFCD211 Char 2 8453 REV_CNTR_HCPCS_2ND_MDFR_CD(11) 1068 MDFCD212 Char 2 8455 REV_CNTR_HCPCS_2ND_MDFR_CD(12) 1069 MDFCD213 Char 2 8457 REV_CNTR_HCPCS_2ND_MDFR_CD(13) 1070 MDFCD214 Char 2 8459 REV_CNTR_HCPCS_2ND_MDFR_CD(14) 1071 MDFCD215 Char 2 8461 REV_CNTR_HCPCS_2ND_MDFR_CD(15) 1072 MDFCD216 Char 2 8463 REV_CNTR_HCPCS_2ND_MDFR_CD(16) 1073 MDFCD217 Char 2 8465 REV_CNTR_HCPCS_2ND_MDFR_CD(17) 1074 MDFCD218 Char 2 8467 REV_CNTR_HCPCS_2ND_MDFR_CD(18) 1075 MDFCD219 Char 2 8469 REV_CNTR_HCPCS_2ND_MDFR_CD(19) 1076 MDFCD220 Char 2 8471 REV_CNTR_HCPCS_2ND_MDFR_CD(20) 1077 MDFCD221 Char 2 8473 REV_CNTR_HCPCS_2ND_MDFR_CD(21) 1078 MDFCD222 Char 2 8475 REV_CNTR_HCPCS_2ND_MDFR_CD(22) 1079 MDFCD223 Char 2 8477 REV_CNTR_HCPCS_2ND_MDFR_CD(23) 1080 MDFCD224 Char 2 8479 REV_CNTR_HCPCS_2ND_MDFR_CD(24) 1081 MDFCD225 Char 2 8481 REV_CNTR_HCPCS_2ND_MDFR_CD(25) 1082 MDFCD226 Char 2 8483 REV_CNTR_HCPCS_2ND_MDFR_CD(26) 1083 MDFCD227 Char 2 8485 REV_CNTR_HCPCS_2ND_MDFR_CD(27) 1084 MDFCD228 Char 2 8487 REV_CNTR_HCPCS_2ND_MDFR_CD(28) 1085 MDFCD229 Char 2 8489 REV_CNTR_HCPCS_2ND_MDFR_CD(29) 1086 MDFCD230 Char 2 8491 REV_CNTR_HCPCS_2ND_MDFR_CD(30) 1087 MDFCD231 Char 2 8493 REV_CNTR_HCPCS_2ND_MDFR_CD(31) 1088 MDFCD232 Char 2 8495 REV_CNTR_HCPCS_2ND_MDFR_CD(32) 1089 MDFCD233 Char 2 8497 REV_CNTR_HCPCS_2ND_MDFR_CD(33) 1090 MDFCD234 Char 2 8499 REV_CNTR_HCPCS_2ND_MDFR_CD(34) 1091 MDFCD235 Char 2 8501 REV_CNTR_HCPCS_2ND_MDFR_CD(35) 1092 MDFCD236 Char 2 8503 REV_CNTR_HCPCS_2ND_MDFR_CD(36) 1093 MDFCD237 Char 2 8505 REV_CNTR_HCPCS_2ND_MDFR_CD(37) 1094 MDFCD238 Char 2 8507 REV_CNTR_HCPCS_2ND_MDFR_CD(38) 1095 MDFCD239 Char 2 8509 REV_CNTR_HCPCS_2ND_MDFR_CD(39) 1096 MDFCD240 Char 2 8511 REV_CNTR_HCPCS_2ND_MDFR_CD(40) 1097 MDFCD241 Char 2 8513 REV_CNTR_HCPCS_2ND_MDFR_CD(41) 1098 MDFCD242 Char 2 8515 REV_CNTR_HCPCS_2ND_MDFR_CD(42) 1099 MDFCD243 Char 2 8517 REV_CNTR_HCPCS_2ND_MDFR_CD(43) 1100 MDFCD244 Char 2 8519 REV_CNTR_HCPCS_2ND_MDFR_CD(44) 1101 MDFCD245 Char 2 8521 REV_CNTR_HCPCS_2ND_MDFR_CD(45) 1102 MDFCD301 Char 2 8523 REV_CNTR_HCPCS_3RD_MDFR_CD(1) 1103 MDFCD302 Char 2 8525 REV_CNTR_HCPCS_3RD_MDFR_CD(2) 1104 MDFCD303 Char 2 8527 REV_CNTR_HCPCS_3RD_MDFR_CD(3) 1105 MDFCD304 Char 2 8529 REV_CNTR_HCPCS_3RD_MDFR_CD(4) 1106 MDFCD305 Char 2 8531 REV_CNTR_HCPCS_3RD_MDFR_CD(5) 1107 MDFCD306 Char 2 8533 REV_CNTR_HCPCS_3RD_MDFR_CD(6) 1108 MDFCD307 Char 2 8535 REV_CNTR_HCPCS_3RD_MDFR_CD(7) 1109 MDFCD308 Char 2 8537 REV_CNTR_HCPCS_3RD_MDFR_CD(8) 1110 MDFCD309 Char 2 8539 REV_CNTR_HCPCS_3RD_MDFR_CD(9) 1111 MDFCD310 Char 2 8541 REV_CNTR_HCPCS_3RD_MDFR_CD(10) 1112 MDFCD311 Char 2 8543 REV_CNTR_HCPCS_3RD_MDFR_CD(11) 1113 MDFCD312 Char 2 8545 REV_CNTR_HCPCS_3RD_MDFR_CD(12) 1114 MDFCD313 Char 2 8547 REV_CNTR_HCPCS_3RD_MDFR_CD(13) 1115 MDFCD314 Char 2 8549 REV_CNTR_HCPCS_3RD_MDFR_CD(14) 1116 MDFCD315 Char 2 8551 REV_CNTR_HCPCS_3RD_MDFR_CD(15) 1117 MDFCD316 Char 2 8553 REV_CNTR_HCPCS_3RD_MDFR_CD(16) 1118 MDFCD317 Char 2 8555 REV_CNTR_HCPCS_3RD_MDFR_CD(17) 1119 MDFCD318 Char 2 8557 REV_CNTR_HCPCS_3RD_MDFR_CD(18) 1120 MDFCD319 Char 2 8559 REV_CNTR_HCPCS_3RD_MDFR_CD(19) 1121 MDFCD320 Char 2 8561 REV_CNTR_HCPCS_3RD_MDFR_CD(20) 1122 MDFCD321 Char 2 8563 REV_CNTR_HCPCS_3RD_MDFR_CD(21) 1123 MDFCD322 Char 2 8565 REV_CNTR_HCPCS_3RD_MDFR_CD(22) 1124 MDFCD323 Char 2 8567 REV_CNTR_HCPCS_3RD_MDFR_CD(23) 1125 MDFCD324 Char 2 8569 REV_CNTR_HCPCS_3RD_MDFR_CD(24) 1126 MDFCD325 Char 2 8571 REV_CNTR_HCPCS_3RD_MDFR_CD(25) 1127 MDFCD326 Char 2 8573 REV_CNTR_HCPCS_3RD_MDFR_CD(26) 1128 MDFCD327 Char 2 8575 REV_CNTR_HCPCS_3RD_MDFR_CD(27) 1129 MDFCD328 Char 2 8577 REV_CNTR_HCPCS_3RD_MDFR_CD(28) 1130 MDFCD329 Char 2 8579 REV_CNTR_HCPCS_3RD_MDFR_CD(29) 1131 MDFCD330 Char 2 8581 REV_CNTR_HCPCS_3RD_MDFR_CD(30) 1132 MDFCD331 Char 2 8583 REV_CNTR_HCPCS_3RD_MDFR_CD(31) 1133 MDFCD332 Char 2 8585 REV_CNTR_HCPCS_3RD_MDFR_CD(32) 1134 MDFCD333 Char 2 8587 REV_CNTR_HCPCS_3RD_MDFR_CD(33) 1135 MDFCD334 Char 2 8589 REV_CNTR_HCPCS_3RD_MDFR_CD(34) 1136 MDFCD335 Char 2 8591 REV_CNTR_HCPCS_3RD_MDFR_CD(35) 1137 MDFCD336 Char 2 8593 REV_CNTR_HCPCS_3RD_MDFR_CD(36) 1138 MDFCD337 Char 2 8595 REV_CNTR_HCPCS_3RD_MDFR_CD(37) 1139 MDFCD338 Char 2 8597 REV_CNTR_HCPCS_3RD_MDFR_CD(38) 1140 MDFCD339 Char 2 8599 REV_CNTR_HCPCS_3RD_MDFR_CD(39) 1141 MDFCD340 Char 2 8601 REV_CNTR_HCPCS_3RD_MDFR_CD(40) 1142 MDFCD341 Char 2 8603 REV_CNTR_HCPCS_3RD_MDFR_CD(41) 1143 MDFCD342 Char 2 8605 REV_CNTR_HCPCS_3RD_MDFR_CD(42) 1144 MDFCD343 Char 2 8607 REV_CNTR_HCPCS_3RD_MDFR_CD(43) 1145 MDFCD344 Char 2 8609 REV_CNTR_HCPCS_3RD_MDFR_CD(44) 1146 MDFCD345 Char 2 8611 REV_CNTR_HCPCS_3RD_MDFR_CD(45) 1147 MDFCD401 Char 2 8613 REV_CNTR_HCPCS_4TH_MDFR_CD(1) 1148 MDFCD402 Char 2 8615 REV_CNTR_HCPCS_4TH_MDFR_CD(2) 1149 MDFCD403 Char 2 8617 REV_CNTR_HCPCS_4TH_MDFR_CD(3) 1150 MDFCD404 Char 2 8619 REV_CNTR_HCPCS_4TH_MDFR_CD(4) 1151 MDFCD405 Char 2 8621 REV_CNTR_HCPCS_4TH_MDFR_CD(5) 1152 MDFCD406 Char 2 8623 REV_CNTR_HCPCS_4TH_MDFR_CD(6) 1153 MDFCD407 Char 2 8625 REV_CNTR_HCPCS_4TH_MDFR_CD(7) 1154 MDFCD408 Char 2 8627 REV_CNTR_HCPCS_4TH_MDFR_CD(8) 1155 MDFCD409 Char 2 8629 REV_CNTR_HCPCS_4TH_MDFR_CD(9) 1156 MDFCD410 Char 2 8631 REV_CNTR_HCPCS_4TH_MDFR_CD(10) 1157 MDFCD411 Char 2 8633 REV_CNTR_HCPCS_4TH_MDFR_CD(11) 1158 MDFCD412 Char 2 8635 REV_CNTR_HCPCS_4TH_MDFR_CD(12) 1159 MDFCD413 Char 2 8637 REV_CNTR_HCPCS_4TH_MDFR_CD(13) 1160 MDFCD414 Char 2 8639 REV_CNTR_HCPCS_4TH_MDFR_CD(14) 1161 MDFCD415 Char 2 8641 REV_CNTR_HCPCS_4TH_MDFR_CD(15) 1162 MDFCD416 Char 2 8643 REV_CNTR_HCPCS_4TH_MDFR_CD(16) 1163 MDFCD417 Char 2 8645 REV_CNTR_HCPCS_4TH_MDFR_CD(17) 1164 MDFCD418 Char 2 8647 REV_CNTR_HCPCS_4TH_MDFR_CD(18) 1165 MDFCD419 Char 2 8649 REV_CNTR_HCPCS_4TH_MDFR_CD(19) 1166 MDFCD420 Char 2 8651 REV_CNTR_HCPCS_4TH_MDFR_CD(20) 1167 MDFCD421 Char 2 8653 REV_CNTR_HCPCS_4TH_MDFR_CD(21) 1168 MDFCD422 Char 2 8655 REV_CNTR_HCPCS_4TH_MDFR_CD(22) 1169 MDFCD423 Char 2 8657 REV_CNTR_HCPCS_4TH_MDFR_CD(23) 1170 MDFCD424 Char 2 8659 REV_CNTR_HCPCS_4TH_MDFR_CD(24) 1171 MDFCD425 Char 2 8661 REV_CNTR_HCPCS_4TH_MDFR_CD(25) 1172 MDFCD426 Char 2 8663 REV_CNTR_HCPCS_4TH_MDFR_CD(26) 1173 MDFCD427 Char 2 8665 REV_CNTR_HCPCS_4TH_MDFR_CD(27) 1174 MDFCD428 Char 2 8667 REV_CNTR_HCPCS_4TH_MDFR_CD(28) 1175 MDFCD429 Char 2 8669 REV_CNTR_HCPCS_4TH_MDFR_CD(29) 1176 MDFCD430 Char 2 8671 REV_CNTR_HCPCS_4TH_MDFR_CD(30) 1177 MDFCD431 Char 2 8673 REV_CNTR_HCPCS_4TH_MDFR_CD(31) 1178 MDFCD432 Char 2 8675 REV_CNTR_HCPCS_4TH_MDFR_CD(32) 1179 MDFCD433 Char 2 8677 REV_CNTR_HCPCS_4TH_MDFR_CD(33) 1180 MDFCD434 Char 2 8679 REV_CNTR_HCPCS_4TH_MDFR_CD(34) 1181 MDFCD435 Char 2 8681 REV_CNTR_HCPCS_4TH_MDFR_CD(35) 1182 MDFCD436 Char 2 8683 REV_CNTR_HCPCS_4TH_MDFR_CD(36) 1183 MDFCD437 Char 2 8685 REV_CNTR_HCPCS_4TH_MDFR_CD(37) 1184 MDFCD438 Char 2 8687 REV_CNTR_HCPCS_4TH_MDFR_CD(38) 1185 MDFCD439 Char 2 8689 REV_CNTR_HCPCS_4TH_MDFR_CD(39) 1186 MDFCD440 Char 2 8691 REV_CNTR_HCPCS_4TH_MDFR_CD(40) 1187 MDFCD441 Char 2 8693 REV_CNTR_HCPCS_4TH_MDFR_CD(41) 1188 MDFCD442 Char 2 8695 REV_CNTR_HCPCS_4TH_MDFR_CD(42) 1189 MDFCD443 Char 2 8697 REV_CNTR_HCPCS_4TH_MDFR_CD(43) 1190 MDFCD444 Char 2 8699 REV_CNTR_HCPCS_4TH_MDFR_CD(44) 1191 MDFCD445 Char 2 8701 REV_CNTR_HCPCS_4TH_MDFR_CD(45) 1192 MDFCD501 Char 2 8703 REV_CNTR_HCPCS_5TH_MDFR_CD(1) 1193 MDFCD502 Char 2 8705 REV_CNTR_HCPCS_5TH_MDFR_CD(2) 1194 MDFCD503 Char 2 8707 REV_CNTR_HCPCS_5TH_MDFR_CD(3) 1195 MDFCD504 Char 2 8709 REV_CNTR_HCPCS_5TH_MDFR_CD(4) 1196 MDFCD505 Char 2 8711 REV_CNTR_HCPCS_5TH_MDFR_CD(5) 1197 MDFCD506 Char 2 8713 REV_CNTR_HCPCS_5TH_MDFR_CD(6) 1198 MDFCD507 Char 2 8715 REV_CNTR_HCPCS_5TH_MDFR_CD(7) 1199 MDFCD508 Char 2 8717 REV_CNTR_HCPCS_5TH_MDFR_CD(8) 1200 MDFCD509 Char 2 8719 REV_CNTR_HCPCS_5TH_MDFR_CD(9) 1201 MDFCD510 Char 2 8721 REV_CNTR_HCPCS_5TH_MDFR_CD(10) 1202 MDFCD511 Char 2 8723 REV_CNTR_HCPCS_5TH_MDFR_CD(11) 1203 MDFCD512 Char 2 8725 REV_CNTR_HCPCS_5TH_MDFR_CD(12) 1204 MDFCD513 Char 2 8727 REV_CNTR_HCPCS_5TH_MDFR_CD(13) 1205 MDFCD514 Char 2 8729 REV_CNTR_HCPCS_5TH_MDFR_CD(14) 1206 MDFCD515 Char 2 8731 REV_CNTR_HCPCS_5TH_MDFR_CD(15) 1207 MDFCD516 Char 2 8733 REV_CNTR_HCPCS_5TH_MDFR_CD(16) 1208 MDFCD517 Char 2 8735 REV_CNTR_HCPCS_5TH_MDFR_CD(17) 1209 MDFCD518 Char 2 8737 REV_CNTR_HCPCS_5TH_MDFR_CD(18) 1210 MDFCD519 Char 2 8739 REV_CNTR_HCPCS_5TH_MDFR_CD(19) 1211 MDFCD520 Char 2 8741 REV_CNTR_HCPCS_5TH_MDFR_CD(20) 1212 MDFCD521 Char 2 8743 REV_CNTR_HCPCS_5TH_MDFR_CD(21) 1213 MDFCD522 Char 2 8745 REV_CNTR_HCPCS_5TH_MDFR_CD(22) 1214 MDFCD523 Char 2 8747 REV_CNTR_HCPCS_5TH_MDFR_CD(23) 1215 MDFCD524 Char 2 8749 REV_CNTR_HCPCS_5TH_MDFR_CD(24) 1216 MDFCD525 Char 2 8751 REV_CNTR_HCPCS_5TH_MDFR_CD(25) 1217 MDFCD526 Char 2 8753 REV_CNTR_HCPCS_5TH_MDFR_CD(26) 1218 MDFCD527 Char 2 8755 REV_CNTR_HCPCS_5TH_MDFR_CD(27) 1219 MDFCD528 Char 2 8757 REV_CNTR_HCPCS_5TH_MDFR_CD(28) 1220 MDFCD529 Char 2 8759 REV_CNTR_HCPCS_5TH_MDFR_CD(29) 1221 MDFCD530 Char 2 8761 REV_CNTR_HCPCS_5TH_MDFR_CD(30) 1222 MDFCD531 Char 2 8763 REV_CNTR_HCPCS_5TH_MDFR_CD(31) 1223 MDFCD532 Char 2 8765 REV_CNTR_HCPCS_5TH_MDFR_CD(32) 1224 MDFCD533 Char 2 8767 REV_CNTR_HCPCS_5TH_MDFR_CD(33) 1225 MDFCD534 Char 2 8769 REV_CNTR_HCPCS_5TH_MDFR_CD(34) 1226 MDFCD535 Char 2 8771 REV_CNTR_HCPCS_5TH_MDFR_CD(35) 1227 MDFCD536 Char 2 8773 REV_CNTR_HCPCS_5TH_MDFR_CD(36) 1228 MDFCD537 Char 2 8775 REV_CNTR_HCPCS_5TH_MDFR_CD(37) 1229 MDFCD538 Char 2 8777 REV_CNTR_HCPCS_5TH_MDFR_CD(38) 1230 MDFCD539 Char 2 8779 REV_CNTR_HCPCS_5TH_MDFR_CD(39) 1231 MDFCD540 Char 2 8781 REV_CNTR_HCPCS_5TH_MDFR_CD(40) 1232 MDFCD541 Char 2 8783 REV_CNTR_HCPCS_5TH_MDFR_CD(41) 1233 MDFCD542 Char 2 8785 REV_CNTR_HCPCS_5TH_MDFR_CD(42) 1234 MDFCD543 Char 2 8787 REV_CNTR_HCPCS_5TH_MDFR_CD(43) 1235 MDFCD544 Char 2 8789 REV_CNTR_HCPCS_5TH_MDFR_CD(44) 1236 MDFCD545 Char 2 8791 REV_CNTR_HCPCS_5TH_MDFR_CD(45) 68 MDL_INIT Char 1 5832 CLM_PTNT_1ST_INITL_MDL_NAME 50 MQAQUERY Char 1 5794 NCH_MQA_QUERY_PATCH_CD 29 MQA_RIC Char 1 5717 NCH_MQA_RIC_CD 65 MS_CD Char 2 5823 CWF_BENE_MDCR_STUS_CD 71 NOPAY_CD Char 1 5839 CLM_MDCR_NPMT_RSN_CD 399 OCRCCD01 Char 2 6570 CLM_RLT_OCRNC_CD(1) 400 OCRCCD02 Char 2 6572 CLM_RLT_OCRNC_CD(2) 401 OCRCCD03 Char 2 6574 CLM_RLT_OCRNC_CD(3) 402 OCRCCD04 Char 2 6576 CLM_RLT_OCRNC_CD(4) 403 OCRCCD05 Char 2 6578 CLM_RLT_OCRNC_CD(5) 404 OCRCCD06 Char 2 6580 CLM_RLT_OCRNC_CD(6) 405 OCRCCD07 Char 2 6582 CLM_RLT_OCRNC_CD(7) 406 OCRCCD08 Char 2 6584 CLM_RLT_OCRNC_CD(8) 407 OCRCCD09 Char 2 6586 CLM_RLT_OCRNC_CD(9) 408 OCRCCD10 Char 2 6588 CLM_RLT_OCRNC_CD(10) 409 OCRCCD11 Char 2 6590 CLM_RLT_OCRNC_CD(11) 410 OCRCCD12 Char 2 6592 CLM_RLT_OCRNC_CD(12) 411 OCRCCD13 Char 2 6594 CLM_RLT_OCRNC_CD(13) 412 OCRCCD14 Char 2 6596 CLM_RLT_OCRNC_CD(14) 413 OCRCCD15 Char 2 6598 CLM_RLT_OCRNC_CD(15) 414 OCRCCD16 Char 2 6600 CLM_RLT_OCRNC_CD(16) 415 OCRCCD17 Char 2 6602 CLM_RLT_OCRNC_CD(17) 416 OCRCCD18 Char 2 6604 CLM_RLT_OCRNC_CD(18) 417 OCRCCD19 Char 2 6606 CLM_RLT_OCRNC_CD(19) 418 OCRCCD20 Char 2 6608 CLM_RLT_OCRNC_CD(20) 419 OCRCCD21 Char 2 6610 CLM_RLT_OCRNC_CD(21) 420 OCRCCD22 Char 2 6612 CLM_RLT_OCRNC_CD(22) 421 OCRCCD23 Char 2 6614 CLM_RLT_OCRNC_CD(23) 422 OCRCCD24 Char 2 6616 CLM_RLT_OCRNC_CD(24) 423 OCRCCD25 Char 2 6618 CLM_RLT_OCRNC_CD(25) 424 OCRCCD26 Char 2 6620 CLM_RLT_OCRNC_CD(26) 425 OCRCCD27 Char 2 6622 CLM_RLT_OCRNC_CD(27) 426 OCRCCD28 Char 2 6624 CLM_RLT_OCRNC_CD(28) 427 OCRCCD29 Char 2 6626 CLM_RLT_OCRNC_CD(29) 428 OCRCCD30 Char 2 6628 CLM_RLT_OCRNC_CD(30) 429 OCRCDT01 Num 5 10549 DATE9. CLM_RLT_OCRNC_DT(1) 430 OCRCDT02 Num 5 10554 DATE9. CLM_RLT_OCRNC_DT(2) 431 OCRCDT03 Num 5 10559 DATE9. CLM_RLT_OCRNC_DT(3) 432 OCRCDT04 Num 5 10564 DATE9. CLM_RLT_OCRNC_DT(4) 433 OCRCDT05 Num 5 10569 DATE9. CLM_RLT_OCRNC_DT(5) 434 OCRCDT06 Num 5 10574 DATE9. CLM_RLT_OCRNC_DT(6) 435 OCRCDT07 Num 5 10579 DATE9. CLM_RLT_OCRNC_DT(7) 436 OCRCDT08 Num 5 10584 DATE9. CLM_RLT_OCRNC_DT(8) 437 OCRCDT09 Num 5 10589 DATE9. CLM_RLT_OCRNC_DT(9) 438 OCRCDT10 Num 5 10594 DATE9. CLM_RLT_OCRNC_DT(10) 439 OCRCDT11 Num 5 10599 DATE9. CLM_RLT_OCRNC_DT(11) 440 OCRCDT12 Num 5 10604 DATE9. CLM_RLT_OCRNC_DT(12) 441 OCRCDT13 Num 5 10609 DATE9. CLM_RLT_OCRNC_DT(13) 442 OCRCDT14 Num 5 10614 DATE9. CLM_RLT_OCRNC_DT(14) 443 OCRCDT15 Num 5 10619 DATE9. CLM_RLT_OCRNC_DT(15) 444 OCRCDT16 Num 5 10624 DATE9. CLM_RLT_OCRNC_DT(16) 445 OCRCDT17 Num 5 10629 DATE9. CLM_RLT_OCRNC_DT(17) 446 OCRCDT18 Num 5 10634 DATE9. CLM_RLT_OCRNC_DT(18) 447 OCRCDT19 Num 5 10639 DATE9. CLM_RLT_OCRNC_DT(19) 448 OCRCDT20 Num 5 10644 DATE9. CLM_RLT_OCRNC_DT(20) 449 OCRCDT21 Num 5 10649 DATE9. CLM_RLT_OCRNC_DT(21) 450 OCRCDT22 Num 5 10654 DATE9. CLM_RLT_OCRNC_DT(22) 451 OCRCDT23 Num 5 10659 DATE9. CLM_RLT_OCRNC_DT(23) 452 OCRCDT24 Num 5 10664 DATE9. CLM_RLT_OCRNC_DT(24) 453 OCRCDT25 Num 5 10669 DATE9. CLM_RLT_OCRNC_DT(25) 454 OCRCDT26 Num 5 10674 DATE9. CLM_RLT_OCRNC_DT(26) 455 OCRCDT27 Num 5 10679 DATE9. CLM_RLT_OCRNC_DT(27) 456 OCRCDT28 Num 5 10684 DATE9. CLM_RLT_OCRNC_DT(28) 457 OCRCDT29 Num 5 10689 DATE9. CLM_RLT_OCRNC_DT(29) 458 OCRCDT30 Num 5 10694 DATE9. CLM_RLT_OCRNC_DT(30) 369 OCRCND01 Char 1 6540 NCH_OCRNC_TRLR_IND_CD(1) 370 OCRCND02 Char 1 6541 NCH_OCRNC_TRLR_IND_CD(2) 371 OCRCND03 Char 1 6542 NCH_OCRNC_TRLR_IND_CD(3) 372 OCRCND04 Char 1 6543 NCH_OCRNC_TRLR_IND_CD(4) 373 OCRCND05 Char 1 6544 NCH_OCRNC_TRLR_IND_CD(5) 374 OCRCND06 Char 1 6545 NCH_OCRNC_TRLR_IND_CD(6) 375 OCRCND07 Char 1 6546 NCH_OCRNC_TRLR_IND_CD(7) 376 OCRCND08 Char 1 6547 NCH_OCRNC_TRLR_IND_CD(8) 377 OCRCND09 Char 1 6548 NCH_OCRNC_TRLR_IND_CD(9) 378 OCRCND10 Char 1 6549 NCH_OCRNC_TRLR_IND_CD(10) 379 OCRCND11 Char 1 6550 NCH_OCRNC_TRLR_IND_CD(11) 380 OCRCND12 Char 1 6551 NCH_OCRNC_TRLR_IND_CD(12) 381 OCRCND13 Char 1 6552 NCH_OCRNC_TRLR_IND_CD(13) 382 OCRCND14 Char 1 6553 NCH_OCRNC_TRLR_IND_CD(14) 383 OCRCND15 Char 1 6554 NCH_OCRNC_TRLR_IND_CD(15) 384 OCRCND16 Char 1 6555 NCH_OCRNC_TRLR_IND_CD(16) 385 OCRCND17 Char 1 6556 NCH_OCRNC_TRLR_IND_CD(17) 386 OCRCND18 Char 1 6557 