The SAS System 13:16 Monday, June 26, 2006 300 The CONTENTS Procedure Data Set Name FINAL04.OUTPT04 Observations 13235520 Member Type DATA Variables 2272 Engine V9 Indexes 2 Created Wednesday, May 17, 2006 07:14:26 PM Observation Length 11024 Last Modified Wednesday, May 17, 2006 07:14:26 PM Deleted Observations 0 Protection Compressed CHAR Data Set Type Reuse Space NO Label Point to Observations YES Data Representation WINDOWS_32 Sorted NO Encoding wlatin1 Western (Windows) Engine/Host Dependent Information Data Set Page Size 16384 Number of Data Set Pages 4393967 Index File Page Size 4096 Number of Index File Pages 66623 Number of Data Set Repairs 0 Release Created 9.0101M3 Host Created WIN_ASRV Alphabetic List of Variables and Attributes # Variable Type Len Format Label 38 ACRTN_DT Num 8 DATE9. CWF_CLM_ACRTN_DT 5 ACRTN_NM Num 3 CWF_CLM_ACRTN_NUM 77 ACTIONCD Char 1 FI_CLM_ACTN_CD 922 APCPPS01 Char 5 REV_CNTR_APC_HIPPS_CD(1) 923 APCPPS02 Char 5 REV_CNTR_APC_HIPPS_CD(2) 924 APCPPS03 Char 5 REV_CNTR_APC_HIPPS_CD(3) 925 APCPPS04 Char 5 REV_CNTR_APC_HIPPS_CD(4) 926 APCPPS05 Char 5 REV_CNTR_APC_HIPPS_CD(5) 927 APCPPS06 Char 5 REV_CNTR_APC_HIPPS_CD(6) 928 APCPPS07 Char 5 REV_CNTR_APC_HIPPS_CD(7) 929 APCPPS08 Char 5 REV_CNTR_APC_HIPPS_CD(8) 930 APCPPS09 Char 5 REV_CNTR_APC_HIPPS_CD(9) 931 APCPPS10 Char 5 REV_CNTR_APC_HIPPS_CD(10) 932 APCPPS11 Char 5 REV_CNTR_APC_HIPPS_CD(11) 933 APCPPS12 Char 5 REV_CNTR_APC_HIPPS_CD(12) 934 APCPPS13 Char 5 REV_CNTR_APC_HIPPS_CD(13) 935 APCPPS14 Char 5 REV_CNTR_APC_HIPPS_CD(14) 936 APCPPS15 Char 5 REV_CNTR_APC_HIPPS_CD(15) 937 APCPPS16 Char 5 REV_CNTR_APC_HIPPS_CD(16) 938 APCPPS17 Char 5 REV_CNTR_APC_HIPPS_CD(17) 939 APCPPS18 Char 5 REV_CNTR_APC_HIPPS_CD(18) 940 APCPPS19 Char 5 REV_CNTR_APC_HIPPS_CD(19) 941 APCPPS20 Char 5 REV_CNTR_APC_HIPPS_CD(20) 942 APCPPS21 Char 5 REV_CNTR_APC_HIPPS_CD(21) 943 APCPPS22 Char 5 REV_CNTR_APC_HIPPS_CD(22) 944 APCPPS23 Char 5 REV_CNTR_APC_HIPPS_CD(23) 945 APCPPS24 Char 5 REV_CNTR_APC_HIPPS_CD(24) 946 APCPPS25 Char 5 REV_CNTR_APC_HIPPS_CD(25) 947 APCPPS26 Char 5 REV_CNTR_APC_HIPPS_CD(26) 948 APCPPS27 Char 5 REV_CNTR_APC_HIPPS_CD(27) 949 APCPPS28 Char 5 REV_CNTR_APC_HIPPS_CD(28) 950 APCPPS29 Char 5 REV_CNTR_APC_HIPPS_CD(29) 951 APCPPS30 Char 5 REV_CNTR_APC_HIPPS_CD(30) 952 APCPPS31 Char 5 REV_CNTR_APC_HIPPS_CD(31) 953 APCPPS32 Char 5 REV_CNTR_APC_HIPPS_CD(32) 954 APCPPS33 Char 5 REV_CNTR_APC_HIPPS_CD(33) 955 APCPPS34 Char 5 REV_CNTR_APC_HIPPS_CD(34) 956 APCPPS35 Char 5 REV_CNTR_APC_HIPPS_CD(35) 957 APCPPS36 Char 5 REV_CNTR_APC_HIPPS_CD(36) 958 APCPPS37 Char 5 REV_CNTR_APC_HIPPS_CD(37) 959 APCPPS38 Char 5 REV_CNTR_APC_HIPPS_CD(38) 960 APCPPS39 Char 5 REV_CNTR_APC_HIPPS_CD(39) 961 APCPPS40 Char 5 REV_CNTR_APC_HIPPS_CD(40) 962 APCPPS41 Char 5 REV_CNTR_APC_HIPPS_CD(41) 963 APCPPS42 Char 5 REV_CNTR_APC_HIPPS_CD(42) 964 APCPPS43 Char 5 REV_CNTR_APC_HIPPS_CD(43) 965 APCPPS44 Char 5 REV_CNTR_APC_HIPPS_CD(44) 966 APCPPS45 Char 5 REV_CNTR_APC_HIPPS_CD(45) 78 APRVL_DT Num 8 DATE9. FI_CLM_PROC_DT 59 ASGN_NUM Char 8 CWF_CLM_ASGN_NUM 84 AT_GVNNM Char 1 CLM_ATNDG_PHYSN_GVN_NAME 85 AT_MDL Char 1 CLM_ATNDG_PHYSN_MDL_INITL_NAME 82 AT_NPI Char 10 CLM_ATNDG_PHYSN_NPI_NUM 83 AT_SRNM Char 6 CLM_ATNDG_PHYSN_SRNM_NAME 81 AT_UPIN Char 6 CLM_ATNDG_PHYSN_UPIN_NUM 99 AUTHRZTN Char 18 CLM_TRTMT_AUTHRZTN_NUM 116 BENEPMT Num 8 COMMA14.2 CLM_OP_BENE_PMT_AMT 64 BENE_DOB Num 8 DATE9. BENE_BIRTH_DT 61 BENE_ZIP Char 9 BENE_MLG_CNTCT_ZIP_CD 33 BIC Char 2 BENE_IDENT_CD 53 BIC_MDFY Char 1 NCH_CLM_BIC_MDFY_CD 110 BLDDEDAM Num 8 COMMA14.2 NCH_BENE_BLOOD_DDCTBL_AMT 26 BLDDEDPT Num 3 NCH_BLOOD_DDCTBL_PT_QTY 23 BLDFRNSH Num 3 NCH_BLOOD_PT_FRNSH_QTY 25 BLDNRPLC Num 3 NCH_BLOOD_PT_NRPLC_QTY 24 BLD_RPLC Num 3 NCH_BLOOD_PT_RPLC_QTY 31 CAN Char 9 BENE_CLM_ACNT_NUM 76 CANCELCD Char 1 FI_RQST_CLM_CNCL_RSN_CD 40 CLM_CNTL Char 23 FI_DOC_CLM_CNTL_NUM 30 CLM_TYPE Char 2 NCH_CLM_TYPE_CD 309 CNDND01 Char 1 NCH_COND_TRLR_IND_CD(1) 310 CNDND02 Char 1 NCH_COND_TRLR_IND_CD(2) 311 CNDND03 Char 1 NCH_COND_TRLR_IND_CD(3) 312 CNDND04 Char 1 NCH_COND_TRLR_IND_CD(4) 313 CNDND05 Char 1 NCH_COND_TRLR_IND_CD(5) 314 CNDND06 Char 1 NCH_COND_TRLR_IND_CD(6) 315 CNDND07 Char 1 NCH_COND_TRLR_IND_CD(7) 316 CNDND08 Char 1 NCH_COND_TRLR_IND_CD(8) 317 CNDND09 Char 1 NCH_COND_TRLR_IND_CD(9) 318 CNDND10 Char 1 NCH_COND_TRLR_IND_CD(10) 319 CNDND11 Char 1 NCH_COND_TRLR_IND_CD(11) 320 CNDND12 Char 1 NCH_COND_TRLR_IND_CD(12) 321 CNDND13 Char 1 NCH_COND_TRLR_IND_CD(13) 322 CNDND14 Char 1 NCH_COND_TRLR_IND_CD(14) 323 CNDND15 Char 1 NCH_COND_TRLR_IND_CD(15) 324 CNDND16 Char 1 NCH_COND_TRLR_IND_CD(16) 325 CNDND17 Char 1 NCH_COND_TRLR_IND_CD(17) 326 CNDND18 Char 1 NCH_COND_TRLR_IND_CD(18) 327 CNDND19 Char 1 NCH_COND_TRLR_IND_CD(19) 328 CNDND20 Char 1 NCH_COND_TRLR_IND_CD(20) 329 CNDND21 Char 1 NCH_COND_TRLR_IND_CD(21) 330 CNDND22 Char 1 NCH_COND_TRLR_IND_CD(22) 331 CNDND23 Char 1 NCH_COND_TRLR_IND_CD(23) 332 CNDND24 Char 1 NCH_COND_TRLR_IND_CD(24) 333 CNDND25 Char 1 NCH_COND_TRLR_IND_CD(25) 334 CNDND26 Char 1 NCH_COND_TRLR_IND_CD(26) 335 CNDND27 Char 1 NCH_COND_TRLR_IND_CD(27) 336 CNDND28 Char 1 NCH_COND_TRLR_IND_CD(28) 337 CNDND29 Char 1 NCH_COND_TRLR_IND_CD(29) 338 CNDND30 Char 1 NCH_COND_TRLR_IND_CD(30) 54 CNTY_CD Char 3 BENE_RSDNC_SSA_STD_CNTY_CD 69 CWFLOCCD Char 1 BENE_CWF_LOC_CD 44 DAILY_DT Num 8 DATE9. NCH_DAILY_PROC_DT 256 DEMOIND1 Char 1 NCH_DEMO_TRLR_IND_CD(1) 257 DEMOIND2 Char 1 NCH_DEMO_TRLR_IND_CD(2) 258 DEMOIND3 Char 1 NCH_DEMO_TRLR_IND_CD(3) 259 DEMOIND4 Char 1 NCH_DEMO_TRLR_IND_CD(4) 260 DEMOIND5 Char 1 NCH_DEMO_TRLR_IND_CD(5) 261 DEMONUM1 Char 2 CLM_DEMO_ID_NUM(1) 262 DEMONUM2 Char 2 CLM_DEMO_ID_NUM(2) 263 DEMONUM3 Char 2 CLM_DEMO_ID_NUM(3) 264 DEMONUM4 Char 2 CLM_DEMO_ID_NUM(4) 265 DEMONUM5 Char 2 CLM_DEMO_ID_NUM(5) 266 DEMOTXT1 Char 15 CLM_DEMO_INFO_TXT(1) 267 DEMOTXT2 Char 15 CLM_DEMO_INFO_TXT(2) 268 DEMOTXT3 Char 15 CLM_DEMO_INFO_TXT(3) 269 DEMOTXT4 Char 15 CLM_DEMO_INFO_TXT(4) 270 DEMOTXT5 Char 15 CLM_DEMO_INFO_TXT(5) 281 DGNSCD01 Char 5 CLM_DGNS_CD(1) 282 DGNSCD02 Char 5 CLM_DGNS_CD(2) 283 DGNSCD03 Char 5 CLM_DGNS_CD(3) 284 DGNSCD04 Char 5 CLM_DGNS_CD(4) 285 DGNSCD05 Char 5 CLM_DGNS_CD(5) 286 DGNSCD06 Char 5 CLM_DGNS_CD(6) 287 DGNSCD07 Char 5 CLM_DGNS_CD(7) 288 DGNSCD08 Char 5 CLM_DGNS_CD(8) 289 DGNSCD09 Char 5 CLM_DGNS_CD(9) 290 DGNSCD10 Char 5 CLM_DGNS_CD(10) 271 DGNSND01 Char 1 NCH_DGNS_TRLR_IND_CD(1) 272 DGNSND02 Char 1 NCH_DGNS_TRLR_IND_CD(2) 273 DGNSND03 Char 1 NCH_DGNS_TRLR_IND_CD(3) 274 DGNSND04 Char 1 NCH_DGNS_TRLR_IND_CD(4) 275 DGNSND05 Char 1 NCH_DGNS_TRLR_IND_CD(5) 276 DGNSND06 Char 1 NCH_DGNS_TRLR_IND_CD(6) 277 DGNSND07 Char 1 NCH_DGNS_TRLR_IND_CD(7) 278 DGNSND08 Char 1 NCH_DGNS_TRLR_IND_CD(8) 279 DGNSND09 Char 1 NCH_DGNS_TRLR_IND_CD(9) 280 DGNSND10 Char 1 NCH_DGNS_TRLR_IND_CD(10) 105 DGNS_E Char 5 CLM_DGNS_E_CD 51 DISP_CD Char 2 CLM_DISP_CD 1282 DSCTND01 Char 1 REV_CNTR_DSCNT_IND_CD(1) 1283 DSCTND02 Char 1 REV_CNTR_DSCNT_IND_CD(2) 1284 DSCTND03 Char 1 REV_CNTR_DSCNT_IND_CD(3) 1285 DSCTND04 Char 1 REV_CNTR_DSCNT_IND_CD(4) 1286 DSCTND05 Char 1 REV_CNTR_DSCNT_IND_CD(5) 1287 DSCTND06 Char 1 REV_CNTR_DSCNT_IND_CD(6) 1288 DSCTND07 Char 1 REV_CNTR_DSCNT_IND_CD(7) 1289 DSCTND08 Char 1 REV_CNTR_DSCNT_IND_CD(8) 1290 DSCTND09 Char 1 REV_CNTR_DSCNT_IND_CD(9) 1291 DSCTND10 Char 1 REV_CNTR_DSCNT_IND_CD(10) 1292 DSCTND11 Char 1 REV_CNTR_DSCNT_IND_CD(11) 1293 DSCTND12 Char 1 REV_CNTR_DSCNT_IND_CD(12) 1294 DSCTND13 Char 1 REV_CNTR_DSCNT_IND_CD(13) 1295 DSCTND14 Char 1 REV_CNTR_DSCNT_IND_CD(14) 1296 DSCTND15 Char 1 REV_CNTR_DSCNT_IND_CD(15) 1297 DSCTND16 Char 1 REV_CNTR_DSCNT_IND_CD(16) 1298 DSCTND17 Char 1 REV_CNTR_DSCNT_IND_CD(17) 1299 DSCTND18 Char 1 REV_CNTR_DSCNT_IND_CD(18) 1300 DSCTND19 Char 1 REV_CNTR_DSCNT_IND_CD(19) 1301 DSCTND20 Char 1 REV_CNTR_DSCNT_IND_CD(20) 1302 DSCTND21 Char 1 REV_CNTR_DSCNT_IND_CD(21) 1303 DSCTND22 Char 1 REV_CNTR_DSCNT_IND_CD(22) 1304 DSCTND23 Char 1 REV_CNTR_DSCNT_IND_CD(23) 1305 DSCTND24 Char 1 REV_CNTR_DSCNT_IND_CD(24) 1306 DSCTND25 Char 1 REV_CNTR_DSCNT_IND_CD(25) 1307 DSCTND26 Char 1 REV_CNTR_DSCNT_IND_CD(26) 1308 DSCTND27 Char 1 REV_CNTR_DSCNT_IND_CD(27) 1309 DSCTND28 Char 1 REV_CNTR_DSCNT_IND_CD(28) 1310 DSCTND29 Char 1 REV_CNTR_DSCNT_IND_CD(29) 1311 DSCTND30 Char 1 REV_CNTR_DSCNT_IND_CD(30) 1312 DSCTND31 Char 1 REV_CNTR_DSCNT_IND_CD(31) 1313 DSCTND32 Char 1 REV_CNTR_DSCNT_IND_CD(32) 1314 DSCTND33 Char 1 REV_CNTR_DSCNT_IND_CD(33) 1315 DSCTND34 Char 1 REV_CNTR_DSCNT_IND_CD(34) 1316 DSCTND35 Char 1 REV_CNTR_DSCNT_IND_CD(35) 1317 DSCTND36 Char 1 REV_CNTR_DSCNT_IND_CD(36) 1318 DSCTND37 Char 1 REV_CNTR_DSCNT_IND_CD(37) 1319 DSCTND38 Char 1 REV_CNTR_DSCNT_IND_CD(38) 1320 DSCTND39 Char 1 REV_CNTR_DSCNT_IND_CD(39) 1321 DSCTND40 Char 1 REV_CNTR_DSCNT_IND_CD(40) 1322 DSCTND41 Char 1 REV_CNTR_DSCNT_IND_CD(41) 1323 DSCTND42 Char 1 REV_CNTR_DSCNT_IND_CD(42) 1324 DSCTND43 Char 1 REV_CNTR_DSCNT_IND_CD(43) 1325 DSCTND44 Char 1 REV_CNTR_DSCNT_IND_CD(44) 1326 DSCTND45 Char 1 REV_CNTR_DSCNT_IND_CD(45) 132 EDITCD01 Char 4 NCH_EDIT_CD(1) 133 EDITCD02 Char 4 NCH_EDIT_CD(2) 134 EDITCD03 Char 4 NCH_EDIT_CD(3) 135 EDITCD04 Char 4 NCH_EDIT_CD(4) 136 EDITCD05 Char 4 NCH_EDIT_CD(5) 137 EDITCD06 Char 4 NCH_EDIT_CD(6) 138 EDITCD07 Char 4 NCH_EDIT_CD(7) 139 EDITCD08 Char 4 NCH_EDIT_CD(8) 140 EDITCD09 Char 4 NCH_EDIT_CD(9) 141 EDITCD10 Char 4 NCH_EDIT_CD(10) 142 EDITCD11 Char 4 NCH_EDIT_CD(11) 143 EDITCD12 Char 4 NCH_EDIT_CD(12) 144 EDITCD13 Char 4 NCH_EDIT_CD(13) 52 EDITDISP Char 2 NCH_EDIT_DISP_CD 119 EDTND01 Char 1 NCH_EDIT_TRLR_IND_CD(1) 120 EDTND02 Char 1 NCH_EDIT_TRLR_IND_CD(2) 121 EDTND03 Char 1 NCH_EDIT_TRLR_IND_CD(3) 122 EDTND04 Char 1 NCH_EDIT_TRLR_IND_CD(4) 123 EDTND05 Char 1 NCH_EDIT_TRLR_IND_CD(5) 124 EDTND06 Char 1 NCH_EDIT_TRLR_IND_CD(6) 125 EDTND07 Char 1 NCH_EDIT_TRLR_IND_CD(7) 126 EDTND08 Char 1 NCH_EDIT_TRLR_IND_CD(8) 127 EDTND09 Char 1 NCH_EDIT_TRLR_IND_CD(9) 128 EDTND10 Char 1 NCH_EDIT_TRLR_IND_CD(10) 129 EDTND11 Char 1 NCH_EDIT_TRLR_IND_CD(11) 130 EDTND12 Char 1 NCH_EDIT_TRLR_IND_CD(12) 131 EDTND13 Char 1 NCH_EDIT_TRLR_IND_CD(13) 2272 EOR Char 3 END_REC_CD 32 EQ_BIC Char 2 NCH_CTGRY_EQTBL_BIC_CD 118 ESRDMTHD Char 1 CLM_OP_ESRD_MTHD_REIMBRSMT_CD 47 FAC_TYPE Char 1 CLM_FAC_TYPE_CD 60 FIBATCH Char 4 CWF_TRNSMSN_BATCH_NUM 58 FI_NUM Char 5 FI_NUM 49 FREQ_CD Char 1 CLM_FREQ_CD 36 FROM_DT Num 8 DATE9. CLM_FROM_DT 67 FRSTINIT Char 1 CLM_PTNT_1ST_INITL_GVN_NAME 57 FRWRD_DT Num 8 DATE9. CWF_FRWRD_DT 967 HCPSCD01 Char 5 REV_CNTR_HCPCS_CD(1) 968 HCPSCD02 Char 5 REV_CNTR_HCPCS_CD(2) 969 HCPSCD03 Char 5 REV_CNTR_HCPCS_CD(3) 970 HCPSCD04 Char 5 REV_CNTR_HCPCS_CD(4) 971 HCPSCD05 Char 5 REV_CNTR_HCPCS_CD(5) 972 HCPSCD06 Char 5 REV_CNTR_HCPCS_CD(6) 973 HCPSCD07 Char 5 REV_CNTR_HCPCS_CD(7) 974 HCPSCD08 Char 5 REV_CNTR_HCPCS_CD(8) 975 HCPSCD09 Char 5 REV_CNTR_HCPCS_CD(9) 976 HCPSCD10 Char 5 REV_CNTR_HCPCS_CD(10) 977 HCPSCD11 Char 5 REV_CNTR_HCPCS_CD(11) 978 HCPSCD12 Char 5 REV_CNTR_HCPCS_CD(12) 979 HCPSCD13 Char 5 REV_CNTR_HCPCS_CD(13) 980 HCPSCD14 Char 5 REV_CNTR_HCPCS_CD(14) 981 HCPSCD15 Char 5 REV_CNTR_HCPCS_CD(15) 982 HCPSCD16 Char 5 REV_CNTR_HCPCS_CD(16) 983 HCPSCD17 Char 5 REV_CNTR_HCPCS_CD(17) 984 HCPSCD18 Char 5 REV_CNTR_HCPCS_CD(18) 985 HCPSCD19 Char 5 REV_CNTR_HCPCS_CD(19) 986 HCPSCD20 Char 5 REV_CNTR_HCPCS_CD(20) 987 HCPSCD21 Char 5 REV_CNTR_HCPCS_CD(21) 988 HCPSCD22 Char 5 REV_CNTR_HCPCS_CD(22) 989 HCPSCD23 Char 5 REV_CNTR_HCPCS_CD(23) 990 HCPSCD24 Char 5 REV_CNTR_HCPCS_CD(24) 991 HCPSCD25 Char 5 REV_CNTR_HCPCS_CD(25) 992 HCPSCD26 Char 5 REV_CNTR_HCPCS_CD(26) 993 HCPSCD27 Char 5 REV_CNTR_HCPCS_CD(27) 994 HCPSCD28 Char 5 REV_CNTR_HCPCS_CD(28) 995 HCPSCD29 Char 5 REV_CNTR_HCPCS_CD(29) 996 HCPSCD30 Char 5 REV_CNTR_HCPCS_CD(30) 997 HCPSCD31 Char 5 REV_CNTR_HCPCS_CD(31) 998 HCPSCD32 Char 5 REV_CNTR_HCPCS_CD(32) 999 HCPSCD33 Char 5 REV_CNTR_HCPCS_CD(33) 1000 HCPSCD34 Char 5 REV_CNTR_HCPCS_CD(34) 1001 HCPSCD35 Char 5 REV_CNTR_HCPCS_CD(35) 1002 HCPSCD36 Char 5 REV_CNTR_HCPCS_CD(36) 1003 HCPSCD37 Char 5 REV_CNTR_HCPCS_CD(37) 1004 HCPSCD38 Char 5 REV_CNTR_HCPCS_CD(38) 1005 HCPSCD39 Char 5 REV_CNTR_HCPCS_CD(39) 1006 HCPSCD40 Char 5 REV_CNTR_HCPCS_CD(40) 1007 HCPSCD41 Char 5 REV_CNTR_HCPCS_CD(41) 1008 HCPSCD42 Char 5 REV_CNTR_HCPCS_CD(42) 1009 HCPSCD43 Char 5 REV_CNTR_HCPCS_CD(43) 1010 HCPSCD44 Char 5 REV_CNTR_HCPCS_CD(44) 1011 HCPSCD45 Char 5 REV_CNTR_HCPCS_CD(45) 2 HIC Char 11 HEALTH_INS_CLAIM_ACCT_NUM 1507 IDENDC01 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(1) 1508 IDENDC02 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(2) 1509 IDENDC03 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(3) 1510 IDENDC04 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(4) 1511 IDENDC05 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(5) 1512 IDENDC06 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(6) 1513 IDENDC07 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(7) 1514 IDENDC08 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(8) 1515 IDENDC09 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(9) 1516 IDENDC10 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(10) 1517 IDENDC11 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(11) 1518 IDENDC12 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(12) 1519 IDENDC13 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(13) 1520 IDENDC14 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(14) 1521 IDENDC15 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(15) 1522 IDENDC16 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(16) 1523 IDENDC17 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(17) 1524 IDENDC18 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(18) 1525 IDENDC19 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(19) 1526 IDENDC20 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(20) 1527 IDENDC21 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(21) 1528 IDENDC22 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(22) 1529 IDENDC23 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(23) 1530 IDENDC24 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(24) 1531 IDENDC25 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(25) 1532 IDENDC26 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(26) 1533 IDENDC27 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(27) 1534 IDENDC28 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(28) 1535 IDENDC29 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(29) 1536 IDENDC30 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(30) 1537 IDENDC31 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(31) 1538 IDENDC32 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(32) 1539 IDENDC33 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(33) 1540 IDENDC34 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(34) 1541 IDENDC35 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(35) 1542 IDENDC36 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(36) 1543 IDENDC37 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(37) 1544 IDENDC38 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(38) 1545 IDENDC39 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(39) 1546 IDENDC40 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(40) 1547 IDENDC41 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(41) 1548 IDENDC42 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(42) 1549 IDENDC43 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(43) 1550 IDENDC44 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(44) 1551 IDENDC45 Char 24 REV_CNTR_IDE_NDC_UPC_NUM(45) 114 INTRMDED Num 8 COMMA14.2 CLM_OP_BENE_INTRM_DDCTBL_AMT 9 LINECNT Num 3 CLM_TOT_LINE_CNT 6 LINK_NUM Num 5 COMMA11. NCH_SGMT_LINK_NUM 241 MCFFDT1 Num 5 DATE9. MCO_PRD_EFCTV_DT(1) 242 MCFFDT2 Num 5 DATE9. MCO_PRD_EFCTV_DT(2) 235 MCOIND1 Char 1 NCH_MCO_TRLR_IND_CD(1) 236 MCOIND2 Char 1 NCH_MCO_TRLR_IND_CD(2) 