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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 |