NCH_OCRNC_TRLR_IND_CD(18) 387 OCRCND19 Char 1 6558 NCH_OCRNC_TRLR_IND_CD(19) 388 OCRCND20 Char 1 6559 NCH_OCRNC_TRLR_IND_CD(20) 389 OCRCND21 Char 1 6560 NCH_OCRNC_TRLR_IND_CD(21) 390 OCRCND22 Char 1 6561 NCH_OCRNC_TRLR_IND_CD(22) 391 OCRCND23 Char 1 6562 NCH_OCRNC_TRLR_IND_CD(23) 392 OCRCND24 Char 1 6563 NCH_OCRNC_TRLR_IND_CD(24) 393 OCRCND25 Char 1 6564 NCH_OCRNC_TRLR_IND_CD(25) 394 OCRCND26 Char 1 6565 NCH_OCRNC_TRLR_IND_CD(26) 395 OCRCND27 Char 1 6566 NCH_OCRNC_TRLR_IND_CD(27) 396 OCRCND28 Char 1 6567 NCH_OCRNC_TRLR_IND_CD(28) 397 OCRCND29 Char 1 6568 NCH_OCRNC_TRLR_IND_CD(29) 398 OCRCND30 Char 1 6569 NCH_OCRNC_TRLR_IND_CD(30) 18 OPCONCNT Num 3 10322 OP_CLM_RLT_COND_CD_CNT 15 OPDEMCNT Num 3 10313 OP_CLM_DEMO_ID_CNT 16 OPDGNCNT Num 3 10316 OP_CLM_DGNS_CD_CNT 11 OPEDCNT Num 3 10301 OP_NCH_EDIT_CD_CNT 13 OPMCOCNT Num 3 10307 OP_MCO_PRD_CNT 19 OPOCRCNT Num 3 10325 OP_CLM_RLT_OCRNC_CD_CNT 12 OPPATCNT Num 3 10304 OP_NCH_PATCH_CD_I_CNT 14 OPPLNCNT Num 3 10310 OP_CLM_HLTH_PLANID_CNT 17 OPPRCCNT Num 3 10319 OP_CLM_PRCDR_CD_CNT 22 OPREVCNT Num 3 10334 OP_REV_CNTR_CD_I_CNT 20 OPSPNCNT Num 3 10328 OP_CLM_OCRNC_SPAN_CD_CNT 108 OPSRVTYP Char 1 6021 CLM_OP_SRVC_TYPE_CD 21 OPVALCNT Num 3 10331 OP_CLM_VAL_CD_CNT 89 OP_GVN Char 1 5902 CLM_OPRTG_PHYSN_GVN_NAME 90 OP_MDL Char 1 5903 CLM_OPRTG_PHYSN_MDL_INITL_NAME 87 OP_NPI Char 10 5886 CLM_OPRTG_PHYSN_NPI_NUM 109 OP_RFRL Char 1 6022 CLM_OP_RFRL_CD 88 OP_SRNM Char 6 5896 CLM_OPRTG_PHYSN_SRNM_NAME 86 OP_UPIN Char 6 5880 CLM_OPRTG_PHYSN_UPIN_NUM 80 ORGNPINM Char 10 5846 ORG_NPI_NUM 41 ORIGCNTL Char 23 5759 FI_ORIG_CLM_CNTL_NUM 1417 OTAF_101 Char 1 9063 REV_CNTR_OTAF_1_IND_CD(1) 1418 OTAF_102 Char 1 9064 REV_CNTR_OTAF_1_IND_CD(2) 1419 OTAF_103 Char 1 9065 REV_CNTR_OTAF_1_IND_CD(3) 1420 OTAF_104 Char 1 9066 REV_CNTR_OTAF_1_IND_CD(4) 1421 OTAF_105 Char 1 9067 REV_CNTR_OTAF_1_IND_CD(5) 1422 OTAF_106 Char 1 9068 REV_CNTR_OTAF_1_IND_CD(6) 1423 OTAF_107 Char 1 9069 REV_CNTR_OTAF_1_IND_CD(7) 1424 OTAF_108 Char 1 9070 REV_CNTR_OTAF_1_IND_CD(8) 1425 OTAF_109 Char 1 9071 REV_CNTR_OTAF_1_IND_CD(9) 1426 OTAF_110 Char 1 9072 REV_CNTR_OTAF_1_IND_CD(10) 1427 OTAF_111 Char 1 9073 REV_CNTR_OTAF_1_IND_CD(11) 1428 OTAF_112 Char 1 9074 REV_CNTR_OTAF_1_IND_CD(12) 1429 OTAF_113 Char 1 9075 REV_CNTR_OTAF_1_IND_CD(13) 1430 OTAF_114 Char 1 9076 REV_CNTR_OTAF_1_IND_CD(14) 1431 OTAF_115 Char 1 9077 REV_CNTR_OTAF_1_IND_CD(15) 1432 OTAF_116 Char 1 9078 REV_CNTR_OTAF_1_IND_CD(16) 1433 OTAF_117 Char 1 9079 REV_CNTR_OTAF_1_IND_CD(17) 1434 OTAF_118 Char 1 9080 REV_CNTR_OTAF_1_IND_CD(18) 1435 OTAF_119 Char 1 9081 REV_CNTR_OTAF_1_IND_CD(19) 1436 OTAF_120 Char 1 9082 REV_CNTR_OTAF_1_IND_CD(20) 1437 OTAF_121 Char 1 9083 REV_CNTR_OTAF_1_IND_CD(21) 1438 OTAF_122 Char 1 9084 REV_CNTR_OTAF_1_IND_CD(22) 1439 OTAF_123 Char 1 9085 REV_CNTR_OTAF_1_IND_CD(23) 1440 OTAF_124 Char 1 9086 REV_CNTR_OTAF_1_IND_CD(24) 1441 OTAF_125 Char 1 9087 REV_CNTR_OTAF_1_IND_CD(25) 1442 OTAF_126 Char 1 9088 REV_CNTR_OTAF_1_IND_CD(26) 1443 OTAF_127 Char 1 9089 REV_CNTR_OTAF_1_IND_CD(27) 1444 OTAF_128 Char 1 9090 REV_CNTR_OTAF_1_IND_CD(28) 1445 OTAF_129 Char 1 9091 REV_CNTR_OTAF_1_IND_CD(29) 1446 OTAF_130 Char 1 9092 REV_CNTR_OTAF_1_IND_CD(30) 1447 OTAF_131 Char 1 9093 REV_CNTR_OTAF_1_IND_CD(31) 1448 OTAF_132 Char 1 9094 REV_CNTR_OTAF_1_IND_CD(32) 1449 OTAF_133 Char 1 9095 REV_CNTR_OTAF_1_IND_CD(33) 1450 OTAF_134 Char 1 9096 REV_CNTR_OTAF_1_IND_CD(34) 1451 OTAF_135 Char 1 9097 REV_CNTR_OTAF_1_IND_CD(35) 1452 OTAF_136 Char 1 9098 REV_CNTR_OTAF_1_IND_CD(36) 1453 OTAF_137 Char 1 9099 REV_CNTR_OTAF_1_IND_CD(37) 1454 OTAF_138 Char 1 9100 REV_CNTR_OTAF_1_IND_CD(38) 1455 OTAF_139 Char 1 9101 REV_CNTR_OTAF_1_IND_CD(39) 1456 OTAF_140 Char 1 9102 REV_CNTR_OTAF_1_IND_CD(40) 1457 OTAF_141 Char 1 9103 REV_CNTR_OTAF_1_IND_CD(41) 1458 OTAF_142 Char 1 9104 REV_CNTR_OTAF_1_IND_CD(42) 1459 OTAF_143 Char 1 9105 REV_CNTR_OTAF_1_IND_CD(43) 1460 OTAF_144 Char 1 9106 REV_CNTR_OTAF_1_IND_CD(44) 1461 OTAF_145 Char 1 9107 REV_CNTR_OTAF_1_IND_CD(45) 1462 OTAF_201 Char 1 9108 REV_CNTR_OTAF_2_IND_CD(1) 1463 OTAF_202 Char 1 9109 REV_CNTR_OTAF_2_IND_CD(2) 1464 OTAF_203 Char 1 9110 REV_CNTR_OTAF_2_IND_CD(3) 1465 OTAF_204 Char 1 9111 REV_CNTR_OTAF_2_IND_CD(4) 1466 OTAF_205 Char 1 9112 REV_CNTR_OTAF_2_IND_CD(5) 1467 OTAF_206 Char 1 9113 REV_CNTR_OTAF_2_IND_CD(6) 1468 OTAF_207 Char 1 9114 REV_CNTR_OTAF_2_IND_CD(7) 1469 OTAF_208 Char 1 9115 REV_CNTR_OTAF_2_IND_CD(8) 1470 OTAF_209 Char 1 9116 REV_CNTR_OTAF_2_IND_CD(9) 1471 OTAF_210 Char 1 9117 REV_CNTR_OTAF_2_IND_CD(10) 1472 OTAF_211 Char 1 9118 REV_CNTR_OTAF_2_IND_CD(11) 1473 OTAF_212 Char 1 9119 REV_CNTR_OTAF_2_IND_CD(12) 1474 OTAF_213 Char 1 9120 REV_CNTR_OTAF_2_IND_CD(13) 1475 OTAF_214 Char 1 9121 REV_CNTR_OTAF_2_IND_CD(14) 1476 OTAF_215 Char 1 9122 REV_CNTR_OTAF_2_IND_CD(15) 1477 OTAF_216 Char 1 9123 REV_CNTR_OTAF_2_IND_CD(16) 1478 OTAF_217 Char 1 9124 REV_CNTR_OTAF_2_IND_CD(17) 1479 OTAF_218 Char 1 9125 REV_CNTR_OTAF_2_IND_CD(18) 1480 OTAF_219 Char 1 9126 REV_CNTR_OTAF_2_IND_CD(19) 1481 OTAF_220 Char 1 9127 REV_CNTR_OTAF_2_IND_CD(20) 1482 OTAF_221 Char 1 9128 REV_CNTR_OTAF_2_IND_CD(21) 1483 OTAF_222 Char 1 9129 REV_CNTR_OTAF_2_IND_CD(22) 1484 OTAF_223 Char 1 9130 REV_CNTR_OTAF_2_IND_CD(23) 1485 OTAF_224 Char 1 9131 REV_CNTR_OTAF_2_IND_CD(24) 1486 OTAF_225 Char 1 9132 REV_CNTR_OTAF_2_IND_CD(25) 1487 OTAF_226 Char 1 9133 REV_CNTR_OTAF_2_IND_CD(26) 1488 OTAF_227 Char 1 9134 REV_CNTR_OTAF_2_IND_CD(27) 1489 OTAF_228 Char 1 9135 REV_CNTR_OTAF_2_IND_CD(28) 1490 OTAF_229 Char 1 9136 REV_CNTR_OTAF_2_IND_CD(29) 1491 OTAF_230 Char 1 9137 REV_CNTR_OTAF_2_IND_CD(30) 1492 OTAF_231 Char 1 9138 REV_CNTR_OTAF_2_IND_CD(31) 1493 OTAF_232 Char 1 9139 REV_CNTR_OTAF_2_IND_CD(32) 1494 OTAF_233 Char 1 9140 REV_CNTR_OTAF_2_IND_CD(33) 1495 OTAF_234 Char 1 9141 REV_CNTR_OTAF_2_IND_CD(34) 1496 OTAF_235 Char 1 9142 REV_CNTR_OTAF_2_IND_CD(35) 1497 OTAF_236 Char 1 9143 REV_CNTR_OTAF_2_IND_CD(36) 1498 OTAF_237 Char 1 9144 REV_CNTR_OTAF_2_IND_CD(37) 1499 OTAF_238 Char 1 9145 REV_CNTR_OTAF_2_IND_CD(38) 1500 OTAF_239 Char 1 9146 REV_CNTR_OTAF_2_IND_CD(39) 1501 OTAF_240 Char 1 9147 REV_CNTR_OTAF_2_IND_CD(40) 1502 OTAF_241 Char 1 9148 REV_CNTR_OTAF_2_IND_CD(41) 1503 OTAF_242 Char 1 9149 REV_CNTR_OTAF_2_IND_CD(42) 1504 OTAF_243 Char 1 9150 REV_CNTR_OTAF_2_IND_CD(43) 1505 OTAF_244 Char 1 9151 REV_CNTR_OTAF_2_IND_CD(44) 1506 OTAF_245 Char 1 9152 REV_CNTR_OTAF_2_IND_CD(45) 94 OT_GVN Char 1 5926 CLM_OTHR_PHYSN_GVN_NAME 95 OT_MDL Char 1 5927 CLM_OTHR_PHYSN_MDL_INITL_NAME 92 OT_NPI Char 10 5910 CLM_OTHR_PHYSN_NPI_NUM 93 OT_SRNM Char 6 5920 CLM_OTHR_PHYSN_SRNM_NAME 91 OT_UPIN Char 6 5904 CLM_OTHR_PHYSN_UPIN_NUM 113 PCCHGAMT Num 8 160 COMMA14.2 NCH_PROFNL_CMPNT_CHRG_AMT 1327 PCKGND01 Char 1 8928 REV_CNTR_PACKG_IND_CD(1) 1328 PCKGND02 Char 1 8929 REV_CNTR_PACKG_IND_CD(2) 1329 PCKGND03 Char 1 8930 REV_CNTR_PACKG_IND_CD(3) 1330 PCKGND04 Char 1 8931 REV_CNTR_PACKG_IND_CD(4) 1331 PCKGND05 Char 1 8932 REV_CNTR_PACKG_IND_CD(5) 1332 PCKGND06 Char 1 8933 REV_CNTR_PACKG_IND_CD(6) 1333 PCKGND07 Char 1 8934 REV_CNTR_PACKG_IND_CD(7) 1334 PCKGND08 Char 1 8935 REV_CNTR_PACKG_IND_CD(8) 1335 PCKGND09 Char 1 8936 REV_CNTR_PACKG_IND_CD(9) 1336 PCKGND10 Char 1 8937 REV_CNTR_PACKG_IND_CD(10) 1337 PCKGND11 Char 1 8938 REV_CNTR_PACKG_IND_CD(11) 1338 PCKGND12 Char 1 8939 REV_CNTR_PACKG_IND_CD(12) 1339 PCKGND13 Char 1 8940 REV_CNTR_PACKG_IND_CD(13) 1340 PCKGND14 Char 1 8941 REV_CNTR_PACKG_IND_CD(14) 1341 PCKGND15 Char 1 8942 REV_CNTR_PACKG_IND_CD(15) 1342 PCKGND16 Char 1 8943 REV_CNTR_PACKG_IND_CD(16) 1343 PCKGND17 Char 1 8944 REV_CNTR_PACKG_IND_CD(17) 1344 PCKGND18 Char 1 8945 REV_CNTR_PACKG_IND_CD(18) 1345 PCKGND19 Char 1 8946 REV_CNTR_PACKG_IND_CD(19) 1346 PCKGND20 Char 1 8947 REV_CNTR_PACKG_IND_CD(20) 1347 PCKGND21 Char 1 8948 REV_CNTR_PACKG_IND_CD(21) 1348 PCKGND22 Char 1 8949 REV_CNTR_PACKG_IND_CD(22) 1349 PCKGND23 Char 1 8950 REV_CNTR_PACKG_IND_CD(23) 1350 PCKGND24 Char 1 8951 REV_CNTR_PACKG_IND_CD(24) 1351 PCKGND25 Char 1 8952 REV_CNTR_PACKG_IND_CD(25) 1352 PCKGND26 Char 1 8953 REV_CNTR_PACKG_IND_CD(26) 1353 PCKGND27 Char 1 8954 REV_CNTR_PACKG_IND_CD(27) 1354 PCKGND28 Char 1 8955 REV_CNTR_PACKG_IND_CD(28) 1355 PCKGND29 Char 1 8956 REV_CNTR_PACKG_IND_CD(29) 1356 PCKGND30 Char 1 8957 REV_CNTR_PACKG_IND_CD(30) 1357 PCKGND31 Char 1 8958 REV_CNTR_PACKG_IND_CD(31) 1358 PCKGND32 Char 1 8959 REV_CNTR_PACKG_IND_CD(32) 1359 PCKGND33 Char 1 8960 REV_CNTR_PACKG_IND_CD(33) 1360 PCKGND34 Char 1 8961 REV_CNTR_PACKG_IND_CD(34) 1361 PCKGND35 Char 1 8962 REV_CNTR_PACKG_IND_CD(35) 1362 PCKGND36 Char 1 8963 REV_CNTR_PACKG_IND_CD(36) 1363 PCKGND37 Char 1 8964 REV_CNTR_PACKG_IND_CD(37) 1364 PCKGND38 Char 1 8965 REV_CNTR_PACKG_IND_CD(38) 1365 PCKGND39 Char 1 8966 REV_CNTR_PACKG_IND_CD(39) 1366 PCKGND40 Char 1 8967 REV_CNTR_PACKG_IND_CD(40) 1367 PCKGND41 Char 1 8968 REV_CNTR_PACKG_IND_CD(41) 1368 PCKGND42 Char 1 8969 REV_CNTR_PACKG_IND_CD(42) 1369 PCKGND43 Char 1 8970 REV_CNTR_PACKG_IND_CD(43) 1370 PCKGND44 Char 1 8971 REV_CNTR_PACKG_IND_CD(44) 1371 PCKGND45 Char 1 8972 REV_CNTR_PACKG_IND_CD(45) 70 PDGNS_CD Char 5 5834 CLM_PRNCPAL_DGNS_CD 45 PE_RIC Char 1 5789 NCH_PMT_EDIT_RIC_CD 253 PLANID1 Char 14 6228 CLM_HLTH_PLANID_NUM(1) 254 PLANID2 Char 14 6242 CLM_HLTH_PLANID_NUM(2) 255 PLANID3 Char 14 6256 CLM_HLTH_PLANID_NUM(3) 250 PLNDCD1 Char 1 6225 CLM_HLTH_PLANID_CD(1) 251 PLNDCD2 Char 1 6226 CLM_HLTH_PLANID_CD(2) 252 PLNDCD3 Char 1 6227 CLM_HLTH_PLANID_CD(3) 247 PLNDND1 Char 1 6222 NCH_HLTH_PLANID_TRLR_IND_CD(1) 248 PLNDND2 Char 1 6223 NCH_HLTH_PLANID_TRLR_IND_CD(2) 249 PLNDND3 Char 1 6224 NCH_HLTH_PLANID_TRLR_IND_CD(3) 1237 PMTTHD01 Char 2 8793 REV_CNTR_PMT_MTHD_IND_CD(1) 1238 PMTTHD02 Char 2 8795 REV_CNTR_PMT_MTHD_IND_CD(2) 1239 PMTTHD03 Char 2 8797 REV_CNTR_PMT_MTHD_IND_CD(3) 1240 PMTTHD04 Char 2 8799 REV_CNTR_PMT_MTHD_IND_CD(4) 1241 PMTTHD05 Char 2 8801 REV_CNTR_PMT_MTHD_IND_CD(5) 1242 PMTTHD06 Char 2 8803 REV_CNTR_PMT_MTHD_IND_CD(6) 1243 PMTTHD07 Char 2 8805 REV_CNTR_PMT_MTHD_IND_CD(7) 1244 PMTTHD08 Char 2 8807 REV_CNTR_PMT_MTHD_IND_CD(8) 1245 PMTTHD09 Char 2 8809 REV_CNTR_PMT_MTHD_IND_CD(9) 1246 PMTTHD10 Char 2 8811 REV_CNTR_PMT_MTHD_IND_CD(10) 1247 PMTTHD11 Char 2 8813 REV_CNTR_PMT_MTHD_IND_CD(11) 1248 PMTTHD12 Char 2 8815 REV_CNTR_PMT_MTHD_IND_CD(12) 1249 PMTTHD13 Char 2 8817 REV_CNTR_PMT_MTHD_IND_CD(13) 1250 PMTTHD14 Char 2 8819 REV_CNTR_PMT_MTHD_IND_CD(14) 1251 PMTTHD15 Char 2 8821 REV_CNTR_PMT_MTHD_IND_CD(15) 1252 PMTTHD16 Char 2 8823 REV_CNTR_PMT_MTHD_IND_CD(16) 1253 PMTTHD17 Char 2 8825 REV_CNTR_PMT_MTHD_IND_CD(17) 1254 PMTTHD18 Char 2 8827 REV_CNTR_PMT_MTHD_IND_CD(18) 1255 PMTTHD19 Char 2 8829 REV_CNTR_PMT_MTHD_IND_CD(19) 1256 PMTTHD20 Char 2 8831 REV_CNTR_PMT_MTHD_IND_CD(20) 1257 PMTTHD21 Char 2 8833 REV_CNTR_PMT_MTHD_IND_CD(21) 1258 PMTTHD22 Char 2 8835 REV_CNTR_PMT_MTHD_IND_CD(22) 1259 PMTTHD23 Char 2 8837 REV_CNTR_PMT_MTHD_IND_CD(23) 1260 PMTTHD24 Char 2 8839 REV_CNTR_PMT_MTHD_IND_CD(24) 1261 PMTTHD25 Char 2 8841 REV_CNTR_PMT_MTHD_IND_CD(25) 1262 PMTTHD26 Char 2 8843 REV_CNTR_PMT_MTHD_IND_CD(26) 1263 PMTTHD27 Char 2 8845 REV_CNTR_PMT_MTHD_IND_CD(27) 1264 PMTTHD28 Char 2 8847 REV_CNTR_PMT_MTHD_IND_CD(28) 1265 PMTTHD29 Char 2 8849 REV_CNTR_PMT_MTHD_IND_CD(29) 1266 PMTTHD30 Char 2 8851 REV_CNTR_PMT_MTHD_IND_CD(30) 1267 PMTTHD31 Char 2 8853 REV_CNTR_PMT_MTHD_IND_CD(31) 1268 PMTTHD32 Char 2 8855 REV_CNTR_PMT_MTHD_IND_CD(32) 1269 PMTTHD33 Char 2 8857 REV_CNTR_PMT_MTHD_IND_CD(33) 1270 PMTTHD34 Char 2 8859 REV_CNTR_PMT_MTHD_IND_CD(34) 1271 PMTTHD35 Char 2 8861 REV_CNTR_PMT_MTHD_IND_CD(35) 1272 PMTTHD36 Char 2 8863 REV_CNTR_PMT_MTHD_IND_CD(36) 1273 PMTTHD37 Char 2 8865 REV_CNTR_PMT_MTHD_IND_CD(37) 1274 PMTTHD38 Char 2 8867 REV_CNTR_PMT_MTHD_IND_CD(38) 1275 PMTTHD39 Char 2 8869 REV_CNTR_PMT_MTHD_IND_CD(39) 1276 PMTTHD40 Char 2 8871 REV_CNTR_PMT_MTHD_IND_CD(40) 1277 PMTTHD41 Char 2 8873 REV_CNTR_PMT_MTHD_IND_CD(41) 1278 PMTTHD42 Char 2 8875 REV_CNTR_PMT_MTHD_IND_CD(42) 1279 PMTTHD43 Char 2 8877 REV_CNTR_PMT_MTHD_IND_CD(43) 1280 PMTTHD44 Char 2 8879 REV_CNTR_PMT_MTHD_IND_CD(44) 1281 PMTTHD45 Char 2 8881 REV_CNTR_PMT_MTHD_IND_CD(45) 73 PMT_AMT Num 8 96 COMMA14.2 CLM_PMT_AMT 106 PPS_IND Char 1 6020 CLM_PPS_IND_CD 297 PRCDRCD1 Char 4 6426 CLM_PRCDR_CD(1) 298 PRCDRCD2 Char 4 6430 CLM_PRCDR_CD(2) 299 PRCDRCD3 Char 4 6434 CLM_PRCDR_CD(3) 300 PRCDRCD4 Char 4 6438 CLM_PRCDR_CD(4) 301 PRCDRCD5 Char 4 6442 CLM_PRCDR_CD(5) 302 PRCDRCD6 Char 4 6446 CLM_PRCDR_CD(6) 303 PRCDRDT1 Num 5 10519 DATE9. CLM_PRCDR_PRFRM_DT(1) 304 PRCDRDT2 Num 5 10524 DATE9. CLM_PRCDR_PRFRM_DT(2) 305 PRCDRDT3 Num 5 10529 DATE9. CLM_PRCDR_PRFRM_DT(3) 306 PRCDRDT4 Num 5 10534 DATE9. CLM_PRCDR_PRFRM_DT(4) 307 PRCDRDT5 Num 5 10539 DATE9. CLM_PRCDR_PRFRM_DT(5) 308 PRCDRDT6 Num 5 10544 DATE9. CLM_PRCDR_PRFRM_DT(6) 291 PRCDRND1 Char 1 6420 NCH_PRCDR_TRLR_IND_CD(1) 292 PRCDRND2 Char 1 6421 NCH_PRCDR_TRLR_IND_CD(2) 293 PRCDRND3 Char 1 6422 NCH_PRCDR_TRLR_IND_CD(3) 294 PRCDRND4 Char 1 6423 NCH_PRCDR_TRLR_IND_CD(4) 295 PRCDRND5 Char 1 6424 NCH_PRCDR_TRLR_IND_CD(5) 296 PRCDRND6 Char 1 6425 NCH_PRCDR_TRLR_IND_CD(6) 1372 PRICNG01 Char 2 8973 REV_CNTR_PRICNG_IND_CD(1) 1373 PRICNG02 Char 2 8975 REV_CNTR_PRICNG_IND_CD(2) 1374 PRICNG03 Char 2 8977 REV_CNTR_PRICNG_IND_CD(3) 1375 PRICNG04 Char 2 8979 REV_CNTR_PRICNG_IND_CD(4) 1376 PRICNG05 Char 2 8981 REV_CNTR_PRICNG_IND_CD(5) 1377 PRICNG06 Char 2 8983 REV_CNTR_PRICNG_IND_CD(6) 1378 PRICNG07 Char 2 8985 REV_CNTR_PRICNG_IND_CD(7) 1379 PRICNG08 Char 2 8987 REV_CNTR_PRICNG_IND_CD(8) 1380 PRICNG09 Char 2 8989 REV_CNTR_PRICNG_IND_CD(9) 1381 PRICNG10 Char 2 8991 REV_CNTR_PRICNG_IND_CD(10) 1382 PRICNG11 Char 2 8993 REV_CNTR_PRICNG_IND_CD(11) 1383 PRICNG12 Char 2 8995 REV_CNTR_PRICNG_IND_CD(12) 1384 PRICNG13 Char 2 8997 REV_CNTR_PRICNG_IND_CD(13) 1385 PRICNG14 Char 2 8999 REV_CNTR_PRICNG_IND_CD(14) 1386 PRICNG15 Char 2 9001 REV_CNTR_PRICNG_IND_CD(15) 1387 PRICNG16 Char 2 9003 