237 MCONUM1 Char 5 MCO_CNTRCT_NUM(1) 238 MCONUM2 Char 5 MCO_CNTRCT_NUM(2) 239 MCOOPTN1 Char 1 MCO_OPTN_CD(1) 240 MCOOPTN2 Char 1 MCO_OPTN_CD(2) 98 MCOPDSW Char 1 CLM_MCO_PD_SW 245 MCPLND1 Char 14 MCO_HLTH_PLANID_NUM(1) 246 MCPLND2 Char 14 MCO_HLTH_PLANID_NUM(2) 243 MCTRMDT1 Num 5 DATE9. MCO_PRD_TRMNTN_DT(1) 244 MCTRMDT2 Num 5 DATE9. MCO_PRD_TRMNTN_DT(2) 97 MDCDINFO Char 4 CLM_MDCD_INFO_CD 96 MDCD_PRV Char 13 MDCD_PRVDR_IDENT_NUM 101 MDCL_REC Char 17 CLM_MDCL_REC_NUM 1012 MDFCD101 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(1) 1013 MDFCD102 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(2) 1014 MDFCD103 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(3) 1015 MDFCD104 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(4) 1016 MDFCD105 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(5) 1017 MDFCD106 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(6) 1018 MDFCD107 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(7) 1019 MDFCD108 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(8) 1020 MDFCD109 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(9) 1021 MDFCD110 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(10) 1022 MDFCD111 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(11) 1023 MDFCD112 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(12) 1024 MDFCD113 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(13) 1025 MDFCD114 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(14) 1026 MDFCD115 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(15) 1027 MDFCD116 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(16) 1028 MDFCD117 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(17) 1029 MDFCD118 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(18) 1030 MDFCD119 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(19) 1031 MDFCD120 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(20) 1032 MDFCD121 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(21) 1033 MDFCD122 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(22) 1034 MDFCD123 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(23) 1035 MDFCD124 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(24) 1036 MDFCD125 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(25) 1037 MDFCD126 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(26) 1038 MDFCD127 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(27) 1039 MDFCD128 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(28) 1040 MDFCD129 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(29) 1041 MDFCD130 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(30) 1042 MDFCD131 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(31) 1043 MDFCD132 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(32) 1044 MDFCD133 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(33) 1045 MDFCD134 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(34) 1046 MDFCD135 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(35) 1047 MDFCD136 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(36) 1048 MDFCD137 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(37) 1049 MDFCD138 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(38) 1050 MDFCD139 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(39) 1051 MDFCD140 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(40) 1052 MDFCD141 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(41) 1053 MDFCD142 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(42) 1054 MDFCD143 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(43) 1055 MDFCD144 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(44) 1056 MDFCD145 Char 2 REV_CNTR_HCPCS_INITL_MDFR_CD(45) 1057 MDFCD201 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(1) 1058 MDFCD202 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(2) 1059 MDFCD203 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(3) 1060 MDFCD204 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(4) 1061 MDFCD205 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(5) 1062 MDFCD206 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(6) 1063 MDFCD207 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(7) 1064 MDFCD208 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(8) 1065 MDFCD209 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(9) 1066 MDFCD210 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(10) 1067 MDFCD211 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(11) 1068 MDFCD212 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(12) 1069 MDFCD213 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(13) 1070 MDFCD214 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(14) 1071 MDFCD215 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(15) 1072 MDFCD216 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(16) 1073 MDFCD217 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(17) 1074 MDFCD218 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(18) 1075 MDFCD219 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(19) 1076 MDFCD220 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(20) 1077 MDFCD221 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(21) 1078 MDFCD222 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(22) 1079 MDFCD223 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(23) 1080 MDFCD224 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(24) 1081 MDFCD225 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(25) 1082 MDFCD226 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(26) 1083 MDFCD227 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(27) 1084 MDFCD228 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(28) 1085 MDFCD229 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(29) 1086 MDFCD230 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(30) 1087 MDFCD231 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(31) 1088 MDFCD232 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(32) 1089 MDFCD233 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(33) 1090 MDFCD234 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(34) 1091 MDFCD235 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(35) 1092 MDFCD236 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(36) 1093 MDFCD237 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(37) 1094 MDFCD238 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(38) 1095 MDFCD239 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(39) 1096 MDFCD240 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(40) 1097 MDFCD241 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(41) 1098 MDFCD242 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(42) 1099 MDFCD243 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(43) 1100 MDFCD244 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(44) 1101 MDFCD245 Char 2 REV_CNTR_HCPCS_2ND_MDFR_CD(45) 1102 MDFCD301 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(1) 1103 MDFCD302 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(2) 1104 MDFCD303 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(3) 1105 MDFCD304 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(4) 1106 MDFCD305 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(5) 1107 MDFCD306 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(6) 1108 MDFCD307 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(7) 1109 MDFCD308 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(8) 1110 MDFCD309 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(9) 1111 MDFCD310 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(10) 1112 MDFCD311 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(11) 1113 MDFCD312 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(12) 1114 MDFCD313 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(13) 1115 MDFCD314 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(14) 1116 MDFCD315 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(15) 1117 MDFCD316 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(16) 1118 MDFCD317 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(17) 1119 MDFCD318 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(18) 1120 MDFCD319 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(19) 1121 MDFCD320 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(20) 1122 MDFCD321 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(21) 1123 MDFCD322 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(22) 1124 MDFCD323 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(23) 1125 MDFCD324 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(24) 1126 MDFCD325 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(25) 1127 MDFCD326 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(26) 1128 MDFCD327 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(27) 1129 MDFCD328 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(28) 1130 MDFCD329 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(29) 1131 MDFCD330 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(30) 1132 MDFCD331 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(31) 1133 MDFCD332 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(32) 1134 MDFCD333 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(33) 1135 MDFCD334 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(34) 1136 MDFCD335 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(35) 1137 MDFCD336 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(36) 1138 MDFCD337 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(37) 1139 MDFCD338 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(38) 1140 MDFCD339 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(39) 1141 MDFCD340 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(40) 1142 MDFCD341 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(41) 1143 MDFCD342 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(42) 1144 MDFCD343 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(43) 1145 MDFCD344 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(44) 1146 MDFCD345 Char 2 REV_CNTR_HCPCS_3RD_MDFR_CD(45) 1147 MDFCD401 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(1) 1148 MDFCD402 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(2) 1149 MDFCD403 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(3) 1150 MDFCD404 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(4) 1151 MDFCD405 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(5) 1152 MDFCD406 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(6) 1153 MDFCD407 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(7) 1154 MDFCD408 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(8) 1155 MDFCD409 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(9) 1156 MDFCD410 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(10) 1157 MDFCD411 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(11) 1158 MDFCD412 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(12) 1159 MDFCD413 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(13) 1160 MDFCD414 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(14) 1161 MDFCD415 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(15) 1162 MDFCD416 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(16) 1163 MDFCD417 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(17) 1164 MDFCD418 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(18) 1165 MDFCD419 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(19) 1166 MDFCD420 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(20) 1167 MDFCD421 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(21) 1168 MDFCD422 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(22) 1169 MDFCD423 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(23) 1170 MDFCD424 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(24) 1171 MDFCD425 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(25) 1172 MDFCD426 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(26) 1173 MDFCD427 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(27) 1174 MDFCD428 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(28) 1175 MDFCD429 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(29) 1176 MDFCD430 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(30) 1177 MDFCD431 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(31) 1178 MDFCD432 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(32) 1179 MDFCD433 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(33) 1180 MDFCD434 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(34) 1181 MDFCD435 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(35) 1182 MDFCD436 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(36) 1183 MDFCD437 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(37) 1184 MDFCD438 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(38) 1185 MDFCD439 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(39) 1186 MDFCD440 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(40) 1187 MDFCD441 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(41) 1188 MDFCD442 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(42) 1189 MDFCD443 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(43) 1190 MDFCD444 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(44) 1191 MDFCD445 Char 2 REV_CNTR_HCPCS_4TH_MDFR_CD(45) 1192 MDFCD501 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(1) 1193 MDFCD502 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(2) 1194 MDFCD503 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(3) 1195 MDFCD504 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(4) 1196 MDFCD505 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(5) 1197 MDFCD506 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(6) 1198 MDFCD507 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(7) 1199 MDFCD508 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(8) 1200 MDFCD509 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(9) 1201 MDFCD510 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(10) 1202 MDFCD511 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(11) 1203 MDFCD512 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(12) 1204 MDFCD513 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(13) 1205 MDFCD514 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(14) 1206 MDFCD515 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(15) 1207 MDFCD516 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(16) 1208 MDFCD517 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(17) 1209 MDFCD518 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(18) 1210 MDFCD519 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(19) 1211 MDFCD520 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(20) 1212 MDFCD521 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(21) 1213 MDFCD522 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(22) 1214 MDFCD523 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(23) 1215 MDFCD524 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(24) 1216 MDFCD525 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(25) 1217 MDFCD526 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(26) 1218 MDFCD527 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(27) 1219 MDFCD528 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(28) 1220 MDFCD529 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(29) 1221 MDFCD530 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(30) 1222 MDFCD531 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(31) 1223 MDFCD532 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(32) 1224 MDFCD533 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(33) 1225 MDFCD534 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(34) 