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Business Management
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MEDISOFT_ V4.14a Medical Patient
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MEDI414A.exe
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MAIFORMO
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Text File
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1996-01-22
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17KB
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935 lines
"Format File Version 9"
"HCFA-1500(12-90) Laser"
184
""
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╒","%~"
""
4,2,"ñ╒","X",0,2
ICURINS="Secondary"
"S"
"%v⌐ñSecondary╒","ñS╒"
ICURINS="Tertiary"
"T"
"%v⌐ñTertiary╒","ñT╒"
""
7,2,"ñ╒","X",0,1
ITYPE="M"
"X"
"%{⌐ñM╒","ñX╒"
""
7,9,"ñ╒","X",0,1
ITYPE="A"
"X"
"%{⌐ñA╒","ñX╒"
""
7,16,"ñ╒","X",0,1
ITYPE="C"
"X"
"%{⌐ñC╒","ñX╒"
""
7,25,"ñ╒","X",0,1
ITYPE="V"
"X"
"%{⌐ñV╒","ñX╒"
""
7,32,"ñ╒","X",0,1
ITYPE="G" OR ITYPE="H" OR ITYPE="P"
"X"
"%{⌐ñG╒░%{⌐ñH╒░%{⌐ñP╒","ñX╒"
""
7,40,"ñ╒","X",0,1
ITYPE="F"
"X"
"%{⌐ñF╒","ñX╒"
""
7,46,"ñ╒","X",0,1
ITYPE="B" OR ITYPE="O" OR ITYPE="W"
"X"
"%{⌐ñB╒░%{⌐ñO╒░%{⌐ñW╒","ñX╒"
IPOLICY
7,51,"%å","XXXXXXXXXXXXXXXXXXXX",0,0
NAME
9,2,"#W","XXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,0
LEFT(BDAY,4)
9,32,"▓#eºÑ4╒¿","XX XX",0,0
RIGHT(BDAY,2)
9,38,"│#eºÑ2╒¿","XX",0,0
""
9,43,"ñ╒","X",0,1
SEX="M"
"X"
"#d⌐ñM╒","ñX╒"
""
9,48,"ñ╒","X",0,1
SEX="F"
"X"
"#d⌐ñF╒","ñX╒"
IHNAME
9,51,"&2","XXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,2
ICURINS="Primary" AND ITYPE="M"
" "
"%v⌐ñPrimary╒»%{⌐ñM╒","ñ ╒"
ICURINS="Medicare"
" "
"%v⌐ñMedicare╒","ñ ╒"
STREET
11,2,"#[","XXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,0
""
11,34,"ñ╒","X",0,1
IHREL=1
"X"
"&@⌐Ñ1╒","ñX╒"
""
11,39,"ñ╒","X",0,1
IHREL=2
"X"
"&@⌐Ñ2╒","ñX╒"
""
11,43,"ñ╒","X",0,1
IHREL=3
"X"
"&@⌐Ñ3╒","ñX╒"
""
11,48,"ñ╒","X",0,1
IHREL=4
"X"
"&@⌐Ñ4╒","ñX╒"
IHSTREET
11,51,"&6","XXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,2
