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Text File  |  1994-12-01  |  2KB  |  90 lines

  1. 67
  2. Procedure Code #1,0,2,10,0
  3. Procedure Code #2,0,42,10,0
  4. Procedure Code #3,0,52,10,0
  5. Description Of Code,0,12,30,0
  6. Procedure Type Of Service,0,62,3,0
  7. Procedure Standard Cost,6,73,8,0
  8. Procedure Account Code,0,81,4,0
  9. Time To Perform Procedure,0,85,3,0
  10. Standard Charge (A),6,65,8,0
  11. Standard Charge (B),6,89,8,0
  12. Standard Charge (C),6,97,8,0
  13. Standard Charge (D),6,105,8,0
  14. Standard Charge (E),6,113,8,0
  15. Standard Charge (F),6,121,8,0
  16. Standard Charge (G),6,129,8,0
  17. Standard Charge (H),6,137,8,0
  18. Standard Charge (I),6,145,8,0
  19. Standard Charge (J),6,153,8,0
  20. Standard Charge (K),6,161,8,0
  21. Standard Charge (L),6,169,8,0
  22. Standard Charge (M),6,177,8,0
  23. Standard Charge (N),6,185,8,0
  24. Standard Charge (O),6,193,8,0
  25. Standard Charge (P),6,201,8,0
  26. Standard Charge (Q),6,209,8,0
  27. Standard Charge (R),6,217,8,0
  28. Standard Charge (S),6,225,8,0
  29. Standard Charge (T),6,233,8,0
  30. Standard Charge (U),6,241,8,0
  31. Standard Charge (V),6,249,8,0
  32. Standard Charge (W),6,257,8,0
  33. Standard Charge (X),6,265,8,0
  34. Standard Charge (Y),6,273,8,0
  35. Standard Charge (Z),6,281,8,0
  36. Type Of Procedure,0,1,1,0
  37. Multilink Code #1,0,42,10,1
  38. Multi Code #1 Description,0,12,30,2
  39. Multi Code #1 Charge,6,65,8,2
  40. Multilink Code #2,0,52,10,1
  41. Multi Code #2 Description,0,12,30,3
  42. Multi Code #2 Charge,6,65,8,3
  43. Multilink Code #3,0,62,10,1
  44. Multi Code #3 Description,0,12,30,4
  45. Multi Code #3 Charge,6,65,8,4
  46. Multilink Code #4,0,72,10,1
  47. Multi Code #4 Description,0,12,30,5
  48. Multi Code #4 Charge,6,65,8,5
  49. Multilink Code #5,0,82,10,1
  50. Multi Code #5 Description,0,12,30,6
  51. Multi Code #5 Charge,6,65,8,6
  52. Multilink Code #6,0,92,10,1
  53. Multi Code #6 Description,0,12,30,7
  54. Multi Code #6 Charge,6,65,8,7
  55. Multilink Code #7,0,102,10,1
  56. Multi Code #7 Description,0,12,30,8
  57. Multi Code #7 Charge,6,65,8,8
  58. Multilink Code #8,0,112,10,1
  59. Multi Code #8 Description,0,12,30,9
  60. Multi Code #8 Charge,6,65,8,9
  61. Patient Only Responsible,0,297,1,0
  62. Don't Print for Carriers,0,298,15,0
  63. Medicare Allowed Amount,6,289,8,0
  64. Print Only for Carriers,0,313,15,0
  65. Practice City,0,61,20,10
  66. Practice State,0,81,2,10
  67. Practice Zip Code,0,83,10,10
  68. Service Classification,0,88,1,0
  69. 10
  70. 3,1
  71. 3,36
  72. 3,39
  73. 3,42
  74. 3,45
  75. 3,48
  76. 3,51
  77. 3,54
  78. 3,57
  79. 7,
  80. 9
  81. ,2,,
  82. ,1,,
  83. ,19,,
  84. ,7,,
  85. Description Match,-30,,
  86. ,25,,
  87. Standard Charges,22,,
  88. Procedure Cost,22,,
  89. ,23,,
  90.