1226 MDFCD535 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(35) 1227 MDFCD536 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(36) 1228 MDFCD537 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(37) 1229 MDFCD538 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(38) 1230 MDFCD539 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(39) 1231 MDFCD540 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(40) 1232 MDFCD541 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(41) 1233 MDFCD542 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(42) 1234 MDFCD543 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(43) 1235 MDFCD544 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(44) 1236 MDFCD545 Char 2 REV_CNTR_HCPCS_5TH_MDFR_CD(45) 68 MDL_INIT Char 1 CLM_PTNT_1ST_INITL_MDL_NAME 50 MQAQUERY Char 1 NCH_MQA_QUERY_PATCH_CD 29 MQA_RIC Char 1 NCH_MQA_RIC_CD 65 MS_CD Char 2 CWF_BENE_MDCR_STUS_CD 71 NOPAY_CD Char 1 CLM_MDCR_NPMT_RSN_CD 399 OCRCCD01 Char 2 CLM_RLT_OCRNC_CD(1) 400 OCRCCD02 Char 2 CLM_RLT_OCRNC_CD(2) 401 OCRCCD03 Char 2 CLM_RLT_OCRNC_CD(3) 402 OCRCCD04 Char 2 CLM_RLT_OCRNC_CD(4) 403 OCRCCD05 Char 2 CLM_RLT_OCRNC_CD(5) 404 OCRCCD06 Char 2 CLM_RLT_OCRNC_CD(6) 405 OCRCCD07 Char 2 CLM_RLT_OCRNC_CD(7) 406 OCRCCD08 Char 2 CLM_RLT_OCRNC_CD(8) 407 OCRCCD09 Char 2 CLM_RLT_OCRNC_CD(9) 408 OCRCCD10 Char 2 CLM_RLT_OCRNC_CD(10) 409 OCRCCD11 Char 2 CLM_RLT_OCRNC_CD(11) 410 OCRCCD12 Char 2 CLM_RLT_OCRNC_CD(12) 411 OCRCCD13 Char 2 CLM_RLT_OCRNC_CD(13) 412 OCRCCD14 Char 2 CLM_RLT_OCRNC_CD(14) 413 OCRCCD15 Char 2 CLM_RLT_OCRNC_CD(15) 414 OCRCCD16 Char 2 CLM_RLT_OCRNC_CD(16) 415 OCRCCD17 Char 2 CLM_RLT_OCRNC_CD(17) 416 OCRCCD18 Char 2 CLM_RLT_OCRNC_CD(18) 417 OCRCCD19 Char 2 CLM_RLT_OCRNC_CD(19) 418 OCRCCD20 Char 2 CLM_RLT_OCRNC_CD(20) 419 OCRCCD21 Char 2 CLM_RLT_OCRNC_CD(21) 420 OCRCCD22 Char 2 CLM_RLT_OCRNC_CD(22) 421 OCRCCD23 Char 2 CLM_RLT_OCRNC_CD(23) 422 OCRCCD24 Char 2 CLM_RLT_OCRNC_CD(24) 423 OCRCCD25 Char 2 CLM_RLT_OCRNC_CD(25) 424 OCRCCD26 Char 2 CLM_RLT_OCRNC_CD(26) 425 OCRCCD27 Char 2 CLM_RLT_OCRNC_CD(27) 426 OCRCCD28 Char 2 CLM_RLT_OCRNC_CD(28) 427 OCRCCD29 Char 2 CLM_RLT_OCRNC_CD(29) 428 OCRCCD30 Char 2 CLM_RLT_OCRNC_CD(30) 429 OCRCDT01 Num 5 DATE9. CLM_RLT_OCRNC_DT(1) 430 OCRCDT02 Num 5 DATE9. CLM_RLT_OCRNC_DT(2) 431 OCRCDT03 Num 5 DATE9. CLM_RLT_OCRNC_DT(3) 432 OCRCDT04 Num 5 DATE9. CLM_RLT_OCRNC_DT(4) 433 OCRCDT05 Num 5 DATE9. CLM_RLT_OCRNC_DT(5) 434 OCRCDT06 Num 5 DATE9. CLM_RLT_OCRNC_DT(6) 435 OCRCDT07 Num 5 DATE9. CLM_RLT_OCRNC_DT(7) 436 OCRCDT08 Num 5 DATE9. CLM_RLT_OCRNC_DT(8) 437 OCRCDT09 Num 5 DATE9. CLM_RLT_OCRNC_DT(9) 438 OCRCDT10 Num 5 DATE9. CLM_RLT_OCRNC_DT(10) 439 OCRCDT11 Num 5 DATE9. CLM_RLT_OCRNC_DT(11) 440 OCRCDT12 Num 5 DATE9. CLM_RLT_OCRNC_DT(12) 441 OCRCDT13 Num 5 DATE9. CLM_RLT_OCRNC_DT(13) 442 OCRCDT14 Num 5 DATE9. CLM_RLT_OCRNC_DT(14) 443 OCRCDT15 Num 5 DATE9. CLM_RLT_OCRNC_DT(15) 444 OCRCDT16 Num 5 DATE9. CLM_RLT_OCRNC_DT(16) 445 OCRCDT17 Num 5 DATE9. CLM_RLT_OCRNC_DT(17) 446 OCRCDT18 Num 5 DATE9. CLM_RLT_OCRNC_DT(18) 447 OCRCDT19 Num 5 DATE9. CLM_RLT_OCRNC_DT(19) 448 OCRCDT20 Num 5 DATE9. CLM_RLT_OCRNC_DT(20) 449 OCRCDT21 Num 5 DATE9. CLM_RLT_OCRNC_DT(21) 450 OCRCDT22 Num 5 DATE9. CLM_RLT_OCRNC_DT(22) 451 OCRCDT23 Num 5 DATE9. CLM_RLT_OCRNC_DT(23) 452 OCRCDT24 Num 5 DATE9. CLM_RLT_OCRNC_DT(24) 453 OCRCDT25 Num 5 DATE9. CLM_RLT_OCRNC_DT(25) 454 OCRCDT26 Num 5 DATE9. CLM_RLT_OCRNC_DT(26) 455 OCRCDT27 Num 5 DATE9. CLM_RLT_OCRNC_DT(27) 456 OCRCDT28 Num 5 DATE9. CLM_RLT_OCRNC_DT(28) 457 OCRCDT29 Num 5 DATE9. CLM_RLT_OCRNC_DT(29) 458 OCRCDT30 Num 5 DATE9. CLM_RLT_OCRNC_DT(30) 369 OCRCND01 Char 1 NCH_OCRNC_TRLR_IND_CD(1) 370 OCRCND02 Char 1 NCH_OCRNC_TRLR_IND_CD(2) 371 OCRCND03 Char 1 NCH_OCRNC_TRLR_IND_CD(3) 372 OCRCND04 Char 1 NCH_OCRNC_TRLR_IND_CD(4) 373 OCRCND05 Char 1 NCH_OCRNC_TRLR_IND_CD(5) 374 OCRCND06 Char 1 NCH_OCRNC_TRLR_IND_CD(6) 375 OCRCND07 Char 1 NCH_OCRNC_TRLR_IND_CD(7) 376 OCRCND08 Char 1 NCH_OCRNC_TRLR_IND_CD(8) 377 OCRCND09 Char 1 NCH_OCRNC_TRLR_IND_CD(9) 378 OCRCND10 Char 1 NCH_OCRNC_TRLR_IND_CD(10) 379 OCRCND11 Char 1 NCH_OCRNC_TRLR_IND_CD(11) 380 OCRCND12 Char 1 NCH_OCRNC_TRLR_IND_CD(12) 381 OCRCND13 Char 1 NCH_OCRNC_TRLR_IND_CD(13) 382 OCRCND14 Char 1 NCH_OCRNC_TRLR_IND_CD(14) 383 OCRCND15 Char 1 NCH_OCRNC_TRLR_IND_CD(15) 384 OCRCND16 Char 1 NCH_OCRNC_TRLR_IND_CD(16) 385 OCRCND17 Char 1 NCH_OCRNC_TRLR_IND_CD(17) 386 OCRCND18 Char 1 NCH_OCRNC_TRLR_IND_CD(18) 387 OCRCND19 Char 1 NCH_OCRNC_TRLR_IND_CD(19) 388 OCRCND20 Char 1 NCH_OCRNC_TRLR_IND_CD(20) 389 OCRCND21 Char 1 NCH_OCRNC_TRLR_IND_CD(21) 390 OCRCND22 Char 1 NCH_OCRNC_TRLR_IND_CD(22) 391 OCRCND23 Char 1 NCH_OCRNC_TRLR_IND_CD(23) 392 OCRCND24 Char 1 NCH_OCRNC_TRLR_IND_CD(24) 393 OCRCND25 Char 1 NCH_OCRNC_TRLR_IND_CD(25) 394 OCRCND26 Char 1 NCH_OCRNC_TRLR_IND_CD(26) 395 OCRCND27 Char 1 NCH_OCRNC_TRLR_IND_CD(27) 396 OCRCND28 Char 1 NCH_OCRNC_TRLR_IND_CD(28) 397 OCRCND29 Char 1 NCH_OCRNC_TRLR_IND_CD(29) 398 OCRCND30 Char 1 NCH_OCRNC_TRLR_IND_CD(30) 18 OPCONCNT Num 3 OP_CLM_RLT_COND_CD_CNT 15 OPDEMCNT Num 3 OP_CLM_DEMO_ID_CNT 16 OPDGNCNT Num 3 OP_CLM_DGNS_CD_CNT 11 OPEDCNT Num 3 OP_NCH_EDIT_CD_CNT 13 OPMCOCNT Num 3 OP_MCO_PRD_CNT 19 OPOCRCNT Num 3 OP_CLM_RLT_OCRNC_CD_CNT 12 OPPATCNT Num 3 OP_NCH_PATCH_CD_I_CNT 14 OPPLNCNT Num 3 OP_CLM_HLTH_PLANID_CNT 17 OPPRCCNT Num 3 OP_CLM_PRCDR_CD_CNT 22 OPREVCNT Num 3 OP_REV_CNTR_CD_I_CNT 20 OPSPNCNT Num 3 OP_CLM_OCRNC_SPAN_CD_CNT 108 OPSRVTYP Char 1 CLM_OP_SRVC_TYPE_CD 21 OPVALCNT Num 3 OP_CLM_VAL_CD_CNT 89 OP_GVN Char 1 CLM_OPRTG_PHYSN_GVN_NAME 90 OP_MDL Char 1 CLM_OPRTG_PHYSN_MDL_INITL_NAME 87 OP_NPI Char 10 CLM_OPRTG_PHYSN_NPI_NUM 109 OP_RFRL Char 1 CLM_OP_RFRL_CD 88 OP_SRNM Char 6 CLM_OPRTG_PHYSN_SRNM_NAME 86 OP_UPIN Char 6 CLM_OPRTG_PHYSN_UPIN_NUM 80 ORGNPINM Char 10 ORG_NPI_NUM 41 ORIGCNTL Char 23 FI_ORIG_CLM_CNTL_NUM 1417 OTAF_101 Char 1 REV_CNTR_OTAF_1_IND_CD(1) 1418 OTAF_102 Char 1 REV_CNTR_OTAF_1_IND_CD(2) 1419 OTAF_103 Char 1 REV_CNTR_OTAF_1_IND_CD(3) 1420 OTAF_104 Char 1 REV_CNTR_OTAF_1_IND_CD(4) 1421 OTAF_105 Char 1 REV_CNTR_OTAF_1_IND_CD(5) 1422 OTAF_106 Char 1 REV_CNTR_OTAF_1_IND_CD(6) 1423 OTAF_107 Char 1 REV_CNTR_OTAF_1_IND_CD(7) 1424 OTAF_108 Char 1 REV_CNTR_OTAF_1_IND_CD(8) 1425 OTAF_109 Char 1 REV_CNTR_OTAF_1_IND_CD(9) 1426 OTAF_110 Char 1 REV_CNTR_OTAF_1_IND_CD(10) 1427 OTAF_111 Char 1 REV_CNTR_OTAF_1_IND_CD(11) 1428 OTAF_112 Char 1 REV_CNTR_OTAF_1_IND_CD(12) 1429 OTAF_113 Char 1 REV_CNTR_OTAF_1_IND_CD(13) 1430 OTAF_114 Char 1 REV_CNTR_OTAF_1_IND_CD(14) 1431 OTAF_115 Char 1 REV_CNTR_OTAF_1_IND_CD(15) 1432 OTAF_116 Char 1 REV_CNTR_OTAF_1_IND_CD(16) 1433 OTAF_117 Char 1 REV_CNTR_OTAF_1_IND_CD(17) 1434 OTAF_118 Char 1 REV_CNTR_OTAF_1_IND_CD(18) 1435 OTAF_119 Char 1 REV_CNTR_OTAF_1_IND_CD(19) 1436 OTAF_120 Char 1 REV_CNTR_OTAF_1_IND_CD(20) 1437 OTAF_121 Char 1 REV_CNTR_OTAF_1_IND_CD(21) 1438 OTAF_122 Char 1 REV_CNTR_OTAF_1_IND_CD(22) 1439 OTAF_123 Char 1 REV_CNTR_OTAF_1_IND_CD(23) 1440 OTAF_124 Char 1 REV_CNTR_OTAF_1_IND_CD(24) 1441 OTAF_125 Char 1 REV_CNTR_OTAF_1_IND_CD(25) 1442 OTAF_126 Char 1 REV_CNTR_OTAF_1_IND_CD(26) 1443 OTAF_127 Char 1 REV_CNTR_OTAF_1_IND_CD(27) 1444 OTAF_128 Char 1 REV_CNTR_OTAF_1_IND_CD(28) 1445 OTAF_129 Char 1 REV_CNTR_OTAF_1_IND_CD(29) 1446 OTAF_130 Char 1 REV_CNTR_OTAF_1_IND_CD(30) 1447 OTAF_131 Char 1 REV_CNTR_OTAF_1_IND_CD(31) 1448 OTAF_132 Char 1 REV_CNTR_OTAF_1_IND_CD(32) 1449 OTAF_133 Char 1 REV_CNTR_OTAF_1_IND_CD(33) 1450 OTAF_134 Char 1 REV_CNTR_OTAF_1_IND_CD(34) 1451 OTAF_135 Char 1 REV_CNTR_OTAF_1_IND_CD(35) 1452 OTAF_136 Char 1 REV_CNTR_OTAF_1_IND_CD(36) 1453 OTAF_137 Char 1 REV_CNTR_OTAF_1_IND_CD(37) 1454 OTAF_138 Char 1 REV_CNTR_OTAF_1_IND_CD(38) 1455 OTAF_139 Char 1 REV_CNTR_OTAF_1_IND_CD(39) 1456 OTAF_140 Char 1 REV_CNTR_OTAF_1_IND_CD(40) 1457 OTAF_141 Char 1 REV_CNTR_OTAF_1_IND_CD(41) 1458 OTAF_142 Char 1 REV_CNTR_OTAF_1_IND_CD(42) 1459 OTAF_143 Char 1 REV_CNTR_OTAF_1_IND_CD(43) 1460 OTAF_144 Char 1 REV_CNTR_OTAF_1_IND_CD(44) 1461 OTAF_145 Char 1 REV_CNTR_OTAF_1_IND_CD(45) 1462 OTAF_201 Char 1 REV_CNTR_OTAF_2_IND_CD(1) 1463 OTAF_202 Char 1 REV_CNTR_OTAF_2_IND_CD(2) 1464 OTAF_203 Char 1 REV_CNTR_OTAF_2_IND_CD(3) 1465 OTAF_204 Char 1 REV_CNTR_OTAF_2_IND_CD(4) 1466 OTAF_205 Char 1 REV_CNTR_OTAF_2_IND_CD(5) 1467 OTAF_206 Char 1 REV_CNTR_OTAF_2_IND_CD(6) 1468 OTAF_207 Char 1 REV_CNTR_OTAF_2_IND_CD(7) 1469 OTAF_208 Char 1 REV_CNTR_OTAF_2_IND_CD(8) 1470 OTAF_209 Char 1 REV_CNTR_OTAF_2_IND_CD(9) 1471 OTAF_210 Char 1 REV_CNTR_OTAF_2_IND_CD(10) 1472 OTAF_211 Char 1 REV_CNTR_OTAF_2_IND_CD(11) 1473 OTAF_212 Char 1 REV_CNTR_OTAF_2_IND_CD(12) 1474 OTAF_213 Char 1 REV_CNTR_OTAF_2_IND_CD(13) 1475 OTAF_214 Char 1 REV_CNTR_OTAF_2_IND_CD(14) 1476 OTAF_215 Char 1 REV_CNTR_OTAF_2_IND_CD(15) 1477 OTAF_216 Char 1 REV_CNTR_OTAF_2_IND_CD(16) 1478 OTAF_217 Char 1 REV_CNTR_OTAF_2_IND_CD(17) 1479 OTAF_218 Char 1 REV_CNTR_OTAF_2_IND_CD(18) 1480 OTAF_219 Char 1 REV_CNTR_OTAF_2_IND_CD(19) 1481 OTAF_220 Char 1 REV_CNTR_OTAF_2_IND_CD(20) 1482 OTAF_221 Char 1 REV_CNTR_OTAF_2_IND_CD(21) 1483 OTAF_222 Char 1 REV_CNTR_OTAF_2_IND_CD(22) 1484 OTAF_223 Char 1 REV_CNTR_OTAF_2_IND_CD(23) 1485 OTAF_224 Char 1 REV_CNTR_OTAF_2_IND_CD(24) 1486 OTAF_225 Char 1 REV_CNTR_OTAF_2_IND_CD(25) 1487 OTAF_226 Char 1 REV_CNTR_OTAF_2_IND_CD(26) 1488 OTAF_227 Char 1 REV_CNTR_OTAF_2_IND_CD(27) 1489 OTAF_228 Char 1 REV_CNTR_OTAF_2_IND_CD(28) 1490 OTAF_229 Char 1 REV_CNTR_OTAF_2_IND_CD(29) 1491 OTAF_230 Char 1 REV_CNTR_OTAF_2_IND_CD(30) 1492 OTAF_231 Char 1 REV_CNTR_OTAF_2_IND_CD(31) 1493 OTAF_232 Char 1 REV_CNTR_OTAF_2_IND_CD(32) 1494 OTAF_233 Char 1 REV_CNTR_OTAF_2_IND_CD(33) 1495 OTAF_234 Char 1 REV_CNTR_OTAF_2_IND_CD(34) 1496 OTAF_235 Char 1 REV_CNTR_OTAF_2_IND_CD(35) 1497 OTAF_236 Char 1 REV_CNTR_OTAF_2_IND_CD(36) 1498 OTAF_237 Char 1 REV_CNTR_OTAF_2_IND_CD(37) 1499 OTAF_238 Char 1 REV_CNTR_OTAF_2_IND_CD(38) 1500 OTAF_239 Char 1 REV_CNTR_OTAF_2_IND_CD(39) 1501 OTAF_240 Char 1 REV_CNTR_OTAF_2_IND_CD(40) 1502 OTAF_241 Char 1 REV_CNTR_OTAF_2_IND_CD(41) 1503 OTAF_242 Char 1 REV_CNTR_OTAF_2_IND_CD(42) 1504 OTAF_243 Char 1 REV_CNTR_OTAF_2_IND_CD(43) 1505 OTAF_244 Char 1 REV_CNTR_OTAF_2_IND_CD(44) 1506 OTAF_245 Char 1 REV_CNTR_OTAF_2_IND_CD(45) 94 OT_GVN Char 1 CLM_OTHR_PHYSN_GVN_NAME 95 OT_MDL Char 1 CLM_OTHR_PHYSN_MDL_INITL_NAME 92 OT_NPI Char 10 CLM_OTHR_PHYSN_NPI_NUM 93 OT_SRNM Char 6 CLM_OTHR_PHYSN_SRNM_NAME 91 OT_UPIN Char 6 CLM_OTHR_PHYSN_UPIN_NUM 113 PCCHGAMT Num 8 COMMA14.2 NCH_PROFNL_CMPNT_CHRG_AMT 1327 PCKGND01 Char 1 REV_CNTR_PACKG_IND_CD(1) 1328 PCKGND02 Char 1 REV_CNTR_PACKG_IND_CD(2) 1329 PCKGND03 Char 1 REV_CNTR_PACKG_IND_CD(3) 1330 PCKGND04 Char 1 REV_CNTR_PACKG_IND_CD(4) 1331 PCKGND05 Char 1 REV_CNTR_PACKG_IND_CD(5) 1332 PCKGND06 Char 1 REV_CNTR_PACKG_IND_CD(6) 1333 PCKGND07 Char 1 REV_CNTR_PACKG_IND_CD(7) 1334 PCKGND08 Char 1 REV_CNTR_PACKG_IND_CD(8) 1335 PCKGND09 Char 1 REV_CNTR_PACKG_IND_CD(9) 1336 PCKGND10 Char 1 REV_CNTR_PACKG_IND_CD(10) 1337 PCKGND11 Char 1 REV_CNTR_PACKG_IND_CD(11) 1338 PCKGND12 Char 1 REV_CNTR_PACKG_IND_CD(12) 1339 PCKGND13 Char 1 REV_CNTR_PACKG_IND_CD(13) 1340 PCKGND14 Char 1 REV_CNTR_PACKG_IND_CD(14) 1341 PCKGND15 Char 1 REV_CNTR_PACKG_IND_CD(15) 1342 PCKGND16 Char 1 REV_CNTR_PACKG_IND_CD(16) 1343 PCKGND17 Char 1 REV_CNTR_PACKG_IND_CD(17) 1344 PCKGND18 Char 1 REV_CNTR_PACKG_IND_CD(18) 1345 PCKGND19 Char 1 REV_CNTR_PACKG_IND_CD(19) 1346 PCKGND20 Char 1 REV_CNTR_PACKG_IND_CD(20) 1347 PCKGND21 Char 1 REV_CNTR_PACKG_IND_CD(21) 1348 PCKGND22 Char 1 REV_CNTR_PACKG_IND_CD(22) 1349 PCKGND23 Char 1 REV_CNTR_PACKG_IND_CD(23) 1350 PCKGND24 Char 1 REV_CNTR_PACKG_IND_CD(24) 1351 PCKGND25 Char 1 REV_CNTR_PACKG_IND_CD(25) 1352 PCKGND26 Char 1 REV_CNTR_PACKG_IND_CD(26) 1353 PCKGND27 Char 1 REV_CNTR_PACKG_IND_CD(27) 1354 PCKGND28 Char 1 REV_CNTR_PACKG_IND_CD(28) 1355 PCKGND29 Char 1 REV_CNTR_PACKG_IND_CD(29) 1356 PCKGND30 Char 1 REV_CNTR_PACKG_IND_CD(30) 1357 PCKGND31 Char 1 REV_CNTR_PACKG_IND_CD(31) 1358 PCKGND32 Char 1 REV_CNTR_PACKG_IND_CD(32) 1359 PCKGND33 Char 1 REV_CNTR_PACKG_IND_CD(33) 1360 PCKGND34 Char 1 REV_CNTR_PACKG_IND_CD(34) 1361 PCKGND35 Char 1 REV_CNTR_PACKG_IND_CD(35) 1362 PCKGND36 Char 1 REV_CNTR_PACKG_IND_CD(36) 1363 PCKGND37 Char 1 REV_CNTR_PACKG_IND_CD(37) 1364 PCKGND38 Char 1 REV_CNTR_PACKG_IND_CD(38) 1365 PCKGND39 Char 1 REV_CNTR_PACKG_IND_CD(39) 1366 PCKGND40 Char 1 REV_CNTR_PACKG_IND_CD(40) 1367 PCKGND41 Char 1 REV_CNTR_PACKG_IND_CD(41) 1368 PCKGND42 Char 1 REV_CNTR_PACKG_IND_CD(42) 1369 PCKGND43 Char 1 REV_CNTR_PACKG_IND_CD(43) 1370 PCKGND44 Char 1 REV_CNTR_PACKG_IND_CD(44) 1371 PCKGND45 Char 1 REV_CNTR_PACKG_IND_CD(45) 70 PDGNS_CD Char 5 CLM_PRNCPAL_DGNS_CD 45 PE_RIC Char 1 NCH_PMT_EDIT_RIC_CD 253 PLANID1 Char 14 CLM_HLTH_PLANID_NUM(1) 254 PLANID2 Char 14 CLM_HLTH_PLANID_NUM(2) 255 PLANID3 Char 14 CLM_HLTH_PLANID_NUM(3) 250 PLNDCD1 Char 1 CLM_HLTH_PLANID_CD(1) 251 PLNDCD2 Char 1 CLM_HLTH_PLANID_CD(2) 252 PLNDCD3 Char 1 CLM_HLTH_PLANID_CD(3) 247 PLNDND1 Char 1 NCH_HLTH_PLANID_TRLR_IND_CD(1) 248 PLNDND2 Char 1 NCH_HLTH_PLANID_TRLR_IND_CD(2) 249 PLNDND3 Char 1 NCH_HLTH_PLANID_TRLR_IND_CD(3) 1237 PMTTHD01 Char 2 REV_CNTR_PMT_MTHD_IND_CD(1) 1238 PMTTHD02 Char 2 REV_CNTR_PMT_MTHD_IND_CD(2) 1239 PMTTHD03 Char 2 REV_CNTR_PMT_MTHD_IND_CD(3) 1240 PMTTHD04 Char 2 REV_CNTR_PMT_MTHD_IND_CD(4) 1241 PMTTHD05 Char 2 REV_CNTR_PMT_MTHD_IND_CD(5) 1242 PMTTHD06 Char 2 REV_CNTR_PMT_MTHD_IND_CD(6) 1243 PMTTHD07 Char 2 REV_CNTR_PMT_MTHD_IND_CD(7) 1244 PMTTHD08 Char 2 REV_CNTR_PMT_MTHD_IND_CD(8) 1245 PMTTHD09 Char 2 REV_CNTR_PMT_MTHD_IND_CD(9) 1246 PMTTHD10 Char 2 REV_CNTR_PMT_MTHD_IND_CD(10) 1247 PMTTHD11 Char 2 REV_CNTR_PMT_MTHD_IND_CD(11) 1248 PMTTHD12 Char 2 REV_CNTR_PMT_MTHD_IND_CD(12) 1249 PMTTHD13 Char 2 REV_CNTR_PMT_MTHD_IND_CD(13) 1250 PMTTHD14 Char 2 REV_CNTR_PMT_MTHD_IND_CD(14) 1251 PMTTHD15 Char 2 REV_CNTR_PMT_MTHD_IND_CD(15) 1252 PMTTHD16 Char 2 REV_CNTR_PMT_MTHD_IND_CD(16) 1253 PMTTHD17 Char 2 REV_CNTR_PMT_MTHD_IND_CD(17) 1254 PMTTHD18 Char 2 REV_CNTR_PMT_MTHD_IND_CD(18) 1255 PMTTHD19 Char 2 REV_CNTR_PMT_MTHD_IND_CD(19) 1256 PMTTHD20 Char 2 REV_CNTR_PMT_MTHD_IND_CD(20) 1257 PMTTHD21 Char 2 REV_CNTR_PMT_MTHD_IND_CD(21) 1258 PMTTHD22 Char 2 REV_CNTR_PMT_MTHD_IND_CD(22) 1259 PMTTHD23 Char 2 REV_CNTR_PMT_MTHD_IND_CD(23) 1260 PMTTHD24 Char 2 REV_CNTR_PMT_MTHD_IND_CD(24) 1261 PMTTHD25 Char 2 REV_CNTR_PMT_MTHD_IND_CD(25) 1262 PMTTHD26 Char 2 REV_CNTR_PMT_MTHD_IND_CD(26) 1263 PMTTHD27 Char 2 REV_CNTR_PMT_MTHD_IND_CD(27) 1264 PMTTHD28 Char 2 REV_CNTR_PMT_MTHD_IND_CD(28) 1265 PMTTHD29 Char 2 REV_CNTR_PMT_MTHD_IND_CD(29) 1266 PMTTHD30 Char 2 REV_CNTR_PMT_MTHD_IND_CD(30) 1267 PMTTHD31 Char 2 REV_CNTR_PMT_MTHD_IND_CD(31) 1268 PMTTHD32 Char 2 REV_CNTR_PMT_MTHD_IND_CD(32) 1269 PMTTHD33 Char 2 REV_CNTR_PMT_MTHD_IND_CD(33) 1270 PMTTHD34 Char 2 REV_CNTR_PMT_MTHD_IND_CD(34) 1271 PMTTHD35 Char 2 REV_CNTR_PMT_MTHD_IND_CD(35) 1272 PMTTHD36 Char 2 REV_CNTR_PMT_MTHD_IND_CD(36) 1273 PMTTHD37 Char 2 REV_CNTR_PMT_MTHD_IND_CD(37) 1274 PMTTHD38 Char 2 REV_CNTR_PMT_MTHD_IND_CD(38) 1275 PMTTHD39 Char 2 REV_CNTR_PMT_MTHD_IND_CD(39) 1276 PMTTHD40 Char 2 REV_CNTR_PMT_MTHD_IND_CD(40) 1277 PMTTHD41 Char 2 REV_CNTR_PMT_MTHD_IND_CD(41) 1278 PMTTHD42 Char 2 REV_CNTR_PMT_MTHD_IND_CD(42) 1279 PMTTHD43 Char 2 REV_CNTR_PMT_MTHD_IND_CD(43) 1280 PMTTHD44 Char 2 REV_CNTR_PMT_MTHD_IND_CD(44) 1281 PMTTHD45 Char 2 REV_CNTR_PMT_MTHD_IND_CD(45) 73 PMT_AMT Num 8 COMMA14.2 CLM_PMT_AMT 106 PPS_IND Char 1 CLM_PPS_IND_CD 297 PRCDRCD1 Char 4 CLM_PRCDR_CD(1) 298 PRCDRCD2 Char 4 CLM_PRCDR_CD(2) 299 PRCDRCD3 Char 4 CLM_PRCDR_CD(3) 300 PRCDRCD4 Char 4 CLM_PRCDR_CD(4) 301 PRCDRCD5 Char 4 CLM_PRCDR_CD(5) 302 PRCDRCD6 Char 4 CLM_PRCDR_CD(6) 303 PRCDRDT1 Num 5 DATE9. CLM_PRCDR_PRFRM_DT(1) 304 PRCDRDT2 Num 5 DATE9. CLM_PRCDR_PRFRM_DT(2) 305 PRCDRDT3 Num 5 DATE9. CLM_PRCDR_PRFRM_DT(3) 306 PRCDRDT4 Num 5 DATE9. CLM_PRCDR_PRFRM_DT(4) 307 PRCDRDT5 Num 5 DATE9. CLM_PRCDR_PRFRM_DT(5) 308 PRCDRDT6 Num 5 