367.1 HPID/OEID TRANSMISSION QUEUE 367.11 INSURANCE COMPANY ID TYPE 368 399 BILL/CLAIMS HEALTH CARE CLAIM RFAI 779.004 COUNTRY CODE (277) 81.3 CPT MODIFIER 36 INSURANCE COMPANY 95.3 LAB LOINC 200 NEW PERSON 2 PATIENT 399.2 REVENUE CODE 5 STATE 365.021 X12 271 CONTACT QUALIFIER 368.001 X12 277 CLAIM STATUS CATEGORY 368.002 X12 277 PRODUCT OR SERVICE ID 5.11 ZIP CODE 368.001 368 HEALTH CARE CLAIM X12 277 CLAIM STATUS RFAI (277) CATEGORY FILE 368.002 368 HEALTH CARE CLAIM X12 277 PRODUCT OR SERVICE RFAI (277) ID QUAL 372 PFSS SITE PARAMETERS FILE 373 PFSS CHARGE CACHE FILE 375 PFSS ACCOUNT FILE
367.1 HPID/OEID TRANSMISSION QUEUE 367.11 INSURANCE COMPANY ID TYPE 368 HEALTH CARE CLAIM RFAI (277) 399 BILL/CLAIMS 779.004 COUNTRY CODE 81.3 CPT MODIFIER 36 INSURANCE COMPANY 95.3 LAB LOINC 200 NEW PERSON 2 PATIENT 399.2 REVENUE CODE 5 STATE 365.021 X12 271 CONTACT QUALIFIER 368.001 X12 277 CLAIM STATUS CATEGORY 368.002 X12 277 PRODUCT OR SERVICE ID 5.11 ZIP CODE 368.001 X12 277 CLAIM STATUS CATEGORY FILE 368 HEALTH CARE CLAIM RFAI (277) 368.002 X12 277 PRODUCT OR SERVICE ID QUAL 368 HEALTH CARE CLAIM RFAI (277) 372 PFSS SITE PARAMETERS FILE 373 PFSS CHARGE CACHE FILE 375 PFSS ACCOUNT FILE
IB_2_0_P591_TM.docx