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Form Locator Fields
Question | Answer |
---|---|
Provider info | FL 1-7 |
Patient demographics info | FL 8-17 |
Condition codes | FL 18-30 |
Occurrence codes and dates | FL 31-37 |
Value codes | FL 38-41 |
Revenue codes | FL 42-49 |
Third party info | FL 50-65 |
Diagnosis/ procedure codes | FL 66-75 |
Attending physician info | FL 76-79 |
Remarks | FL 80-81 |