| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | date/time eeob moved(+) | 0;1 | DATE-TIME | B | This is the Date/Time the move, copy or remove action was performed. | |
| .02 | eeob move/copy/remove by | 0;2 | POINTER | 200 | This is person who moved or copied the EEOB to a new claim or removed EEOB from the current claim. | |
| .03 | move/copy/remove reason | 0;3 | FREE TEXT | Justification for moving EEOB to new claim or claims or removing EEOB from current claim. | ||
| .04 | original bill number | 0;4 | POINTER | 399 | Original claim number for this EOB. | |
| .05 | move/copy/remove event | 0;5 | SET OF CODES | M:Move C:Copy R:Remove | This field indicates whether a move, copy or delete action was performed. It is automatically updated by the EEOB Move/Copy/Remove option and the Split/Edit a Line option. | |
| .06 | other claim numbers | 1;0 | MULTIPLE | 361.11016 | This multiple contains the other claim numbers that the EOB was copied to. |
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