DATE9. CLM_PRCDR_PRFRM_DT(6) 291 PRCDRND1 Char 1 NCH_PRCDR_TRLR_IND_CD(1) 292 PRCDRND2 Char 1 NCH_PRCDR_TRLR_IND_CD(2) 293 PRCDRND3 Char 1 NCH_PRCDR_TRLR_IND_CD(3) 294 PRCDRND4 Char 1 NCH_PRCDR_TRLR_IND_CD(4) 295 PRCDRND5 Char 1 NCH_PRCDR_TRLR_IND_CD(5) 296 PRCDRND6 Char 1 NCH_PRCDR_TRLR_IND_CD(6) 1372 PRICNG01 Char 2 REV_CNTR_PRICNG_IND_CD(1) 1373 PRICNG02 Char 2 REV_CNTR_PRICNG_IND_CD(2) 1374 PRICNG03 Char 2 REV_CNTR_PRICNG_IND_CD(3) 1375 PRICNG04 Char 2 REV_CNTR_PRICNG_IND_CD(4) 1376 PRICNG05 Char 2 REV_CNTR_PRICNG_IND_CD(5) 1377 PRICNG06 Char 2 REV_CNTR_PRICNG_IND_CD(6) 1378 PRICNG07 Char 2 REV_CNTR_PRICNG_IND_CD(7) 1379 PRICNG08 Char 2 REV_CNTR_PRICNG_IND_CD(8) 1380 PRICNG09 Char 2 REV_CNTR_PRICNG_IND_CD(9) 1381 PRICNG10 Char 2 REV_CNTR_PRICNG_IND_CD(10) 1382 PRICNG11 Char 2 REV_CNTR_PRICNG_IND_CD(11) 1383 PRICNG12 Char 2 REV_CNTR_PRICNG_IND_CD(12) 1384 PRICNG13 Char 2 REV_CNTR_PRICNG_IND_CD(13) 1385 PRICNG14 Char 2 REV_CNTR_PRICNG_IND_CD(14) 1386 PRICNG15 Char 2 REV_CNTR_PRICNG_IND_CD(15) 1387 PRICNG16 Char 2 REV_CNTR_PRICNG_IND_CD(16) 1388 PRICNG17 Char 2 REV_CNTR_PRICNG_IND_CD(17) 1389 PRICNG18 Char 2 REV_CNTR_PRICNG_IND_CD(18) 1390 PRICNG19 Char 2 REV_CNTR_PRICNG_IND_CD(19) 1391 PRICNG20 Char 2 REV_CNTR_PRICNG_IND_CD(20) 1392 PRICNG21 Char 2 REV_CNTR_PRICNG_IND_CD(21) 1393 PRICNG22 Char 2 REV_CNTR_PRICNG_IND_CD(22) 1394 PRICNG23 Char 2 REV_CNTR_PRICNG_IND_CD(23) 1395 PRICNG24 Char 2 REV_CNTR_PRICNG_IND_CD(24) 1396 PRICNG25 Char 2 REV_CNTR_PRICNG_IND_CD(25) 1397 PRICNG26 Char 2 REV_CNTR_PRICNG_IND_CD(26) 1398 PRICNG27 Char 2 REV_CNTR_PRICNG_IND_CD(27) 1399 PRICNG28 Char 2 REV_CNTR_PRICNG_IND_CD(28) 1400 PRICNG29 Char 2 REV_CNTR_PRICNG_IND_CD(29) 1401 PRICNG30 Char 2 REV_CNTR_PRICNG_IND_CD(30) 1402 PRICNG31 Char 2 REV_CNTR_PRICNG_IND_CD(31) 1403 PRICNG32 Char 2 REV_CNTR_PRICNG_IND_CD(32) 1404 PRICNG33 Char 2 REV_CNTR_PRICNG_IND_CD(33) 1405 PRICNG34 Char 2 REV_CNTR_PRICNG_IND_CD(34) 1406 PRICNG35 Char 2 REV_CNTR_PRICNG_IND_CD(35) 1407 PRICNG36 Char 2 REV_CNTR_PRICNG_IND_CD(36) 1408 PRICNG37 Char 2 REV_CNTR_PRICNG_IND_CD(37) 1409 PRICNG38 Char 2 REV_CNTR_PRICNG_IND_CD(38) 1410 PRICNG39 Char 2 REV_CNTR_PRICNG_IND_CD(39) 1411 PRICNG40 Char 2 REV_CNTR_PRICNG_IND_CD(40) 1412 PRICNG41 Char 2 REV_CNTR_PRICNG_IND_CD(41) 1413 PRICNG42 Char 2 REV_CNTR_PRICNG_IND_CD(42) 1414 PRICNG43 Char 2 REV_CNTR_PRICNG_IND_CD(43) 1415 PRICNG44 Char 2 REV_CNTR_PRICNG_IND_CD(44) 1416 PRICNG45 Char 2 REV_CNTR_PRICNG_IND_CD(45) 43 PROVIDER Char 6 PRVDR_NUM 102 PRO_CNTL Char 12 CLM_PRO_CNTL_NUM 103 PRO_DT Num 8 DATE9. CLM_PRO_PROC_DT 74 PRPAYAMT Num 8 COMMA14.2 NCH_PRMRY_PYR_CLM_PD_AMT 75 PRPAY_CD Char 1 NCH_PRMRY_PYR_CD 79 PRSTATE Char 2 NCH_PRVDR_STATE_CD 115 PRVDRPMT Num 8 COMMA14.2 CLM_OP_PRVDR_PMT_AMT 112 PTB_COIN Num 8 COMMA14.2 NCH_BENE_PTB_COINSRNC_AMT 111 PTB_DED Num 8 COMMA14.2 NCH_BENE_PTB_DDCTBL_AMT 175 PTCHCD01 Char 2 NCH_PATCH_CD(1) 176 PTCHCD02 Char 2 NCH_PATCH_CD(2) 177 PTCHCD03 Char 2 NCH_PATCH_CD(3) 178 PTCHCD04 Char 2 NCH_PATCH_CD(4) 179 PTCHCD05 Char 2 NCH_PATCH_CD(5) 180 PTCHCD06 Char 2 NCH_PATCH_CD(6) 181 PTCHCD07 Char 2 NCH_PATCH_CD(7) 182 PTCHCD08 Char 2 NCH_PATCH_CD(8) 183 PTCHCD09 Char 2 NCH_PATCH_CD(9) 184 PTCHCD10 Char 2 NCH_PATCH_CD(10) 185 PTCHCD11 Char 2 NCH_PATCH_CD(11) 186 PTCHCD12 Char 2 NCH_PATCH_CD(12) 187 PTCHCD13 Char 2 NCH_PATCH_CD(13) 188 PTCHCD14 Char 2 NCH_PATCH_CD(14) 189 PTCHCD15 Char 2 NCH_PATCH_CD(15) 190 PTCHCD16 Char 2 NCH_PATCH_CD(16) 191 PTCHCD17 Char 2 NCH_PATCH_CD(17) 192 PTCHCD18 Char 2 NCH_PATCH_CD(18) 193 PTCHCD19 Char 2 NCH_PATCH_CD(19) 194 PTCHCD20 Char 2 NCH_PATCH_CD(20) 195 PTCHCD21 Char 2 NCH_PATCH_CD(21) 196 PTCHCD22 Char 2 NCH_PATCH_CD(22) 197 PTCHCD23 Char 2 NCH_PATCH_CD(23) 198 PTCHCD24 Char 2 NCH_PATCH_CD(24) 199 PTCHCD25 Char 2 NCH_PATCH_CD(25) 200 PTCHCD26 Char 2 NCH_PATCH_CD(26) 201 PTCHCD27 Char 2 NCH_PATCH_CD(27) 202 PTCHCD28 Char 2 NCH_PATCH_CD(28) 203 PTCHCD29 Char 2 NCH_PATCH_CD(29) 204 PTCHCD30 Char 2 NCH_PATCH_CD(30) 205 PTCHDT01 Num 5 DATE9. NCH_PATCH_APPLY_DT(1) 206 PTCHDT02 Num 5 DATE9. NCH_PATCH_APPLY_DT(2) 207 PTCHDT03 Num 5 DATE9. NCH_PATCH_APPLY_DT(3) 208 PTCHDT04 Num 5 DATE9. NCH_PATCH_APPLY_DT(4) 209 PTCHDT05 Num 5 DATE9. NCH_PATCH_APPLY_DT(5) 210 PTCHDT06 Num 5 DATE9. NCH_PATCH_APPLY_DT(6) 211 PTCHDT07 Num 5 DATE9. NCH_PATCH_APPLY_DT(7) 212 PTCHDT08 Num 5 DATE9. NCH_PATCH_APPLY_DT(8) 213 PTCHDT09 Num 5 DATE9. NCH_PATCH_APPLY_DT(9) 214 PTCHDT10 Num 5 DATE9. NCH_PATCH_APPLY_DT(10) 215 PTCHDT11 Num 5 DATE9. NCH_PATCH_APPLY_DT(11) 216 PTCHDT12 Num 5 DATE9. NCH_PATCH_APPLY_DT(12) 217 PTCHDT13 Num 5 DATE9. NCH_PATCH_APPLY_DT(13) 218 PTCHDT14 Num 5 DATE9. NCH_PATCH_APPLY_DT(14) 219 PTCHDT15 Num 5 DATE9. NCH_PATCH_APPLY_DT(15) 220 PTCHDT16 Num 5 DATE9. NCH_PATCH_APPLY_DT(16) 221 PTCHDT17 Num 5 DATE9. NCH_PATCH_APPLY_DT(17) 222 PTCHDT18 Num 5 DATE9. NCH_PATCH_APPLY_DT(18) 223 PTCHDT19 Num 5 DATE9. NCH_PATCH_APPLY_DT(19) 224 PTCHDT20 Num 5 DATE9. NCH_PATCH_APPLY_DT(20) 225 PTCHDT21 Num 5 DATE9. NCH_PATCH_APPLY_DT(21) 226 PTCHDT22 Num 5 DATE9. NCH_PATCH_APPLY_DT(22) 227 PTCHDT23 Num 5 DATE9. NCH_PATCH_APPLY_DT(23) 228 PTCHDT24 Num 5 DATE9. NCH_PATCH_APPLY_DT(24) 229 PTCHDT25 Num 5 DATE9. NCH_PATCH_APPLY_DT(25) 230 PTCHDT26 Num 5 DATE9. NCH_PATCH_APPLY_DT(26) 231 PTCHDT27 Num 5 DATE9. NCH_PATCH_APPLY_DT(27) 232 PTCHDT28 Num 5 DATE9. NCH_PATCH_APPLY_DT(28) 233 PTCHDT29 Num 5 DATE9. NCH_PATCH_APPLY_DT(29) 234 PTCHDT30 Num 5 DATE9. NCH_PATCH_APPLY_DT(30) 145 PTCHND01 Char 1 NCH_PATCH_TRLR_IND_CD(1) 146 PTCHND02 Char 1 NCH_PATCH_TRLR_IND_CD(2) 147 PTCHND03 Char 1 NCH_PATCH_TRLR_IND_CD(3) 148 PTCHND04 Char 1 NCH_PATCH_TRLR_IND_CD(4) 149 PTCHND05 Char 1 NCH_PATCH_TRLR_IND_CD(5) 150 PTCHND06 Char 1 NCH_PATCH_TRLR_IND_CD(6) 151 PTCHND07 Char 1 NCH_PATCH_TRLR_IND_CD(7) 152 PTCHND08 Char 1 NCH_PATCH_TRLR_IND_CD(8) 153 PTCHND09 Char 1 NCH_PATCH_TRLR_IND_CD(9) 154 PTCHND10 Char 1 NCH_PATCH_TRLR_IND_CD(10) 155 PTCHND11 Char 1 NCH_PATCH_TRLR_IND_CD(11) 156 PTCHND12 Char 1 NCH_PATCH_TRLR_IND_CD(12) 157 PTCHND13 Char 1 NCH_PATCH_TRLR_IND_CD(13) 158 PTCHND14 Char 1 NCH_PATCH_TRLR_IND_CD(14) 159 PTCHND15 Char 1 NCH_PATCH_TRLR_IND_CD(15) 160 PTCHND16 Char 1 NCH_PATCH_TRLR_IND_CD(16) 161 PTCHND17 Char 1 NCH_PATCH_TRLR_IND_CD(17) 162 PTCHND18 Char 1 NCH_PATCH_TRLR_IND_CD(18) 163 PTCHND19 Char 1 NCH_PATCH_TRLR_IND_CD(19) 164 PTCHND20 Char 1 NCH_PATCH_TRLR_IND_CD(20) 165 PTCHND21 Char 1 NCH_PATCH_TRLR_IND_CD(21) 166 PTCHND22 Char 1 NCH_PATCH_TRLR_IND_CD(22) 167 PTCHND23 Char 1 NCH_PATCH_TRLR_IND_CD(23) 168 PTCHND24 Char 1 NCH_PATCH_TRLR_IND_CD(24) 169 PTCHND25 Char 1 NCH_PATCH_TRLR_IND_CD(25) 170 PTCHND26 Char 1 NCH_PATCH_TRLR_IND_CD(26) 171 PTCHND27 Char 1 NCH_PATCH_TRLR_IND_CD(27) 172 PTCHND28 Char 1 NCH_PATCH_TRLR_IND_CD(28) 173 PTCHND29 Char 1 NCH_PATCH_TRLR_IND_CD(29) 174 PTCHND30 Char 1 NCH_PATCH_TRLR_IND_CD(30) 2047 PTNRSP01 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(1) 2048 PTNRSP02 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(2) 2049 PTNRSP03 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(3) 2050 PTNRSP04 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(4) 2051 PTNRSP05 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(5) 2052 PTNRSP06 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(6) 2053 PTNRSP07 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(7) 2054 PTNRSP08 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(8) 2055 PTNRSP09 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(9) 2056 PTNRSP10 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(10) 2057 PTNRSP11 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(11) 2058 PTNRSP12 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(12) 2059 PTNRSP13 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(13) 2060 PTNRSP14 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(14) 2061 PTNRSP15 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(15) 2062 PTNRSP16 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(16) 2063 PTNRSP17 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(17) 2064 PTNRSP18 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(18) 2065 PTNRSP19 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(19) 2066 PTNRSP20 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(20) 2067 PTNRSP21 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(21) 2068 PTNRSP22 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(22) 2069 PTNRSP23 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(23) 2070 PTNRSP24 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(24) 2071 PTNRSP25 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(25) 2072 PTNRSP26 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(26) 2073 PTNRSP27 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(27) 2074 PTNRSP28 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(28) 2075 PTNRSP29 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(29) 2076 PTNRSP30 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(30) 2077 PTNRSP31 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(31) 2078 PTNRSP32 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(32) 2079 PTNRSP33 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(33) 2080 PTNRSP34 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(34) 2081 PTNRSP35 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(35) 2082 PTNRSP36 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(36) 2083 PTNRSP37 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(37) 2084 PTNRSP38 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(38) 2085 PTNRSP39 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(39) 2086 PTNRSP40 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(40) 2087 PTNRSP41 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(41) 2088 PTNRSP42 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(42) 2089 PTNRSP43 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(43) 2090 PTNRSP44 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(44) 2091 PTNRSP45 Num 8 COMMA14.2 REV_CNTR_PTNT_RESP_PMT_AMT(45) 100 PTNTCNTL Char 20 PTNT_CNTL_NUM 42 QUERY_CD Char 1 CLM_QUERY_CD 63 RACE Char 1 BENE_RACE_CD 2002 RBNPMT01 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(1) 2003 RBNPMT02 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(2) 2004 RBNPMT03 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(3) 2005 RBNPMT04 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(4) 2006 RBNPMT05 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(5) 2007 RBNPMT06 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(6) 2008 RBNPMT07 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(7) 2009 RBNPMT08 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(8) 2010 RBNPMT09 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(9) 2011 RBNPMT10 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(10) 2012 RBNPMT11 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(11) 2013 RBNPMT12 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(12) 2014 RBNPMT13 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(13) 2015 RBNPMT14 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(14) 2016 RBNPMT15 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(15) 2017 RBNPMT16 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(16) 2018 RBNPMT17 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(17) 2019 RBNPMT18 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(18) 2020 RBNPMT19 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(19) 2021 RBNPMT20 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(20) 2022 RBNPMT21 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(21) 2023 RBNPMT22 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(22) 2024 RBNPMT23 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(23) 2025 RBNPMT24 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(24) 2026 RBNPMT25 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(25) 2027 RBNPMT26 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(26) 2028 RBNPMT27 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(27) 2029 RBNPMT28 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(28) 2030 RBNPMT29 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(29) 2031 RBNPMT30 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(30) 2032 RBNPMT31 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(31) 2033 RBNPMT32 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(32) 2034 RBNPMT33 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(33) 2035 RBNPMT34 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(34) 2036 RBNPMT35 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(35) 2037 RBNPMT36 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(36) 2038 RBNPMT37 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(37) 2039 RBNPMT38 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(38) 2040 RBNPMT39 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(39) 2041 RBNPMT40 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(40) 2042 RBNPMT41 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(41) 2043 RBNPMT42 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(42) 2044 RBNPMT43 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(43) 2045 RBNPMT44 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(44) 2046 RBNPMT45 Num 8 COMMA14.2 REV_CNTR_BENE_PMT_AMT(45) 55 RCPT_DT Num 8 DATE9. FI_CLM_RCPT_DT 1777 RDCDCN01 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(1) 1778 RDCDCN02 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(2) 1779 RDCDCN03 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(3) 1780 RDCDCN04 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(4) 1781 RDCDCN05 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(5) 1782 RDCDCN06 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(6) 1783 RDCDCN07 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(7) 1784 RDCDCN08 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(8) 1785 RDCDCN09 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(9) 1786 RDCDCN10 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(10) 1787 RDCDCN11 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(11) 1788 RDCDCN12 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(12) 1789 RDCDCN13 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(13) 1790 RDCDCN14 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(14) 1791 RDCDCN15 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(15) 1792 RDCDCN16 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(16) 1793 RDCDCN17 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(17) 1794 RDCDCN18 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(18) 1795 RDCDCN19 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(19) 1796 RDCDCN20 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(20) 1797 RDCDCN21 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(21) 1798 RDCDCN22 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(22) 1799 RDCDCN23 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(23) 1800 RDCDCN24 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(24) 1801 RDCDCN25 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(25) 1802 RDCDCN26 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(26) 1803 RDCDCN27 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(27) 1804 RDCDCN28 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(28) 1805 RDCDCN29 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(29) 1806 RDCDCN30 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(30) 1807 RDCDCN31 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(31) 1808 RDCDCN32 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(32) 1809 RDCDCN33 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(33) 1810 RDCDCN34 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(34) 