GA0 Record Entry Field Locations

Ambulance Certification

All of the fields in this record, with the exception of the Patient ID and Auto Fill fields, come from the Ambulance Certification claim attachment (Patient List > Case/Diagnosis button > Claim Attachments button > [Insert]). Only the tab and field name are listed.

Number	Position	Field Name	Data Entry Screen
01	1-3	Record Type	(Auto Fill)
02	4-5	Sequence Number In Claim	(Auto Fill)
03	6-22	Patient ID	(See CAO Record Patient ID)
04	23-39	Reserved (Line Item Control Number)	(Auto Fill)
05	40-42	Patient's Weight In Pounds	General tab > Patient's Weight
06	43	Hospital Admission Indicator Y/N	Condition tab > Patient was admitted to a hospital
07	44	Transportation Type Code	General tab > Transport Code
08	45	Bed Confined Before Transport Y/N	Condition tab > Patient was confined to a bed before transport
09	46	Bed Confined After Transport Y/N	Condition tab > Patient was confined to a bed after transport
10	47	Moved By Stretcher Y/N	Condition tab > Patient was moved by stretcher
11	48	Unconscious or in Shock Y/N	Condition tab > Patient was unconsious or in shock
12	49	Emergency Transport Y/N	Condition tab > Patient was in an emergency
13	50	Physical Restraints Y/N	Condition tab > Patient was physically restrained
14	51	Visible Hemorrhaging Y/N	Condition tab > Patient had visible hemorrhaging
15	52	Transport Reason Code	General tab > Reason Code
16	53	Medically Necessary Y/N	Condition tab > Ambulance was medically necessary
17	54-57	Number of Miles Traveled	General tab > Miles
18	58-97	Origin Information	General tab > Origin Address
19	98-137	Destination information	General tab > Destination Address
20	138-217	Round Trip Purpose	General tab > Round Trip Purpose
21	218-297	Stretcher Purpose	General tab > Stretcher Purpose
22	298	Patient Discharged	Condition tab > Patient discharged from first facility
23	299	Patient Admitted	Condition tab > Patient was admitted to second facility
24	300	Services Available	Condition tab > Services were available at the first facility
25	301-320	Filler National	Condition tab > Filler