CA0 Record Entry Field Locations

Patient Data 1 (Claim Header)

Number Position Field Name Data Entry Screen
01 1-3 Record Type (Auto Fill)
02 4-5 Reserved (Not Supported)
03 6-22 Patient ID Patient List > [Change] > General tab > Patient ID (Warning really should not be changed.)
04 23-42 Patient Last Name Patient List > [Change] > General tab > Last Name or (When a couple or family) Patient List > Insurance button > [Change] > General tab > Patient Name
05 43-54 Patient First Name Patient List > [Change] > General tab > First Name
  or (for a couple or family)
Patient List > Insurance button > [Change] > General tab > Patient Name
06 55 Patient Middle Initial Patient List > [Change] > General tab > MI
  or (for a couple or family)
Patient List > Insurance button > [Change] > General tab > Patient Name
07 56-58 Patient Generation Patient List > [Change] > General tab > Generation
  or (for a couple or family)
Patient List > [Change] > Insurance button > [Change] > General tab > Patient Name
08 59-66 Patient Date of Birth Patient List > [Change] > General tab > Date of Birth
09 67 Patient Gender Patient List > [Change] > General tab > Sex
10 68 Patient Type of Residence Patient List > [Change] > Status tab > Residence Type
11 69-98 Patient Address 1 Patient List > [Change] > General tab > Address 1
12 99-128 Patient Address 2 Patient List > [Change] > General tab > Address 2
13 129-148 Patient City Patient List > [Change] > General tab > City
14 149-150 Patient State Patient List > [Change] > General tab > State
15 151-159 Patient Zip Code Patient List > [Change] > General tab > Zip Code
16 160-169 Patient Telephone Number Patient List > [Change] > Phone tab > Area & Phone
17 170 Marital Status, MSD, or Patient List > [Change] > Status tab > Martial Status
18 171 Student Status Patient List > [Change] > Status tab > Student Status
19 172 Employment Status Patient List > [Change] > Status tab > Employment Status
20 173 Death Indication Patient List > [Change] > Status tab > Deceased
21 174-181 Date of Death Patient List > [Change] > Status tab > Deceased
22 182 Other Insurance Indicator Patient List > Insurance button > [Change] > ECS tab > Other Insurance
23 183 Claim Editing Indicator Setup > Lookup Lists > Carriers > [Change] > ECS tab > Claim Editing Indicator
24 184-185 Claim Type Indicator Setup > Preferences > Provider Preferences > [Change] > Claims tab > Claim Type
25 186 Legal Representation Indicator (Auto Filled)
26 187-195 Origin Indicator Patient List > Case/Diagnosis > Inpatient Tab > Facility Zip Code
  or
Setup > Lookup Lists > Facilities/Laboratories > [Change] > Facility Zip Code
27 196-212 Payor Claim Control Number (Not Supported)
28 213-227 Provider Number

(See BA0 Record Provider Number)

29 228-233 Claim ID Number Billing > Electronic Claims Receivers > Generator Options button > Receiver tab > Advanced
30 234-320 Filler National (Not Supported)