# | Name | Location | Type | Details | Index | Description |
---|---|---|---|---|---|---|
.01 | bill type(+) | 0;1 | FREE TEXT | B | This field contains the UB-04 type of bill that should only be transmitted electronically. It needs to be entered in a 3-digit format. The first digit must be numeric, but the second and third digits can be an X to indicate any number in that position applies (11X would include 111-119). | |
.02 | earliest activate date | 0;2 | DATE-TIME | This is the date in the future that this bill type should start to be excluded from transmission. This date is specific for this bill type. | ||
.03 | inactive date | 0;3 | DATE-TIME | This is the first date on which this edit will no longer be used to determine 'transmittable' for a bill of this bill type. |
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