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AOL File Library: 4,101 to 4,200
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aol-file-protocol-4400-4101-to-4200.zip
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Business Management
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MEDISOFT_ V4.14a Medical Patient
/
MEDI414A.exe
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MAIFORMA
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Text File
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1996-01-22
|
11KB
|
657 lines
"Format File Version 9"
"HCFA-1500(1-84) 6 Line"
153
""
1,46,"ñ╒","XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,1
PRINTINS="Y"
INAME
"#E⌐ñY╒","%|"
""
2,46,"ñ╒","XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,1
PRINTINS="Y"
ISTREET
"#E⌐ñY╒","%}"
""
3,46,"ñ╒","XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,1
PRINTINS="Y"
ICITYLN
"#E⌐ñY╒","%~"
""
4,3,"ñ╒","X",0,2
ICURINS="Secondary"
"S"
"%v⌐ñSecondary╒","ñS╒"
ICURINS="Tertiary"
"T"
"%v⌐ñTertiary╒","ñT╒"
""
6,3,"ñ╒","X",0,1
ITYPE="M"
"X"
"%{⌐ñM╒","ñX╒"
""
6,15,"ñ╒","X",0,1
ITYPE="A"
"X"
"%{⌐ñA╒","ñX╒"
""
6,27,"ñ╒","X",0,1
ITYPE="C"
"X"
"%{⌐ñC╒","ñX╒"
""
6,40,"ñ╒","X",0,1
ITYPE="V"
"X"
"%{⌐ñV╒","ñX╒"
""
6,53,"ñ╒","X",0,1
ITYPE="F"
"X"
"%{⌐ñF╒","ñX╒"
""
6,65,"ñ╒","X",0,1
ITYPE="B" OR ITYPE="G" OR ITYPE="O"
"X"
"%{⌐ñB╒░%{⌐ñG╒░%{⌐ñO╒","ñX╒"
NAME
9,3,"#W","XXXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,0
LEFT(BDAY,2)
9,34,"▓#eºÑ2╒¿","XX",0,0
MIDL(BDAY,3,2)
9,40,"┤#eºÑ3╒ºÑ2╒¿","XX",0,0
RIGHT(BDAY,2)
9,46,"│#eºÑ2╒¿","19XX",0,0
IHNAME
9,52,"&2","XXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,0
""
11,38,"ñ╒","X",0,1
SEX="M"
"X"
"#d⌐ñM╒","ñX╒"
""
11,44,"ñ╒","X",0,1
SEX="F"
"X"
"#d⌐ñF╒","ñX╒"
IPOLICY
11,52,"%å","XXXXXXXXXXXXXXXXXXXX",0,0
STREET
12,3,"#[","XXXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,0
CITYLN
13,3,"#\","XXXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,0
"Phone "+PHONE
14,3,"ñPhone ╒ª#a","XXXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,0
IGROUP
14,52,"","XXXXXXXXXXXXXXXXXXXX",0,0
""
15,35,"ñ╒","X",0,1
IHREL=1
"X"
"&@⌐Ñ1╒","ñX╒"
""
15,39,"ñ╒","X",0,1
IHREL=2
"X"
"&@⌐Ñ2╒","ñX╒"
""
15,44,"ñ╒","X",0,1
IHREL=3
"X"
"&@⌐Ñ3╒","ñX╒"
""
15,48,"ñ╒","X",0,1
IHREL=4
"X"
"&@⌐Ñ4╒","ñX╒"
""
15,57,"ñ╒","X",0,1
EMPLPLAN="Y"
"X"
"#q⌐ñY╒","ñX╒"
IHSTREET
17,52,"&6","XXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,0
OHNAME