ICURINS="Primary" AND ITYPE="M"
" "
"%v⌐ñPrimary╒»%{⌐ñM╒","ñ ╒"
ICURINS="Medicare"
" "
"%v⌐ñMedicare╒","ñ ╒"
CITY
13,2,"#]","XXXXXXXXXXXXXXXXXXXX",0,0
STATE
13,28,"#^","XX",0,0
""
13,36,"ñ╒","X",0,1
MARITAL="S"
"X"
"$,⌐ñS╒","ñX╒"
""
13,42,"ñ╒","X",0,1
MARITAL="M"
"X"
"$,⌐ñM╒","ñX╒"
""
13,48,"ñ╒","X",0,1
MARITAL<>"S" AND MARITAL<>"M" AND MARITAL<>""
"X"
"$,¬ñS╒»$,¬ñM╒»$,¬ñ╒","ñX╒"
IHCITY
13,51,"&8","XXXXXXXXXXXXXXXXXXXX",0,2
ICURINS="Primary" AND ITYPE="M"
" "
"%v⌐ñPrimary╒»%{⌐ñM╒","ñ ╒"
ICURINS="Medicare"
" "
"%v⌐ñMedicare╒","ñ ╒"
IHSTATE
13,76,"&9","XX",0,2
ICURINS="Primary" AND ITYPE="M"
" "
"%v⌐ñPrimary╒»%{⌐ñM╒","ñ ╒"
ICURINS="Medicare"
" "
"%v⌐ñMedicare╒","ñ ╒"
ZIP
15,2,"#_","XXXXXXXXXXXX",0,0
" "+PHONE
15,16,"ñ ╒ª#a","XXXXXXXXXXXXXX",0,1
LEFT(PHONE,1)="("
MIDL(PHONE,2,3)+" "+RIGHT(PHONE,8)
"▓#aºÑ1╒¿⌐ñ(╒","┤#aºÑ2╒ºÑ3╒¿ªñ ╒ª│#aºÑ8╒¿"
""
15,36,"ñ╒","X",0,2
EMPLSTS="F"
"X"
"$-⌐ñF╒","ñX╒"
EMPLSTS="P"
"X"
"$-⌐ñP╒","ñX╒"
""
15,42,"ñ╒","X",0,1
STUDENT="F"
"X"
"$/⌐ñF╒","ñX╒"
""
15,48,"ñ╒","X",0,1
STUDENT="P"
"X"
"$/⌐ñP╒","ñX╒"
IHZIP
15,51,"&:","XXXXXXXXXXXX",0,2
ICURINS="Primary" AND ITYPE="M"
" "
"%v⌐ñPrimary╒»%{⌐ñM╒","ñ ╒"
ICURINS="Medicare"
" "
"%v⌐ñMedicare╒","ñ ╒"
" "+IHPHONE
15,66,"ñ ╒ª&;","XXXXXXXXXXXXXX",0,5
ICURINS="Primary" AND ITYPE="M"
" "
"%v⌐ñPrimary╒»%{⌐ñM╒","ñ ╒"
ICURINS="Medicare"
" "
"%v⌐ñMedicare╒","ñ ╒"
ICURINS="Primary" AND ITYPE<>"M" AND LEFT(IHPHONE,1)="("
MIDL(IHPHONE,2,3)+" "+RIGHT(IHPHONE,8)
"%v⌐ñPrimary╒»%{¬ñM╒»▓&;ºÑ1╒¿⌐ñ(╒","┤&;ºÑ2╒ºÑ3╒¿ªñ ╒ª│&;ºÑ8╒¿"
ICURINS="Secondary" AND LEFT(IHPHONE,1)="("
MIDL(IHPHONE,2,3)+" "+RIGHT(IHPHONE,8)
"%v⌐ñSecondary╒»▓&;ºÑ1╒¿⌐ñ(╒","┤&;ºÑ2╒ºÑ3╒¿ªñ ╒ª│&;ºÑ8╒¿"
ICURINS="Tertiary" AND LEFT(IHPHONE,1)="("
MIDL(IHPHONE,2,3)+" "+RIGHT(IHPHONE,8)
"%v⌐ñTertiary╒»▓&;ºÑ1╒¿⌐ñ(╒","┤&;ºÑ2╒ºÑ3╒¿ªñ ╒ª│&;ºÑ8╒¿"
OHNAME
17,2,"&p","XXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,1
OTYPE="M"
" "
"&U⌐ñM╒","ñ ╒"
IGROUP
17,51,"","XXXXXXXXXXXXXXXXXXXX",0,3
ICURINS="Primary" AND ITYPE="M"
"NONE"
"%v⌐ñPrimary╒»%{⌐ñM╒","ñNONE╒"
