| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | authorization #(+) | 0;1 | FREE TEXT | B | This is the entry number of the 1358 daily record. Format: sta-obligation-seq number. e.g., 503-C10001-1 | |
| .02 | obligation # | 0;2 | POINTER | 442 | C | This is the pointer to the obligation number in file 442. |
| .03 | transaction type | 0;3 | SET OF CODES | O:OBLIGATION L:LIQUIDATION A:ADJUSTMENT AU:AUTHORIZATION | AT | Type of transaction. |
| .04 | liquidation amount | 0;4 | NUMERIC | The amount liquidated by fiscal on this authorization. You can have multiple liquidations against a single authorization. A liquidation is the amount Fiscal pays on a bill. | ||
| .05 | authorization balance | 0;5 | NUMERIC | This is the amount the service establishes for an authorization. A detail of each bill received against this authorization is maintained in file 424.1. | ||
| .06 | obligation amount | 0;6 | NUMERIC | This is the amount obligated by fiscal. each obligation is recorded here and balances maintained in file 442. This field will also contain corresponding adjustment data | ||
| .07 | date/time | 0;7 | DATE-TIME | Date and time that the authorization is entered into the system. | ||
| .08 | user | 0;8 | POINTER | 200 | User entering authorization. | |
| .09 | completed flag | 0;9 | SET OF CODES | 1:COMPLETED | AC | When set to one, additional posting of bills to this authorization will be prohibited. This field is triggered by the final field in file 424.1. |
| .1 | reference | 0;10 | FREE TEXT | D | This optional field is a short description to cross-reference a liquidation with a patient, vendor or some other item to identify the liquidation against a bill. | |
| .11 | last sequence used | 0;11 | NUMERIC | This is the last sequence used for the authorizations for the obligation. | ||
| .12 | authorization amount(+) | 0;12 | NUMERIC | This field is used to store the authorization amount with increases. | ||
| .13 | original authorization amount(+) | 0;13 | NUMERIC | This field is used to store the original authorization amount. | ||
| .14 | last edited by | 0;14 | POINTER | 200 | This field is used to store the user who last edited this authorization. | |
| .15 | cpa pointer | 0;15 | POINTER | 410 | AE | This field contains the pointer value of the corresponding entry in file 410. This field will only be set on obligation, and adjustments. |
| 1.1 | comments | 1;1 | FREE TEXT | This field is used to store comments about this authorization. | ||
| 2 | converted | 2;1 | SET OF CODES | 1:CONVERTED | This field is used to mark the entry as having been converted during the installation of v4 of IFCAP. | |
| 3 | stop | STOP;1 | SET OF CODES | 1:STOP CONVERSION | This field is used to flag the conversion of 1358's in the installation of v4 of IFCAP as having been stopped. | |
| 4 | interface id | 2;2 | FREE TEXT | E | INTERFACE ID |