18,3,"&p","XXXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,1
ONUM<1
""
"&T½Ñ1╒","ñ╒"
""
18,38,"ñ╒","X",0,1
RELTOEMPL="Y"
"X"
"#r⌐ñY╒","ñX╒"
""
18,44,"ñ╒","X",0,1
RELTOEMPL="N"
"X"
"#r⌐ñN╒","ñX╒"
IHCITYLN
18,52,"&7","XXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,0
ONAME
19,3,"&V","XXXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,1
ONUM<1
""
"&T½Ñ1╒","ñ╒"
IHPHONE
19,60,"&;","XXXXXXXXXXXXXXXXXXXX",0,0
OSTREET
20,3,"&W","XXXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,1
ONUM<1
""
"&T½Ñ1╒","ñ╒"
OCITYLN
21,3,"&X","XXXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,1
ONUM<1
""
"&T½Ñ1╒","ñ╒"
""
21,38,"ñ╒","X",0,1
RELTOACC="A"
"X"
"#s⌐ñA╒","ñX╒"
""
21,44,"ñ╒","X",0,1
RELTOACC="Y"
"X"
"#s⌐ñY╒","ñX╒"
""
21,57,"ñ╒","X",0,1
CHSPSTATUS="A"
"X"
"'n⌐ñA╒","ñX╒"
""
21,64,"ñ╒","X",0,1
CHSPSTATUS="D"
"X"
"'n⌐ñD╒","ñX╒"
"Policy "+OPOLICY
22,3,"ñPolicy ╒ª&`","XXXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,1
ONUM<1
""
"&T½Ñ1╒","ñ╒"
""
22,57,"ñ╒","X",0,1
CHSPSTATUS="R"
"X"
"'n⌐ñR╒","ñX╒"
""
22,73,"ñ╒","XXXX",0,8
CHBSERVICE=1
"ARM"
"'l⌐Ñ1╒","ñARM╒"
CHBSERVICE=2
"AFRC"
"'l⌐Ñ2╒","ñAFRC╒"
CHBSERVICE=3
"MRNS"
"'l⌐Ñ3╒","ñMRNS╒"
CHBSERVICE=4
"NVY"
"'l⌐Ñ4╒","ñNVY╒"
CHBSERVICE=5
"CG"
"'l⌐Ñ5╒","ñCG╒"
CHBSERVICE=6
"PH"
"'l⌐Ñ6╒","ñPH╒"
CHBSERVICE=7
"NOAA"
"'l⌐Ñ7╒","ñNOAA╒"
CHBSERVICE=8
"CVA"
"'l⌐Ñ8╒","ñCVA╒"
ISIGLINE
24,53,"#:","XXXXXXXXXXXXXXXXXXXXXXXXXXX",0,0
SIGLINE
25,7,"#7","XXXXXXXXXXXXXXXXXXXXXXXXX",0,0
INSDATE
25,37,"#5","XX-XX-XX",0,0
DATEINJ
28,5,"#|","XXXXXXXX",0,0
INJURY
28,20,"#}","X",0,0
DATECON
28,38,"#~","XXXXXXXX",0,0
""
28,74,"ñ╒","X",0,1
EMERGENCY="Y"
"#w⌐ñY╒",""
DATEWORK
30,5,"#Ç","XXXXXXXX",0,0
TDISFROM
30,20,"#â","XXXXXXXX",0,0
TDISTO
30,38,"#ä","XXXXXXXX",0,0
PDISFROM
30,57,"#à","XXXXXXXX",0,0
PDISTO
30,72,"#å","XXXXXXXX",0,0
32,3,"","XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,2
ICURINS="Primary" AND ITYPE="M" AND ILABPRV<>""
ILABPRV+" "+ILABUPIN
"%v⌐ñPrimary╒»%{⌐ñM╒»%w¬ñ╒","%wªñ ╒ª%x"
RPTYPE="P"
RPPNAME+" "+RPID
"$~⌐ñP╒","$rªñ ╒ª${"
HOSPFROM
32,57,"$#","XXXXXXXX",0,0
HOSPTO
32,72,"$$","XXXXXXXX",0,0
FNAME+" "+FCITY+" "+FSTATE
34,3,"$Vªñ ╒ª$Yªñ ╒ª$Z","XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,0
""
34,55,"ñ╒","X",0,1
LABWORK="Y"
"X"
"#z⌐ñY╒","ñX╒"
""
34,57,"ñ╒","X",0,1
LABWORK="N"
"X"
"#z⌐ñN╒","ñX╒"
LABCHARGE
34,69,"#{","XXXX.XX",1,0
DIAGLINE
36,3,"%:","XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,0
""
36,69,"ñ╒","X",0,1
EPSDT="Y"
"X"