ICURINS="Medicare"
"NONE"
"%v⌐ñMedicare╒","ñNONE╒"
ICURINS="Secondary" AND ITYPE="M"
OGROUP
"%v⌐ñSecondary╒»%{⌐ñM╒","&a"
OPOLICY
19,2,"&`","XXXXXXXXXXXXX",0,1
OTYPE="M"
" "
"&U⌐ñM╒","ñ ╒"
OGROUP
19,16,"&a","XXXXXXXXXXXXXX",0,1
OTYPE="M"
" "
"&U⌐ñM╒","ñ ╒"
""
19,36,"ñ╒","X",0,1
RELTOEMPL="Y"
"X"
"#r⌐ñY╒","ñX╒"
""
19,42,"ñ╒","X",0,1
RELTOEMPL="N" OR RELTOEMPL=""
"X"
"#r⌐ñN╒░#r⌐ñ╒","ñX╒"
LEFT(IHBDAY,4)
19,55,"▓&=ºÑ4╒¿","XX XX",0,2
ICURINS="Primary" AND ITYPE="M"
" "
"%v⌐ñPrimary╒»%{⌐ñM╒","ñ ╒"
ICURINS="Medicare"
" "
"%v⌐ñMedicare╒","ñ ╒"
RIGHT(IHBDAY,2)
19,61,"│&=ºÑ2╒¿","XX",0,2
ICURINS="Primary" AND ITYPE="M"
" "
"%v⌐ñPrimary╒»%{⌐ñM╒","ñ ╒"
ICURINS="Medicare"
" "
"%v⌐ñMedicare╒","ñ ╒"
" "
19,69,"ñ ╒","X",0,3
ICURINS="Primary" AND ITYPE<>"M" AND IHSEX="M"
"X"
"%v⌐ñPrimary╒»%{¬ñM╒»&>⌐ñM╒","ñX╒"
ICURINS="Secondary" AND IHSEX="M"
"X"
"%v⌐ñSecondary╒»&>⌐ñM╒","ñX╒"
ICURINS<>"Medicare" AND IHSEX="M"
"X"
"%v¬ñMedicare╒»&>⌐ñM╒","ñX╒"
" "
19,76,"ñ ╒","X",0,3
ICURINS="Primary" AND ITYPE<>"M" AND IHSEX="F"
"X"
"%v⌐ñPrimary╒»%{¬ñM╒»&>⌐ñF╒","ñX╒"
ICURINS="Secondary" AND IHSEX="F"
"X"
"%v⌐ñSecondary╒»&>⌐ñF╒","ñX╒"
ICURINS<>"Medicare" AND ITYPE<>"M" AND IHSEX="F"
"X"
"%v¬ñMedicare╒»%{¬ñM╒»&>⌐ñF╒","ñX╒"
LEFT(OHBDAY,4)
21,3,"▓&{ºÑ4╒¿","XX XX",0,2
OTYPE="M"
" "
"&U⌐ñM╒","ñ ╒"
ONUM<1
" "
"&T½Ñ1╒","ñ ╒"
RIGHT(OHBDAY,2)
21,9,"│&{ºÑ2╒¿","XX",0,2
OTYPE="M"
" "
"&U⌐ñM╒","ñ ╒"
ONUM<1
" "
"&T½Ñ1╒","ñ ╒"
" "
21,19,"ñ ╒","X",0,2
OHSEX="M" AND OTYPE<>"M" AND ONUM>1
"X"
"&|⌐ñM╒»&U¬ñM╒»&T¼Ñ1╒","ñX╒"
OTYPE="M"
" "
"&U⌐ñM╒","ñ ╒"
" "
21,25,"ñ ╒","X",0,2
OHSEX="F" AND OTYPE<>"M" AND ONUM>1
"X"
"&|⌐ñF╒»&U¬ñM╒»&T¼Ñ1╒","ñX╒"
OTYPE="M"
" "
"&U⌐ñM╒","ñ ╒"
""
21,36,"ñ╒","X",0,1
RELTOACC="A"
"X"
"#s⌐ñA╒","ñX╒"
""
21,42,"ñ╒","X",0,1
RELTOACC="N" OR RELTOACC="" OR RELTOACC="Y"
"X"
"#s⌐ñN╒░#s⌐ñ╒░#s⌐ñY╒","ñX╒"
ACCSTATE
21,46,"#t","XX",0,0
IENAME
21,51,"&G","XXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,2
ICURINS="Primary" AND ITYPE="M"
" "
"%v⌐ñPrimary╒»%{⌐ñM╒","ñ ╒"
ICURINS="Medicare"
" "
"%v⌐ñMedicare╒","ñ ╒"
OENAME