1811 RDCDCN35 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(35) 1812 RDCDCN36 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(36) 1813 RDCDCN37 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(37) 1814 RDCDCN38 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(38) 1815 RDCDCN39 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(39) 1816 RDCDCN40 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(40) 1817 RDCDCN41 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(41) 1818 RDCDCN42 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(42) 1819 RDCDCN43 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(43) 1820 RDCDCN44 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(44) 1821 RDCDCN45 Num 8 COMMA14.2 REV_CNTR_RDCD_COINS_AMT(45) 1 REALSSN Num 8 SSN11. REAL_SSN 4 REC_LEN Num 4 COMMA6. REC_LNGTH_CNT 27 REC_LVL Char 1 NCH_NEAR_LINE_REC_VRSN_CD 607 REVIND01 Char 1 NCH_REV_CNTR_TRLR_IND_CD(1) 608 REVIND02 Char 1 NCH_REV_CNTR_TRLR_IND_CD(2) 609 REVIND03 Char 1 NCH_REV_CNTR_TRLR_IND_CD(3) 610 REVIND04 Char 1 NCH_REV_CNTR_TRLR_IND_CD(4) 611 REVIND05 Char 1 NCH_REV_CNTR_TRLR_IND_CD(5) 612 REVIND06 Char 1 NCH_REV_CNTR_TRLR_IND_CD(6) 613 REVIND07 Char 1 NCH_REV_CNTR_TRLR_IND_CD(7) 614 REVIND08 Char 1 NCH_REV_CNTR_TRLR_IND_CD(8) 615 REVIND09 Char 1 NCH_REV_CNTR_TRLR_IND_CD(9) 616 REVIND10 Char 1 NCH_REV_CNTR_TRLR_IND_CD(10) 617 REVIND11 Char 1 NCH_REV_CNTR_TRLR_IND_CD(11) 618 REVIND12 Char 1 NCH_REV_CNTR_TRLR_IND_CD(12) 619 REVIND13 Char 1 NCH_REV_CNTR_TRLR_IND_CD(13) 620 REVIND14 Char 1 NCH_REV_CNTR_TRLR_IND_CD(14) 621 REVIND15 Char 1 NCH_REV_CNTR_TRLR_IND_CD(15) 622 REVIND16 Char 1 NCH_REV_CNTR_TRLR_IND_CD(16) 623 REVIND17 Char 1 NCH_REV_CNTR_TRLR_IND_CD(17) 624 REVIND18 Char 1 NCH_REV_CNTR_TRLR_IND_CD(18) 625 REVIND19 Char 1 NCH_REV_CNTR_TRLR_IND_CD(19) 626 REVIND20 Char 1 NCH_REV_CNTR_TRLR_IND_CD(20) 627 REVIND21 Char 1 NCH_REV_CNTR_TRLR_IND_CD(21) 628 REVIND22 Char 1 NCH_REV_CNTR_TRLR_IND_CD(22) 629 REVIND23 Char 1 NCH_REV_CNTR_TRLR_IND_CD(23) 630 REVIND24 Char 1 NCH_REV_CNTR_TRLR_IND_CD(24) 631 REVIND25 Char 1 NCH_REV_CNTR_TRLR_IND_CD(25) 632 REVIND26 Char 1 NCH_REV_CNTR_TRLR_IND_CD(26) 633 REVIND27 Char 1 NCH_REV_CNTR_TRLR_IND_CD(27) 634 REVIND28 Char 1 NCH_REV_CNTR_TRLR_IND_CD(28) 635 REVIND29 Char 1 NCH_REV_CNTR_TRLR_IND_CD(29) 636 REVIND30 Char 1 NCH_REV_CNTR_TRLR_IND_CD(30) 637 REVIND31 Char 1 NCH_REV_CNTR_TRLR_IND_CD(31) 638 REVIND32 Char 1 NCH_REV_CNTR_TRLR_IND_CD(32) 639 REVIND33 Char 1 NCH_REV_CNTR_TRLR_IND_CD(33) 640 REVIND34 Char 1 NCH_REV_CNTR_TRLR_IND_CD(34) 641 REVIND35 Char 1 NCH_REV_CNTR_TRLR_IND_CD(35) 642 REVIND36 Char 1 NCH_REV_CNTR_TRLR_IND_CD(36) 643 REVIND37 Char 1 NCH_REV_CNTR_TRLR_IND_CD(37) 644 REVIND38 Char 1 NCH_REV_CNTR_TRLR_IND_CD(38) 645 REVIND39 Char 1 NCH_REV_CNTR_TRLR_IND_CD(39) 646 REVIND40 Char 1 NCH_REV_CNTR_TRLR_IND_CD(40) 647 REVIND41 Char 1 NCH_REV_CNTR_TRLR_IND_CD(41) 648 REVIND42 Char 1 NCH_REV_CNTR_TRLR_IND_CD(42) 649 REVIND43 Char 1 NCH_REV_CNTR_TRLR_IND_CD(43) 650 REVIND44 Char 1 NCH_REV_CNTR_TRLR_IND_CD(44) 651 REVIND45 Char 1 NCH_REV_CNTR_TRLR_IND_CD(45) 2092 REVPMT01 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(1) 2093 REVPMT02 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(2) 2094 REVPMT03 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(3) 2095 REVPMT04 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(4) 2096 REVPMT05 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(5) 2097 REVPMT06 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(6) 2098 REVPMT07 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(7) 2099 REVPMT08 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(8) 2100 REVPMT09 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(9) 2101 REVPMT10 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(10) 2102 REVPMT11 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(11) 2103 REVPMT12 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(12) 2104 REVPMT13 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(13) 2105 REVPMT14 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(14) 2106 REVPMT15 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(15) 2107 REVPMT16 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(16) 2108 REVPMT17 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(17) 2109 REVPMT18 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(18) 2110 REVPMT19 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(19) 2111 REVPMT20 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(20) 2112 REVPMT21 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(21) 2113 REVPMT22 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(22) 2114 REVPMT23 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(23) 2115 REVPMT24 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(24) 2116 REVPMT25 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(25) 2117 REVPMT26 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(26) 2118 REVPMT27 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(27) 2119 REVPMT28 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(28) 2120 REVPMT29 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(29) 2121 REVPMT30 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(30) 2122 REVPMT31 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(31) 2123 REVPMT32 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(32) 2124 REVPMT33 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(33) 2125 REVPMT34 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(34) 2126 REVPMT35 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(35) 2127 REVPMT36 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(36) 2128 REVPMT37 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(37) 2129 REVPMT38 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(38) 2130 REVPMT39 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(39) 2131 REVPMT40 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(40) 2132 REVPMT41 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(41) 2133 REVPMT42 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(42) 2134 REVPMT43 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(43) 2135 REVPMT44 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(44) 2136 REVPMT45 Num 8 COMMA14.2 REV_CNTR_PMT_AMT(45) 697 REV_DT01 Num 5 DATE9. REV_CNTR_DT(1) 698 REV_DT02 Num 5 DATE9. REV_CNTR_DT(2) 699 REV_DT03 Num 5 DATE9. REV_CNTR_DT(3) 700 REV_DT04 Num 5 DATE9. REV_CNTR_DT(4) 701 REV_DT05 Num 5 DATE9. REV_CNTR_DT(5) 702 REV_DT06 Num 5 DATE9. REV_CNTR_DT(6) 703 REV_DT07 Num 5 DATE9. REV_CNTR_DT(7) 704 REV_DT08 Num 5 DATE9. REV_CNTR_DT(8) 705 REV_DT09 Num 5 DATE9. REV_CNTR_DT(9) 706 REV_DT10 Num 5 DATE9. REV_CNTR_DT(10) 707 REV_DT11 Num 5 DATE9. REV_CNTR_DT(11) 708 REV_DT12 Num 5 DATE9. REV_CNTR_DT(12) 709 REV_DT13 Num 5 DATE9. REV_CNTR_DT(13) 710 REV_DT14 Num 5 DATE9. REV_CNTR_DT(14) 711 REV_DT15 Num 5 DATE9. REV_CNTR_DT(15) 712 REV_DT16 Num 5 DATE9. REV_CNTR_DT(16) 713 REV_DT17 Num 5 DATE9. REV_CNTR_DT(17) 714 REV_DT18 Num 5 DATE9. REV_CNTR_DT(18) 715 REV_DT19 Num 5 DATE9. REV_CNTR_DT(19) 716 REV_DT20 Num 5 DATE9. REV_CNTR_DT(20) 717 REV_DT21 Num 5 DATE9. REV_CNTR_DT(21) 718 REV_DT22 Num 5 DATE9. REV_CNTR_DT(22) 719 REV_DT23 Num 5 DATE9. REV_CNTR_DT(23) 720 REV_DT24 Num 5 DATE9. REV_CNTR_DT(24) 721 REV_DT25 Num 5 DATE9. REV_CNTR_DT(25) 722 REV_DT26 Num 5 DATE9. REV_CNTR_DT(26) 723 REV_DT27 Num 5 DATE9. REV_CNTR_DT(27) 724 REV_DT28 Num 5 DATE9. REV_CNTR_DT(28) 725 REV_DT29 Num 5 DATE9. REV_CNTR_DT(29) 726 REV_DT30 Num 5 DATE9. REV_CNTR_DT(30) 727 REV_DT31 Num 5 DATE9. REV_CNTR_DT(31) 728 REV_DT32 Num 5 DATE9. REV_CNTR_DT(32) 729 REV_DT33 Num 5 DATE9. REV_CNTR_DT(33) 730 REV_DT34 Num 5 DATE9. REV_CNTR_DT(34) 731 REV_DT35 Num 5 DATE9. REV_CNTR_DT(35) 732 REV_DT36 Num 5 DATE9. REV_CNTR_DT(36) 733 REV_DT37 Num 5 DATE9. REV_CNTR_DT(37) 734 REV_DT38 Num 5 DATE9. REV_CNTR_DT(38) 735 REV_DT39 Num 5 DATE9. REV_CNTR_DT(39) 736 REV_DT40 Num 5 DATE9. REV_CNTR_DT(40) 737 REV_DT41 Num 5 DATE9. REV_CNTR_DT(41) 738 REV_DT42 Num 5 DATE9. REV_CNTR_DT(42) 739 REV_DT43 Num 5 DATE9. REV_CNTR_DT(43) 740 REV_DT44 Num 5 DATE9. REV_CNTR_DT(44) 741 REV_DT45 Num 5 DATE9. REV_CNTR_DT(45) 28 RIC_CD Char 1 NCH_NEAR_LINE_RIC_CD 339 RLTCND01 Char 2 CLM_RLT_COND_CD(1) 340 RLTCND02 Char 2 CLM_RLT_COND_CD(2) 341 RLTCND03 Char 2 CLM_RLT_COND_CD(3) 342 RLTCND04 Char 2 CLM_RLT_COND_CD(4) 343 RLTCND05 Char 2 CLM_RLT_COND_CD(5) 344 RLTCND06 Char 2 CLM_RLT_COND_CD(6) 345 RLTCND07 Char 2 CLM_RLT_COND_CD(7) 346 RLTCND08 Char 2 CLM_RLT_COND_CD(8) 347 RLTCND09 Char 2 CLM_RLT_COND_CD(9) 348 RLTCND10 Char 2 CLM_RLT_COND_CD(10) 349 RLTCND11 Char 2 CLM_RLT_COND_CD(11) 350 RLTCND12 Char 2 CLM_RLT_COND_CD(12) 351 RLTCND13 Char 2 CLM_RLT_COND_CD(13) 352 RLTCND14 Char 2 CLM_RLT_COND_CD(14) 353 RLTCND15 Char 2 CLM_RLT_COND_CD(15) 354 RLTCND16 Char 2 CLM_RLT_COND_CD(16) 355 RLTCND17 Char 2 CLM_RLT_COND_CD(17) 356 RLTCND18 Char 2 CLM_RLT_COND_CD(18) 357 RLTCND19 Char 2 CLM_RLT_COND_CD(19) 358 RLTCND20 Char 2 CLM_RLT_COND_CD(20) 359 RLTCND21 Char 2 CLM_RLT_COND_CD(21) 360 RLTCND22 Char 2 CLM_RLT_COND_CD(22) 361 RLTCND23 Char 2 CLM_RLT_COND_CD(23) 362 RLTCND24 Char 2 CLM_RLT_COND_CD(24) 363 RLTCND25 Char 2 CLM_RLT_COND_CD(25) 364 RLTCND26 Char 2 CLM_RLT_COND_CD(26) 365 RLTCND27 Char 2 CLM_RLT_COND_CD(27) 366 RLTCND28 Char 2 CLM_RLT_COND_CD(28) 367 RLTCND29 Char 2 CLM_RLT_COND_CD(29) 368 RLTCND30 Char 2 CLM_RLT_COND_CD(30) 1957 RPRPMT01 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(1) 1958 RPRPMT02 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(2) 1959 RPRPMT03 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(3) 1960 RPRPMT04 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(4) 1961 RPRPMT05 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(5) 1962 RPRPMT06 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(6) 1963 RPRPMT07 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(7) 1964 RPRPMT08 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(8) 1965 RPRPMT09 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(9) 1966 RPRPMT10 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(10) 1967 RPRPMT11 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(11) 1968 RPRPMT12 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(12) 1969 RPRPMT13 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(13) 1970 RPRPMT14 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(14) 1971 RPRPMT15 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(15) 1972 RPRPMT16 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(16) 1973 RPRPMT17 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(17) 1974 RPRPMT18 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(18) 1975 RPRPMT19 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(19) 1976 RPRPMT20 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(20) 1977 RPRPMT21 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(21) 1978 RPRPMT22 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(22) 1979 RPRPMT23 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(23) 1980 RPRPMT24 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(24) 1981 RPRPMT25 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(25) 1982 RPRPMT26 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(26) 1983 RPRPMT27 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(27) 1984 RPRPMT28 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(28) 1985 RPRPMT29 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(29) 1986 RPRPMT30 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(30) 1987 RPRPMT31 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(31) 1988 RPRPMT32 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(32) 1989 RPRPMT33 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(33) 1990 RPRPMT34 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(34) 1991 RPRPMT35 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(35) 1992 RPRPMT36 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(36) 1993 RPRPMT37 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(37) 1994 RPRPMT38 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(38) 1995 RPRPMT39 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(39) 1996 RPRPMT40 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(40) 1997 RPRPMT41 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(41) 1998 RPRPMT42 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(42) 1999 RPRPMT43 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(43) 2000 RPRPMT44 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(44) 2001 RPRPMT45 Num 8 COMMA14.2 REV_CNTR_PRVDR_PMT_AMT(45) 1642 RVBLD01 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(1) 1643 RVBLD02 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(2) 1644 RVBLD03 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(3) 1645 RVBLD04 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(4) 1646 RVBLD05 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(5) 1647 RVBLD06 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(6) 1648 RVBLD07 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(7) 1649 RVBLD08 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(8) 1650 RVBLD09 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(9) 1651 RVBLD10 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(10) 1652 RVBLD11 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(11) 1653 RVBLD12 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(12) 1654 RVBLD13 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(13) 1655 RVBLD14 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(14) 1656 RVBLD15 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(15) 1657 RVBLD16 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(16) 1658 RVBLD17 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(17) 1659 RVBLD18 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(18) 1660 RVBLD19 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(19) 1661 RVBLD20 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(20) 1662 RVBLD21 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(21) 1663 RVBLD22 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(22) 1664 RVBLD23 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(23) 1665 RVBLD24 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(24) 1666 RVBLD25 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(25) 1667 RVBLD26 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(26) 1668 RVBLD27 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(27) 1669 RVBLD28 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(28) 1670 RVBLD29 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(29) 1671 RVBLD30 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(30) 1672 RVBLD31 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(31) 1673 RVBLD32 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(32) 1674 RVBLD33 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(33) 1675 RVBLD34 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(34) 1676 RVBLD35 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(35) 1677 RVBLD36 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(36) 1678 RVBLD37 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(37) 1679 RVBLD38 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(38) 1680 RVBLD39 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(39) 1681 RVBLD40 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(40) 1682 RVBLD41 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(41) 1683 RVBLD42 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(42) 1684 RVBLD43 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(43) 1685 RVBLD44 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(44) 