 |
BA1 Record Entry Field Locations
Provider Data 2
|
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|
| Number |
Position |
Field Name |
Data Entry Screen |
| 01 |
1-3 |
Record Type |
(Auto Fill) |
| 02 |
4-18 |
Provider ID |
(See BA0 Record Provider
ID)
|
| 03 |
19-21 |
Batch Type |
(See BA0 Record Batch
Type) |
| 04 |
22-25 |
Batch Number |
(See BA0 Record Batch
Number) |
| 05 |
26-31 |
Batch ID |
(See BA0 Record Batch
ID) |
| 06 |
32-34 |
Provider Type of Organization |
Setup > Preferences > Practice Preferences >
General tab > Organization Type |
| 07 |
35-64 |
Service Address 1 |
Setup > Preferences > Practice Preferences >
General tab > Address Line 1 |
| 08 |
65-94 |
Service Address 2 |
Setup > Preferences > Practice Preferences >
General tab > Address Line 2 |
| 09 |
95-114 |
Service City |
Setup > Preferences > Practice Preferences >
General tab > City |
| 10 |
115-116 |
Service State Code |
Setup > Preferences > Practice Preferences >
General tab > State |
| 11 |
117-125 |
Service Zip Code |
Setup > Preferences > Practice Preferences >
General tab > Zip Code |
| 12 |
126-135 |
Service Area Code & Phone |
Setup > Preferences > Practice Preferences >
General tab > Voice Phone |
| 13 |
136-165 |
Pay To Address 1 |
Setup > Preferences > Practice Preferences >
Remittance tab > Address Line 1 |
| 14 |
166-195 |
Pay To Address 2 |
Setup > Preferences > Practice Preferences >
Remittance tab > Address Line 2 |
| 15 |
196-215 |
Pay To City |
Setup > Preferences > Practice Preferences >
Remittance tab > City |
| 16 |
216-217 |
Pay To State Code |
Setup > Preferences > Practice Preferences >
Remittance tab > State |
| 17 |
218-226 |
Pay To Zip Code |
Setup > Preferences > Practice Preferences >
Remittance tab > Zip Code |
| 18 |
227-236 |
Pay To Area Code & Phone |
Setup > Preferences > Practice Preferences >
Remittance tab > Telephone |
| 19 |
237-320 |
Filler National |
(Not Supported) |
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