23,2,"&à","XXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,1
OTYPE="M"
" "
"&U⌐ñM╒","ñ ╒"
""
23,36,"ñ╒","X",0,1
RELTOACC="Y"
"X"
"#s⌐ñY╒","ñX╒"
""
23,42,"ñ╒","X",0,1
RELTOACC="N" OR RELTOACC="" OR RELTOACC="A"
"X"
"#s⌐ñN╒░#s⌐ñ╒░#s⌐ñA╒","ñX╒"
IPLAN
23,51,"%à","XXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,4
ICURINS="Primary" AND ITYPE<>"M" AND IPLAN=""
INAME
"%v⌐ñPrimary╒»%{¬ñM╒»%à⌐ñ╒","%|"
ICURINS="Primary" AND ITYPE="M"
" "
"%v⌐ñPrimary╒»%{⌐ñM╒","ñ ╒"
ICURINS="Medicare"
" "
"%v⌐ñMedicare╒","ñ ╒"
ICURINS="Secondary" AND IPLAN=""
INAME
"%v⌐ñSecondary╒»%à⌐ñ╒","%|"
OPLAN
25,2,"&_","XXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,2
OPLAN="" AND OTYPE<>"M"
ONAME
"&_⌐ñ╒»&U¬ñM╒","&V"
OTYPE="M"
" "
"&U⌐ñM╒","ñ ╒"
LOCALA
25,31,"$;","XXXXXXXXXXXXXXXXX",0,0
""
25,53,"ñ╒","X",0,3
ICURINS="Secondary"
"X"
"%v⌐ñSecondary╒","ñX╒"
ICURINS="Primary" AND ONUM>0
"X"
"%v⌐ñPrimary╒»&T¼Ñ0╒","ñX╒"
ICURINS="Medicare" AND ONUM>0
"X"
"%v⌐ñMedicare╒»&T¼Ñ0╒","ñX╒"
""
25,58,"ñ╒","X",0,2
ICURINS="Primary" AND ONUM<1
"X"
"%v⌐ñPrimary╒»&T½Ñ1╒","ñX╒"
ICURINS="Medicare" AND ONUM<1
"X"
"%v⌐ñMedicare╒»&T½Ñ1╒","ñX╒"
SIGLINE
28,7,"#7","XXXXXXXXXXXXXXXXXXXXXXXXX",0,0
INSDATE
28,37,"#5","XX-XX-XX",0,0
ISIGLINE
28,56,"#:","XXXXXXXXXXXXXXXXXXXXXXX",0,0
DATEINJ
31,3,"#|","XXXXXXXX",0,1
MIDL(DATEINJ,3,1)="-"
LEFT(DATEINJ,2)+" "+MIDL(DATEINJ,4,2)+" "+RIGHT(DATEINJ,2)
"┤#|ºÑ3╒ºÑ1╒¿⌐ñ-╒","▓#|ºÑ2╒¿ªñ ╒ª┤#|ºÑ4╒ºÑ2╒¿ªñ ╒ª│#|ºÑ2╒¿"
INJURY
31,25,"#}","X",0,0
DATESYMP
31,38,"#v","XXXXXXXX",0,1
MIDL(DATESYMP,3,1)="-"
LEFT(DATESYMP,2)+" "+MIDL(DATESYMP,4,2)+" "+RIGHT(DATESYMP,2)
"┤#vºÑ3╒ºÑ1╒¿⌐ñ-╒","▓#vºÑ2╒¿ªñ ╒ª┤#vºÑ4╒ºÑ2╒¿ªñ ╒ª│#vºÑ2╒¿"
WORKFROM
31,55,"#","XXXXXXXX",0,1
MIDL(WORKFROM,3,1)="-"
LEFT(WORKFROM,2)+" "+MIDL(WORKFROM,4,2)+" "+RIGHT(WORKFROM,2)
"┤#ºÑ3╒ºÑ1╒¿⌐ñ-╒","▓#ºÑ2╒¿ªñ ╒ª┤#ºÑ4╒ºÑ2╒¿ªñ ╒ª│#ºÑ2╒¿"
DATEWORK
31,69,"#Ç","XXXXXXXX",0,1
MIDL(DATEWORK,3,1)="-"
LEFT(DATEWORK,2)+" "+MIDL(DATEWORK,4,2)+" "+RIGHT(DATEWORK,2)
"┤#ǺÑ3╒ºÑ1╒¿⌐ñ-╒","▓#ǺÑ2╒¿ªñ ╒ª┤#ǺÑ4╒ºÑ2╒¿ªñ ╒ª│#ǺÑ2╒¿"
""
33,2,"ñ╒","XXXXXXXXXXXXXXXXXXXXXXXXXX",0,2
