CA1 Record Entry Field Locations
Indian Health Service Data
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 Number
(See
CAO Record
Patient ID)
04
23-32
Purchase Order Number
Patient List > [Change] > Claims tab > Purchase Order
05
33-35
Tribe
Patient List > [Change] > Claims tab > Tribe
06
36-42
Residence Code
Patient List > [Change] > Claims tab > Residency
07
43-48
Patient Health Record Number
Patient List > [Change] > Claims tab > Health Record
08
49-57
Authorizing Facility Number
Patient List > [Change]> Claims tab > Facility Number
09
58
Multiple Claim Indicator
Patient List > [Change] > Claims tab > Multi Claim
10
59-320
Filler National
(Not Supported)
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