1686 RVBLD45 Num 8 COMMA14.2 REV_CNTR_BLOOD_DDCTBL_AMT(45) 2137 RVCHRG01 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(1) 2138 RVCHRG02 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(2) 2139 RVCHRG03 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(3) 2140 RVCHRG04 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(4) 2141 RVCHRG05 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(5) 2142 RVCHRG06 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(6) 2143 RVCHRG07 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(7) 2144 RVCHRG08 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(8) 2145 RVCHRG09 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(9) 2146 RVCHRG10 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(10) 2147 RVCHRG11 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(11) 2148 RVCHRG12 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(12) 2149 RVCHRG13 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(13) 2150 RVCHRG14 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(14) 2151 RVCHRG15 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(15) 2152 RVCHRG16 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(16) 2153 RVCHRG17 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(17) 2154 RVCHRG18 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(18) 2155 RVCHRG19 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(19) 2156 RVCHRG20 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(20) 2157 RVCHRG21 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(21) 2158 RVCHRG22 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(22) 2159 RVCHRG23 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(23) 2160 RVCHRG24 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(24) 2161 RVCHRG25 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(25) 2162 RVCHRG26 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(26) 2163 RVCHRG27 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(27) 2164 RVCHRG28 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(28) 2165 RVCHRG29 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(29) 2166 RVCHRG30 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(30) 2167 RVCHRG31 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(31) 2168 RVCHRG32 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(32) 2169 RVCHRG33 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(33) 2170 RVCHRG34 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(34) 2171 RVCHRG35 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(35) 2172 RVCHRG36 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(36) 2173 RVCHRG37 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(37) 2174 RVCHRG38 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(38) 2175 RVCHRG39 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(39) 2176 RVCHRG40 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(40) 2177 RVCHRG41 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(41) 2178 RVCHRG42 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(42) 2179 RVCHRG43 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(43) 2180 RVCHRG44 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(44) 2181 RVCHRG45 Num 8 COMMA14.2 REV_CNTR_TOT_CHRG_AMT(45) 652 RVCNTR01 Char 4 REV_CNTR_CD(1) 653 RVCNTR02 Char 4 REV_CNTR_CD(2) 654 RVCNTR03 Char 4 REV_CNTR_CD(3) 655 RVCNTR04 Char 4 REV_CNTR_CD(4) 656 RVCNTR05 Char 4 REV_CNTR_CD(5) 657 RVCNTR06 Char 4 REV_CNTR_CD(6) 658 RVCNTR07 Char 4 REV_CNTR_CD(7) 659 RVCNTR08 Char 4 REV_CNTR_CD(8) 660 RVCNTR09 Char 4 REV_CNTR_CD(9) 661 RVCNTR10 Char 4 REV_CNTR_CD(10) 662 RVCNTR11 Char 4 REV_CNTR_CD(11) 663 RVCNTR12 Char 4 REV_CNTR_CD(12) 664 RVCNTR13 Char 4 REV_CNTR_CD(13) 665 RVCNTR14 Char 4 REV_CNTR_CD(14) 666 RVCNTR15 Char 4 REV_CNTR_CD(15) 667 RVCNTR16 Char 4 REV_CNTR_CD(16) 668 RVCNTR17 Char 4 REV_CNTR_CD(17) 669 RVCNTR18 Char 4 REV_CNTR_CD(18) 670 RVCNTR19 Char 4 REV_CNTR_CD(19) 671 RVCNTR20 Char 4 REV_CNTR_CD(20) 672 RVCNTR21 Char 4 REV_CNTR_CD(21) 673 RVCNTR22 Char 4 REV_CNTR_CD(22) 674 RVCNTR23 Char 4 REV_CNTR_CD(23) 675 RVCNTR24 Char 4 REV_CNTR_CD(24) 676 RVCNTR25 Char 4 REV_CNTR_CD(25) 677 RVCNTR26 Char 4 REV_CNTR_CD(26) 678 RVCNTR27 Char 4 REV_CNTR_CD(27) 679 RVCNTR28 Char 4 REV_CNTR_CD(28) 680 RVCNTR29 Char 4 REV_CNTR_CD(29) 681 RVCNTR30 Char 4 REV_CNTR_CD(30) 682 RVCNTR31 Char 4 REV_CNTR_CD(31) 683 RVCNTR32 Char 4 REV_CNTR_CD(32) 684 RVCNTR33 Char 4 REV_CNTR_CD(33) 685 RVCNTR34 Char 4 REV_CNTR_CD(34) 686 RVCNTR35 Char 4 REV_CNTR_CD(35) 687 RVCNTR36 Char 4 REV_CNTR_CD(36) 688 RVCNTR37 Char 4 REV_CNTR_CD(37) 689 RVCNTR38 Char 4 REV_CNTR_CD(38) 690 RVCNTR39 Char 4 REV_CNTR_CD(39) 691 RVCNTR40 Char 4 REV_CNTR_CD(40) 692 RVCNTR41 Char 4 REV_CNTR_CD(41) 693 RVCNTR42 Char 4 REV_CNTR_CD(42) 694 RVCNTR43 Char 4 REV_CNTR_CD(43) 695 RVCNTR44 Char 4 REV_CNTR_CD(44) 696 RVCNTR45 Char 4 REV_CNTR_CD(45) 2227 RVDDCD01 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(1) 2228 RVDDCD02 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(2) 2229 RVDDCD03 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(3) 2230 RVDDCD04 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(4) 2231 RVDDCD05 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(5) 2232 RVDDCD06 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(6) 2233 RVDDCD07 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(7) 2234 RVDDCD08 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(8) 2235 RVDDCD09 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(9) 2236 RVDDCD10 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(10) 2237 RVDDCD11 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(11) 2238 RVDDCD12 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(12) 2239 RVDDCD13 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(13) 2240 RVDDCD14 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(14) 2241 RVDDCD15 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(15) 2242 RVDDCD16 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(16) 2243 RVDDCD17 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(17) 2244 RVDDCD18 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(18) 2245 RVDDCD19 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(19) 2246 RVDDCD20 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(20) 2247 RVDDCD21 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(21) 2248 RVDDCD22 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(22) 2249 RVDDCD23 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(23) 2250 RVDDCD24 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(24) 2251 RVDDCD25 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(25) 2252 RVDDCD26 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(26) 2253 RVDDCD27 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(27) 2254 RVDDCD28 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(28) 2255 RVDDCD29 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(29) 2256 RVDDCD30 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(30) 2257 RVDDCD31 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(31) 2258 RVDDCD32 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(32) 2259 RVDDCD33 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(33) 2260 RVDDCD34 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(34) 2261 RVDDCD35 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(35) 2262 RVDDCD36 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(36) 2263 RVDDCD37 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(37) 2264 RVDDCD38 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(38) 2265 RVDDCD39 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(39) 2266 RVDDCD40 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(40) 2267 RVDDCD41 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(41) 2268 RVDDCD42 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(42) 2269 RVDDCD43 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(43) 2270 RVDDCD44 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(44) 2271 RVDDCD45 Char 1 REV_CNTR_DDCTBL_COINSRNC_CD(45) 1687 RVDTBL01 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(1) 1688 RVDTBL02 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(2) 1689 RVDTBL03 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(3) 1690 RVDTBL04 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(4) 1691 RVDTBL05 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(5) 1692 RVDTBL06 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(6) 1693 RVDTBL07 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(7) 1694 RVDTBL08 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(8) 1695 RVDTBL09 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(9) 1696 RVDTBL10 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(10) 1697 RVDTBL11 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(11) 1698 RVDTBL12 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(12) 1699 RVDTBL13 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(13) 1700 RVDTBL14 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(14) 1701 RVDTBL15 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(15) 1702 RVDTBL16 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(16) 1703 RVDTBL17 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(17) 1704 RVDTBL18 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(18) 1705 RVDTBL19 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(19) 1706 RVDTBL20 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(20) 1707 RVDTBL21 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(21) 1708 RVDTBL22 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(22) 1709 RVDTBL23 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(23) 1710 RVDTBL24 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(24) 1711 RVDTBL25 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(25) 1712 RVDTBL26 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(26) 1713 RVDTBL27 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(27) 1714 RVDTBL28 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(28) 1715 RVDTBL29 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(29) 1716 RVDTBL30 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(30) 1717 RVDTBL31 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(31) 1718 RVDTBL32 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(32) 1719 RVDTBL33 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(33) 1720 RVDTBL34 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(34) 1721 RVDTBL35 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(35) 1722 RVDTBL36 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(36) 1723 RVDTBL37 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(37) 1724 RVDTBL38 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(38) 1725 RVDTBL39 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(39) 1726 RVDTBL40 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(40) 1727 RVDTBL41 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(41) 1728 RVDTBL42 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(42) 1729 RVDTBL43 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(43) 1730 RVDTBL44 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(44) 1731 RVDTBL45 Num 8 COMMA14.2 REV_CNTR_CASH_DDCTBL_AMT(45) 1822 RVMSP101 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(1) 1823 RVMSP102 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(2) 1824 RVMSP103 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(3) 1825 RVMSP104 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(4) 1826 RVMSP105 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(5) 1827 RVMSP106 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(6) 1828 RVMSP107 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(7) 1829 RVMSP108 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(8) 1830 RVMSP109 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(9) 1831 RVMSP110 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(10) 1832 RVMSP111 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(11) 1833 RVMSP112 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(12) 1834 RVMSP113 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(13) 1835 RVMSP114 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(14) 1836 RVMSP115 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(15) 1837 RVMSP116 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(16) 1838 RVMSP117 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(17) 1839 RVMSP118 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(18) 1840 RVMSP119 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(19) 1841 RVMSP120 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(20) 1842 RVMSP121 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(21) 1843 RVMSP122 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(22) 1844 RVMSP123 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(23) 1845 RVMSP124 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(24) 1846 RVMSP125 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(25) 1847 RVMSP126 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(26) 1848 RVMSP127 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(27) 1849 RVMSP128 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(28) 1850 RVMSP129 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(29) 1851 RVMSP130 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(30) 1852 RVMSP131 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(31) 1853 RVMSP132 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(32) 1854 RVMSP133 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(33) 1855 RVMSP134 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(34) 1856 RVMSP135 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(35) 1857 RVMSP136 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(36) 1858 RVMSP137 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(37) 1859 RVMSP138 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(38) 1860 RVMSP139 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(39) 1861 RVMSP140 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(40) 1862 RVMSP141 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(41) 1863 RVMSP142 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(42) 1864 RVMSP143 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(43) 1865 RVMSP144 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(44) 1866 RVMSP145 Num 8 COMMA14.2 REV_CNTR_MSP1_PD_AMT(45) 1867 RVMSP201 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(1) 1868 RVMSP202 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(2) 1869 RVMSP203 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(3) 1870 RVMSP204 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(4) 1871 RVMSP205 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(5) 1872 RVMSP206 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(6) 1873 RVMSP207 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(7) 1874 RVMSP208 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(8) 1875 RVMSP209 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(9) 1876 RVMSP210 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(10) 1877 RVMSP211 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(11) 1878 RVMSP212 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(12) 1879 RVMSP213 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(13) 1880 RVMSP214 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(14) 1881 RVMSP215 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(15) 1882 RVMSP216 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(16) 1883 RVMSP217 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(17) 