ICURINS="Primary" AND ITYPE="M" AND ILABPRV<>""
ILABPRV
"%v⌐ñPrimary╒»%{⌐ñM╒»%w¬ñ╒","%w"
RPTYPE="P"
RPPNAME
"$~⌐ñP╒","$r"
""
33,29,"ñ╒","XXXXXXXXXXXXXXXXXXXXX",0,2
ICURINS="Primary" AND ITYPE="M" AND ILABPRV<>""
ILABUPIN
"%v⌐ñPrimary╒»%{⌐ñM╒»%w¬ñ╒","%x"
RPTYPE="P"
RPID
"$~⌐ñP╒","${"
HOSPFROM
33,55,"$#","XXXXXXXX",0,1
MIDL(HOSPFROM,3,1)="-"
LEFT(HOSPFROM,2)+" "+MIDL(HOSPFROM,4,2)+" "+RIGHT(HOSPFROM,2)
"┤$#ºÑ3╒ºÑ1╒¿⌐ñ-╒","▓$#ºÑ2╒¿ªñ ╒ª┤$#ºÑ4╒ºÑ2╒¿ªñ ╒ª│$#ºÑ2╒¿"
HOSPTO
33,69,"$$","XXXXXXXX",0,1
MIDL(HOSPTO,3,1)="-"
LEFT(HOSPTO,2)+" "+MIDL(HOSPTO,4,2)+" "+RIGHT(HOSPTO,2)
"┤$$ºÑ3╒ºÑ1╒¿⌐ñ-╒","▓$$ºÑ2╒¿ªñ ╒ª┤$$ºÑ4╒ºÑ2╒¿ªñ ╒ª│$$ºÑ2╒¿"
LOCALB
35,2,"$<","XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,0
""
35,53,"ñ╒","X",0,1
LABWORK="Y"
"X"
"#z⌐ñY╒","ñX╒"
""
35,58,"ñ╒","X",0,1
LABWORK="N" OR LABWORK=""
"X"
"#z⌐ñN╒░#z⌐ñ╒","ñX╒"
LABCHARGE
35,66,"#{","XXXXX.XX",1,0
DIAG1
37,4,"%8╓","XXX.XXX",0,0
DIAG3
37,32,"%8╪","XXX.XXX",0,0
MAIDCODE
37,51,"$'","XXXXXXXXXX",0,0
MAIDORG
37,62,"$(","XXXXXXXXXXXXXXXXX",0,0
DIAG2
39,4,"%8╫","XXX.XXX",0,0
DIAG4
39,32,"%8┘","XXX.XXX",0,0
PRIORAUTH
39,51,"$%","XXXXXXXXXXXXXXX",0,0
""
42,72,"ñ╒","XXXXXXXXXXXXXXX",0,1
IPRINTID="P"
EPHYSNAME
"&(⌐ñP╒","%\"
DATE
43,2,"%;","XX XX XX",0,0
TODATE
43,11,"%<","XX XX XX",0,0
POS
43,20,"%L","XX",0,0
TOS
43,23,"%M","XX",0,0
CODEONLY
43,26,"%@","XXXXXX",0,0
MODIF
43,33,"%A","XXXXXXXXX",0,0
DIAGPTR
43,44,"%O","XXXX",0,0
AMOUNT
43,51,"%R","XXXXX.XX",1,0
UNITS
43,60,"%P","XXX",2,0
""
43,64,"ñ╒","X",0,1
DATE<>"" AND EPSDT="Y"
"X"
"%;¬ñ╒»#x⌐ñY╒","ñX╒"
""
43,67,"ñ╒","X",0,2
DATE=""
""
"%;⌐ñ╒","ñ╒"
POS=23 OR EMERGENCY="Y"
"X"
"%L⌐Ñ23╒░#w⌐ñY╒","ñX╒"
""
43,72,"ñ╒","XXXXXXXXX",0,1
IPRINTID<>""
EPHYSPIN
"&(¬ñ╒","%]"
""
44,72,"ñ╒","XXXXXXXXXXXXXXX",0,1
IPRINTID="P"
EPHYSNAME
"&(⌐ñP╒","%\"
DATE
45,2,"%;","XX XX XX",0,0
TODATE
45,11,"%<","XX XX XX",0,0
POS
45,20,"%L","XX",0,0
TOS
45,23,"%M","XX",0,0
CODEONLY
45,26,"%@","XXXXXX",0,0
MODIF
45,33,"%A","XXXXXXXXX",0,0
DIAGPTR
45,44,"%O","XXXX",0,0
AMOUNT
45,51,"%R","XXXXX.XX",1,0