REV_CNTR_PRICNG_IND_CD(16) 1388 PRICNG17 Char 2 9005 REV_CNTR_PRICNG_IND_CD(17) 1389 PRICNG18 Char 2 9007 REV_CNTR_PRICNG_IND_CD(18) 1390 PRICNG19 Char 2 9009 REV_CNTR_PRICNG_IND_CD(19) 1391 PRICNG20 Char 2 9011 REV_CNTR_PRICNG_IND_CD(20) 1392 PRICNG21 Char 2 9013 REV_CNTR_PRICNG_IND_CD(21) 1393 PRICNG22 Char 2 9015 REV_CNTR_PRICNG_IND_CD(22) 1394 PRICNG23 Char 2 9017 REV_CNTR_PRICNG_IND_CD(23) 1395 PRICNG24 Char 2 9019 REV_CNTR_PRICNG_IND_CD(24) 1396 PRICNG25 Char 2 9021 REV_CNTR_PRICNG_IND_CD(25) 1397 PRICNG26 Char 2 9023 REV_CNTR_PRICNG_IND_CD(26) 1398 PRICNG27 Char 2 9025 REV_CNTR_PRICNG_IND_CD(27) 1399 PRICNG28 Char 2 9027 REV_CNTR_PRICNG_IND_CD(28) 1400 PRICNG29 Char 2 9029 REV_CNTR_PRICNG_IND_CD(29) 1401 PRICNG30 Char 2 9031 REV_CNTR_PRICNG_IND_CD(30) 1402 PRICNG31 Char 2 9033 REV_CNTR_PRICNG_IND_CD(31) 1403 PRICNG32 Char 2 9035 REV_CNTR_PRICNG_IND_CD(32) 1404 PRICNG33 Char 2 9037 REV_CNTR_PRICNG_IND_CD(33) 1405 PRICNG34 Char 2 9039 REV_CNTR_PRICNG_IND_CD(34) 1406 PRICNG35 Char 2 9041 REV_CNTR_PRICNG_IND_CD(35) 1407 PRICNG36 Char 2 9043 REV_CNTR_PRICNG_IND_CD(36) 1408 PRICNG37 Char 2 9045 REV_CNTR_PRICNG_IND_CD(37) 1409 PRICNG38 Char 2 9047 REV_CNTR_PRICNG_IND_CD(38) 1410 PRICNG39 Char 2 9049 REV_CNTR_PRICNG_IND_CD(39) 1411 PRICNG40 Char 2 9051 REV_CNTR_PRICNG_IND_CD(40) 1412 PRICNG41 Char 2 9053 REV_CNTR_PRICNG_IND_CD(41) 1413 PRICNG42 Char 2 9055 REV_CNTR_PRICNG_IND_CD(42) 1414 PRICNG43 Char 2 9057 REV_CNTR_PRICNG_IND_CD(43) 1415 PRICNG44 Char 2 9059 REV_CNTR_PRICNG_IND_CD(44) 1416 PRICNG45 Char 2 9061 REV_CNTR_PRICNG_IND_CD(45) 43 PROVIDER Char 6 5783 PRVDR_NUM 102 PRO_CNTL Char 12 6001 CLM_PRO_CNTL_NUM 103 PRO_DT Num 8 120 DATE9. CLM_PRO_PROC_DT 74 PRPAYAMT Num 8 104 COMMA14.2 NCH_PRMRY_PYR_CLM_PD_AMT 75 PRPAY_CD Char 1 5841 NCH_PRMRY_PYR_CD 79 PRSTATE Char 2 5844 NCH_PRVDR_STATE_CD 115 PRVDRPMT Num 8 176 COMMA14.2 CLM_OP_PRVDR_PMT_AMT 112 PTB_COIN Num 8 152 COMMA14.2 NCH_BENE_PTB_COINSRNC_AMT 111 PTB_DED Num 8 144 COMMA14.2 NCH_BENE_PTB_DDCTBL_AMT 175 PTCHCD01 Char 2 6120 NCH_PATCH_CD(1) 176 PTCHCD02 Char 2 6122 NCH_PATCH_CD(2) 177 PTCHCD03 Char 2 6124 NCH_PATCH_CD(3) 178 PTCHCD04 Char 2 6126 NCH_PATCH_CD(4) 179 PTCHCD05 Char 2 6128 NCH_PATCH_CD(5) 180 PTCHCD06 Char 2 6130 NCH_PATCH_CD(6) 181 PTCHCD07 Char 2 6132 NCH_PATCH_CD(7) 182 PTCHCD08 Char 2 6134 NCH_PATCH_CD(8) 183 PTCHCD09 Char 2 6136 NCH_PATCH_CD(9) 184 PTCHCD10 Char 2 6138 NCH_PATCH_CD(10) 185 PTCHCD11 Char 2 6140 NCH_PATCH_CD(11) 186 PTCHCD12 Char 2 6142 NCH_PATCH_CD(12) 187 PTCHCD13 Char 2 6144 NCH_PATCH_CD(13) 188 PTCHCD14 Char 2 6146 NCH_PATCH_CD(14) 189 PTCHCD15 Char 2 6148 NCH_PATCH_CD(15) 190 PTCHCD16 Char 2 6150 NCH_PATCH_CD(16) 191 PTCHCD17 Char 2 6152 NCH_PATCH_CD(17) 192 PTCHCD18 Char 2 6154 NCH_PATCH_CD(18) 193 PTCHCD19 Char 2 6156 NCH_PATCH_CD(19) 194 PTCHCD20 Char 2 6158 NCH_PATCH_CD(20) 195 PTCHCD21 Char 2 6160 NCH_PATCH_CD(21) 196 PTCHCD22 Char 2 6162 NCH_PATCH_CD(22) 197 PTCHCD23 Char 2 6164 NCH_PATCH_CD(23) 198 PTCHCD24 Char 2 6166 NCH_PATCH_CD(24) 199 PTCHCD25 Char 2 6168 NCH_PATCH_CD(25) 200 PTCHCD26 Char 2 6170 NCH_PATCH_CD(26) 201 PTCHCD27 Char 2 6172 NCH_PATCH_CD(27) 202 PTCHCD28 Char 2 6174 NCH_PATCH_CD(28) 203 PTCHCD29 Char 2 6176 NCH_PATCH_CD(29) 204 PTCHCD30 Char 2 6178 NCH_PATCH_CD(30) 205 PTCHDT01 Num 5 10349 DATE9. NCH_PATCH_APPLY_DT(1) 206 PTCHDT02 Num 5 10354 DATE9. NCH_PATCH_APPLY_DT(2) 207 PTCHDT03 Num 5 10359 DATE9. NCH_PATCH_APPLY_DT(3) 208 PTCHDT04 Num 5 10364 DATE9. NCH_PATCH_APPLY_DT(4) 209 PTCHDT05 Num 5 10369 DATE9. NCH_PATCH_APPLY_DT(5) 210 PTCHDT06 Num 5 10374 DATE9. NCH_PATCH_APPLY_DT(6) 211 PTCHDT07 Num 5 10379 DATE9. NCH_PATCH_APPLY_DT(7) 212 PTCHDT08 Num 5 10384 DATE9. NCH_PATCH_APPLY_DT(8) 213 PTCHDT09 Num 5 10389 DATE9. NCH_PATCH_APPLY_DT(9) 214 PTCHDT10 Num 5 10394 DATE9. NCH_PATCH_APPLY_DT(10) 215 PTCHDT11 Num 5 10399 DATE9. NCH_PATCH_APPLY_DT(11) 216 PTCHDT12 Num 5 10404 DATE9. NCH_PATCH_APPLY_DT(12) 217 PTCHDT13 Num 5 10409 DATE9. NCH_PATCH_APPLY_DT(13) 218 PTCHDT14 Num 5 10414 DATE9. NCH_PATCH_APPLY_DT(14) 219 PTCHDT15 Num 5 10419 DATE9. NCH_PATCH_APPLY_DT(15) 220 PTCHDT16 Num 5 10424 DATE9. NCH_PATCH_APPLY_DT(16) 221 PTCHDT17 Num 5 10429 DATE9. NCH_PATCH_APPLY_DT(17) 222 PTCHDT18 Num 5 10434 DATE9. NCH_PATCH_APPLY_DT(18) 223 PTCHDT19 Num 5 10439 DATE9. NCH_PATCH_APPLY_DT(19) 224 PTCHDT20 Num 5 10444 DATE9. NCH_PATCH_APPLY_DT(20) 225 PTCHDT21 Num 5 10449 DATE9. NCH_PATCH_APPLY_DT(21) 226 PTCHDT22 Num 5 10454 DATE9. NCH_PATCH_APPLY_DT(22) 227 PTCHDT23 Num 5 10459 DATE9. NCH_PATCH_APPLY_DT(23) 228 PTCHDT24 Num 5 10464 DATE9. NCH_PATCH_APPLY_DT(24) 229 PTCHDT25 Num 5 10469 DATE9. NCH_PATCH_APPLY_DT(25) 230 PTCHDT26 Num 5 10474 DATE9. NCH_PATCH_APPLY_DT(26) 231 PTCHDT27 Num 5 10479 DATE9. NCH_PATCH_APPLY_DT(27) 232 PTCHDT28 Num 5 10484 DATE9. NCH_PATCH_APPLY_DT(28) 233 PTCHDT29 Num 5 10489 DATE9. NCH_PATCH_APPLY_DT(29) 234 PTCHDT30 Num 5 10494 DATE9. NCH_PATCH_APPLY_DT(30) 145 PTCHND01 Char 1 6090 NCH_PATCH_TRLR_IND_CD(1) 146 PTCHND02 Char 1 6091 NCH_PATCH_TRLR_IND_CD(2) 147 PTCHND03 Char 1 6092 NCH_PATCH_TRLR_IND_CD(3) 148 PTCHND04 Char 1 6093 NCH_PATCH_TRLR_IND_CD(4) 149 PTCHND05 Char 1 6094 NCH_PATCH_TRLR_IND_CD(5) 150 PTCHND06 Char 1 6095 NCH_PATCH_TRLR_IND_CD(6) 151 PTCHND07 Char 1 6096 NCH_PATCH_TRLR_IND_CD(7) 152 PTCHND08 Char 1 6097 NCH_PATCH_TRLR_IND_CD(8) 153 PTCHND09 Char 1 6098 NCH_PATCH_TRLR_IND_CD(9) 154 PTCHND10 Char 1 6099 NCH_PATCH_TRLR_IND_CD(10) 155 PTCHND11 Char 1 6100 NCH_PATCH_TRLR_IND_CD(11) 156 PTCHND12 Char 1 6101 NCH_PATCH_TRLR_IND_CD(12) 157 PTCHND13 Char 1 6102 NCH_PATCH_TRLR_IND_CD(13) 158 PTCHND14 Char 1 6103 NCH_PATCH_TRLR_IND_CD(14) 159 PTCHND15 Char 1 6104 NCH_PATCH_TRLR_IND_CD(15) 160 PTCHND16 Char 1 6105 NCH_PATCH_TRLR_IND_CD(16) 161 PTCHND17 Char 1 6106 NCH_PATCH_TRLR_IND_CD(17) 162 PTCHND18 Char 1 6107 NCH_PATCH_TRLR_IND_CD(18) 163 PTCHND19 Char 1 6108 NCH_PATCH_TRLR_IND_CD(19) 164 PTCHND20 Char 1 6109 NCH_PATCH_TRLR_IND_CD(20) 165 PTCHND21 Char 1 6110 NCH_PATCH_TRLR_IND_CD(21) 166 PTCHND22 Char 1 6111 NCH_PATCH_TRLR_IND_CD(22) 167 PTCHND23 Char 1 6112 NCH_PATCH_TRLR_IND_CD(23) 168 PTCHND24 Char 1 6113 NCH_PATCH_TRLR_IND_CD(24) 169 PTCHND25 Char 1 6114 NCH_PATCH_TRLR_IND_CD(25) 170 PTCHND26 Char 1 6115 NCH_PATCH_TRLR_IND_CD(26) 171 PTCHND27 Char 1 6116 NCH_PATCH_TRLR_IND_CD(27) 172 PTCHND28 Char 1 6117 NCH_PATCH_TRLR_IND_CD(28) 173 PTCHND29 Char 1 6118 NCH_PATCH_TRLR_IND_CD(29) 174 PTCHND30 Char 1 6119 NCH_PATCH_TRLR_IND_CD(30) 2047 PTNRSP01 Num 8 4080 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(1) 2048 PTNRSP02 Num 8 4088 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(2) 2049 PTNRSP03 Num 8 4096 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(3) 2050 PTNRSP04 Num 8 4104 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(4) 2051 PTNRSP05 Num 8 4112 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(5) 2052 PTNRSP06 Num 8 4120 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(6) 2053 PTNRSP07 Num 8 4128 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(7) 2054 PTNRSP08 Num 8 4136 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(8) 2055 PTNRSP09 Num 8 4144 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(9) 2056 PTNRSP10 Num 8 4152 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(10) 2057 PTNRSP11 Num 8 4160 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(11) 2058 PTNRSP12 Num 8 4168 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(12) 2059 PTNRSP13 Num 8 4176 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(13) 2060 PTNRSP14 Num 8 4184 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(14) 2061 PTNRSP15 Num 8 4192 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(15) 2062 PTNRSP16 Num 8 4200 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(16) 2063 PTNRSP17 Num 8 4208 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(17) 2064 PTNRSP18 Num 8 4216 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(18) 2065 PTNRSP19 Num 8 4224 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(19) 2066 PTNRSP20 Num 8 4232 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(20) 2067 PTNRSP21 Num 8 4240 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(21) 2068 PTNRSP22 Num 8 4248 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(22) 2069 PTNRSP23 Num 8 4256 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(23) 2070 PTNRSP24 Num 8 4264 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(24) 2071 PTNRSP25 Num 8 4272 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(25) 2072 PTNRSP26 Num 8 4280 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(26) 2073 PTNRSP27 Num 8 4288 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(27) 2074 PTNRSP28 Num 8 4296 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(28) 2075 PTNRSP29 Num 8 4304 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(29) 2076 PTNRSP30 Num 8 4312 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(30) 2077 PTNRSP31 Num 8 4320 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(31) 2078 PTNRSP32 Num 8 4328 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(32) 2079 PTNRSP33 Num 8 4336 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(33) 2080 PTNRSP34 Num 8 4344 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(34) 2081 PTNRSP35 Num 8 4352 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(35) 2082 PTNRSP36 Num 8 4360 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(36) 2083 PTNRSP37 Num 8 4368 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(37) 2084 PTNRSP38 Num 8 4376 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(38) 2085 PTNRSP39 Num 8 4384 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(39) 2086 PTNRSP40 Num 8 4392 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(40) 2087 PTNRSP41 Num 8 4400 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(41) 2088 PTNRSP42 Num 8 4408 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(42) 2089 PTNRSP43 Num 8 4416 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(43) 2090 PTNRSP44 Num 8 4424 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(44) 2091 PTNRSP45 Num 8 4432 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(45) 100 PTNTCNTL Char 20 5964 PTNT_CNTL_NUM 42 QUERY_CD Char 1 5782 CLM_QUERY_CD 63 RACE Char 1 5822 BENE_RACE_CD 2002 RBNPMT01 Num 8 3720 COMMA14.2 REV_CNTR_BENE_PMT_AMT(1) 2003 RBNPMT02 Num 8 3728 COMMA14.2 REV_CNTR_BENE_PMT_AMT(2) 2004 RBNPMT03 Num 8 3736 COMMA14.2 REV_CNTR_BENE_PMT_AMT(3) 2005 RBNPMT04 Num 8 3744 COMMA14.2 REV_CNTR_BENE_PMT_AMT(4) 2006 RBNPMT05 Num 8 3752 COMMA14.2 REV_CNTR_BENE_PMT_AMT(5) 2007 RBNPMT06 Num 8 3760 COMMA14.2 REV_CNTR_BENE_PMT_AMT(6) 2008 RBNPMT07 Num 8 3768 COMMA14.2 REV_CNTR_BENE_PMT_AMT(7) 2009 RBNPMT08 Num 8 3776 COMMA14.2 REV_CNTR_BENE_PMT_AMT(8) 2010 RBNPMT09 Num 8 3784 COMMA14.2 REV_CNTR_BENE_PMT_AMT(9) 2011 RBNPMT10 Num 8 3792 COMMA14.2 REV_CNTR_BENE_PMT_AMT(10) 2012 RBNPMT11 Num 8 3800 COMMA14.2 REV_CNTR_BENE_PMT_AMT(11) 2013 RBNPMT12 Num 8 3808 COMMA14.2 REV_CNTR_BENE_PMT_AMT(12) 2014 RBNPMT13 Num 8 3816 COMMA14.2 REV_CNTR_BENE_PMT_AMT(13) 2015 RBNPMT14 Num 8 3824 COMMA14.2 REV_CNTR_BENE_PMT_AMT(14) 2016 RBNPMT15 Num 8 3832 COMMA14.2 REV_CNTR_BENE_PMT_AMT(15) 2017 RBNPMT16 Num 8 3840 COMMA14.2 REV_CNTR_BENE_PMT_AMT(16) 2018 RBNPMT17 Num 8 3848 COMMA14.2 REV_CNTR_BENE_PMT_AMT(17) 2019 RBNPMT18 Num 8 3856 COMMA14.2 REV_CNTR_BENE_PMT_AMT(18) 2020 RBNPMT19 Num 8 3864 COMMA14.2 REV_CNTR_BENE_PMT_AMT(19) 2021 RBNPMT20 Num 8 3872 COMMA14.2 REV_CNTR_BENE_PMT_AMT(20) 2022 RBNPMT21 Num 8 3880 COMMA14.2 REV_CNTR_BENE_PMT_AMT(21) 2023 RBNPMT22 Num 8 3888 COMMA14.2 REV_CNTR_BENE_PMT_AMT(22) 2024 RBNPMT23 Num 8 3896 COMMA14.2 REV_CNTR_BENE_PMT_AMT(23) 2025 RBNPMT24 Num 8 3904 COMMA14.2 REV_CNTR_BENE_PMT_AMT(24) 2026 RBNPMT25 Num 8 3912 COMMA14.2 REV_CNTR_BENE_PMT_AMT(25) 2027 RBNPMT26 Num 8 3920 COMMA14.2 REV_CNTR_BENE_PMT_AMT(26) 2028 RBNPMT27 Num 8 3928 COMMA14.2 REV_CNTR_BENE_PMT_AMT(27) 2029 RBNPMT28 Num 8 3936 COMMA14.2 REV_CNTR_BENE_PMT_AMT(28) 2030 RBNPMT29 Num 8 3944 COMMA14.2 REV_CNTR_BENE_PMT_AMT(29) 2031 RBNPMT30 Num 8 3952 COMMA14.2 REV_CNTR_BENE_PMT_AMT(30) 2032 RBNPMT31 Num 8 3960 COMMA14.2 REV_CNTR_BENE_PMT_AMT(31) 2033 RBNPMT32 Num 8 3968 COMMA14.2 REV_CNTR_BENE_PMT_AMT(32) 2034 RBNPMT33 Num 8 3976 COMMA14.2 REV_CNTR_BENE_PMT_AMT(33) 2035 RBNPMT34 Num 8 3984 COMMA14.2 REV_CNTR_BENE_PMT_AMT(34) 2036 RBNPMT35 Num 8 3992 COMMA14.2 REV_CNTR_BENE_PMT_AMT(35) 2037 RBNPMT36 Num 8 4000 COMMA14.2 REV_CNTR_BENE_PMT_AMT(36) 2038 RBNPMT37 Num 8 4008 COMMA14.2 REV_CNTR_BENE_PMT_AMT(37) 2039 RBNPMT38 Num 8 4016 COMMA14.2 REV_CNTR_BENE_PMT_AMT(38) 2040 RBNPMT39 Num 8 4024 COMMA14.2 REV_CNTR_BENE_PMT_AMT(39) 2041 RBNPMT40 Num 8 4032 COMMA14.2 REV_CNTR_BENE_PMT_AMT(40) 2042 RBNPMT41 Num 8 4040 COMMA14.2 REV_CNTR_BENE_PMT_AMT(41) 2043 RBNPMT42 Num 8 4048 COMMA14.2 REV_CNTR_BENE_PMT_AMT(42) 2044 RBNPMT43 Num 8 4056 COMMA14.2 REV_CNTR_BENE_PMT_AMT(43) 2045 RBNPMT44 Num 8 4064 COMMA14.2 REV_CNTR_BENE_PMT_AMT(44) 2046 RBNPMT45 Num 8 4072 COMMA14.2 REV_CNTR_BENE_PMT_AMT(45) 55 RCPT_DT Num 8 56 DATE9. FI_CLM_RCPT_DT 1777 RDCDCN01 Num 8 1920 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(1) 1778 RDCDCN02 Num 8 1928 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(2) 1779 RDCDCN03 Num 8 1936 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(3) 1780 RDCDCN04 Num 8 1944 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(4) 1781 RDCDCN05 Num 8 1952 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(5) 1782 RDCDCN06 Num 8 1960 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(6) 1783 RDCDCN07 Num 8 1968 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(7) 1784 RDCDCN08 Num 8 1976 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(8) 1785 RDCDCN09 Num 8 1984 