"#x⌐ñY╒","ñX╒"
""
36,73,"ñ╒","X",0,1
EPSDT="N"
"X"
"#x⌐ñN╒","ñX╒"
DIAGLINE
37,3,"%:","XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,0
""
37,69,"ñ╒","X",0,1
FAMPLAN="Y"
"X"
"#y⌐ñY╒","ñX╒"
""
37,73,"ñ╒","X",0,1
FAMPLAN="N"
"X"
"#y⌐ñN╒","ñX╒"
DIAGLINE
38,3,"%:","XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,0
DIAGLINE
39,3,"%:","XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,0
PRIORAUTH
39,65,"$%","XXXXXXXXXXXXXXX",0,0
""
42,71,"ñ╒","XXXXXXXXX",0,1
IPRINTID="P"
EPHYSNAME
"&(⌐ñP╒","%\"
DATE
43,2,"%;","XXXXXX",0,0
""
43,8,"ñ╒","XXXXXX",0,1
TODATE<>DATE
TODATE
"%<¬%;","%<"
POS
43,16,"%L","XX",0,0
CODE
43,20,"%?","XXXXXXXX",0,0
DESC
43,28,"%K","XXXXXXXXXXXXXXXXXXXXX",0,1
BETWEEN(DESC,"(",")")>0 AND BETWEEN(DESC,"(",")")<=999
AFTER(DESC,")")
"╕%Kºñ(╒ºñ)╒¿¼Ñ0╒»╕%Kºñ(╒ºñ)╒¿¡Ñ999╒","║%Kºñ)╒¿"
DIAGPTR
43,51,"%O","XXXX",0,0
AMOUNT
43,56,"%R","XXXX.XX",1,0
UNITS
43,64,"%P","XXX",1,0
TOS
43,68,"%M","XX",0,0
""
43,71,"ñ╒","XXXXXXXXX",0,1
IPRINTID<>""
EPHYSPIN
"&(¬ñ╒","%]"
""
44,71,"ñ╒","XXXXXXXXX",0,1
IPRINTID="P"
EPHYSNAME
"&(⌐ñP╒","%\"
DATE
45,2,"%;","XXXXXX",0,0
""
45,8,"ñ╒","XXXXXX",0,1
TODATE<>DATE
TODATE
"%<¬%;","%<"
POS
45,16,"%L","XX",0,0
CODE
45,20,"%?","XXXXXXXX",0,0
DESC
45,28,"%K","XXXXXXXXXXXXXXXXXXXXX",0,1
BETWEEN(DESC,"(",")")>0 AND BETWEEN(DESC,"(",")")<=999
AFTER(DESC,")")
"╕%Kºñ(╒ºñ)╒¿¼Ñ0╒»╕%Kºñ(╒ºñ)╒¿¡Ñ999╒","║%Kºñ)╒¿"
DIAGPTR
45,51,"%O","XXXX",0,0
AMOUNT
45,56,"%R","XXXX.XX",1,0
UNITS
45,64,"%P","XXX",1,0
TOS
45,68,"%M","XX",0,0
""
45,71,"ñ╒","XXXXXXXXX",0,1
IPRINTID<>""
EPHYSPIN
"&(¬ñ╒","%]"
""
46,71,"ñ╒","XXXXXXXXX",0,1
IPRINTID="P"
EPHYSNAME
"&(⌐ñP╒","%\"
DATE
47,2,"%;","XXXXXX",0,0
""
47,8,"ñ╒","XXXXXX",0,1
TODATE<>DATE
TODATE
"%<¬%;","%<"
POS
47,16,"%L","XX",0,0
CODE
47,20,"%?","XXXXXXXX",0,0
DESC
47,28,"%K","XXXXXXXXXXXXXXXXXXXXX",0,1
BETWEEN(DESC,"(",")")>0 AND BETWEEN(DESC,"(",")")<=999
AFTER(DESC,")")
"╕%Kºñ(╒ºñ)╒¿¼Ñ0╒»╕%Kºñ(╒ºñ)╒¿¡Ñ999╒","║%Kºñ)╒¿"
DIAGPTR
47,51,"%O","XXXX",0,0
AMOUNT
47,56,"%R","XXXX.XX",1,0
UNITS
47,64,"%P","XXX",1,0
TOS
47,68,"%M","XX",0,0
""
47,71,"ñ╒","XXXXXXXXX",0,1
IPRINTID<>""
EPHYSPIN
"&(¬ñ╒","%]"
""
48,71,"ñ╒","XXXXXXXXX",0,1
IPRINTID="P"
EPHYSNAME
"&(⌐ñP╒","%\"
DATE
49,2,"%;","XXXXXX",0,0
""
49,8,"ñ╒","XXXXXX",0,1
TODATE<>DATE
TODATE
"%<¬%;","%<"
POS
49,16,"%L","XX",0,0
CODE
49,20,"%?","XXXXXXXX",0,0
DESC
49,28,"%K","XXXXXXXXXXXXXXXXXXXXX",0,1
BETWEEN(DESC,"(",")")>0 AND BETWEEN(DESC,"(",")")<=999
AFTER(DESC,")")