1884 RVMSP218 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(18) 1885 RVMSP219 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(19) 1886 RVMSP220 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(20) 1887 RVMSP221 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(21) 1888 RVMSP222 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(22) 1889 RVMSP223 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(23) 1890 RVMSP224 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(24) 1891 RVMSP225 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(25) 1892 RVMSP226 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(26) 1893 RVMSP227 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(27) 1894 RVMSP228 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(28) 1895 RVMSP229 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(29) 1896 RVMSP230 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(30) 1897 RVMSP231 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(31) 1898 RVMSP232 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(32) 1899 RVMSP233 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(33) 1900 RVMSP234 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(34) 1901 RVMSP235 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(35) 1902 RVMSP236 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(36) 1903 RVMSP237 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(37) 1904 RVMSP238 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(38) 1905 RVMSP239 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(39) 1906 RVMSP240 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(40) 1907 RVMSP241 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(41) 1908 RVMSP242 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(42) 1909 RVMSP243 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(43) 1910 RVMSP244 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(44) 1911 RVMSP245 Num 8 COMMA14.2 REV_CNTR_MSP2_PD_AMT(45) 2182 RVNCVR01 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(1) 2183 RVNCVR02 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(2) 2184 RVNCVR03 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(3) 2185 RVNCVR04 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(4) 2186 RVNCVR05 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(5) 2187 RVNCVR06 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(6) 2188 RVNCVR07 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(7) 2189 RVNCVR08 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(8) 2190 RVNCVR09 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(9) 2191 RVNCVR10 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(10) 2192 RVNCVR11 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(11) 2193 RVNCVR12 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(12) 2194 RVNCVR13 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(13) 2195 RVNCVR14 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(14) 2196 RVNCVR15 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(15) 2197 RVNCVR16 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(16) 2198 RVNCVR17 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(17) 2199 RVNCVR18 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(18) 2200 RVNCVR19 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(19) 2201 RVNCVR20 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(20) 2202 RVNCVR21 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(21) 2203 RVNCVR22 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(22) 2204 RVNCVR23 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(23) 2205 RVNCVR24 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(24) 2206 RVNCVR25 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(25) 2207 RVNCVR26 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(26) 2208 RVNCVR27 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(27) 2209 RVNCVR28 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(28) 2210 RVNCVR29 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(29) 2211 RVNCVR30 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(30) 2212 RVNCVR31 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(31) 2213 RVNCVR32 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(32) 2214 RVNCVR33 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(33) 2215 RVNCVR34 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(34) 2216 RVNCVR35 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(35) 2217 RVNCVR36 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(36) 2218 RVNCVR37 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(37) 2219 RVNCVR38 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(38) 2220 RVNCVR39 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(39) 2221 RVNCVR40 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(40) 2222 RVNCVR41 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(41) 2223 RVNCVR42 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(42) 2224 RVNCVR43 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(43) 2225 RVNCVR44 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(44) 2226 RVNCVR45 Num 8 COMMA14.2 REV_CNTR_NCVR_CHRG_AMT(45) 742 RVNS101 Char 5 REV_CNTR_ANSI_1_CD(1) 743 RVNS102 Char 5 REV_CNTR_ANSI_1_CD(2) 744 RVNS103 Char 5 REV_CNTR_ANSI_1_CD(3) 745 RVNS104 Char 5 REV_CNTR_ANSI_1_CD(4) 746 RVNS105 Char 5 REV_CNTR_ANSI_1_CD(5) 747 RVNS106 Char 5 REV_CNTR_ANSI_1_CD(6) 748 RVNS107 Char 5 REV_CNTR_ANSI_1_CD(7) 749 RVNS108 Char 5 REV_CNTR_ANSI_1_CD(8) 750 RVNS109 Char 5 REV_CNTR_ANSI_1_CD(9) 751 RVNS110 Char 5 REV_CNTR_ANSI_1_CD(10) 752 RVNS111 Char 5 REV_CNTR_ANSI_1_CD(11) 753 RVNS112 Char 5 REV_CNTR_ANSI_1_CD(12) 754 RVNS113 Char 5 REV_CNTR_ANSI_1_CD(13) 755 RVNS114 Char 5 REV_CNTR_ANSI_1_CD(14) 756 RVNS115 Char 5 REV_CNTR_ANSI_1_CD(15) 757 RVNS116 Char 5 REV_CNTR_ANSI_1_CD(16) 758 RVNS117 Char 5 REV_CNTR_ANSI_1_CD(17) 759 RVNS118 Char 5 REV_CNTR_ANSI_1_CD(18) 760 RVNS119 Char 5 REV_CNTR_ANSI_1_CD(19) 761 RVNS120 Char 5 REV_CNTR_ANSI_1_CD(20) 762 RVNS121 Char 5 REV_CNTR_ANSI_1_CD(21) 763 RVNS122 Char 5 REV_CNTR_ANSI_1_CD(22) 764 RVNS123 Char 5 REV_CNTR_ANSI_1_CD(23) 765 RVNS124 Char 5 REV_CNTR_ANSI_1_CD(24) 766 RVNS125 Char 5 REV_CNTR_ANSI_1_CD(25) 767 RVNS126 Char 5 REV_CNTR_ANSI_1_CD(26) 768 RVNS127 Char 5 REV_CNTR_ANSI_1_CD(27) 769 RVNS128 Char 5 REV_CNTR_ANSI_1_CD(28) 770 RVNS129 Char 5 REV_CNTR_ANSI_1_CD(29) 771 RVNS130 Char 5 REV_CNTR_ANSI_1_CD(30) 772 RVNS131 Char 5 REV_CNTR_ANSI_1_CD(31) 773 RVNS132 Char 5 REV_CNTR_ANSI_1_CD(32) 774 RVNS133 Char 5 REV_CNTR_ANSI_1_CD(33) 775 RVNS134 Char 5 REV_CNTR_ANSI_1_CD(34) 776 RVNS135 Char 5 REV_CNTR_ANSI_1_CD(35) 777 RVNS136 Char 5 REV_CNTR_ANSI_1_CD(36) 778 RVNS137 Char 5 REV_CNTR_ANSI_1_CD(37) 779 RVNS138 Char 5 REV_CNTR_ANSI_1_CD(38) 780 RVNS139 Char 5 REV_CNTR_ANSI_1_CD(39) 781 RVNS140 Char 5 REV_CNTR_ANSI_1_CD(40) 782 RVNS141 Char 5 REV_CNTR_ANSI_1_CD(41) 783 RVNS142 Char 5 REV_CNTR_ANSI_1_CD(42) 784 RVNS143 Char 5 REV_CNTR_ANSI_1_CD(43) 785 RVNS144 Char 5 REV_CNTR_ANSI_1_CD(44) 786 RVNS145 Char 5 REV_CNTR_ANSI_1_CD(45) 787 RVNS201 Char 5 REV_CNTR_ANSI_2_CD(1) 788 RVNS202 Char 5 REV_CNTR_ANSI_2_CD(2) 789 RVNS203 Char 5 REV_CNTR_ANSI_2_CD(3) 790 RVNS204 Char 5 REV_CNTR_ANSI_2_CD(4) 791 RVNS205 Char 5 REV_CNTR_ANSI_2_CD(5) 792 RVNS206 Char 5 REV_CNTR_ANSI_2_CD(6) 793 RVNS207 Char 5 REV_CNTR_ANSI_2_CD(7) 794 RVNS208 Char 5 REV_CNTR_ANSI_2_CD(8) 795 RVNS209 Char 5 REV_CNTR_ANSI_2_CD(9) 796 RVNS210 Char 5 REV_CNTR_ANSI_2_CD(10) 797 RVNS211 Char 5 REV_CNTR_ANSI_2_CD(11) 798 RVNS212 Char 5 REV_CNTR_ANSI_2_CD(12) 799 RVNS213 Char 5 REV_CNTR_ANSI_2_CD(13) 800 RVNS214 Char 5 REV_CNTR_ANSI_2_CD(14) 801 RVNS215 Char 5 REV_CNTR_ANSI_2_CD(15) 802 RVNS216 Char 5 REV_CNTR_ANSI_2_CD(16) 803 RVNS217 Char 5 REV_CNTR_ANSI_2_CD(17) 804 RVNS218 Char 5 REV_CNTR_ANSI_2_CD(18) 805 RVNS219 Char 5 REV_CNTR_ANSI_2_CD(19) 806 RVNS220 Char 5 REV_CNTR_ANSI_2_CD(20) 807 RVNS221 Char 5 REV_CNTR_ANSI_2_CD(21) 808 RVNS222 Char 5 REV_CNTR_ANSI_2_CD(22) 809 RVNS223 Char 5 REV_CNTR_ANSI_2_CD(23) 810 RVNS224 Char 5 REV_CNTR_ANSI_2_CD(24) 811 RVNS225 Char 5 REV_CNTR_ANSI_2_CD(25) 812 RVNS226 Char 5 REV_CNTR_ANSI_2_CD(26) 813 RVNS227 Char 5 REV_CNTR_ANSI_2_CD(27) 814 RVNS228 Char 5 REV_CNTR_ANSI_2_CD(28) 815 RVNS229 Char 5 REV_CNTR_ANSI_2_CD(29) 816 RVNS230 Char 5 REV_CNTR_ANSI_2_CD(30) 817 RVNS231 Char 5 REV_CNTR_ANSI_2_CD(31) 818 RVNS232 Char 5 REV_CNTR_ANSI_2_CD(32) 819 RVNS233 Char 5 REV_CNTR_ANSI_2_CD(33) 820 RVNS234 Char 5 REV_CNTR_ANSI_2_CD(34) 821 RVNS235 Char 5 REV_CNTR_ANSI_2_CD(35) 822 RVNS236 Char 5 REV_CNTR_ANSI_2_CD(36) 823 RVNS237 Char 5 REV_CNTR_ANSI_2_CD(37) 824 RVNS238 Char 5 REV_CNTR_ANSI_2_CD(38) 825 RVNS239 Char 5 REV_CNTR_ANSI_2_CD(39) 826 RVNS240 Char 5 REV_CNTR_ANSI_2_CD(40) 827 RVNS241 Char 5 REV_CNTR_ANSI_2_CD(41) 828 RVNS242 Char 5 REV_CNTR_ANSI_2_CD(42) 829 RVNS243 Char 5 REV_CNTR_ANSI_2_CD(43) 830 RVNS244 Char 5 REV_CNTR_ANSI_2_CD(44) 831 RVNS245 Char 5 REV_CNTR_ANSI_2_CD(45) 832 RVNS301 Char 5 REV_CNTR_ANSI_3_CD(1) 833 RVNS302 Char 5 REV_CNTR_ANSI_3_CD(2) 834 RVNS303 Char 5 REV_CNTR_ANSI_3_CD(3) 835 RVNS304 Char 5 REV_CNTR_ANSI_3_CD(4) 836 RVNS305 Char 5 REV_CNTR_ANSI_3_CD(5) 837 RVNS306 Char 5 REV_CNTR_ANSI_3_CD(6) 838 RVNS307 Char 5 REV_CNTR_ANSI_3_CD(7) 839 RVNS308 Char 5 REV_CNTR_ANSI_3_CD(8) 840 RVNS309 Char 5 REV_CNTR_ANSI_3_CD(9) 841 RVNS310 Char 5 REV_CNTR_ANSI_3_CD(10) 842 RVNS311 Char 5 REV_CNTR_ANSI_3_CD(11) 843 RVNS312 Char 5 REV_CNTR_ANSI_3_CD(12) 844 RVNS313 Char 5 REV_CNTR_ANSI_3_CD(13) 845 RVNS314 Char 5 REV_CNTR_ANSI_3_CD(14) 846 RVNS315 Char 5 REV_CNTR_ANSI_3_CD(15) 847 RVNS316 Char 5 REV_CNTR_ANSI_3_CD(16) 848 RVNS317 Char 5 REV_CNTR_ANSI_3_CD(17) 849 RVNS318 Char 5 REV_CNTR_ANSI_3_CD(18) 850 RVNS319 Char 5 REV_CNTR_ANSI_3_CD(19) 851 RVNS320 Char 5 REV_CNTR_ANSI_3_CD(20) 852 RVNS321 Char 5 REV_CNTR_ANSI_3_CD(21) 853 RVNS322 Char 5 REV_CNTR_ANSI_3_CD(22) 854 RVNS323 Char 5 REV_CNTR_ANSI_3_CD(23) 855 RVNS324 Char 5 REV_CNTR_ANSI_3_CD(24) 856 RVNS325 Char 5 REV_CNTR_ANSI_3_CD(25) 857 RVNS326 Char 5 REV_CNTR_ANSI_3_CD(26) 858 RVNS327 Char 5 REV_CNTR_ANSI_3_CD(27) 859 RVNS328 Char 5 REV_CNTR_ANSI_3_CD(28) 860 RVNS329 Char 5 REV_CNTR_ANSI_3_CD(29) 861 RVNS330 Char 5 REV_CNTR_ANSI_3_CD(30) 862 RVNS331 Char 5 REV_CNTR_ANSI_3_CD(31) 863 RVNS332 Char 5 REV_CNTR_ANSI_3_CD(32) 864 RVNS333 Char 5 REV_CNTR_ANSI_3_CD(33) 865 RVNS334 Char 5 REV_CNTR_ANSI_3_CD(34) 866 RVNS335 Char 5 REV_CNTR_ANSI_3_CD(35) 867 RVNS336 Char 5 REV_CNTR_ANSI_3_CD(36) 868 RVNS337 Char 5 REV_CNTR_ANSI_3_CD(37) 869 RVNS338 Char 5 REV_CNTR_ANSI_3_CD(38) 870 RVNS339 Char 5 REV_CNTR_ANSI_3_CD(39) 871 RVNS340 Char 5 REV_CNTR_ANSI_3_CD(40) 872 RVNS341 Char 5 REV_CNTR_ANSI_3_CD(41) 873 RVNS342 Char 5 REV_CNTR_ANSI_3_CD(42) 874 RVNS343 Char 5 REV_CNTR_ANSI_3_CD(43) 875 RVNS344 Char 5 REV_CNTR_ANSI_3_CD(44) 876 RVNS345 Char 5 REV_CNTR_ANSI_3_CD(45) 877 RVNS401 Char 5 REV_CNTR_ANSI_4_CD(1) 878 RVNS402 Char 5 REV_CNTR_ANSI_4_CD(2) 879 RVNS403 Char 5 REV_CNTR_ANSI_4_CD(3) 880 RVNS404 Char 5 REV_CNTR_ANSI_4_CD(4) 881 RVNS405 Char 5 REV_CNTR_ANSI_4_CD(5) 882 RVNS406 Char 5 REV_CNTR_ANSI_4_CD(6) 883 RVNS407 Char 5 REV_CNTR_ANSI_4_CD(7) 884 RVNS408 Char 5 REV_CNTR_ANSI_4_CD(8) 885 RVNS409 Char 5 REV_CNTR_ANSI_4_CD(9) 886 RVNS410 Char 5 REV_CNTR_ANSI_4_CD(10) 887 RVNS411 Char 5 REV_CNTR_ANSI_4_CD(11) 888 RVNS412 Char 5 REV_CNTR_ANSI_4_CD(12) 889 RVNS413 Char 5 REV_CNTR_ANSI_4_CD(13) 890 RVNS414 Char 5 REV_CNTR_ANSI_4_CD(14) 891 RVNS415 Char 5 REV_CNTR_ANSI_4_CD(15) 892 RVNS416 Char 5 REV_CNTR_ANSI_4_CD(16) 893 RVNS417 Char 5 REV_CNTR_ANSI_4_CD(17) 894 RVNS418 Char 5 REV_CNTR_ANSI_4_CD(18) 895 RVNS419 Char 5 REV_CNTR_ANSI_4_CD(19) 896 RVNS420 Char 5 REV_CNTR_ANSI_4_CD(20) 897 RVNS421 Char 5 REV_CNTR_ANSI_4_CD(21) 898 RVNS422 Char 5 REV_CNTR_ANSI_4_CD(22) 899 RVNS423 Char 5 REV_CNTR_ANSI_4_CD(23) 900 RVNS424 Char 5 REV_CNTR_ANSI_4_CD(24) 901 RVNS425 Char 5 REV_CNTR_ANSI_4_CD(25) 902 RVNS426 Char 5 REV_CNTR_ANSI_4_CD(26) 903 RVNS427 Char 5 REV_CNTR_ANSI_4_CD(27) 904 RVNS428 Char 5 REV_CNTR_ANSI_4_CD(28) 905 RVNS429 Char 5 REV_CNTR_ANSI_4_CD(29) 906 RVNS430 Char 5 REV_CNTR_ANSI_4_CD(30) 907 RVNS431 Char 5 REV_CNTR_ANSI_4_CD(31) 908 RVNS432 Char 5 REV_CNTR_ANSI_4_CD(32) 909 RVNS433 Char 5 REV_CNTR_ANSI_4_CD(33) 910 RVNS434 Char 5 REV_CNTR_ANSI_4_CD(34) 911 RVNS435 Char 5 REV_CNTR_ANSI_4_CD(35) 912 RVNS436 Char 5 REV_CNTR_ANSI_4_CD(36) 913 RVNS437 Char 5 REV_CNTR_ANSI_4_CD(37) 914 RVNS438 Char 5 REV_CNTR_ANSI_4_CD(38) 915 RVNS439 Char 5 REV_CNTR_ANSI_4_CD(39) 916 RVNS440 Char 5 REV_CNTR_ANSI_4_CD(40) 917 RVNS441 Char 5 REV_CNTR_ANSI_4_CD(41) 918 RVNS442 Char 5 REV_CNTR_ANSI_4_CD(42) 919 RVNS443 Char 5 REV_CNTR_ANSI_4_CD(43) 920 RVNS444 Char 5 REV_CNTR_ANSI_4_CD(44) 921 RVNS445 Char 5 REV_CNTR_ANSI_4_CD(45) 1912 RVPCHG01 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(1) 1913 RVPCHG02 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(2) 1914 RVPCHG03 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(3) 1915 RVPCHG04 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(4) 1916 RVPCHG05 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(5) 1917 RVPCHG06 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(6) 1918 RVPCHG07 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(7) 1919 RVPCHG08 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(8) 1920 RVPCHG09 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(9) 1921 RVPCHG10 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(10) 1922 RVPCHG11 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(11) 1923 RVPCHG12 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(12) 1924 RVPCHG13 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(13) 1925 RVPCHG14 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(14) 1926 RVPCHG15 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(15) 1927 RVPCHG16 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(16) 1928 RVPCHG17 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(17) 1929 RVPCHG18 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(18) 1930 RVPCHG19 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(19) 1931 RVPCHG20 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(20) 1932 RVPCHG21 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(21) 1933 RVPCHG22 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(22) 1934 RVPCHG23 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(23) 1935 RVPCHG24 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(24) 1936 RVPCHG25 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(25) 1937 RVPCHG26 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(26) 1938 RVPCHG27 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(27) 1939 RVPCHG28 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(28) 1940 RVPCHG29 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(29) 1941 RVPCHG30 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(30) 1942 RVPCHG31 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(31) 1943 RVPCHG32 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(32) 1944 RVPCHG33 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(33) 1945 RVPCHG34 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(34) 1946 RVPCHG35 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(35) 1947 RVPCHG36 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(36) 1948 RVPCHG37 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(37) 1949 RVPCHG38 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(38) 1950 RVPCHG39 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(39) 1951 RVPCHG40 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(40) 1952 RVPCHG41 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(41) 1953 RVPCHG42 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(42) 