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(9) 1786 RDCDCN10 Num 8 1992 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(10) 1787 RDCDCN11 Num 8 2000 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(11) 1788 RDCDCN12 Num 8 2008 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(12) 1789 RDCDCN13 Num 8 2016 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(13) 1790 RDCDCN14 Num 8 2024 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(14) 1791 RDCDCN15 Num 8 2032 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(15) 1792 RDCDCN16 Num 8 2040 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(16) 1793 RDCDCN17 Num 8 2048 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(17) 1794 RDCDCN18 Num 8 2056 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(18) 1795 RDCDCN19 Num 8 2064 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(19) 1796 RDCDCN20 Num 8 2072 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(20) 1797 RDCDCN21 Num 8 2080 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(21) 1798 RDCDCN22 Num 8 2088 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(22) 1799 RDCDCN23 Num 8 2096 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(23) 1800 RDCDCN24 Num 8 2104 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(24) 1801 RDCDCN25 Num 8 2112 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(25) 1802 RDCDCN26 Num 8 2120 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(26) 1803 RDCDCN27 Num 8 2128 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(27) 1804 RDCDCN28 Num 8 2136 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(28) 1805 RDCDCN29 Num 8 2144 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(29) 1806 RDCDCN30 Num 8 2152 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(30) 1807 RDCDCN31 Num 8 2160 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(31) 1808 RDCDCN32 Num 8 2168 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(32) 1809 RDCDCN33 Num 8 2176 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(33) 1810 RDCDCN34 Num 8 2184 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(34) 1811 RDCDCN35 Num 8 2192 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(35) 1812 RDCDCN36 Num 8 2200 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(36) 1813 RDCDCN37 Num 8 2208 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(37) 1814 RDCDCN38 Num 8 2216 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(38) 1815 RDCDCN39 Num 8 2224 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(39) 1816 RDCDCN40 Num 8 2232 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(40) 1817 RDCDCN41 Num 8 2240 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(41) 1818 RDCDCN42 Num 8 2248 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(42) 1819 RDCDCN43 Num 8 2256 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(43) 1820 RDCDCN44 Num 8 2264 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(44) 1821 RDCDCN45 Num 8 2272 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(45) 1 REALSSN Num 8 0 SSN11. REAL_SSN 4 REC_LEN Num 4 5520 COMMA6. REC_LNGTH_CNT 27 REC_LVL Char 1 5715 NCH_NEAR_LINE_REC_VRSN_CD 607 REVIND01 Char 1 6768 NCH_REV_CNTR_TRLR_IND_CD(1) 608 REVIND02 Char 1 6769 NCH_REV_CNTR_TRLR_IND_CD(2) 609 REVIND03 Char 1 6770 NCH_REV_CNTR_TRLR_IND_CD(3) 610 REVIND04 Char 1 6771 NCH_REV_CNTR_TRLR_IND_CD(4) 611 REVIND05 Char 1 6772 NCH_REV_CNTR_TRLR_IND_CD(5) 612 REVIND06 Char 1 6773 NCH_REV_CNTR_TRLR_IND_CD(6) 613 REVIND07 Char 1 6774 NCH_REV_CNTR_TRLR_IND_CD(7) 614 REVIND08 Char 1 6775 NCH_REV_CNTR_TRLR_IND_CD(8) 615 REVIND09 Char 1 6776 NCH_REV_CNTR_TRLR_IND_CD(9) 616 REVIND10 Char 1 6777 NCH_REV_CNTR_TRLR_IND_CD(10) 617 REVIND11 Char 1 6778 NCH_REV_CNTR_TRLR_IND_CD(11) 618 REVIND12 Char 1 6779 NCH_REV_CNTR_TRLR_IND_CD(12) 619 REVIND13 Char 1 6780 NCH_REV_CNTR_TRLR_IND_CD(13) 620 REVIND14 Char 1 6781 NCH_REV_CNTR_TRLR_IND_CD(14) 621 REVIND15 Char 1 6782 NCH_REV_CNTR_TRLR_IND_CD(15) 622 REVIND16 Char 1 6783 NCH_REV_CNTR_TRLR_IND_CD(16) 623 REVIND17 Char 1 6784 NCH_REV_CNTR_TRLR_IND_CD(17) 624 REVIND18 Char 1 6785 NCH_REV_CNTR_TRLR_IND_CD(18) 625 REVIND19 Char 1 6786 NCH_REV_CNTR_TRLR_IND_CD(19) 626 REVIND20 Char 1 6787 NCH_REV_CNTR_TRLR_IND_CD(20) 627 REVIND21 Char 1 6788 NCH_REV_CNTR_TRLR_IND_CD(21) 628 REVIND22 Char 1 6789 NCH_REV_CNTR_TRLR_IND_CD(22) 629 REVIND23 Char 1 6790 NCH_REV_CNTR_TRLR_IND_CD(23) 630 REVIND24 Char 1 6791 NCH_REV_CNTR_TRLR_IND_CD(24) 631 REVIND25 Char 1 6792 NCH_REV_CNTR_TRLR_IND_CD(25) 632 REVIND26 Char 1 6793 NCH_REV_CNTR_TRLR_IND_CD(26) 633 REVIND27 Char 1 6794 NCH_REV_CNTR_TRLR_IND_CD(27) 634 REVIND28 Char 1 6795 NCH_REV_CNTR_TRLR_IND_CD(28) 635 REVIND29 Char 1 6796 NCH_REV_CNTR_TRLR_IND_CD(29) 636 REVIND30 Char 1 6797 NCH_REV_CNTR_TRLR_IND_CD(30) 637 REVIND31 Char 1 6798 NCH_REV_CNTR_TRLR_IND_CD(31) 638 REVIND32 Char 1 6799 NCH_REV_CNTR_TRLR_IND_CD(32) 639 REVIND33 Char 1 6800 NCH_REV_CNTR_TRLR_IND_CD(33) 640 REVIND34 Char 1 6801 NCH_REV_CNTR_TRLR_IND_CD(34) 641 REVIND35 Char 1 6802 NCH_REV_CNTR_TRLR_IND_CD(35) 642 REVIND36 Char 1 6803 NCH_REV_CNTR_TRLR_IND_CD(36) 643 REVIND37 Char 1 6804 NCH_REV_CNTR_TRLR_IND_CD(37) 644 REVIND38 Char 1 6805 NCH_REV_CNTR_TRLR_IND_CD(38) 645 REVIND39 Char 1 6806 NCH_REV_CNTR_TRLR_IND_CD(39) 646 REVIND40 Char 1 6807 NCH_REV_CNTR_TRLR_IND_CD(40) 647 REVIND41 Char 1 6808 NCH_REV_CNTR_TRLR_IND_CD(41) 648 REVIND42 Char 1 6809 NCH_REV_CNTR_TRLR_IND_CD(42) 649 REVIND43 Char 1 6810 NCH_REV_CNTR_TRLR_IND_CD(43) 650 REVIND44 Char 1 6811 NCH_REV_CNTR_TRLR_IND_CD(44) 651 REVIND45 Char 1 6812 NCH_REV_CNTR_TRLR_IND_CD(45) 2092 REVPMT01 Num 8 4440 COMMA14.2 REV_CNTR_PMT_AMT(1) 2093 REVPMT02 Num 8 4448 COMMA14.2 REV_CNTR_PMT_AMT(2) 2094 REVPMT03 Num 8 4456 COMMA14.2 REV_CNTR_PMT_AMT(3) 2095 REVPMT04 Num 8 4464 COMMA14.2 REV_CNTR_PMT_AMT(4) 2096 REVPMT05 Num 8 4472 COMMA14.2 REV_CNTR_PMT_AMT(5) 2097 REVPMT06 Num 8 4480 COMMA14.2 REV_CNTR_PMT_AMT(6) 2098 REVPMT07 Num 8 4488 COMMA14.2 REV_CNTR_PMT_AMT(7) 2099 REVPMT08 Num 8 4496 COMMA14.2 REV_CNTR_PMT_AMT(8) 2100 REVPMT09 Num 8 4504 COMMA14.2 REV_CNTR_PMT_AMT(9) 2101 REVPMT10 Num 8 4512 COMMA14.2 REV_CNTR_PMT_AMT(10) 2102 REVPMT11 Num 8 4520 COMMA14.2 REV_CNTR_PMT_AMT(11) 2103 REVPMT12 Num 8 4528 COMMA14.2 REV_CNTR_PMT_AMT(12) 2104 REVPMT13 Num 8 4536 COMMA14.2 REV_CNTR_PMT_AMT(13) 2105 REVPMT14 Num 8 4544 COMMA14.2 REV_CNTR_PMT_AMT(14) 2106 REVPMT15 Num 8 4552 COMMA14.2 REV_CNTR_PMT_AMT(15) 2107 REVPMT16 Num 8 4560 COMMA14.2 REV_CNTR_PMT_AMT(16) 2108 REVPMT17 Num 8 4568 COMMA14.2 REV_CNTR_PMT_AMT(17) 2109 REVPMT18 Num 8 4576 COMMA14.2 REV_CNTR_PMT_AMT(18) 2110 REVPMT19 Num 8 4584 COMMA14.2 REV_CNTR_PMT_AMT(19) 2111 REVPMT20 Num 8 4592 COMMA14.2 REV_CNTR_PMT_AMT(20) 2112 REVPMT21 Num 8 4600 COMMA14.2 REV_CNTR_PMT_AMT(21) 2113 REVPMT22 Num 8 4608 COMMA14.2 REV_CNTR_PMT_AMT(22) 2114 REVPMT23 Num 8 4616 COMMA14.2 REV_CNTR_PMT_AMT(23) 2115 REVPMT24 Num 8 4624 COMMA14.2 REV_CNTR_PMT_AMT(24) 2116 REVPMT25 Num 8 4632 COMMA14.2 REV_CNTR_PMT_AMT(25) 2117 REVPMT26 Num 8 4640 COMMA14.2 REV_CNTR_PMT_AMT(26) 2118 REVPMT27 Num 8 4648 COMMA14.2 REV_CNTR_PMT_AMT(27) 2119 REVPMT28 Num 8 4656 COMMA14.2 REV_CNTR_PMT_AMT(28) 2120 REVPMT29 Num 8 4664 COMMA14.2 REV_CNTR_PMT_AMT(29) 2121 REVPMT30 Num 8 4672 COMMA14.2 REV_CNTR_PMT_AMT(30) 2122 REVPMT31 Num 8 4680 COMMA14.2 REV_CNTR_PMT_AMT(31) 2123 REVPMT32 Num 8 4688 COMMA14.2 REV_CNTR_PMT_AMT(32) 2124 REVPMT33 Num 8 4696 COMMA14.2 REV_CNTR_PMT_AMT(33) 2125 REVPMT34 Num 8 4704 COMMA14.2 REV_CNTR_PMT_AMT(34) 2126 REVPMT35 Num 8 4712 COMMA14.2 REV_CNTR_PMT_AMT(35) 2127 REVPMT36 Num 8 4720 COMMA14.2 REV_CNTR_PMT_AMT(36) 2128 REVPMT37 Num 8 4728 COMMA14.2 REV_CNTR_PMT_AMT(37) 2129 REVPMT38 Num 8 4736 COMMA14.2 REV_CNTR_PMT_AMT(38) 2130 REVPMT39 Num 8 4744 COMMA14.2 REV_CNTR_PMT_AMT(39) 2131 REVPMT40 Num 8 4752 COMMA14.2 REV_CNTR_PMT_AMT(40) 2132 REVPMT41 Num 8 4760 COMMA14.2 REV_CNTR_PMT_AMT(41) 2133 REVPMT42 Num 8 4768 COMMA14.2 REV_CNTR_PMT_AMT(42) 2134 REVPMT43 Num 8 4776 COMMA14.2 REV_CNTR_PMT_AMT(43) 2135 REVPMT44 Num 8 4784 COMMA14.2 REV_CNTR_PMT_AMT(44) 2136 REVPMT45 Num 8 4792 COMMA14.2 REV_CNTR_PMT_AMT(45) 697 REV_DT01 Num 5 10799 DATE9. REV_CNTR_DT(1) 698 REV_DT02 Num 5 10804 DATE9. REV_CNTR_DT(2) 699 REV_DT03 Num 5 10809 DATE9. REV_CNTR_DT(3) 700 REV_DT04 Num 5 10814 DATE9. REV_CNTR_DT(4) 701 REV_DT05 Num 5 10819 DATE9. REV_CNTR_DT(5) 702 REV_DT06 Num 5 10824 DATE9. REV_CNTR_DT(6) 703 REV_DT07 Num 5 10829 DATE9. REV_CNTR_DT(7) 704 REV_DT08 Num 5 10834 DATE9. REV_CNTR_DT(8) 705 REV_DT09 Num 5 10839 DATE9. REV_CNTR_DT(9) 706 REV_DT10 Num 5 10844 DATE9. REV_CNTR_DT(10) 707 REV_DT11 Num 5 10849 DATE9. REV_CNTR_DT(11) 708 REV_DT12 Num 5 10854 DATE9. REV_CNTR_DT(12) 709 REV_DT13 Num 5 10859 DATE9. REV_CNTR_DT(13) 710 REV_DT14 Num 5 10864 DATE9. REV_CNTR_DT(14) 711 REV_DT15 Num 5 10869 DATE9. REV_CNTR_DT(15) 712 REV_DT16 Num 5 10874 DATE9. REV_CNTR_DT(16) 713 REV_DT17 Num 5 10879 DATE9. REV_CNTR_DT(17) 714 REV_DT18 Num 5 10884 DATE9. REV_CNTR_DT(18) 715 REV_DT19 Num 5 10889 DATE9. REV_CNTR_DT(19) 716 REV_DT20 Num 5 10894 DATE9. REV_CNTR_DT(20) 717 REV_DT21 Num 5 10899 DATE9. REV_CNTR_DT(21) 718 REV_DT22 Num 5 10904 DATE9. REV_CNTR_DT(22) 719 REV_DT23 Num 5 10909 DATE9. REV_CNTR_DT(23) 720 REV_DT24 Num 5 10914 DATE9. REV_CNTR_DT(24) 721 REV_DT25 Num 5 10919 DATE9. REV_CNTR_DT(25) 722 REV_DT26 Num 5 10924 DATE9. REV_CNTR_DT(26) 723 REV_DT27 Num 5 10929 DATE9. REV_CNTR_DT(27) 724 REV_DT28 Num 5 10934 DATE9. REV_CNTR_DT(28) 725 REV_DT29 Num 5 10939 DATE9. REV_CNTR_DT(29) 726 REV_DT30 Num 5 10944 DATE9. REV_CNTR_DT(30) 727 REV_DT31 Num 5 10949 DATE9. REV_CNTR_DT(31) 728 REV_DT32 Num 5 10954 DATE9. REV_CNTR_DT(32) 729 REV_DT33 Num 5 10959 DATE9. REV_CNTR_DT(33) 730 REV_DT34 Num 5 10964 DATE9. REV_CNTR_DT(34) 731 REV_DT35 Num 5 10969 DATE9. REV_CNTR_DT(35) 732 REV_DT36 Num 5 10974 DATE9. REV_CNTR_DT(36) 733 REV_DT37 Num 5 10979 DATE9. REV_CNTR_DT(37) 734 REV_DT38 Num 5 10984 DATE9. REV_CNTR_DT(38) 735 REV_DT39 Num 5 10989 DATE9. REV_CNTR_DT(39) 736 REV_DT40 Num 5 10994 DATE9. REV_CNTR_DT(40) 737 REV_DT41 Num 5 10999 DATE9. REV_CNTR_DT(41) 738 REV_DT42 Num 5 11004 DATE9. REV_CNTR_DT(42) 739 REV_DT43 Num 5 11009 DATE9. REV_CNTR_DT(43) 740 REV_DT44 Num 5 11014 DATE9. REV_CNTR_DT(44) 741 REV_DT45 Num 5 11019 DATE9. REV_CNTR_DT(45) 28 RIC_CD Char 1 5716 NCH_NEAR_LINE_RIC_CD 339 RLTCND01 Char 2 6480 CLM_RLT_COND_CD(1) 340 RLTCND02 Char 2 6482 CLM_RLT_COND_CD(2) 341 RLTCND03 Char 2 6484 CLM_RLT_COND_CD(3) 342 RLTCND04 Char 2 6486 CLM_RLT_COND_CD(4) 343 RLTCND05 Char 2 6488 CLM_RLT_COND_CD(5) 344 RLTCND06 Char 2 6490 CLM_RLT_COND_CD(6) 345 RLTCND07 Char 2 6492 CLM_RLT_COND_CD(7) 346 RLTCND08 Char 2 6494 CLM_RLT_COND_CD(8) 347 RLTCND09 Char 2 6496 CLM_RLT_COND_CD(9) 348 RLTCND10 Char 2 6498 CLM_RLT_COND_CD(10) 349 RLTCND11 Char 2 6500 CLM_RLT_COND_CD(11) 350 RLTCND12 Char 2 6502 CLM_RLT_COND_CD(12) 351 RLTCND13 Char 2 6504 CLM_RLT_COND_CD(13) 352 RLTCND14 Char 2 6506 CLM_RLT_COND_CD(14) 353 RLTCND15 Char 2 6508 CLM_RLT_COND_CD(15) 354 RLTCND16 Char 2 6510 CLM_RLT_COND_CD(16) 355 RLTCND17 Char 2 6512 CLM_RLT_COND_CD(17) 356 RLTCND18 Char 2 6514 CLM_RLT_COND_CD(18) 357 RLTCND19 Char 2 6516 CLM_RLT_COND_CD(19) 358 RLTCND20 Char 2 6518 CLM_RLT_COND_CD(20) 359 RLTCND21 Char 2 6520 CLM_RLT_COND_CD(21) 360 RLTCND22 Char 2 6522 CLM_RLT_COND_CD(22) 361 RLTCND23 Char 2 6524 CLM_RLT_COND_CD(23) 362 RLTCND24 Char 2 6526 CLM_RLT_COND_CD(24) 363 RLTCND25 Char 2 6528 CLM_RLT_COND_CD(25) 364 RLTCND26 Char 2 6530 CLM_RLT_COND_CD(26) 365 RLTCND27 Char 2 6532 CLM_RLT_COND_CD(27) 366 RLTCND28 Char 2 6534 CLM_RLT_COND_CD(28) 367 RLTCND29 Char 2 6536 CLM_RLT_COND_CD(29) 368 RLTCND30 Char 2 6538 CLM_RLT_COND_CD(30) 1957 RPRPMT01 Num 8 3360 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(1) 1958 RPRPMT02 Num 8 3368 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(2) 1959 RPRPMT03 Num 8 3376 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(3) 1960 RPRPMT04 Num 8 3384 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(4) 1961 RPRPMT05 Num 8 3392 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(5) 1962 RPRPMT06 Num 8 3400 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(6) 1963 RPRPMT07 Num 8 3408 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(7) 1964 RPRPMT08 Num 8 3416 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(8) 1965 RPRPMT09 Num 8 3424 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(9) 1966 RPRPMT10 Num 8 3432 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(10) 1967 RPRPMT11 Num 8 3440 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(11) 1968 RPRPMT12 Num 8 3448 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(12) 1969 RPRPMT13 Num 8 3456 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(13) 1970 RPRPMT14 Num 8 3464 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(14) 1971 RPRPMT15 Num 8 3472 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(15) 1972 RPRPMT16 Num 8 3480 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(16) 1973 RPRPMT17 Num 8 3488 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(17) 1974 RPRPMT18 Num 8 3496 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(18) 1975 RPRPMT19 Num 8 3504 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(19) 1976 RPRPMT20 Num 8 3512 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(20) 1977 RPRPMT21 Num 8 3520 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(21) 1978 RPRPMT22 Num 8 3528 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(22) 1979 RPRPMT23 Num 8 3536 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(23) 1980 RPRPMT24 Num 8 3544 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(24) 1981 RPRPMT25 Num 8 3552 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(25) 1982 RPRPMT26 Num 8 3560 