"╕%Kºñ(╒ºñ)╒¿¼Ñ0╒»╕%Kºñ(╒ºñ)╒¿¡Ñ999╒","║%Kºñ)╒¿"
DIAGPTR
49,51,"%O","XXXX",0,0
AMOUNT
49,56,"%R","XXXX.XX",1,0
UNITS
49,64,"%P","XXX",1,0
TOS
49,68,"%M","XX",0,0
""
49,71,"ñ╒","XXXXXXXXX",0,1
IPRINTID<>""
EPHYSPIN
"&(¬ñ╒","%]"
""
50,71,"ñ╒","XXXXXXXXX",0,1
IPRINTID="P"
EPHYSNAME
"&(⌐ñP╒","%\"
DATE
51,2,"%;","XXXXXX",0,0
""
51,8,"ñ╒","XXXXXX",0,1
TODATE<>DATE
TODATE
"%<¬%;","%<"
POS
51,16,"%L","XX",0,0
CODE
51,20,"%?","XXXXXXXX",0,0
DESC
51,28,"%K","XXXXXXXXXXXXXXXXXXXXX",0,1
BETWEEN(DESC,"(",")")>0 AND BETWEEN(DESC,"(",")")<=999
AFTER(DESC,")")
"╕%Kºñ(╒ºñ)╒¿¼Ñ0╒»╕%Kºñ(╒ºñ)╒¿¡Ñ999╒","║%Kºñ)╒¿"
DIAGPTR
51,51,"%O","XXXX",0,0
AMOUNT
51,56,"%R","XXXX.XX",1,0
UNITS
51,64,"%P","XXX",1,0
TOS
51,68,"%M","XX",0,0
""
51,71,"ñ╒","XXXXXXXXX",0,1
IPRINTID<>""
EPHYSPIN
"&(¬ñ╒","%]"
""
52,71,"ñ╒","XXXXXXXXX",0,1
IPRINTID="P"
EPHYSNAME
"&(⌐ñP╒","%\"
DATE
53,2,"%;","XXXXXX",0,0
""
53,8,"ñ╒","XXXXXX",0,1
TODATE<>DATE
TODATE
"%<¬%;","%<"
POS
53,16,"%L","XX",0,0
CODE
53,20,"%?","XXXXXXXX",0,0
DESC
53,28,"%K","XXXXXXXXXXXXXXXXXXXXX",0,1
BETWEEN(DESC,"(",")")>0 AND BETWEEN(DESC,"(",")")<=999
AFTER(DESC,")")
"╕%Kºñ(╒ºñ)╒¿¼Ñ0╒»╕%Kºñ(╒ºñ)╒¿¡Ñ999╒","║%Kºñ)╒¿"
DIAGPTR
53,51,"%O","XXXX",0,0
AMOUNT
53,56,"%R","XXXX.XX",1,0
UNITS
53,64,"%P","XXX",1,0
TOS
53,68,"%M","XX",0,0
""
53,71,"ñ╒","XXXXXXXXX",0,1
IPRINTID<>""
EPHYSPIN
"&(¬ñ╒","%]"
CHARGES
55,53,"#-","XXXXXXX.XX",1,0
PAYMENTS
55,64,"#.","XXXXX.XX",1,0
DUE
55,73,"#0","XXXX.XX",1,0
""
56,39,"ñ╒","X",0,3
ICURINS="Primary" AND ACCASSIGN="Y"
"X"
"%v⌐ñPrimary╒»$1⌐ñY╒","ñX╒"
ICURINS="Secondary" AND ACASSIGNB="Y"
"X"
"%v⌐ñSecondary╒»$2⌐ñY╒","ñX╒"
ICURINS="Tertiary" AND ACASSIGNC="Y"
"X"
"%v⌐ñTertiary╒»$3⌐ñY╒","ñX╒"
""
56,43,"ñ╒","X",0,3
ICURINS="Primary" AND ACCASSIGN="N"
"X"
"%v⌐ñPrimary╒»$1⌐ñN╒","ñX╒"
ICURINS="Secondary" AND ACASSIGNB="N"
"X"
"%v⌐ñSecondary╒»$2⌐ñN╒","ñX╒"
ICURINS="Tertiary" AND ACASSIGNC="N"
"X"
"%v⌐ñTertiary╒»$3⌐ñN╒","ñX╒"
PSIGLINE
57,3,"#8","XXXXXXXXXXXXXXXXXXXXXXXXXXX",0,0
""
57,52,"ñ╒","XXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,3
PRINTPRAC="Y" AND PRACDOC="P"
PRNAME
"#F⌐ñY╒»#D⌐ñP╒","#L"
PRINTPRAC="Y" AND PRACDOC="D" AND BYATTEND="N"
PNAME
"#F⌐ñY╒»#D⌐ñD╒»#<⌐ñN╒","$>"
PRINTPRAC="Y" AND PRACDOC="D" AND BYATTEND="Y"
ANAME
"#F⌐ñY╒»#D⌐ñD╒»#<⌐ñY╒","%_"
""
58,52,"ñ╒","XXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,3
PRINTPRAC="Y" AND PRACDOC="P"
PRSTREET
"#F⌐ñY╒»#D⌐ñP╒","#M"
PRINTPRAC="Y" AND PRACDOC="D" AND BYATTEND="N"
PSTREET
"#F⌐ñY╒»#D⌐ñD╒»#<⌐ñN╒","$?"