1954 RVPCHG43 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(43) 1955 RVPCHG44 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(44) 1956 RVPCHG45 Num 8 COMMA14.2 REV_CNTR_PROFNL_CMPNT_AMT(45) 1597 RVRT01 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(1) 1598 RVRT02 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(2) 1599 RVRT03 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(3) 1600 RVRT04 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(4) 1601 RVRT05 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(5) 1602 RVRT06 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(6) 1603 RVRT07 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(7) 1604 RVRT08 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(8) 1605 RVRT09 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(9) 1606 RVRT10 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(10) 1607 RVRT11 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(11) 1608 RVRT12 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(12) 1609 RVRT13 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(13) 1610 RVRT14 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(14) 1611 RVRT15 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(15) 1612 RVRT16 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(16) 1613 RVRT17 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(17) 1614 RVRT18 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(18) 1615 RVRT19 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(19) 1616 RVRT20 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(20) 1617 RVRT21 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(21) 1618 RVRT22 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(22) 1619 RVRT23 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(23) 1620 RVRT24 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(24) 1621 RVRT25 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(25) 1622 RVRT26 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(26) 1623 RVRT27 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(27) 1624 RVRT28 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(28) 1625 RVRT29 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(29) 1626 RVRT30 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(30) 1627 RVRT31 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(31) 1628 RVRT32 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(32) 1629 RVRT33 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(33) 1630 RVRT34 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(34) 1631 RVRT35 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(35) 1632 RVRT36 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(36) 1633 RVRT37 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(37) 1634 RVRT38 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(38) 1635 RVRT39 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(39) 1636 RVRT40 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(40) 1637 RVRT41 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(41) 1638 RVRT42 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(42) 1639 RVRT43 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(43) 1640 RVRT44 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(44) 1641 RVRT45 Num 8 COMMA14.2 REV_CNTR_RATE_AMT(45) 1552 RVUNT01 Num 4 COMMA9. REV_CNTR_UNIT_CNT(1) 1553 RVUNT02 Num 4 COMMA9. REV_CNTR_UNIT_CNT(2) 1554 RVUNT03 Num 4 COMMA9. REV_CNTR_UNIT_CNT(3) 1555 RVUNT04 Num 4 COMMA9. REV_CNTR_UNIT_CNT(4) 1556 RVUNT05 Num 4 COMMA9. REV_CNTR_UNIT_CNT(5) 1557 RVUNT06 Num 4 COMMA9. REV_CNTR_UNIT_CNT(6) 1558 RVUNT07 Num 4 COMMA9. REV_CNTR_UNIT_CNT(7) 1559 RVUNT08 Num 4 COMMA9. REV_CNTR_UNIT_CNT(8) 1560 RVUNT09 Num 4 COMMA9. REV_CNTR_UNIT_CNT(9) 1561 RVUNT10 Num 4 COMMA9. REV_CNTR_UNIT_CNT(10) 1562 RVUNT11 Num 4 COMMA9. REV_CNTR_UNIT_CNT(11) 1563 RVUNT12 Num 4 COMMA9. REV_CNTR_UNIT_CNT(12) 1564 RVUNT13 Num 4 COMMA9. REV_CNTR_UNIT_CNT(13) 1565 RVUNT14 Num 4 COMMA9. REV_CNTR_UNIT_CNT(14) 1566 RVUNT15 Num 4 COMMA9. REV_CNTR_UNIT_CNT(15) 1567 RVUNT16 Num 4 COMMA9. REV_CNTR_UNIT_CNT(16) 1568 RVUNT17 Num 4 COMMA9. REV_CNTR_UNIT_CNT(17) 1569 RVUNT18 Num 4 COMMA9. REV_CNTR_UNIT_CNT(18) 1570 RVUNT19 Num 4 COMMA9. REV_CNTR_UNIT_CNT(19) 1571 RVUNT20 Num 4 COMMA9. REV_CNTR_UNIT_CNT(20) 1572 RVUNT21 Num 4 COMMA9. REV_CNTR_UNIT_CNT(21) 1573 RVUNT22 Num 4 COMMA9. REV_CNTR_UNIT_CNT(22) 1574 RVUNT23 Num 4 COMMA9. REV_CNTR_UNIT_CNT(23) 1575 RVUNT24 Num 4 COMMA9. REV_CNTR_UNIT_CNT(24) 1576 RVUNT25 Num 4 COMMA9. REV_CNTR_UNIT_CNT(25) 1577 RVUNT26 Num 4 COMMA9. REV_CNTR_UNIT_CNT(26) 1578 RVUNT27 Num 4 COMMA9. REV_CNTR_UNIT_CNT(27) 1579 RVUNT28 Num 4 COMMA9. REV_CNTR_UNIT_CNT(28) 1580 RVUNT29 Num 4 COMMA9. REV_CNTR_UNIT_CNT(29) 1581 RVUNT30 Num 4 COMMA9. REV_CNTR_UNIT_CNT(30) 1582 RVUNT31 Num 4 COMMA9. REV_CNTR_UNIT_CNT(31) 1583 RVUNT32 Num 4 COMMA9. REV_CNTR_UNIT_CNT(32) 1584 RVUNT33 Num 4 COMMA9. REV_CNTR_UNIT_CNT(33) 1585 RVUNT34 Num 4 COMMA9. REV_CNTR_UNIT_CNT(34) 1586 RVUNT35 Num 4 COMMA9. REV_CNTR_UNIT_CNT(35) 1587 RVUNT36 Num 4 COMMA9. REV_CNTR_UNIT_CNT(36) 1588 RVUNT37 Num 4 COMMA9. REV_CNTR_UNIT_CNT(37) 1589 RVUNT38 Num 4 COMMA9. REV_CNTR_UNIT_CNT(38) 1590 RVUNT39 Num 4 COMMA9. REV_CNTR_UNIT_CNT(39) 1591 RVUNT40 Num 4 COMMA9. REV_CNTR_UNIT_CNT(40) 1592 RVUNT41 Num 4 COMMA9. REV_CNTR_UNIT_CNT(41) 1593 RVUNT42 Num 4 COMMA9. REV_CNTR_UNIT_CNT(42) 1594 RVUNT43 Num 4 COMMA9. REV_CNTR_UNIT_CNT(43) 1595 RVUNT44 Num 4 COMMA9. REV_CNTR_UNIT_CNT(44) 1596 RVUNT45 Num 4 COMMA9. REV_CNTR_UNIT_CNT(45) 56 SCHLD_DT Num 8 DATE9. FI_CLM_SCHLD_PMT_DT 3 SCRSSN Num 8 SCRAMBLED_SSN 62 SEX Char 1 BENE_SEX_IDENT_CD 10 SGMTLINE Num 3 CLM_SGMT_LINE_CNT 7 SGMT_CNT Num 3 CLM_TOT_SGMT_CNT 8 SGMT_NUM Num 3 CLM_SGMT_NUM 469 SPANCD01 Char 2 CLM_OCRNC_SPAN_CD(1) 470 SPANCD02 Char 2 CLM_OCRNC_SPAN_CD(2) 471 SPANCD03 Char 2 CLM_OCRNC_SPAN_CD(3) 472 SPANCD04 Char 2 CLM_OCRNC_SPAN_CD(4) 473 SPANCD05 Char 2 CLM_OCRNC_SPAN_CD(5) 474 SPANCD06 Char 2 CLM_OCRNC_SPAN_CD(6) 475 SPANCD07 Char 2 CLM_OCRNC_SPAN_CD(7) 476 SPANCD08 Char 2 CLM_OCRNC_SPAN_CD(8) 477 SPANCD09 Char 2 CLM_OCRNC_SPAN_CD(9) 478 SPANCD10 Char 2 CLM_OCRNC_SPAN_CD(10) 479 SPNFRM01 Num 5 DATE9. CLM_OCRNC_SPAN_FROM_DT(1) 480 SPNFRM02 Num 5 DATE9. CLM_OCRNC_SPAN_FROM_DT(2) 481 SPNFRM03 Num 5 DATE9. CLM_OCRNC_SPAN_FROM_DT(3) 482 SPNFRM04 Num 5 DATE9. CLM_OCRNC_SPAN_FROM_DT(4) 483 SPNFRM05 Num 5 DATE9. CLM_OCRNC_SPAN_FROM_DT(5) 484 SPNFRM06 Num 5 DATE9. CLM_OCRNC_SPAN_FROM_DT(6) 485 SPNFRM07 Num 5 DATE9. CLM_OCRNC_SPAN_FROM_DT(7) 486 SPNFRM08 Num 5 DATE9. CLM_OCRNC_SPAN_FROM_DT(8) 487 SPNFRM09 Num 5 DATE9. CLM_OCRNC_SPAN_FROM_DT(9) 488 SPNFRM10 Num 5 DATE9. CLM_OCRNC_SPAN_FROM_DT(10) 459 SPNND01 Char 1 NCH_SPAN_TRLR_IND_CD(1) 460 SPNND02 Char 1 NCH_SPAN_TRLR_IND_CD(2) 461 SPNND03 Char 1 NCH_SPAN_TRLR_IND_CD(3) 462 SPNND04 Char 1 NCH_SPAN_TRLR_IND_CD(4) 463 SPNND05 Char 1 NCH_SPAN_TRLR_IND_CD(5) 464 SPNND06 Char 1 NCH_SPAN_TRLR_IND_CD(6) 465 SPNND07 Char 1 NCH_SPAN_TRLR_IND_CD(7) 466 SPNND08 Char 1 NCH_SPAN_TRLR_IND_CD(8) 467 SPNND09 Char 1 NCH_SPAN_TRLR_IND_CD(9) 468 SPNND10 Char 1 NCH_SPAN_TRLR_IND_CD(10) 489 SPNTHR01 Num 5 DATE9. CLM_OCRNC_SPAN_THRU_DT(1) 490 SPNTHR02 Num 5 DATE9. CLM_OCRNC_SPAN_THRU_DT(2) 491 SPNTHR03 Num 5 DATE9. CLM_OCRNC_SPAN_THRU_DT(3) 492 SPNTHR04 Num 5 DATE9. CLM_OCRNC_SPAN_THRU_DT(4) 493 SPNTHR05 Num 5 DATE9. CLM_OCRNC_SPAN_THRU_DT(5) 494 SPNTHR06 Num 5 DATE9. CLM_OCRNC_SPAN_THRU_DT(6) 495 SPNTHR07 Num 5 DATE9. CLM_OCRNC_SPAN_THRU_DT(7) 496 SPNTHR08 Num 5 DATE9. CLM_OCRNC_SPAN_THRU_DT(8) 497 SPNTHR09 Num 5 DATE9. CLM_OCRNC_SPAN_THRU_DT(9) 498 SPNTHR10 Num 5 DATE9. CLM_OCRNC_SPAN_THRU_DT(10) 35 STATE_CD Char 2 BENE_RSDNC_SSA_STD_STATE_CD 104 STUS_CD Char 2 PTNT_DSCHRG_STUS_CD 34 ST_SGMT Char 1 NCH_STATE_SGMT_CD 66 SURNAME Char 6 CLM_PTNT_6_PSTN_SRNM_NAME 37 THRU_DT Num 8 DATE9. CLM_THRU_DT 107 TOT_CHRG Num 8 COMMA14.2 CLM_TOT_CHRG_AMT 46 TRANS_CD Char 1 CLM_TRANS_CD 117 TRANTYPE Char 1 CLM_OP_TRANS_TYPE_CD 72 TRTMT_CD Char 1 CLM_EXCPTD_NEXCPTD_TRTMT_CD 48 TYPESRVC Char 1 CLM_SRVC_CLSFCTN_TYPE_CD 571 VALAMT01 Num 8 COMMA14.2 CLM_VAL_AMT(1) 572 VALAMT02 Num 8 COMMA14.2 CLM_VAL_AMT(2) 573 VALAMT03 Num 8 COMMA14.2 CLM_VAL_AMT(3) 574 VALAMT04 Num 8 COMMA14.2 CLM_VAL_AMT(4) 575 VALAMT05 Num 8 COMMA14.2 CLM_VAL_AMT(5) 576 VALAMT06 Num 8 COMMA14.2 CLM_VAL_AMT(6) 577 VALAMT07 Num 8 COMMA14.2 CLM_VAL_AMT(7) 578 VALAMT08 Num 8 COMMA14.2 CLM_VAL_AMT(8) 579 VALAMT09 Num 8 COMMA14.2 CLM_VAL_AMT(9) 580 VALAMT10 Num 8 COMMA14.2 CLM_VAL_AMT(10) 581 VALAMT11 Num 8 COMMA14.2 CLM_VAL_AMT(11) 582 VALAMT12 Num 8 COMMA14.2 CLM_VAL_AMT(12) 583 VALAMT13 Num 8 COMMA14.2 CLM_VAL_AMT(13) 584 VALAMT14 Num 8 COMMA14.2 CLM_VAL_AMT(14) 585 VALAMT15 Num 8 COMMA14.2 CLM_VAL_AMT(15) 586 VALAMT16 Num 8 COMMA14.2 CLM_VAL_AMT(16) 587 VALAMT17 Num 8 COMMA14.2 CLM_VAL_AMT(17) 588 VALAMT18 Num 8 COMMA14.2 CLM_VAL_AMT(18) 589 VALAMT19 Num 8 COMMA14.2 CLM_VAL_AMT(19) 590 VALAMT20 Num 8 COMMA14.2 CLM_VAL_AMT(20) 591 VALAMT21 Num 8 COMMA14.2 CLM_VAL_AMT(21) 592 VALAMT22 Num 8 COMMA14.2 CLM_VAL_AMT(22) 593 VALAMT23 Num 8 COMMA14.2 CLM_VAL_AMT(23) 594 VALAMT24 Num 8 COMMA14.2 CLM_VAL_AMT(24) 595 VALAMT25 Num 8 COMMA14.2 CLM_VAL_AMT(25) 596 VALAMT26 Num 8 COMMA14.2 CLM_VAL_AMT(26) 597 VALAMT27 Num 8 COMMA14.2 CLM_VAL_AMT(27) 598 VALAMT28 Num 8 COMMA14.2 CLM_VAL_AMT(28) 599 VALAMT29 Num 8 COMMA14.2 CLM_VAL_AMT(29) 600 VALAMT30 Num 8 COMMA14.2 CLM_VAL_AMT(30) 601 VALAMT31 Num 8 COMMA14.2 CLM_VAL_AMT(31) 602 VALAMT32 Num 8 COMMA14.2 CLM_VAL_AMT(32) 603 VALAMT33 Num 8 COMMA14.2 CLM_VAL_AMT(33) 604 VALAMT34 Num 8 COMMA14.2 CLM_VAL_AMT(34) 605 VALAMT35 Num 8 COMMA14.2 CLM_VAL_AMT(35) 606 VALAMT36 Num 8 COMMA14.2 CLM_VAL_AMT(36) 499 VALIND01 Char 1 NCH_VAL_TRLR_IND_CD(1) 500 VALIND02 Char 1 NCH_VAL_TRLR_IND_CD(2) 501 VALIND03 Char 1 NCH_VAL_TRLR_IND_CD(3) 502 VALIND04 Char 1 NCH_VAL_TRLR_IND_CD(4) 503 VALIND05 Char 1 NCH_VAL_TRLR_IND_CD(5) 504 VALIND06 Char 1 NCH_VAL_TRLR_IND_CD(6) 505 VALIND07 Char 1 NCH_VAL_TRLR_IND_CD(7) 506 VALIND08 Char 1 NCH_VAL_TRLR_IND_CD(8) 507 VALIND09 Char 1 NCH_VAL_TRLR_IND_CD(9) 508 VALIND10 Char 1 NCH_VAL_TRLR_IND_CD(10) 509 VALIND11 Char 1 NCH_VAL_TRLR_IND_CD(11) 510 VALIND12 Char 1 NCH_VAL_TRLR_IND_CD(12) 511 VALIND13 Char 1 NCH_VAL_TRLR_IND_CD(13) 512 VALIND14 Char 1 NCH_VAL_TRLR_IND_CD(14) 513 VALIND15 Char 1 NCH_VAL_TRLR_IND_CD(15) 514 VALIND16 Char 1 NCH_VAL_TRLR_IND_CD(16) 515 VALIND17 Char 1 NCH_VAL_TRLR_IND_CD(17) 516 VALIND18 Char 1 NCH_VAL_TRLR_IND_CD(18) 517 VALIND19 Char 1 NCH_VAL_TRLR_IND_CD(19) 518 VALIND20 Char 1 NCH_VAL_TRLR_IND_CD(20) 519 VALIND21 Char 1 NCH_VAL_TRLR_IND_CD(21) 520 VALIND22 Char 1 NCH_VAL_TRLR_IND_CD(22) 521 VALIND23 Char 1 NCH_VAL_TRLR_IND_CD(23) 522 VALIND24 Char 1 NCH_VAL_TRLR_IND_CD(24) 523 VALIND25 Char 1 NCH_VAL_TRLR_IND_CD(25) 524 VALIND26 Char 1 NCH_VAL_TRLR_IND_CD(26) 525 VALIND27 Char 1 NCH_VAL_TRLR_IND_CD(27) 526 VALIND28 Char 1 NCH_VAL_TRLR_IND_CD(28) 527 VALIND29 Char 1 NCH_VAL_TRLR_IND_CD(29) 528 VALIND30 Char 1 NCH_VAL_TRLR_IND_CD(30) 529 VALIND31 Char 1 NCH_VAL_TRLR_IND_CD(31) 530 VALIND32 Char 1 NCH_VAL_TRLR_IND_CD(32) 531 VALIND33 Char 1 NCH_VAL_TRLR_IND_CD(33) 532 VALIND34 Char 1 NCH_VAL_TRLR_IND_CD(34) 533 VALIND35 Char 1 NCH_VAL_TRLR_IND_CD(35) 534 VALIND36 Char 1 NCH_VAL_TRLR_IND_CD(36) 535 VAL_CD01 Char 2 CLM_VAL_CD(1) 536 VAL_CD02 Char 2 CLM_VAL_CD(2) 537 VAL_CD03 Char 2 CLM_VAL_CD(3) 538 VAL_CD04 Char 2 CLM_VAL_CD(4) 539 VAL_CD05 Char 2 CLM_VAL_CD(5) 540 VAL_CD06 Char 2 CLM_VAL_CD(6) 541 VAL_CD07 Char 2 CLM_VAL_CD(7) 542 VAL_CD08 Char 2 CLM_VAL_CD(8) 543 VAL_CD09 Char 2 CLM_VAL_CD(9) 544 VAL_CD10 Char 2 CLM_VAL_CD(10) 545 VAL_CD11 Char 2 CLM_VAL_CD(11) 546 VAL_CD12 Char 2 CLM_VAL_CD(12) 547 VAL_CD13 Char 2 CLM_VAL_CD(13) 548 VAL_CD14 Char 2 CLM_VAL_CD(14) 549 VAL_CD15 Char 2 CLM_VAL_CD(15) 550 VAL_CD16 Char 2 CLM_VAL_CD(16) 551 VAL_CD17 Char 2 CLM_VAL_CD(17) 552 VAL_CD18 Char 2 CLM_VAL_CD(18) 553 VAL_CD19 Char 2 CLM_VAL_CD(19) 554 VAL_CD20 Char 2 CLM_VAL_CD(20) 555 VAL_CD21 Char 2 CLM_VAL_CD(21) 556 VAL_CD22 Char 2 CLM_VAL_CD(22) 557 VAL_CD23 Char 2 CLM_VAL_CD(23) 558 VAL_CD24 Char 2 CLM_VAL_CD(24) 559 VAL_CD25 Char 2 CLM_VAL_CD(25) 560 VAL_CD26 Char 2 CLM_VAL_CD(26) 561 VAL_CD27 Char 2 CLM_VAL_CD(27) 562 VAL_CD28 Char 2 CLM_VAL_CD(28) 563 VAL_CD29 Char 2 CLM_VAL_CD(29) 564 VAL_CD30 Char 2 CLM_VAL_CD(30) 565 VAL_CD31 Char 2 CLM_VAL_CD(31) 566 VAL_CD32 Char 2 CLM_VAL_CD(32) 567 VAL_CD33 Char 2 CLM_VAL_CD(33) 568 VAL_CD34 Char 2 CLM_VAL_CD(34) 569 VAL_CD35 Char 2 CLM_VAL_CD(35) 570 VAL_CD36 Char 2 CLM_VAL_CD(36) 1732 WGDJ01 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(1) 1733 WGDJ02 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(2) 1734 WGDJ03 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(3) 1735 WGDJ04 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(4) 1736 WGDJ05 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(5) 1737 WGDJ06 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(6) 1738 WGDJ07 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(7) 1739 WGDJ08 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(8) 1740 WGDJ09 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(9) 1741 WGDJ10 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(10) 1742 WGDJ11 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(11) 1743 WGDJ12 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(12) 1744 WGDJ13 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(13) 1745 WGDJ14 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(14) 1746 WGDJ15 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(15) 1747 WGDJ16 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(16) 1748 WGDJ17 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(17) 1749 WGDJ18 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(18) 1750 WGDJ19 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(19) 1751 WGDJ20 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(20) 1752 WGDJ21 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(21) 1753 WGDJ22 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(22) 1754 WGDJ23 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(23) 1755 WGDJ24 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(24) 1756 WGDJ25 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(25) 1757 WGDJ26 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(26) 1758 WGDJ27 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(27) 1759 WGDJ28 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(28) 1760 WGDJ29 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(29) 1761 WGDJ30 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(30) 1762 WGDJ31 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(31) 1763 WGDJ32 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(32) 1764 WGDJ33 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(33) 1765 WGDJ34 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(34) 1766 WGDJ35 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(35) 1767 WGDJ36 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(36) 1768 WGDJ37 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(37) 1769 WGDJ38 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(38) 1770 WGDJ39 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(39) 1771 WGDJ40 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(40) 1772 WGDJ41 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(41) 1773 WGDJ42 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(42) 1774 WGDJ43 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(43) 1775 WGDJ44 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(44) 1776 WGDJ45 Num 8 COMMA14.2 REV_CNTR_WAGE_ADJSTD_COINS_AMT(45) 39 WKLY_DT Num 8 DATE9. NCH_WKLY_PROC_DT Alphabetic List of Indexes and Attributes # of Unique # Index Values 1 REALSSN 2360930 2 SCRSSN 2360930