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(26) 1983 RPRPMT27 Num 8 3568 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(27) 1984 RPRPMT28 Num 8 3576 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(28) 1985 RPRPMT29 Num 8 3584 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(29) 1986 RPRPMT30 Num 8 3592 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(30) 1987 RPRPMT31 Num 8 3600 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(31) 1988 RPRPMT32 Num 8 3608 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(32) 1989 RPRPMT33 Num 8 3616 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(33) 1990 RPRPMT34 Num 8 3624 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(34) 1991 RPRPMT35 Num 8 3632 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(35) 1992 RPRPMT36 Num 8 3640 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(36) 1993 RPRPMT37 Num 8 3648 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(37) 1994 RPRPMT38 Num 8 3656 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(38) 1995 RPRPMT39 Num 8 3664 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(39) 1996 RPRPMT40 Num 8 3672 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(40) 1997 RPRPMT41 Num 8 3680 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(41) 1998 RPRPMT42 Num 8 3688 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(42) 1999 RPRPMT43 Num 8 3696 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(43) 2000 RPRPMT44 Num 8 3704 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(44) 2001 RPRPMT45 Num 8 3712 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(45) 1642 RVBLD01 Num 8 840 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(1) 1643 RVBLD02 Num 8 848 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(2) 1644 RVBLD03 Num 8 856 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(3) 1645 RVBLD04 Num 8 864 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(4) 1646 RVBLD05 Num 8 872 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(5) 1647 RVBLD06 Num 8 880 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(6) 1648 RVBLD07 Num 8 888 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(7) 1649 RVBLD08 Num 8 896 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(8) 1650 RVBLD09 Num 8 904 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(9) 1651 RVBLD10 Num 8 912 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(10) 1652 RVBLD11 Num 8 920 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(11) 1653 RVBLD12 Num 8 928 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(12) 1654 RVBLD13 Num 8 936 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(13) 1655 RVBLD14 Num 8 944 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(14) 1656 RVBLD15 Num 8 952 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(15) 1657 RVBLD16 Num 8 960 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(16) 1658 RVBLD17 Num 8 968 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(17) 1659 RVBLD18 Num 8 976 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(18) 1660 RVBLD19 Num 8 984 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(19) 1661 RVBLD20 Num 8 992 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(20) 1662 RVBLD21 Num 8 1000 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(21) 1663 RVBLD22 Num 8 1008 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(22) 1664 RVBLD23 Num 8 1016 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(23) 1665 RVBLD24 Num 8 1024 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(24) 1666 RVBLD25 Num 8 1032 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(25) 1667 RVBLD26 Num 8 1040 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(26) 1668 RVBLD27 Num 8 1048 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(27) 1669 RVBLD28 Num 8 1056 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(28) 1670 RVBLD29 Num 8 1064 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(29) 1671 RVBLD30 Num 8 1072 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(30) 1672 RVBLD31 Num 8 1080 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(31) 1673 RVBLD32 Num 8 1088 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(32) 1674 RVBLD33 Num 8 1096 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(33) 1675 RVBLD34 Num 8 1104 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(34) 1676 RVBLD35 Num 8 1112 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(35) 1677 RVBLD36 Num 8 1120 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(36) 1678 RVBLD37 Num 8 1128 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(37) 1679 RVBLD38 Num 8 1136 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(38) 1680 RVBLD39 Num 8 1144 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(39) 1681 RVBLD40 Num 8 1152 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(40) 1682 RVBLD41 Num 8 1160 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(41) 1683 RVBLD42 Num 8 1168 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(42) 1684 RVBLD43 Num 8 1176 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(43) 1685 RVBLD44 Num 8 1184 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(44) 1686 RVBLD45 Num 8 1192 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(45) 2137 RVCHRG01 Num 8 4800 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(1) 2138 RVCHRG02 Num 8 4808 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(2) 2139 RVCHRG03 Num 8 4816 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(3) 2140 RVCHRG04 Num 8 4824 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(4) 2141 RVCHRG05 Num 8 4832 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(5) 2142 RVCHRG06 Num 8 4840 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(6) 2143 RVCHRG07 Num 8 4848 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(7) 2144 RVCHRG08 Num 8 4856 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(8) 2145 RVCHRG09 Num 8 4864 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(9) 2146 RVCHRG10 Num 8 4872 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(10) 2147 RVCHRG11 Num 8 4880 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(11) 2148 RVCHRG12 Num 8 4888 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(12) 2149 RVCHRG13 Num 8 4896 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(13) 2150 RVCHRG14 Num 8 4904 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(14) 2151 RVCHRG15 Num 8 4912 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(15) 2152 RVCHRG16 Num 8 4920 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(16) 2153 RVCHRG17 Num 8 4928 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(17) 2154 RVCHRG18 Num 8 4936 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(18) 2155 RVCHRG19 Num 8 4944 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(19) 2156 RVCHRG20 Num 8 4952 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(20) 2157 RVCHRG21 Num 8 4960 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(21) 2158 RVCHRG22 Num 8 4968 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(22) 2159 RVCHRG23 Num 8 4976 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(23) 2160 RVCHRG24 Num 8 4984 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(24) 2161 RVCHRG25 Num 8 4992 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(25) 2162 RVCHRG26 Num 8 5000 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(26) 2163 RVCHRG27 Num 8 5008 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(27) 2164 RVCHRG28 Num 8 5016 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(28) 2165 RVCHRG29 Num 8 5024 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(29) 2166 RVCHRG30 Num 8 5032 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(30) 2167 RVCHRG31 Num 8 5040 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(31) 2168 RVCHRG32 Num 8 5048 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(32) 2169 RVCHRG33 Num 8 5056 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(33) 2170 RVCHRG34 Num 8 5064 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(34) 2171 RVCHRG35 Num 8 5072 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(35) 2172 RVCHRG36 Num 8 5080 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(36) 2173 RVCHRG37 Num 8 5088 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(37) 2174 RVCHRG38 Num 8 5096 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(38) 2175 RVCHRG39 Num 8 5104 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(39) 2176 RVCHRG40 Num 8 5112 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(40) 2177 RVCHRG41 Num 8 5120 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(41) 2178 RVCHRG42 Num 8 5128 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(42) 2179 RVCHRG43 Num 8 5136 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(43) 2180 RVCHRG44 Num 8 5144 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(44) 2181 RVCHRG45 Num 8 5152 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(45) 652 RVCNTR01 Char 4 6813 REV_CNTR_CD(1) 653 RVCNTR02 Char 4 6817 REV_CNTR_CD(2) 654 RVCNTR03 Char 4 6821 REV_CNTR_CD(3) 655 RVCNTR04 Char 4 6825 REV_CNTR_CD(4) 656 RVCNTR05 Char 4 6829 REV_CNTR_CD(5) 657 RVCNTR06 Char 4 6833 REV_CNTR_CD(6) 658 RVCNTR07 Char 4 6837 REV_CNTR_CD(7) 659 RVCNTR08 Char 4 6841 REV_CNTR_CD(8) 660 RVCNTR09 Char 4 6845 REV_CNTR_CD(9) 661 RVCNTR10 Char 4 6849 REV_CNTR_CD(10) 662 RVCNTR11 Char 4 6853 REV_CNTR_CD(11) 663 RVCNTR12 Char 4 6857 REV_CNTR_CD(12) 664 RVCNTR13 Char 4 6861 REV_CNTR_CD(13) 665 RVCNTR14 Char 4 6865 REV_CNTR_CD(14) 666 RVCNTR15 Char 4 6869 REV_CNTR_CD(15) 667 RVCNTR16 Char 4 6873 REV_CNTR_CD(16) 668 RVCNTR17 Char 4 6877 REV_CNTR_CD(17) 669 RVCNTR18 Char 4 6881 REV_CNTR_CD(18) 670 RVCNTR19 Char 4 6885 REV_CNTR_CD(19) 671 RVCNTR20 Char 4 6889 REV_CNTR_CD(20) 672 RVCNTR21 Char 4 6893 REV_CNTR_CD(21) 673 RVCNTR22 Char 4 6897 REV_CNTR_CD(22) 674 RVCNTR23 Char 4 6901 REV_CNTR_CD(23) 675 RVCNTR24 Char 4 6905 REV_CNTR_CD(24) 676 RVCNTR25 Char 4 6909 REV_CNTR_CD(25) 677 RVCNTR26 Char 4 6913 REV_CNTR_CD(26) 678 RVCNTR27 Char 4 6917 REV_CNTR_CD(27) 679 RVCNTR28 Char 4 6921 REV_CNTR_CD(28) 680 RVCNTR29 Char 4 6925 REV_CNTR_CD(29) 681 RVCNTR30 Char 4 6929 REV_CNTR_CD(30) 682 RVCNTR31 Char 4 6933 REV_CNTR_CD(31) 683 RVCNTR32 Char 4 6937 REV_CNTR_CD(32) 684 RVCNTR33 Char 4 6941 REV_CNTR_CD(33) 685 RVCNTR34 Char 4 6945 REV_CNTR_CD(34) 686 RVCNTR35 Char 4 6949 REV_CNTR_CD(35) 687 RVCNTR36 Char 4 6953 REV_CNTR_CD(36) 688 RVCNTR37 Char 4 6957 REV_CNTR_CD(37) 689 RVCNTR38 Char 4 6961 REV_CNTR_CD(38) 690 RVCNTR39 Char 4 6965 REV_CNTR_CD(39) 691 RVCNTR40 Char 4 6969 REV_CNTR_CD(40) 692 RVCNTR41 Char 4 6973 REV_CNTR_CD(41) 693 RVCNTR42 Char 4 6977 REV_CNTR_CD(42) 694 RVCNTR43 Char 4 6981 REV_CNTR_CD(43) 695 RVCNTR44 Char 4 6985 REV_CNTR_CD(44) 696 RVCNTR45 Char 4 6989 REV_CNTR_CD(45) 2227 RVDDCD01 Char 1 10233 REV_CNTR_DDCTBL_COINSRNC_CD(1) 2228 RVDDCD02 Char 1 10234 REV_CNTR_DDCTBL_COINSRNC_CD(2) 2229 RVDDCD03 Char 1 10235 REV_CNTR_DDCTBL_COINSRNC_CD(3) 2230 RVDDCD04 Char 1 10236 REV_CNTR_DDCTBL_COINSRNC_CD(4) 2231 RVDDCD05 Char 1 10237 REV_CNTR_DDCTBL_COINSRNC_CD(5) 2232 RVDDCD06 Char 1 10238 REV_CNTR_DDCTBL_COINSRNC_CD(6) 2233 RVDDCD07 Char 1 10239 REV_CNTR_DDCTBL_COINSRNC_CD(7) 2234 RVDDCD08 Char 1 10240 REV_CNTR_DDCTBL_COINSRNC_CD(8) 2235 RVDDCD09 Char 1 10241 REV_CNTR_DDCTBL_COINSRNC_CD(9) 2236 RVDDCD10 Char 1 10242 REV_CNTR_DDCTBL_COINSRNC_CD(10) 2237 RVDDCD11 Char 1 10243 REV_CNTR_DDCTBL_COINSRNC_CD(11) 2238 RVDDCD12 Char 1 10244 REV_CNTR_DDCTBL_COINSRNC_CD(12) 2239 RVDDCD13 Char 1 10245 REV_CNTR_DDCTBL_COINSRNC_CD(13) 2240 RVDDCD14 Char 1 10246 REV_CNTR_DDCTBL_COINSRNC_CD(14) 2241 RVDDCD15 Char 1 10247 REV_CNTR_DDCTBL_COINSRNC_CD(15) 2242 RVDDCD16 Char 1 10248 REV_CNTR_DDCTBL_COINSRNC_CD(16) 2243 RVDDCD17 Char 1 10249 REV_CNTR_DDCTBL_COINSRNC_CD(17) 2244 RVDDCD18 Char 1 10250 REV_CNTR_DDCTBL_COINSRNC_CD(18) 2245 RVDDCD19 Char 1 10251 REV_CNTR_DDCTBL_COINSRNC_CD(19) 2246 RVDDCD20 Char 1 10252 REV_CNTR_DDCTBL_COINSRNC_CD(20) 2247 RVDDCD21 Char 1 10253 REV_CNTR_DDCTBL_COINSRNC_CD(21) 2248 RVDDCD22 Char 1 10254 REV_CNTR_DDCTBL_COINSRNC_CD(22) 2249 RVDDCD23 Char 1 10255 REV_CNTR_DDCTBL_COINSRNC_CD(23) 2250 RVDDCD24 Char 1 10256 REV_CNTR_DDCTBL_COINSRNC_CD(24) 2251 RVDDCD25 Char 1 10257 REV_CNTR_DDCTBL_COINSRNC_CD(25) 2252 RVDDCD26 Char 1 10258 REV_CNTR_DDCTBL_COINSRNC_CD(26) 2253 RVDDCD27 Char 1 10259 REV_CNTR_DDCTBL_COINSRNC_CD(27) 2254 RVDDCD28 Char 1 10260 REV_CNTR_DDCTBL_COINSRNC_CD(28) 2255 RVDDCD29 Char 1 10261 REV_CNTR_DDCTBL_COINSRNC_CD(29) 2256 RVDDCD30 Char 1 10262 REV_CNTR_DDCTBL_COINSRNC_CD(30) 2257 RVDDCD31 Char 1 10263 REV_CNTR_DDCTBL_COINSRNC_CD(31) 2258 RVDDCD32 Char 1 10264 REV_CNTR_DDCTBL_COINSRNC_CD(32) 2259 RVDDCD33 Char 1 10265 REV_CNTR_DDCTBL_COINSRNC_CD(33) 2260 RVDDCD34 Char 1 10266 REV_CNTR_DDCTBL_COINSRNC_CD(34) 2261 RVDDCD35 Char 1 10267 REV_CNTR_DDCTBL_COINSRNC_CD(35) 2262 RVDDCD36 Char 1 10268 REV_CNTR_DDCTBL_COINSRNC_CD(36) 2263 RVDDCD37 Char 1 10269 REV_CNTR_DDCTBL_COINSRNC_CD(37) 2264 RVDDCD38 Char 1 10270 REV_CNTR_DDCTBL_COINSRNC_CD(38) 2265 RVDDCD39 Char 1 10271 REV_CNTR_DDCTBL_COINSRNC_CD(39) 2266 RVDDCD40 Char 1 10272 REV_CNTR_DDCTBL_COINSRNC_CD(40) 2267 RVDDCD41 Char 1 10273 REV_CNTR_DDCTBL_COINSRNC_CD(41) 2268 RVDDCD42 Char 1 10274 REV_CNTR_DDCTBL_COINSRNC_CD(42) 2269 RVDDCD43 Char 1 10275 REV_CNTR_DDCTBL_COINSRNC_CD(43) 2270 RVDDCD44 Char 1 10276 REV_CNTR_DDCTBL_COINSRNC_CD(44) 2271 RVDDCD45 Char 1 10277 REV_CNTR_DDCTBL_COINSRNC_CD(45) 1687 RVDTBL01 Num 8 1200 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(1) 1688 RVDTBL02 Num 8 1208 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(2) 1689 RVDTBL03 Num 8 1216 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(3) 