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close this bookData Elements for Emergency Department Systems - Release 1.0 (Centers for Disease Control and Prevention, 1997, 274 p.)
close this folderSECTION 3 - ED PAYMENT DATA
View the document3.01 INSURANCE COVERAGE OR OTHER EXPECTED SOURCE OF PAYMENT
View the document3.02 INSURANCE COMPANY
View the document3.03 INSURANCE COMPANY ADDRESS
View the document3.04 INSURANCE PLAN TYPE
View the document3.05 INSURANCE POLICY ID
View the document3.06 ED PAYMENT AUTHORIZATION REQUIREMENT
View the document3.08 DATE/TIME OF ED PAYMENT AUTHORIZATION ATTEMPT
View the document3.09 ED PAYMENT AUTHORIZATION DECISION
View the document3.10 DATE/TIME OF ED PAYMENT AUTHORIZATION DECISION
View the document3.11 ENTITY CONTACTED TO AUTHORIZE ED PAYMENT
View the document3.12 ED PAYMENT AUTHORIZATION CODE
View the document3.13 PERSON CONTACTED TO AUTHORIZE ED PAYMENT
View the document3.14 TELEPHONE NUMBER OF ENTITY OR PERSON CONTACTED TO AUTHORIZE ED PAYMENT
View the document3.15 TOTAL ED FACILITY CHARGES
View the document3.16 TOTAL ED PROFESSIONAL FEES