UNITS
45,60,"%P","XXX",2,0
""
45,64,"ñ╒","X",0,1
DATE<>"" AND EPSDT="Y"
"X"
"%;¬ñ╒»#x⌐ñY╒","ñX╒"
""
45,67,"ñ╒","X",0,2
DATE=""
""
"%;⌐ñ╒","ñ╒"
POS=23 OR EMERGENCY="Y"
"X"
"%L⌐Ñ23╒░#w⌐ñY╒","ñX╒"
""
45,72,"ñ╒","XXXXXXXXX",0,1
IPRINTID<>""
EPHYSPIN
"&(¬ñ╒","%]"
""
46,72,"ñ╒","XXXXXXXXXXXXXXX",0,1
IPRINTID="P"
EPHYSNAME
"&(⌐ñP╒","%\"
DATE
47,2,"%;","XX XX XX",0,0
TODATE
47,11,"%<","XX XX XX",0,0
POS
47,20,"%L","XX",0,0
TOS
47,23,"%M","XX",0,0
CODEONLY
47,26,"%@","XXXXXX",0,0
MODIF
47,33,"%A","XXXXXXXXX",0,0
DIAGPTR
47,44,"%O","XXXX",0,0
AMOUNT
47,51,"%R","XXXXX.XX",1,0
UNITS
47,60,"%P","XXX",2,0
""
47,64,"ñ╒","X",0,1
DATE<>"" AND EPSDT="Y"
"X"
"%;¬ñ╒»#x⌐ñY╒","ñX╒"
""
47,67,"ñ╒","X",0,2
DATE=""
""
"%;⌐ñ╒","ñ╒"
POS=23 OR EMERGENCY="Y"
"X"
"%L⌐Ñ23╒░#w⌐ñY╒","ñX╒"
""
47,72,"ñ╒","XXXXXXXXX",0,1
IPRINTID<>""
EPHYSPIN
"&(¬ñ╒","%]"
""
48,72,"ñ╒","XXXXXXXXXXXXXXX",0,1
IPRINTID="P"
EPHYSNAME
"&(⌐ñP╒","%\"
DATE
49,2,"%;","XX XX XX",0,0
TODATE
49,11,"%<","XX XX XX",0,0
POS
49,20,"%L","XX",0,0
TOS
49,23,"%M","XX",0,0
CODEONLY
49,26,"%@","XXXXXX",0,0
MODIF
49,33,"%A","XXXXXXXXX",0,0
DIAGPTR
49,44,"%O","XXXX",0,0
AMOUNT
49,51,"%R","XXXXX.XX",1,0
UNITS
49,60,"%P","XXX",2,0
""
49,64,"ñ╒","X",0,1
DATE<>"" AND EPSDT="Y"
"X"
"%;¬ñ╒»#x⌐ñY╒","ñX╒"
""
49,67,"ñ╒","X",0,2
DATE=""
""
"%;⌐ñ╒","ñ╒"
POS=23 OR EMERGENCY="Y"
"X"
"%L⌐Ñ23╒░#w⌐ñY╒","ñX╒"
""
49,72,"ñ╒","XXXXXXXXX",0,1
IPRINTID<>""
EPHYSPIN
"&(¬ñ╒","%]"
""
50,72,"ñ╒","XXXXXXXXXXXXXXX",0,1
IPRINTID="P"
EPHYSNAME
"&(⌐ñP╒","%\"
DATE
51,2,"%;","XX XX XX",0,0
TODATE
51,11,"%<","XX XX XX",0,0
POS
51,20,"%L","XX",0,0
TOS
51,23,"%M","XX",0,0
CODEONLY
51,26,"%@","XXXXXX",0,0
MODIF
51,33,"%A","XXXXXXXXX",0,0
DIAGPTR
51,44,"%O","XXXX",0,0
AMOUNT
51,51,"%R","XXXXX.XX",1,0
UNITS
51,60,"%P","XXX",2,0
""
51,64,"ñ╒","X",0,1
DATE<>"" AND EPSDT="Y"
"X"
"%;¬ñ╒»#x⌐ñY╒","ñX╒"
""
51,67,"ñ╒","X",0,2
DATE=""
""
"%;⌐ñ╒","ñ╒"
POS=23 OR EMERGENCY="Y"
"X"
"%L⌐Ñ23╒░#w⌐ñY╒","ñX╒"
""
51,72,"ñ╒","XXXXXXXXX",0,1
IPRINTID<>""
EPHYSPIN
"&(¬ñ╒","%]"
""
52,72,"ñ╒","XXXXXXXXXXXXXXX",0,1