1690 RVDTBL04 Num 8 1224 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(4) 1691 RVDTBL05 Num 8 1232 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(5) 1692 RVDTBL06 Num 8 1240 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(6) 1693 RVDTBL07 Num 8 1248 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(7) 1694 RVDTBL08 Num 8 1256 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(8) 1695 RVDTBL09 Num 8 1264 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(9) 1696 RVDTBL10 Num 8 1272 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(10) 1697 RVDTBL11 Num 8 1280 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(11) 1698 RVDTBL12 Num 8 1288 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(12) 1699 RVDTBL13 Num 8 1296 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(13) 1700 RVDTBL14 Num 8 1304 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(14) 1701 RVDTBL15 Num 8 1312 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(15) 1702 RVDTBL16 Num 8 1320 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(16) 1703 RVDTBL17 Num 8 1328 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(17) 1704 RVDTBL18 Num 8 1336 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(18) 1705 RVDTBL19 Num 8 1344 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(19) 1706 RVDTBL20 Num 8 1352 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(20) 1707 RVDTBL21 Num 8 1360 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(21) 1708 RVDTBL22 Num 8 1368 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(22) 1709 RVDTBL23 Num 8 1376 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(23) 1710 RVDTBL24 Num 8 1384 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(24) 1711 RVDTBL25 Num 8 1392 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(25) 1712 RVDTBL26 Num 8 1400 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(26) 1713 RVDTBL27 Num 8 1408 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(27) 1714 RVDTBL28 Num 8 1416 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(28) 1715 RVDTBL29 Num 8 1424 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(29) 1716 RVDTBL30 Num 8 1432 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(30) 1717 RVDTBL31 Num 8 1440 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(31) 1718 RVDTBL32 Num 8 1448 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(32) 1719 RVDTBL33 Num 8 1456 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(33) 1720 RVDTBL34 Num 8 1464 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(34) 1721 RVDTBL35 Num 8 1472 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(35) 1722 RVDTBL36 Num 8 1480 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(36) 1723 RVDTBL37 Num 8 1488 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(37) 1724 RVDTBL38 Num 8 1496 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(38) 1725 RVDTBL39 Num 8 1504 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(39) 1726 RVDTBL40 Num 8 1512 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(40) 1727 RVDTBL41 Num 8 1520 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(41) 1728 RVDTBL42 Num 8 1528 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(42) 1729 RVDTBL43 Num 8 1536 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(43) 1730 RVDTBL44 Num 8 1544 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(44) 1731 RVDTBL45 Num 8 1552 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(45) 1822 RVMSP101 Num 8 2280 COMMA14.2 REV_CNTR_MSP1_PD_AMT(1) 1823 RVMSP102 Num 8 2288 COMMA14.2 REV_CNTR_MSP1_PD_AMT(2) 1824 RVMSP103 Num 8 2296 COMMA14.2 REV_CNTR_MSP1_PD_AMT(3) 1825 RVMSP104 Num 8 2304 COMMA14.2 REV_CNTR_MSP1_PD_AMT(4) 1826 RVMSP105 Num 8 2312 COMMA14.2 REV_CNTR_MSP1_PD_AMT(5) 1827 RVMSP106 Num 8 2320 COMMA14.2 REV_CNTR_MSP1_PD_AMT(6) 1828 RVMSP107 Num 8 2328 COMMA14.2 REV_CNTR_MSP1_PD_AMT(7) 1829 RVMSP108 Num 8 2336 COMMA14.2 REV_CNTR_MSP1_PD_AMT(8) 1830 RVMSP109 Num 8 2344 COMMA14.2 REV_CNTR_MSP1_PD_AMT(9) 1831 RVMSP110 Num 8 2352 COMMA14.2 REV_CNTR_MSP1_PD_AMT(10) 1832 RVMSP111 Num 8 2360 COMMA14.2 REV_CNTR_MSP1_PD_AMT(11) 1833 RVMSP112 Num 8 2368 COMMA14.2 REV_CNTR_MSP1_PD_AMT(12) 1834 RVMSP113 Num 8 2376 COMMA14.2 REV_CNTR_MSP1_PD_AMT(13) 1835 RVMSP114 Num 8 2384 COMMA14.2 REV_CNTR_MSP1_PD_AMT(14) 1836 RVMSP115 Num 8 2392 COMMA14.2 REV_CNTR_MSP1_PD_AMT(15) 1837 RVMSP116 Num 8 2400 COMMA14.2 REV_CNTR_MSP1_PD_AMT(16) 1838 RVMSP117 Num 8 2408 COMMA14.2 REV_CNTR_MSP1_PD_AMT(17) 1839 RVMSP118 Num 8 2416 COMMA14.2 REV_CNTR_MSP1_PD_AMT(18) 1840 RVMSP119 Num 8 2424 COMMA14.2 REV_CNTR_MSP1_PD_AMT(19) 1841 RVMSP120 Num 8 2432 COMMA14.2 REV_CNTR_MSP1_PD_AMT(20) 1842 RVMSP121 Num 8 2440 COMMA14.2 REV_CNTR_MSP1_PD_AMT(21) 1843 RVMSP122 Num 8 2448 COMMA14.2 REV_CNTR_MSP1_PD_AMT(22) 1844 RVMSP123 Num 8 2456 COMMA14.2 REV_CNTR_MSP1_PD_AMT(23) 1845 RVMSP124 Num 8 2464 COMMA14.2 REV_CNTR_MSP1_PD_AMT(24) 1846 RVMSP125 Num 8 2472 COMMA14.2 REV_CNTR_MSP1_PD_AMT(25) 1847 RVMSP126 Num 8 2480 COMMA14.2 REV_CNTR_MSP1_PD_AMT(26) 1848 RVMSP127 Num 8 2488 COMMA14.2 REV_CNTR_MSP1_PD_AMT(27) 1849 RVMSP128 Num 8 2496 COMMA14.2 REV_CNTR_MSP1_PD_AMT(28) 1850 RVMSP129 Num 8 2504 COMMA14.2 REV_CNTR_MSP1_PD_AMT(29) 1851 RVMSP130 Num 8 2512 COMMA14.2 REV_CNTR_MSP1_PD_AMT(30) 1852 RVMSP131 Num 8 2520 COMMA14.2 REV_CNTR_MSP1_PD_AMT(31) 1853 RVMSP132 Num 8 2528 COMMA14.2 REV_CNTR_MSP1_PD_AMT(32) 1854 RVMSP133 Num 8 2536 COMMA14.2 REV_CNTR_MSP1_PD_AMT(33) 1855 RVMSP134 Num 8 2544 COMMA14.2 REV_CNTR_MSP1_PD_AMT(34) 1856 RVMSP135 Num 8 2552 COMMA14.2 REV_CNTR_MSP1_PD_AMT(35) 1857 RVMSP136 Num 8 2560 COMMA14.2 REV_CNTR_MSP1_PD_AMT(36) 1858 RVMSP137 Num 8 2568 COMMA14.2 REV_CNTR_MSP1_PD_AMT(37) 1859 RVMSP138 Num 8 2576 COMMA14.2 REV_CNTR_MSP1_PD_AMT(38) 1860 RVMSP139 Num 8 2584 COMMA14.2 REV_CNTR_MSP1_PD_AMT(39) 1861 RVMSP140 Num 8 2592 COMMA14.2 REV_CNTR_MSP1_PD_AMT(40) 1862 RVMSP141 Num 8 2600 COMMA14.2 REV_CNTR_MSP1_PD_AMT(41) 1863 RVMSP142 Num 8 2608 COMMA14.2 REV_CNTR_MSP1_PD_AMT(42) 1864 RVMSP143 Num 8 2616 COMMA14.2 REV_CNTR_MSP1_PD_AMT(43) 1865 RVMSP144 Num 8 2624 COMMA14.2 REV_CNTR_MSP1_PD_AMT(44) 1866 RVMSP145 Num 8 2632 COMMA14.2 REV_CNTR_MSP1_PD_AMT(45) 1867 RVMSP201 Num 8 2640 COMMA14.2 REV_CNTR_MSP2_PD_AMT(1) 1868 RVMSP202 Num 8 2648 COMMA14.2 REV_CNTR_MSP2_PD_AMT(2) 1869 RVMSP203 Num 8 2656 COMMA14.2 REV_CNTR_MSP2_PD_AMT(3) 1870 RVMSP204 Num 8 2664 COMMA14.2 REV_CNTR_MSP2_PD_AMT(4) 1871 RVMSP205 Num 8 2672 COMMA14.2 REV_CNTR_MSP2_PD_AMT(5) 1872 RVMSP206 Num 8 2680 COMMA14.2 REV_CNTR_MSP2_PD_AMT(6) 1873 RVMSP207 Num 8 2688 COMMA14.2 REV_CNTR_MSP2_PD_AMT(7) 1874 RVMSP208 Num 8 2696 COMMA14.2 REV_CNTR_MSP2_PD_AMT(8) 1875 RVMSP209 Num 8 2704 COMMA14.2 REV_CNTR_MSP2_PD_AMT(9) 1876 RVMSP210 Num 8 2712 COMMA14.2 REV_CNTR_MSP2_PD_AMT(10) 1877 RVMSP211 Num 8 2720 COMMA14.2 REV_CNTR_MSP2_PD_AMT(11) 1878 RVMSP212 Num 8 2728 COMMA14.2 REV_CNTR_MSP2_PD_AMT(12) 1879 RVMSP213 Num 8 2736 COMMA14.2 REV_CNTR_MSP2_PD_AMT(13) 1880 RVMSP214 Num 8 2744 COMMA14.2 REV_CNTR_MSP2_PD_AMT(14) 1881 RVMSP215 Num 8 2752 COMMA14.2 REV_CNTR_MSP2_PD_AMT(15) 1882 RVMSP216 Num 8 2760 COMMA14.2 REV_CNTR_MSP2_PD_AMT(16) 1883 RVMSP217 Num 8 2768 COMMA14.2 REV_CNTR_MSP2_PD_AMT(17) 1884 RVMSP218 Num 8 2776 COMMA14.2 REV_CNTR_MSP2_PD_AMT(18) 1885 RVMSP219 Num 8 2784 COMMA14.2 REV_CNTR_MSP2_PD_AMT(19) 1886 RVMSP220 Num 8 2792 COMMA14.2 REV_CNTR_MSP2_PD_AMT(20) 1887 RVMSP221 Num 8 2800 COMMA14.2 REV_CNTR_MSP2_PD_AMT(21) 1888 RVMSP222 Num 8 2808 COMMA14.2 REV_CNTR_MSP2_PD_AMT(22) 1889 RVMSP223 Num 8 2816 COMMA14.2 REV_CNTR_MSP2_PD_AMT(23) 1890 RVMSP224 Num 8 2824 COMMA14.2 REV_CNTR_MSP2_PD_AMT(24) 1891 RVMSP225 Num 8 2832 COMMA14.2 REV_CNTR_MSP2_PD_AMT(25) 1892 RVMSP226 Num 8 2840 COMMA14.2 REV_CNTR_MSP2_PD_AMT(26) 1893 RVMSP227 Num 8 2848 COMMA14.2 REV_CNTR_MSP2_PD_AMT(27) 1894 RVMSP228 Num 8 2856 COMMA14.2 REV_CNTR_MSP2_PD_AMT(28) 1895 RVMSP229 Num 8 2864 COMMA14.2 REV_CNTR_MSP2_PD_AMT(29) 1896 RVMSP230 Num 8 2872 COMMA14.2 REV_CNTR_MSP2_PD_AMT(30) 1897 RVMSP231 Num 8 2880 COMMA14.2 REV_CNTR_MSP2_PD_AMT(31) 1898 RVMSP232 Num 8 2888 COMMA14.2 REV_CNTR_MSP2_PD_AMT(32) 1899 RVMSP233 Num 8 2896 COMMA14.2 REV_CNTR_MSP2_PD_AMT(33) 1900 RVMSP234 Num 8 2904 COMMA14.2 REV_CNTR_MSP2_PD_AMT(34) 1901 RVMSP235 Num 8 2912 COMMA14.2 REV_CNTR_MSP2_PD_AMT(35) 1902 RVMSP236 Num 8 2920 COMMA14.2 REV_CNTR_MSP2_PD_AMT(36) 1903 RVMSP237 Num 8 2928 COMMA14.2 REV_CNTR_MSP2_PD_AMT(37) 1904 RVMSP238 Num 8 2936 COMMA14.2 REV_CNTR_MSP2_PD_AMT(38) 1905 RVMSP239 Num 8 2944 COMMA14.2 REV_CNTR_MSP2_PD_AMT(39) 1906 RVMSP240 Num 8 2952 COMMA14.2 REV_CNTR_MSP2_PD_AMT(40) 1907 RVMSP241 Num 8 2960 COMMA14.2 REV_CNTR_MSP2_PD_AMT(41) 1908 RVMSP242 Num 8 2968 COMMA14.2 REV_CNTR_MSP2_PD_AMT(42) 1909 RVMSP243 Num 8 2976 COMMA14.2 REV_CNTR_MSP2_PD_AMT(43) 1910 RVMSP244 Num 8 2984 COMMA14.2 REV_CNTR_MSP2_PD_AMT(44) 1911 RVMSP245 Num 8 2992 COMMA14.2 REV_CNTR_MSP2_PD_AMT(45) 2182 RVNCVR01 Num 8 5160 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(1) 2183 RVNCVR02 Num 8 5168 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(2) 2184 RVNCVR03 Num 8 5176 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(3) 2185 RVNCVR04 Num 8 5184 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(4) 2186 RVNCVR05 Num 8 5192 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(5) 2187 RVNCVR06 Num 8 5200 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(6) 2188 RVNCVR07 Num 8 5208 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(7) 2189 RVNCVR08 Num 8 5216 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(8) 2190 RVNCVR09 Num 8 5224 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(9) 2191 RVNCVR10 Num 8 5232 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(10) 2192 RVNCVR11 Num 8 5240 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(11) 2193 RVNCVR12 Num 8 5248 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(12) 2194 RVNCVR13 Num 8 5256 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(13) 2195 RVNCVR14 Num 8 5264 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(14) 2196 RVNCVR15 Num 8 5272 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(15) 2197 RVNCVR16 Num 8 5280 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(16) 2198 RVNCVR17 Num 8 5288 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(17) 2199 RVNCVR18 Num 8 5296 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(18) 2200 RVNCVR19 Num 8 5304 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(19) 2201 RVNCVR20 Num 8 5312 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(20) 2202 RVNCVR21 Num 8 5320 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(21) 2203 RVNCVR22 Num 8 5328 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(22) 2204 RVNCVR23 Num 8 5336 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(23) 2205 RVNCVR24 Num 8 5344 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(24) 2206 RVNCVR25 Num 8 5352 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(25) 2207 RVNCVR26 Num 8 5360 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(26) 2208 RVNCVR27 Num 8 5368 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(27) 2209 RVNCVR28 Num 8 5376 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(28) 2210 RVNCVR29 Num 8 5384 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(29) 2211 RVNCVR30 Num 8 5392 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(30) 2212 RVNCVR31 Num 8 5400 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(31) 2213 RVNCVR32 Num 8 5408 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(32) 2214 RVNCVR33 Num 8 5416 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(33) 2215 RVNCVR34 Num 8 5424 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(34) 2216 RVNCVR35 Num 8 5432 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(35) 2217 RVNCVR36 Num 8 5440 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(36) 2218 RVNCVR37 Num 8 5448 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(37) 2219 RVNCVR38 Num 8 5456 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(38) 2220 RVNCVR39 Num 8 5464 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(39) 2221 RVNCVR40 Num 8 5472 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(40) 2222 RVNCVR41 Num 8 5480 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(41) 2223 RVNCVR42 Num 8 5488 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(42) 2224 RVNCVR43 Num 8 5496 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(43) 2225 RVNCVR44 Num 8 5504 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(44) 2226 RVNCVR45 Num 8 5512 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(45) 742 RVNS101 Char 5 6993 REV_CNTR_ANSI_1_CD(1) 743 RVNS102 Char 5 6998 REV_CNTR_ANSI_1_CD(2) 744 RVNS103 Char 5 7003 REV_CNTR_ANSI_1_CD(3) 745 RVNS104 Char 5 7008 REV_CNTR_ANSI_1_CD(4) 746 RVNS105 Char 5 7013 REV_CNTR_ANSI_1_CD(5) 747 RVNS106 Char 5 7018 REV_CNTR_ANSI_1_CD(6) 748 RVNS107 Char 5 7023 REV_CNTR_ANSI_1_CD(7) 749 RVNS108 Char 5 7028 REV_CNTR_ANSI_1_CD(8) 750 RVNS109 Char 5 7033 REV_CNTR_ANSI_1_CD(9) 751 RVNS110 Char 5 7038 REV_CNTR_ANSI_1_CD(10) 752 RVNS111 Char 5 7043 REV_CNTR_ANSI_1_CD(11) 753 RVNS112 Char 5 7048 REV_CNTR_ANSI_1_CD(12) 754 RVNS113 Char 5 7053 REV_CNTR_ANSI_1_CD(13) 755 RVNS114 Char 5 7058 REV_CNTR_ANSI_1_CD(14) 756 RVNS115 Char 5 7063 REV_CNTR_ANSI_1_CD(15) 757 RVNS116 Char 5 7068 REV_CNTR_ANSI_1_CD(16) 758 RVNS117 Char 5 7073 REV_CNTR_ANSI_1_CD(17) 759 RVNS118 Char 5 7078 REV_CNTR_ANSI_1_CD(18) 760 RVNS119 Char 5 7083 REV_CNTR_ANSI_1_CD(19) 761 RVNS120 Char 5 7088 REV_CNTR_ANSI_1_CD(20) 762 RVNS121 Char 5 7093 REV_CNTR_ANSI_1_CD(21) 763 RVNS122 Char 5 7098 REV_CNTR_ANSI_1_CD(22) 764 RVNS123 Char 5 7103 REV_CNTR_ANSI_1_CD(23) 765 RVNS124 Char 5 7108 REV_CNTR_ANSI_1_CD(24) 