PRINTPRAC="Y" AND PRACDOC="D" AND BYATTEND="Y"
ASTREET
"#F⌐ñY╒»#D⌐ñD╒»#<⌐ñY╒","%`"
SYSDATE
59,22,"#6","XX-XX-XX",0,0
""
59,34,"ñ╒","XXX-XX-XXXXX",0,3
PRINTPRAC="Y" AND PRACDOC="D" AND BYATTEND="N"
PSSN
"#F⌐ñY╒»#D⌐ñD╒»#<⌐ñN╒","$F"
PRINTPRAC="Y" AND PRACDOC="D" AND BYATTEND="Y"
ASSN
"#F⌐ñY╒»#D⌐ñD╒»#<⌐ñY╒","%g"
PRINTPRAC="Y" AND PRACDOC="P"
PSSN
"#F⌐ñY╒»#D⌐ñP╒","$F"
""
59,52,"ñ╒","XXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,3
PRINTPRAC="Y" AND PRACDOC="P"
PRCITYLN
"#F⌐ñY╒»#D⌐ñP╒","#N"
PRINTPRAC="Y" AND PRACDOC="D" AND BYATTEND="N"
PCITYLN
"#F⌐ñY╒»#D⌐ñD╒»#<⌐ñN╒","$@"
PRINTPRAC="Y" AND PRACDOC="D" AND BYATTEND="Y"
ACITYLN
"#F⌐ñY╒»#D⌐ñD╒»#<⌐ñY╒","%a"
""
60,52,"ñ╒","XXXXXXXXXXXXXX",0,3
PRINTPRAC="Y" AND PRACDOC="P"
PRPHONE
"#F⌐ñY╒»#D⌐ñP╒","#R"
PRINTPRAC="Y" AND PRACDOC="D" AND BYATTEND="N"
PPHONE
"#F⌐ñY╒»#D⌐ñD╒»#<⌐ñN╒","$D"
PRINTPRAC="Y" AND PRACDOC="D" AND BYATTEND="Y"
APHONE
"#F⌐ñY╒»#D⌐ñD╒»#<⌐ñY╒","%e"
CHART
61,3,"#V","XXXXXXXX",0,0
SYSDATE
61,13,"#6","XX-XX-XX",0,0
""
61,34,"ñ╒","XXXXXXXXXXXXXXX",0,3
PRINTPRAC="Y" AND PRACDOC="P"
PRFEDID
"#F⌐ñY╒»#D⌐ñP╒","#S"
PRINTPRAC="Y" AND PRACDOC="D" AND BYATTEND="N"
PLICENSE
"#F⌐ñY╒»#D⌐ñD╒»#<⌐ñN╒","$G"
PRINTPRAC="Y" AND PRACDOC="D" AND BYATTEND="Y"
ALICENSE
"#F⌐ñY╒»#D⌐ñD╒»#<⌐ñY╒","%h"
IIDNUM
61,56,"&&","XXXXXXXXXXXXXXX",0,0
6
4
20
66
"66"
79
"79"
""
""
DATE,DOC
"%^%;%="
""
"%^"
""
""
Y
"Y"
N
"N"
N
"N"
N
"N"
N
"N"
N
"N"
N
"N"
D
"D"
Y
"Y"
Y
"Y"
TAX
"TAX"
18
"","Y"
"","Y"
"","Y"
"","Y"
"","Y"
"","Y"
"","Y"
"","Y"
"","Y"
"","Y"
"","Y"
"N","Y"
"","Y"
"","N"
"","N"
"","N"
"","N"
"","Y"