IPRINTID="P"
EPHYSNAME
"&(⌐ñP╒","%\"
DATE
53,2,"%;","XX XX XX",0,0
TODATE
53,11,"%<","XX XX XX",0,0
POS
53,20,"%L","XX",0,0
TOS
53,23,"%M","XX",0,0
CODEONLY
53,26,"%@","XXXXXX",0,0
MODIF
53,33,"%A","XXXXXXXXX",0,0
DIAGPTR
53,44,"%O","XXXX",0,0
AMOUNT
53,51,"%R","XXXXX.XX",1,0
UNITS
53,60,"%P","XXX",2,0
""
53,64,"ñ╒","X",0,1
DATE<>"" AND EPSDT="Y"
"X"
"%;¬ñ╒»#x⌐ñY╒","ñX╒"
""
53,67,"ñ╒","X",0,2
DATE=""
""
"%;⌐ñ╒","ñ╒"
POS=23 OR EMERGENCY="Y"
"X"
"%L⌐Ñ23╒░#w⌐ñY╒","ñX╒"
""
53,72,"ñ╒","XXXXXXXXX",0,1
IPRINTID<>""
EPHYSPIN
"&(¬ñ╒","%]"
""
55,2,"ñ╒","XXXXXXXXXXXXXXX",0,6
PRINTPRAC="N"
""
"#F⌐ñN╒","ñ╒"
PRACDOC="P"
PRFEDID
"#D⌐ñP╒","#S"
BYATTEND="Y" AND RIGHT(AFTXIND,1)="S" AND ASSN<>""
LEFT(ASSN,3)+"-"+MIDL(ASSN,4,2)+"-"+MIDL(ASSN,6,5)
"#<⌐ñY╒»│%fºÑ1╒¿⌐ñS╒»%g¬ñ╒","▓%gºÑ3╒¿ªñ-╒ª┤%gºÑ4╒ºÑ2╒¿ªñ-╒ª┤%gºÑ6╒ºÑ5╒¿"
BYATTEND="N" AND RIGHT(PFTXIND,1)="S" AND PSSN<>""
LEFT(PSSN,3)+"-"+MIDL(PSSN,4,2)+"-"+MIDL(PSSN,6,5)
"#<⌐ñN╒»│$EºÑ1╒¿⌐ñS╒»$F¬ñ╒","▓$FºÑ3╒¿ªñ-╒ª┤$FºÑ4╒ºÑ2╒¿ªñ-╒ª┤$FºÑ6╒ºÑ5╒¿"
BYATTEND="Y" AND RIGHT(AFTXIND,1)="E"
ASSN
"#<⌐ñY╒»│%fºÑ1╒¿⌐ñE╒","%g"
BYATTEND="N" AND RIGHT(PFTXIND,1)="E"
PSSN
"#<⌐ñN╒»│$EºÑ1╒¿⌐ñE╒","$F"
""
55,18,"ñ╒","X",0,4
PRINTPRAC="N"
""
"#F⌐ñN╒","ñ╒"
PRACDOC="P"
""
"#D⌐ñP╒","ñ╒"
PRACDOC="D" AND BYATTEND="Y" AND RIGHT(AFTXIND,1)="S"
"X"
"#D⌐ñD╒»#<⌐ñY╒»│%fºÑ1╒¿⌐ñS╒","ñX╒"
PRACDOC="D" AND BYATTEND="N" AND RIGHT(PFTXIND,1)="S"
"X"
"#D⌐ñD╒»#<⌐ñN╒»│$EºÑ1╒¿⌐ñS╒","ñX╒"
""
55,20,"ñ╒","X",0,4
PRINTPRAC="N"
""
"#F⌐ñN╒","ñ╒"
PRACDOC="P"
"X"
"#D⌐ñP╒","ñX╒"
PRACDOC="D" AND BYATTEND="Y" AND RIGHT(AFTXIND,1)="E"
"X"
"#D⌐ñD╒»#<⌐ñY╒»│%fºÑ1╒¿⌐ñE╒","ñX╒"
PRACDOC="D" AND BYATTEND="N" AND RIGHT(PFTXIND,1)="E"
"X"
"#D⌐ñD╒»#<⌐ñN╒»│$EºÑ1╒¿⌐ñE╒","ñX╒"
CHART
55,24,"#V","XXXXXXXX",0,0
""
55,39,"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╒"
""
55,44,"ñ╒","X",0,6
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╒"
ICURINS="Primary" AND ACCASSIGN=""
"X"
"%v⌐ñPrimary╒»$1⌐ñ╒","ñX╒"
ICURINS="Secondary" AND ACASSIGNB=""
"X"
"%v⌐ñSecondary╒»$2⌐ñ╒","ñX╒"
ICURINS="Tertiary" AND ACASSIGNC=""
"X"