766 RVNS125 Char 5 7113 REV_CNTR_ANSI_1_CD(25) 767 RVNS126 Char 5 7118 REV_CNTR_ANSI_1_CD(26) 768 RVNS127 Char 5 7123 REV_CNTR_ANSI_1_CD(27) 769 RVNS128 Char 5 7128 REV_CNTR_ANSI_1_CD(28) 770 RVNS129 Char 5 7133 REV_CNTR_ANSI_1_CD(29) 771 RVNS130 Char 5 7138 REV_CNTR_ANSI_1_CD(30) 772 RVNS131 Char 5 7143 REV_CNTR_ANSI_1_CD(31) 773 RVNS132 Char 5 7148 REV_CNTR_ANSI_1_CD(32) 774 RVNS133 Char 5 7153 REV_CNTR_ANSI_1_CD(33) 775 RVNS134 Char 5 7158 REV_CNTR_ANSI_1_CD(34) 776 RVNS135 Char 5 7163 REV_CNTR_ANSI_1_CD(35) 777 RVNS136 Char 5 7168 REV_CNTR_ANSI_1_CD(36) 778 RVNS137 Char 5 7173 REV_CNTR_ANSI_1_CD(37) 779 RVNS138 Char 5 7178 REV_CNTR_ANSI_1_CD(38) 780 RVNS139 Char 5 7183 REV_CNTR_ANSI_1_CD(39) 781 RVNS140 Char 5 7188 REV_CNTR_ANSI_1_CD(40) 782 RVNS141 Char 5 7193 REV_CNTR_ANSI_1_CD(41) 783 RVNS142 Char 5 7198 REV_CNTR_ANSI_1_CD(42) 784 RVNS143 Char 5 7203 REV_CNTR_ANSI_1_CD(43) 785 RVNS144 Char 5 7208 REV_CNTR_ANSI_1_CD(44) 786 RVNS145 Char 5 7213 REV_CNTR_ANSI_1_CD(45) 787 RVNS201 Char 5 7218 REV_CNTR_ANSI_2_CD(1) 788 RVNS202 Char 5 7223 REV_CNTR_ANSI_2_CD(2) 789 RVNS203 Char 5 7228 REV_CNTR_ANSI_2_CD(3) 790 RVNS204 Char 5 7233 REV_CNTR_ANSI_2_CD(4) 791 RVNS205 Char 5 7238 REV_CNTR_ANSI_2_CD(5) 792 RVNS206 Char 5 7243 REV_CNTR_ANSI_2_CD(6) 793 RVNS207 Char 5 7248 REV_CNTR_ANSI_2_CD(7) 794 RVNS208 Char 5 7253 REV_CNTR_ANSI_2_CD(8) 795 RVNS209 Char 5 7258 REV_CNTR_ANSI_2_CD(9) 796 RVNS210 Char 5 7263 REV_CNTR_ANSI_2_CD(10) 797 RVNS211 Char 5 7268 REV_CNTR_ANSI_2_CD(11) 798 RVNS212 Char 5 7273 REV_CNTR_ANSI_2_CD(12) 799 RVNS213 Char 5 7278 REV_CNTR_ANSI_2_CD(13) 800 RVNS214 Char 5 7283 REV_CNTR_ANSI_2_CD(14) 801 RVNS215 Char 5 7288 REV_CNTR_ANSI_2_CD(15) 802 RVNS216 Char 5 7293 REV_CNTR_ANSI_2_CD(16) 803 RVNS217 Char 5 7298 REV_CNTR_ANSI_2_CD(17) 804 RVNS218 Char 5 7303 REV_CNTR_ANSI_2_CD(18) 805 RVNS219 Char 5 7308 REV_CNTR_ANSI_2_CD(19) 806 RVNS220 Char 5 7313 REV_CNTR_ANSI_2_CD(20) 807 RVNS221 Char 5 7318 REV_CNTR_ANSI_2_CD(21) 808 RVNS222 Char 5 7323 REV_CNTR_ANSI_2_CD(22) 809 RVNS223 Char 5 7328 REV_CNTR_ANSI_2_CD(23) 810 RVNS224 Char 5 7333 REV_CNTR_ANSI_2_CD(24) 811 RVNS225 Char 5 7338 REV_CNTR_ANSI_2_CD(25) 812 RVNS226 Char 5 7343 REV_CNTR_ANSI_2_CD(26) 813 RVNS227 Char 5 7348 REV_CNTR_ANSI_2_CD(27) 814 RVNS228 Char 5 7353 REV_CNTR_ANSI_2_CD(28) 815 RVNS229 Char 5 7358 REV_CNTR_ANSI_2_CD(29) 816 RVNS230 Char 5 7363 REV_CNTR_ANSI_2_CD(30) 817 RVNS231 Char 5 7368 REV_CNTR_ANSI_2_CD(31) 818 RVNS232 Char 5 7373 REV_CNTR_ANSI_2_CD(32) 819 RVNS233 Char 5 7378 REV_CNTR_ANSI_2_CD(33) 820 RVNS234 Char 5 7383 REV_CNTR_ANSI_2_CD(34) 821 RVNS235 Char 5 7388 REV_CNTR_ANSI_2_CD(35) 822 RVNS236 Char 5 7393 REV_CNTR_ANSI_2_CD(36) 823 RVNS237 Char 5 7398 REV_CNTR_ANSI_2_CD(37) 824 RVNS238 Char 5 7403 REV_CNTR_ANSI_2_CD(38) 825 RVNS239 Char 5 7408 REV_CNTR_ANSI_2_CD(39) 826 RVNS240 Char 5 7413 REV_CNTR_ANSI_2_CD(40) 827 RVNS241 Char 5 7418 REV_CNTR_ANSI_2_CD(41) 828 RVNS242 Char 5 7423 REV_CNTR_ANSI_2_CD(42) 829 RVNS243 Char 5 7428 REV_CNTR_ANSI_2_CD(43) 830 RVNS244 Char 5 7433 REV_CNTR_ANSI_2_CD(44) 831 RVNS245 Char 5 7438 REV_CNTR_ANSI_2_CD(45) 832 RVNS301 Char 5 7443 REV_CNTR_ANSI_3_CD(1) 833 RVNS302 Char 5 7448 REV_CNTR_ANSI_3_CD(2) 834 RVNS303 Char 5 7453 REV_CNTR_ANSI_3_CD(3) 835 RVNS304 Char 5 7458 REV_CNTR_ANSI_3_CD(4) 836 RVNS305 Char 5 7463 REV_CNTR_ANSI_3_CD(5) 837 RVNS306 Char 5 7468 REV_CNTR_ANSI_3_CD(6) 838 RVNS307 Char 5 7473 REV_CNTR_ANSI_3_CD(7) 839 RVNS308 Char 5 7478 REV_CNTR_ANSI_3_CD(8) 840 RVNS309 Char 5 7483 REV_CNTR_ANSI_3_CD(9) 841 RVNS310 Char 5 7488 REV_CNTR_ANSI_3_CD(10) 842 RVNS311 Char 5 7493 REV_CNTR_ANSI_3_CD(11) 843 RVNS312 Char 5 7498 REV_CNTR_ANSI_3_CD(12) 844 RVNS313 Char 5 7503 REV_CNTR_ANSI_3_CD(13) 845 RVNS314 Char 5 7508 REV_CNTR_ANSI_3_CD(14) 846 RVNS315 Char 5 7513 REV_CNTR_ANSI_3_CD(15) 847 RVNS316 Char 5 7518 REV_CNTR_ANSI_3_CD(16) 848 RVNS317 Char 5 7523 REV_CNTR_ANSI_3_CD(17) 849 RVNS318 Char 5 7528 REV_CNTR_ANSI_3_CD(18) 850 RVNS319 Char 5 7533 REV_CNTR_ANSI_3_CD(19) 851 RVNS320 Char 5 7538 REV_CNTR_ANSI_3_CD(20) 852 RVNS321 Char 5 7543 REV_CNTR_ANSI_3_CD(21) 853 RVNS322 Char 5 7548 REV_CNTR_ANSI_3_CD(22) 854 RVNS323 Char 5 7553 REV_CNTR_ANSI_3_CD(23) 855 RVNS324 Char 5 7558 REV_CNTR_ANSI_3_CD(24) 856 RVNS325 Char 5 7563 REV_CNTR_ANSI_3_CD(25) 857 RVNS326 Char 5 7568 REV_CNTR_ANSI_3_CD(26) 858 RVNS327 Char 5 7573 REV_CNTR_ANSI_3_CD(27) 859 RVNS328 Char 5 7578 REV_CNTR_ANSI_3_CD(28) 860 RVNS329 Char 5 7583 REV_CNTR_ANSI_3_CD(29) 861 RVNS330 Char 5 7588 REV_CNTR_ANSI_3_CD(30) 862 RVNS331 Char 5 7593 REV_CNTR_ANSI_3_CD(31) 863 RVNS332 Char 5 7598 REV_CNTR_ANSI_3_CD(32) 864 RVNS333 Char 5 7603 REV_CNTR_ANSI_3_CD(33) 865 RVNS334 Char 5 7608 REV_CNTR_ANSI_3_CD(34) 866 RVNS335 Char 5 7613 REV_CNTR_ANSI_3_CD(35) 867 RVNS336 Char 5 7618 REV_CNTR_ANSI_3_CD(36) 868 RVNS337 Char 5 7623 REV_CNTR_ANSI_3_CD(37) 869 RVNS338 Char 5 7628 REV_CNTR_ANSI_3_CD(38) 870 RVNS339 Char 5 7633 REV_CNTR_ANSI_3_CD(39) 871 RVNS340 Char 5 7638 REV_CNTR_ANSI_3_CD(40) 872 RVNS341 Char 5 7643 REV_CNTR_ANSI_3_CD(41) 873 RVNS342 Char 5 7648 REV_CNTR_ANSI_3_CD(42) 874 RVNS343 Char 5 7653 REV_CNTR_ANSI_3_CD(43) 875 RVNS344 Char 5 7658 REV_CNTR_ANSI_3_CD(44) 876 RVNS345 Char 5 7663 REV_CNTR_ANSI_3_CD(45) 877 RVNS401 Char 5 7668 REV_CNTR_ANSI_4_CD(1) 878 RVNS402 Char 5 7673 REV_CNTR_ANSI_4_CD(2) 879 RVNS403 Char 5 7678 REV_CNTR_ANSI_4_CD(3) 880 RVNS404 Char 5 7683 REV_CNTR_ANSI_4_CD(4) 881 RVNS405 Char 5 7688 REV_CNTR_ANSI_4_CD(5) 882 RVNS406 Char 5 7693 REV_CNTR_ANSI_4_CD(6) 883 RVNS407 Char 5 7698 REV_CNTR_ANSI_4_CD(7) 884 RVNS408 Char 5 7703 REV_CNTR_ANSI_4_CD(8) 885 RVNS409 Char 5 7708 REV_CNTR_ANSI_4_CD(9) 886 RVNS410 Char 5 7713 REV_CNTR_ANSI_4_CD(10) 887 RVNS411 Char 5 7718 REV_CNTR_ANSI_4_CD(11) 888 RVNS412 Char 5 7723 REV_CNTR_ANSI_4_CD(12) 889 RVNS413 Char 5 7728 REV_CNTR_ANSI_4_CD(13) 890 RVNS414 Char 5 7733 REV_CNTR_ANSI_4_CD(14) 891 RVNS415 Char 5 7738 REV_CNTR_ANSI_4_CD(15) 892 RVNS416 Char 5 7743 REV_CNTR_ANSI_4_CD(16) 893 RVNS417 Char 5 7748 REV_CNTR_ANSI_4_CD(17) 894 RVNS418 Char 5 7753 REV_CNTR_ANSI_4_CD(18) 895 RVNS419 Char 5 7758 REV_CNTR_ANSI_4_CD(19) 896 RVNS420 Char 5 7763 REV_CNTR_ANSI_4_CD(20) 897 RVNS421 Char 5 7768 REV_CNTR_ANSI_4_CD(21) 898 RVNS422 Char 5 7773 REV_CNTR_ANSI_4_CD(22) 899 RVNS423 Char 5 7778 REV_CNTR_ANSI_4_CD(23) 900 RVNS424 Char 5 7783 REV_CNTR_ANSI_4_CD(24) 901 RVNS425 Char 5 7788 REV_CNTR_ANSI_4_CD(25) 902 RVNS426 Char 5 7793 REV_CNTR_ANSI_4_CD(26) 903 RVNS427 Char 5 7798 REV_CNTR_ANSI_4_CD(27) 904 RVNS428 Char 5 7803 REV_CNTR_ANSI_4_CD(28) 905 RVNS429 Char 5 7808 REV_CNTR_ANSI_4_CD(29) 906 RVNS430 Char 5 7813 REV_CNTR_ANSI_4_CD(30) 907 RVNS431 Char 5 7818 REV_CNTR_ANSI_4_CD(31) 908 RVNS432 Char 5 7823 REV_CNTR_ANSI_4_CD(32) 909 RVNS433 Char 5 7828 REV_CNTR_ANSI_4_CD(33) 910 RVNS434 Char 5 7833 REV_CNTR_ANSI_4_CD(34) 911 RVNS435 Char 5 7838 REV_CNTR_ANSI_4_CD(35) 912 RVNS436 Char 5 7843 REV_CNTR_ANSI_4_CD(36) 913 RVNS437 Char 5 7848 REV_CNTR_ANSI_4_CD(37) 914 RVNS438 Char 5 7853 REV_CNTR_ANSI_4_CD(38) 915 RVNS439 Char 5 7858 REV_CNTR_ANSI_4_CD(39) 916 RVNS440 Char 5 7863 REV_CNTR_ANSI_4_CD(40) 917 RVNS441 Char 5 7868 REV_CNTR_ANSI_4_CD(41) 918 RVNS442 Char 5 7873 REV_CNTR_ANSI_4_CD(42) 919 RVNS443 Char 5 7878 REV_CNTR_ANSI_4_CD(43) 920 RVNS444 Char 5 7883 REV_CNTR_ANSI_4_CD(44) 921 RVNS445 Char 5 7888 REV_CNTR_ANSI_4_CD(45) 1912 RVPCHG01 Num 8 3000 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(1) 1913 RVPCHG02 Num 8 3008 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(2) 1914 RVPCHG03 Num 8 3016 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(3) 1915 RVPCHG04 Num 8 3024 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(4) 1916 RVPCHG05 Num 8 3032 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(5) 1917 RVPCHG06 Num 8 3040 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(6) 1918 RVPCHG07 Num 8 3048 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(7) 1919 RVPCHG08 Num 8 3056 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(8) 1920 RVPCHG09 Num 8 3064 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(9) 1921 RVPCHG10 Num 8 3072 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(10) 1922 RVPCHG11 Num 8 3080 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(11) 1923 RVPCHG12 Num 8 3088 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(12) 1924 RVPCHG13 Num 8 3096 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(13) 1925 RVPCHG14 Num 8 3104 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(14) 1926 RVPCHG15 Num 8 3112 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(15) 1927 RVPCHG16 Num 8 3120 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(16) 1928 RVPCHG17 Num 8 3128 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(17) 1929 RVPCHG18 Num 8 3136 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(18) 1930 RVPCHG19 Num 8 3144 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(19) 1931 RVPCHG20 Num 8 3152 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(20) 1932 RVPCHG21 Num 8 3160 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(21) 1933 RVPCHG22 Num 8 3168 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(22) 1934 RVPCHG23 Num 8 3176 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(23) 1935 RVPCHG24 Num 8 3184 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(24) 1936 RVPCHG25 Num 8 3192 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(25) 1937 RVPCHG26 Num 8 3200 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(26) 1938 RVPCHG27 Num 8 3208 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(27) 1939 RVPCHG28 Num 8 3216 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(28) 1940 RVPCHG29 Num 8 3224 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(29) 1941 RVPCHG30 Num 8 3232 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(30) 1942 RVPCHG31 Num 8 3240 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(31) 1943 RVPCHG32 Num 8 3248 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(32) 1944 RVPCHG33 Num 8 3256 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(33) 1945 RVPCHG34 Num 8 3264 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(34) 1946 RVPCHG35 Num 8 3272 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(35) 1947 RVPCHG36 Num 8 3280 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(36) 1948 RVPCHG37 Num 8 3288 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(37) 1949 RVPCHG38 Num 8 3296 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(38) 1950 RVPCHG39 Num 8 3304 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(39) 1951 RVPCHG40 Num 8 3312 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(40) 1952 RVPCHG41 Num 8 3320 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(41) 1953 RVPCHG42 Num 8 3328 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(42) 1954 RVPCHG43 Num 8 3336 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(43) 1955 RVPCHG44 Num 8 3344 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(44) 1956 RVPCHG45 Num 8 3352 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(45) 1597 RVRT01 Num 8 480 COMMA14.2 REV_CNTR_RATE_AMT(1) 1598 RVRT02 Num 8 488 COMMA14.2 REV_CNTR_RATE_AMT(2) 1599 RVRT03 Num 8 496 COMMA14.2 REV_CNTR_RATE_AMT(3) 1600 RVRT04 Num 8 504 COMMA14.2 REV_CNTR_RATE_AMT(4) 1601 RVRT05 Num 8 512 COMMA14.2 REV_CNTR_RATE_AMT(5) 1602 RVRT06 Num 8 520 COMMA14.2 REV_CNTR_RATE_AMT(6) 1603 RVRT07 Num 8 528 COMMA14.2 REV_CNTR_RATE_AMT(7) 1604 RVRT08 Num 8 536 COMMA14.2 REV_CNTR_RATE_AMT(8) 1605 RVRT09 Num 8 544 COMMA14.2 REV_CNTR_RATE_AMT(9) 1606 RVRT10 Num 8 552 COMMA14.2 REV_CNTR_RATE_AMT(10) 1607 RVRT11 Num 8 560 COMMA14.2 REV_CNTR_RATE_AMT(11) 1608 RVRT12 Num 8 568 COMMA14.2 REV_CNTR_RATE_AMT(12) 1609 RVRT13 Num 8 576 COMMA14.2 REV_CNTR_RATE_AMT(13) 1610 RVRT14 Num 8 584 COMMA14.2 REV_CNTR_RATE_AMT(14) 1611 RVRT15 Num 8 592 COMMA14.2 REV_CNTR_RATE_AMT(15) 1612 RVRT16 Num 8 600 COMMA14.2 REV_CNTR_RATE_AMT(16) 1613 RVRT17 Num 8 608 COMMA14.2 REV_CNTR_RATE_AMT(17) 1614 RVRT18 Num 8 616 COMMA14.2 REV_CNTR_RATE_AMT(18) 1615 RVRT19 Num 8 624 COMMA14.2 REV_CNTR_RATE_AMT(19) 1616 RVRT20 Num 8 632 COMMA14.2 REV_CNTR_RATE_AMT(20) 1617 RVRT21 Num 8 640 COMMA14.2 REV_CNTR_RATE_AMT(21) 1618 RVRT22 Num 8 648 COMMA14.2 REV_CNTR_RATE_AMT(22) 1619 RVRT23 Num 8 656 COMMA14.2 REV_CNTR_RATE_AMT(23) 1620 RVRT24 Num 8 664 COMMA14.2 REV_CNTR_RATE_AMT(24) 1621 RVRT25 Num 8 672 COMMA14.2 REV_CNTR_RATE_AMT(25) 1622 RVRT26 Num 8 680 COMMA14.2 REV_CNTR_RATE_AMT(26) 1623 RVRT27 Num 8 688 COMMA14.2 REV_CNTR_RATE_AMT(27) 1624 RVRT28 Num 8 696 COMMA14.2 REV_CNTR_RATE_AMT(28) 1625 RVRT29 Num 8 704 COMMA14.2 REV_CNTR_RATE_AMT(29) 1626 RVRT30 Num 8 712 COMMA14.2 REV_CNTR_RATE_AMT(30) 1627 RVRT31 Num 8 720 COMMA14.2 REV_CNTR_RATE_AMT(31) 1628 RVRT32 Num 8 728 COMMA14.2 REV_CNTR_RATE_AMT(32) 1629 RVRT33 Num 8 736 COMMA14.2 REV_CNTR_RATE_AMT(33) 1630 RVRT34 Num 8 744 COMMA14.2 REV_CNTR_RATE_AMT(34) 1631 RVRT35 Num 8 752 COMMA14.2 REV_CNTR_RATE_AMT(35) 1632 RVRT36 Num 8 760 COMMA14.2 REV_CNTR_RATE_AMT(36) 1633 RVRT37 Num 8 768 COMMA14.2 REV_CNTR_RATE_AMT(37) 1634 RVRT38 Num 8 776 COMMA14.2 REV_CNTR_RATE_AMT(38) 1635 RVRT39 Num 8 784 COMMA14.2 REV_CNTR_RATE_AMT(39) 1636 RVRT40 Num 8 792 COMMA14.2 REV_CNTR_RATE_AMT(40) 1637 RVRT41 Num 8 800 COMMA14.2 REV_CNTR_RATE_AMT(41) 1638 RVRT42 Num 8 808 COMMA14.2 REV_CNTR_RATE_AMT(42) 1639 RVRT43 Num 8 816 COMMA14.2 REV_CNTR_RATE_AMT(43) 1640 RVRT44 Num 8 824 COMMA14.2 REV_CNTR_RATE_AMT(44) 1641 RVRT45 Num 8 832 COMMA14.2 REV_CNTR_RATE_AMT(45) 1552 RVUNT01 Num 4 5524 COMMA9. REV_CNTR_UNIT_CNT(1) 1553 RVUNT02 Num 4 5528 COMMA9. REV_CNTR_UNIT_CNT(2) 1554 RVUNT03 Num 4 5532 COMMA9. REV_CNTR_UNIT_CNT(3) 1555 RVUNT04 Num 4 5536 COMMA9. REV_CNTR_UNIT_CNT(4) 1556 RVUNT05 Num 4 5540 COMMA9. REV_CNTR_UNIT_CNT(5) 1557 