| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | provider(+) | 0;1 | POINTER | 200 | B | This field contains the outpatient provider. |
| .02 | outpatient encounter(+) | 0;2 | POINTER | 409.68 | OE | This field contains the outpatient encounter associated with this outpatient provider. |
| .03 | provider type code | 0;3 | POINTER | 8932.1 | This field contains the provider type code associated with the provider at the time of the outpatient encounter. |
Not Referenced