"%v⌐ñTertiary╒»$3⌐ñ╒","ñX╒"
CHARGES
55,51,"#-","XXXXXXX.XX",1,0
PAYMENTS
55,63,"#.","XXXXX.XX",1,0
DUE
55,72,"#0","XXXXX.XX",1,0
""
57,51,"ñ╒","XXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,3
PRINTPRAC="Y" AND PRACDOC="P"
PRNAME
"#F⌐ñY╒»#D⌐ñP╒","#L"
PRINTPRAC="Y" AND PRACDOC="D" AND BYATTEND="N"
PNAME
"#F⌐ñY╒»#D⌐ñD╒»#<⌐ñN╒","$>"
PRINTPRAC="Y" AND PRACDOC="D" AND BYATTEND="Y"
ANAME
"#F⌐ñY╒»#D⌐ñD╒»#<⌐ñY╒","%_"
""
58,2,"ñ╒","XXXXXXXXXXXXXXXXXXXXX",0,2
BYATTEND="N"
PSIGLINE
"#<⌐ñN╒","#8"
BYATTEND="Y"
ASIGLINE
"#<⌐ñY╒","#9"
FNAME
58,24,"$V","XXXXXXXXXXXXXXXXXXXXXXXXXX",0,0
""
58,51,"ñ╒","XXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,3
PRINTPRAC="Y" AND PRACDOC="P"
PRSTREET
"#F⌐ñY╒»#D⌐ñP╒","#M"
PRINTPRAC="Y" AND PRACDOC="D" AND BYATTEND="N"
PSTREET
"#F⌐ñY╒»#D⌐ñD╒»#<⌐ñN╒","$?"
PRINTPRAC="Y" AND PRACDOC="D" AND BYATTEND="Y"
ASTREET
"#F⌐ñY╒»#D⌐ñD╒»#<⌐ñY╒","%`"
SYSDATE
59,17,"#6","XXXXXX",0,0
FSTREET
59,24,"$W","XXXXXXXXXXXXXXXXXXXXXXXXXX",0,0
""
59,51,"ñ╒","XXXXXXXXXXXXXXXXXXXXXXXXXXXX",0,3
PRINTPRAC="Y" AND PRACDOC="P"
PRCITYLN
"#F⌐ñY╒»#D⌐ñP╒","#N"
PRINTPRAC="Y" AND PRACDOC="D" AND BYATTEND="N"
PCITYLN
"#F⌐ñY╒»#D⌐ñD╒»#<⌐ñN╒","$@"
PRINTPRAC="Y" AND PRACDOC="D" AND BYATTEND="Y"
ACITYLN
"#F⌐ñY╒»#D⌐ñD╒»#<⌐ñY╒","%a"
""
60,24,"ñ╒","XXXXXXXXXXXXXXXXXXXXXXXXXX",0,1
FNAME<>""
LEFT(FCITY,15)+", "+FSTATE+" "+FZIP
"$V¬ñ╒","▓$YºÑ15╒¿ªñ, ╒ª$Zªñ ╒ª$["
""
60,53,"ñ╒","XXXXXXXXX",0,2
PRINTPRAC="Y" AND PRACDOC="P" AND BYATTEND="N"
PPIN
"#F⌐ñY╒»#D⌐ñP╒»#<⌐ñN╒","$J"
PRINTPRAC="Y" AND PRACDOC="D" AND BYATTEND="Y"
APIN
"#F⌐ñY╒»#D⌐ñD╒»#<⌐ñY╒","%k"
""
60,68,"ñ╒","XXXXXXXXXX",0,3
PRINTPRAC="Y" AND PRACDOC="P" AND BYATTEND="N"
" "
"#F⌐ñY╒»#D⌐ñP╒»#<⌐ñN╒","ñ ╒"
PRINTPRAC="Y" AND PRACDOC="D" AND BYATTEND="N"
PGROUP
"#F⌐ñY╒»#D⌐ñD╒»#<⌐ñN╒","$I"
PRINTPRAC="Y" AND PRACDOC="D" AND BYATTEND="Y"
AGROUP
"#F⌐ñY╒»#D⌐ñD╒»#<⌐ñY╒","%j"
6
4
20
60
"60"
79
"79"
0
"0"
""
DATE,DOC
"%;%="
""
""
""
CODETYPE="E"
"%>⌐ñE╒"
N
"N"
N
"N"
N
"N"
N
"N"
N
"N"
N
"N"
Y
"Y"
P
"P"
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"