RVUNT06 Num 4 5544 COMMA9. REV_CNTR_UNIT_CNT(6) 1558 RVUNT07 Num 4 5548 COMMA9. REV_CNTR_UNIT_CNT(7) 1559 RVUNT08 Num 4 5552 COMMA9. REV_CNTR_UNIT_CNT(8) 1560 RVUNT09 Num 4 5556 COMMA9. REV_CNTR_UNIT_CNT(9) 1561 RVUNT10 Num 4 5560 COMMA9. REV_CNTR_UNIT_CNT(10) 1562 RVUNT11 Num 4 5564 COMMA9. REV_CNTR_UNIT_CNT(11) 1563 RVUNT12 Num 4 5568 COMMA9. REV_CNTR_UNIT_CNT(12) 1564 RVUNT13 Num 4 5572 COMMA9. REV_CNTR_UNIT_CNT(13) 1565 RVUNT14 Num 4 5576 COMMA9. REV_CNTR_UNIT_CNT(14) 1566 RVUNT15 Num 4 5580 COMMA9. REV_CNTR_UNIT_CNT(15) 1567 RVUNT16 Num 4 5584 COMMA9. REV_CNTR_UNIT_CNT(16) 1568 RVUNT17 Num 4 5588 COMMA9. REV_CNTR_UNIT_CNT(17) 1569 RVUNT18 Num 4 5592 COMMA9. REV_CNTR_UNIT_CNT(18) 1570 RVUNT19 Num 4 5596 COMMA9. REV_CNTR_UNIT_CNT(19) 1571 RVUNT20 Num 4 5600 COMMA9. REV_CNTR_UNIT_CNT(20) 1572 RVUNT21 Num 4 5604 COMMA9. REV_CNTR_UNIT_CNT(21) 1573 RVUNT22 Num 4 5608 COMMA9. REV_CNTR_UNIT_CNT(22) 1574 RVUNT23 Num 4 5612 COMMA9. REV_CNTR_UNIT_CNT(23) 1575 RVUNT24 Num 4 5616 COMMA9. REV_CNTR_UNIT_CNT(24) 1576 RVUNT25 Num 4 5620 COMMA9. REV_CNTR_UNIT_CNT(25) 1577 RVUNT26 Num 4 5624 COMMA9. REV_CNTR_UNIT_CNT(26) 1578 RVUNT27 Num 4 5628 COMMA9. REV_CNTR_UNIT_CNT(27) 1579 RVUNT28 Num 4 5632 COMMA9. REV_CNTR_UNIT_CNT(28) 1580 RVUNT29 Num 4 5636 COMMA9. REV_CNTR_UNIT_CNT(29) 1581 RVUNT30 Num 4 5640 COMMA9. REV_CNTR_UNIT_CNT(30) 1582 RVUNT31 Num 4 5644 COMMA9. REV_CNTR_UNIT_CNT(31) 1583 RVUNT32 Num 4 5648 COMMA9. REV_CNTR_UNIT_CNT(32) 1584 RVUNT33 Num 4 5652 COMMA9. REV_CNTR_UNIT_CNT(33) 1585 RVUNT34 Num 4 5656 COMMA9. REV_CNTR_UNIT_CNT(34) 1586 RVUNT35 Num 4 5660 COMMA9. REV_CNTR_UNIT_CNT(35) 1587 RVUNT36 Num 4 5664 COMMA9. REV_CNTR_UNIT_CNT(36) 1588 RVUNT37 Num 4 5668 COMMA9. REV_CNTR_UNIT_CNT(37) 1589 RVUNT38 Num 4 5672 COMMA9. REV_CNTR_UNIT_CNT(38) 1590 RVUNT39 Num 4 5676 COMMA9. REV_CNTR_UNIT_CNT(39) 1591 RVUNT40 Num 4 5680 COMMA9. REV_CNTR_UNIT_CNT(40) 1592 RVUNT41 Num 4 5684 COMMA9. REV_CNTR_UNIT_CNT(41) 1593 RVUNT42 Num 4 5688 COMMA9. REV_CNTR_UNIT_CNT(42) 1594 RVUNT43 Num 4 5692 COMMA9. REV_CNTR_UNIT_CNT(43) 1595 RVUNT44 Num 4 5696 COMMA9. REV_CNTR_UNIT_CNT(44) 1596 RVUNT45 Num 4 5700 COMMA9. REV_CNTR_UNIT_CNT(45) 56 SCHLD_DT Num 8 64 DATE9. FI_CLM_SCHLD_PMT_DT 3 SCRSSN Num 8 8 SCRAMBLED_SSN 62 SEX Char 1 5821 BENE_SEX_IDENT_CD 10 SGMTLINE Num 3 10298 CLM_SGMT_LINE_CNT 7 SGMT_CNT Num 3 10289 CLM_TOT_SGMT_CNT 8 SGMT_NUM Num 3 10292 CLM_SGMT_NUM 469 SPANCD01 Char 2 6640 CLM_OCRNC_SPAN_CD(1) 470 SPANCD02 Char 2 6642 CLM_OCRNC_SPAN_CD(2) 471 SPANCD03 Char 2 6644 CLM_OCRNC_SPAN_CD(3) 472 SPANCD04 Char 2 6646 CLM_OCRNC_SPAN_CD(4) 473 SPANCD05 Char 2 6648 CLM_OCRNC_SPAN_CD(5) 474 SPANCD06 Char 2 6650 CLM_OCRNC_SPAN_CD(6) 475 SPANCD07 Char 2 6652 CLM_OCRNC_SPAN_CD(7) 476 SPANCD08 Char 2 6654 CLM_OCRNC_SPAN_CD(8) 477 SPANCD09 Char 2 6656 CLM_OCRNC_SPAN_CD(9) 478 SPANCD10 Char 2 6658 CLM_OCRNC_SPAN_CD(10) 479 SPNFRM01 Num 5 10699 DATE9. CLM_OCRNC_SPAN_FROM_DT(1) 480 SPNFRM02 Num 5 10704 DATE9. CLM_OCRNC_SPAN_FROM_DT(2) 481 SPNFRM03 Num 5 10709 DATE9. CLM_OCRNC_SPAN_FROM_DT(3) 482 SPNFRM04 Num 5 10714 DATE9. CLM_OCRNC_SPAN_FROM_DT(4) 483 SPNFRM05 Num 5 10719 DATE9. CLM_OCRNC_SPAN_FROM_DT(5) 484 SPNFRM06 Num 5 10724 DATE9. CLM_OCRNC_SPAN_FROM_DT(6) 485 SPNFRM07 Num 5 10729 DATE9. CLM_OCRNC_SPAN_FROM_DT(7) 486 SPNFRM08 Num 5 10734 DATE9. CLM_OCRNC_SPAN_FROM_DT(8) 487 SPNFRM09 Num 5 10739 DATE9. CLM_OCRNC_SPAN_FROM_DT(9) 488 SPNFRM10 Num 5 10744 DATE9. CLM_OCRNC_SPAN_FROM_DT(10) 459 SPNND01 Char 1 6630 NCH_SPAN_TRLR_IND_CD(1) 460 SPNND02 Char 1 6631 NCH_SPAN_TRLR_IND_CD(2) 461 SPNND03 Char 1 6632 NCH_SPAN_TRLR_IND_CD(3) 462 SPNND04 Char 1 6633 NCH_SPAN_TRLR_IND_CD(4) 463 SPNND05 Char 1 6634 NCH_SPAN_TRLR_IND_CD(5) 464 SPNND06 Char 1 6635 NCH_SPAN_TRLR_IND_CD(6) 465 SPNND07 Char 1 6636 NCH_SPAN_TRLR_IND_CD(7) 466 SPNND08 Char 1 6637 NCH_SPAN_TRLR_IND_CD(8) 467 SPNND09 Char 1 6638 NCH_SPAN_TRLR_IND_CD(9) 468 SPNND10 Char 1 6639 NCH_SPAN_TRLR_IND_CD(10) 489 SPNTHR01 Num 5 10749 DATE9. CLM_OCRNC_SPAN_THRU_DT(1) 490 SPNTHR02 Num 5 10754 DATE9. CLM_OCRNC_SPAN_THRU_DT(2) 491 SPNTHR03 Num 5 10759 DATE9. CLM_OCRNC_SPAN_THRU_DT(3) 492 SPNTHR04 Num 5 10764 DATE9. CLM_OCRNC_SPAN_THRU_DT(4) 493 SPNTHR05 Num 5 10769 DATE9. CLM_OCRNC_SPAN_THRU_DT(5) 494 SPNTHR06 Num 5 10774 DATE9. CLM_OCRNC_SPAN_THRU_DT(6) 495 SPNTHR07 Num 5 10779 DATE9. CLM_OCRNC_SPAN_THRU_DT(7) 496 SPNTHR08 Num 5 10784 DATE9. CLM_OCRNC_SPAN_THRU_DT(8) 497 SPNTHR09 Num 5 10789 DATE9. CLM_OCRNC_SPAN_THRU_DT(9) 498 SPNTHR10 Num 5 10794 DATE9. CLM_OCRNC_SPAN_THRU_DT(10) 35 STATE_CD Char 2 5734 BENE_RSDNC_SSA_STD_STATE_CD 104 STUS_CD Char 2 6013 PTNT_DSCHRG_STUS_CD 34 ST_SGMT Char 1 5733 NCH_STATE_SGMT_CD 66 SURNAME Char 6 5825 CLM_PTNT_6_PSTN_SRNM_NAME 37 THRU_DT Num 8 24 DATE9. CLM_THRU_DT 107 TOT_CHRG Num 8 128 COMMA14.2 CLM_TOT_CHRG_AMT 46 TRANS_CD Char 1 5790 CLM_TRANS_CD 117 TRANTYPE Char 1 6023 CLM_OP_TRANS_TYPE_CD 72 TRTMT_CD Char 1 5840 CLM_EXCPTD_NEXCPTD_TRTMT_CD 48 TYPESRVC Char 1 5792 CLM_SRVC_CLSFCTN_TYPE_CD 571 VALAMT01 Num 8 192 COMMA14.2 CLM_VAL_AMT(1) 572 VALAMT02 Num 8 200 COMMA14.2 CLM_VAL_AMT(2) 573 VALAMT03 Num 8 208 COMMA14.2 CLM_VAL_AMT(3) 574 VALAMT04 Num 8 216 COMMA14.2 CLM_VAL_AMT(4) 575 VALAMT05 Num 8 224 COMMA14.2 CLM_VAL_AMT(5) 576 VALAMT06 Num 8 232 COMMA14.2 CLM_VAL_AMT(6) 577 VALAMT07 Num 8 240 COMMA14.2 CLM_VAL_AMT(7) 578 VALAMT08 Num 8 248 COMMA14.2 CLM_VAL_AMT(8) 579 VALAMT09 Num 8 256 COMMA14.2 CLM_VAL_AMT(9) 580 VALAMT10 Num 8 264 COMMA14.2 CLM_VAL_AMT(10) 581 VALAMT11 Num 8 272 COMMA14.2 CLM_VAL_AMT(11) 582 VALAMT12 Num 8 280 COMMA14.2 CLM_VAL_AMT(12) 583 VALAMT13 Num 8 288 COMMA14.2 CLM_VAL_AMT(13) 584 VALAMT14 Num 8 296 COMMA14.2 CLM_VAL_AMT(14) 585 VALAMT15 Num 8 304 COMMA14.2 CLM_VAL_AMT(15) 586 VALAMT16 Num 8 312 COMMA14.2 CLM_VAL_AMT(16) 587 VALAMT17 Num 8 320 COMMA14.2 CLM_VAL_AMT(17) 588 VALAMT18 Num 8 328 COMMA14.2 CLM_VAL_AMT(18) 589 VALAMT19 Num 8 336 COMMA14.2 CLM_VAL_AMT(19) 590 VALAMT20 Num 8 344 COMMA14.2 CLM_VAL_AMT(20) 591 VALAMT21 Num 8 352 COMMA14.2 CLM_VAL_AMT(21) 592 VALAMT22 Num 8 360 COMMA14.2 CLM_VAL_AMT(22) 593 VALAMT23 Num 8 368 COMMA14.2 CLM_VAL_AMT(23) 594 VALAMT24 Num 8 376 COMMA14.2 CLM_VAL_AMT(24) 595 VALAMT25 Num 8 384 COMMA14.2 CLM_VAL_AMT(25) 596 VALAMT26 Num 8 392 COMMA14.2 CLM_VAL_AMT(26) 597 VALAMT27 Num 8 400 COMMA14.2 CLM_VAL_AMT(27) 598 VALAMT28 Num 8 408 COMMA14.2 CLM_VAL_AMT(28) 599 VALAMT29 Num 8 416 COMMA14.2 CLM_VAL_AMT(29) 600 VALAMT30 Num 8 424 COMMA14.2 CLM_VAL_AMT(30) 601 VALAMT31 Num 8 432 COMMA14.2 CLM_VAL_AMT(31) 602 VALAMT32 Num 8 440 COMMA14.2 CLM_VAL_AMT(32) 603 VALAMT33 Num 8 448 COMMA14.2 CLM_VAL_AMT(33) 604 VALAMT34 Num 8 456 COMMA14.2 CLM_VAL_AMT(34) 605 VALAMT35 Num 8 464 COMMA14.2 CLM_VAL_AMT(35) 606 VALAMT36 Num 8 472 COMMA14.2 CLM_VAL_AMT(36) 499 VALIND01 Char 1 6660 NCH_VAL_TRLR_IND_CD(1) 500 VALIND02 Char 1 6661 NCH_VAL_TRLR_IND_CD(2) 501 VALIND03 Char 1 6662 NCH_VAL_TRLR_IND_CD(3) 502 VALIND04 Char 1 6663 NCH_VAL_TRLR_IND_CD(4) 503 VALIND05 Char 1 6664 NCH_VAL_TRLR_IND_CD(5) 504 VALIND06 Char 1 6665 NCH_VAL_TRLR_IND_CD(6) 505 VALIND07 Char 1 6666 NCH_VAL_TRLR_IND_CD(7) 506 VALIND08 Char 1 6667 NCH_VAL_TRLR_IND_CD(8) 507 VALIND09 Char 1 6668 NCH_VAL_TRLR_IND_CD(9) 508 VALIND10 Char 1 6669 NCH_VAL_TRLR_IND_CD(10) 509 VALIND11 Char 1 6670 NCH_VAL_TRLR_IND_CD(11) 510 VALIND12 Char 1 6671 NCH_VAL_TRLR_IND_CD(12) 511 VALIND13 Char 1 6672 NCH_VAL_TRLR_IND_CD(13) 512 VALIND14 Char 1 6673 NCH_VAL_TRLR_IND_CD(14) 513 VALIND15 Char 1 6674 NCH_VAL_TRLR_IND_CD(15) 514 VALIND16 Char 1 6675 NCH_VAL_TRLR_IND_CD(16) 515 VALIND17 Char 1 6676 NCH_VAL_TRLR_IND_CD(17) 516 VALIND18 Char 1 6677 NCH_VAL_TRLR_IND_CD(18) 517 VALIND19 Char 1 6678 NCH_VAL_TRLR_IND_CD(19) 518 VALIND20 Char 1 6679 NCH_VAL_TRLR_IND_CD(20) 519 VALIND21 Char 1 6680 NCH_VAL_TRLR_IND_CD(21) 520 VALIND22 Char 1 6681 NCH_VAL_TRLR_IND_CD(22) 521 VALIND23 Char 1 6682 NCH_VAL_TRLR_IND_CD(23) 522 VALIND24 Char 1 6683 NCH_VAL_TRLR_IND_CD(24) 523 VALIND25 Char 1 6684 NCH_VAL_TRLR_IND_CD(25) 524 VALIND26 Char 1 6685 NCH_VAL_TRLR_IND_CD(26) 525 VALIND27 Char 1 6686 NCH_VAL_TRLR_IND_CD(27) 526 VALIND28 Char 1 6687 NCH_VAL_TRLR_IND_CD(28) 527 VALIND29 Char 1 6688 NCH_VAL_TRLR_IND_CD(29) 528 VALIND30 Char 1 6689 NCH_VAL_TRLR_IND_CD(30) 529 VALIND31 Char 1 6690 NCH_VAL_TRLR_IND_CD(31) 530 VALIND32 Char 1 6691 NCH_VAL_TRLR_IND_CD(32) 531 VALIND33 Char 1 6692 NCH_VAL_TRLR_IND_CD(33) 532 VALIND34 Char 1 6693 NCH_VAL_TRLR_IND_CD(34) 533 VALIND35 Char 1 6694 NCH_VAL_TRLR_IND_CD(35) 534 VALIND36 Char 1 6695 NCH_VAL_TRLR_IND_CD(36) 535 VAL_CD01 Char 2 6696 CLM_VAL_CD(1) 536 VAL_CD02 Char 2 6698 CLM_VAL_CD(2) 537 VAL_CD03 Char 2 6700 CLM_VAL_CD(3) 538 VAL_CD04 Char 2 6702 CLM_VAL_CD(4) 539 VAL_CD05 Char 2 6704 CLM_VAL_CD(5) 540 VAL_CD06 Char 2 6706 CLM_VAL_CD(6) 541 VAL_CD07 Char 2 6708 CLM_VAL_CD(7) 542 VAL_CD08 Char 2 6710 CLM_VAL_CD(8) 543 VAL_CD09 Char 2 6712 CLM_VAL_CD(9) 544 VAL_CD10 Char 2 6714 CLM_VAL_CD(10) 545 VAL_CD11 Char 2 6716 CLM_VAL_CD(11) 546 VAL_CD12 Char 2 6718 CLM_VAL_CD(12) 547 VAL_CD13 Char 2 6720 CLM_VAL_CD(13) 548 VAL_CD14 Char 2 6722 CLM_VAL_CD(14) 549 VAL_CD15 Char 2 6724 CLM_VAL_CD(15) 550 VAL_CD16 Char 2 6726 CLM_VAL_CD(16) 551 VAL_CD17 Char 2 6728 CLM_VAL_CD(17) 552 VAL_CD18 Char 2 6730 CLM_VAL_CD(18) 553 VAL_CD19 Char 2 6732 CLM_VAL_CD(19) 554 VAL_CD20 Char 2 6734 CLM_VAL_CD(20) 555 VAL_CD21 Char 2 6736 CLM_VAL_CD(21) 556 VAL_CD22 Char 2 6738 CLM_VAL_CD(22) 557 VAL_CD23 Char 2 6740 CLM_VAL_CD(23) 558 VAL_CD24 Char 2 6742 CLM_VAL_CD(24) 559 VAL_CD25 Char 2 6744 CLM_VAL_CD(25) 560 VAL_CD26 Char 2 6746 CLM_VAL_CD(26) 561 VAL_CD27 Char 2 6748 CLM_VAL_CD(27) 562 VAL_CD28 Char 2 6750 CLM_VAL_CD(28) 563 VAL_CD29 Char 2 6752 CLM_VAL_CD(29) 564 VAL_CD30 Char 2 6754 CLM_VAL_CD(30) 565 VAL_CD31 Char 2 6756 CLM_VAL_CD(31) 566 VAL_CD32 Char 2 6758 CLM_VAL_CD(32) 567 VAL_CD33 Char 2 6760 CLM_VAL_CD(33) 568 VAL_CD34 Char 2 6762 CLM_VAL_CD(34) 569 VAL_CD35 Char 2 6764 CLM_VAL_CD(35) 570 VAL_CD36 Char 2 6766 CLM_VAL_CD(36) 1732 WGDJ01 Num 8 1560 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(1) 1733 WGDJ02 Num 8 1568 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(2) 1734 WGDJ03 Num 8 1576 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(3) 1735 WGDJ04 Num 8 1584 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(4) 1736 WGDJ05 Num 8 1592 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(5) 1737 WGDJ06 Num 8 1600 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(6) 1738 WGDJ07 Num 8 1608 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(7) 1739 WGDJ08 Num 8 1616 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(8) 1740 WGDJ09 Num 8 1624 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(9) 1741 WGDJ10 Num 8 1632 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(10) 1742 WGDJ11 Num 8 1640 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(11) 1743 WGDJ12 Num 8 1648 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(12) 1744 WGDJ13 Num 8 1656 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(13) 1745 WGDJ14 Num 8 1664 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(14) 1746 WGDJ15 Num 8 1672 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(15) 1747 WGDJ16 Num 8 1680 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(16) 1748 WGDJ17 Num 8 1688 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(17) 1749 WGDJ18 Num 8 1696 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(18) 1750 WGDJ19 Num 8 1704 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(19) 1751 WGDJ20 Num 8 1712 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(20) 1752 WGDJ21 Num 8 1720 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(21) 1753 WGDJ22 Num 8 1728 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(22) 1754 WGDJ23 Num 8 1736 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(23) 1755 WGDJ24 Num 8 1744 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(24) 1756 WGDJ25 Num 8 1752 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(25) 1757 WGDJ26 Num 8 1760 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(26) 1758 WGDJ27 Num 8 1768 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(27) 1759 WGDJ28 Num 8 1776 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(28) 1760 WGDJ29 Num 8 1784 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(29) 1761 WGDJ30 Num 8 1792 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(30) 1762 WGDJ31 Num 8 1800 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(31) 1763 WGDJ32 Num 8 1808 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(32) 1764 WGDJ33 Num 8 1816 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(33) 1765 WGDJ34 Num 8 1824 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(34) 1766 WGDJ35 Num 8 1832 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(35) 1767 WGDJ36 Num 8 1840 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(36) 1768 WGDJ37 Num 8 1848 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(37) 1769 WGDJ38 Num 8 1856 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(38) 1770 WGDJ39 Num 8 1864 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(39) 1771 WGDJ40 Num 8 1872 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(40) 1772 WGDJ41 Num 8 1880 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(41) 1773 WGDJ42 Num 8 1888 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(42) 1774 WGDJ43 Num 8 1896 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(43) 1775 WGDJ44 Num 8 1904 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(44) 1776 WGDJ45 Num 8 1912 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(45) 38 WKLY_DT Num 8 32 DATE9. NCH_WKLY_PROC_DT -----Alphabetic List of Indexes and Attributes----- # of Unique # Index Values ----------------------- 1 HIC 1871429 2 REALSSN 1871094 3 SCRSSN 1871094