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52 Cards in this Set
- Front
- Back
- 3rd side (hint)
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PV1-1
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Set ID
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PV1-2
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Patient Class
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PV1-3
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Assigned Patient Location
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1 --
2 Room Number 3 Bed Number 4 Facility 5 Location Status 6 Person Location Type 7 Building 8 Floor 9 Description |
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PV1-4
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Admission Type
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PV1-5
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Preadmit Number
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PV1-6
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Prior Patient Location
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PV1-7
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Attending Doctor
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1 Attending Physician Code (Physician 1)
2 Attending Last Name 3 Attending First 4 Attending Middle Initial 5 Suffix 6 Prefix 7 Degree 8 Source Table 9 Assigning Authority 10 Name Type Code 11 Identifier Check Digit 12 Code Identifying Check Digit 13 Identifier Type Code 14 Assigning Facility 15 Name Representative Code |
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PV1-8
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Referring Doctor
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1 Referring Physician Code (Physician 3)
2 Referring Last Name 3 Referring First Name 4 Referring Middle Iniitial 5 Suffix 6 Prefix 7 Degree 8 Source Table 9 Assigning Authority 10 Name Type Code |
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PV1-9
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Consulting Doctor
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1 Consulting Physician (Physician 4)
2 Consulting Last Name 3 Consulting First Name 4 Consulting Middle Initial |
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PV1-10
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Hospital Service
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PV1-11
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Temporary Location
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PV1-12
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Preadmit Test Indicator
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PV1-13
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Readmission Indicator
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PV1-14
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Admit Source
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PV1-15
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Ambulatory Status
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PV1-16
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VIP Indicator
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PV1-17
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Admitting Doctor
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1 Admiting Physican Code (Physician 2)
2 Admitting Last Name 3 Admitting First Name 4 Admitting Middle Initial 5 Suffix 6 Prefix 7 Degree 8 Source Table 9 Assigning Authority 10 Name Type Code 11 Identifier Check Digit |
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PV1-18
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Patient Type
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PV1-19
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Visit Number
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PV1-20
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Financial Class
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PV1-21
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Charge Price Indicator
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PV1-22
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Courtesy Code
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PV1-23
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Credit Rating
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PV1-24
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Contract Code
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PV1-25
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Contract Effective Date
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PV1-26
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Contract Amount
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PV1-27
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Contract Period
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PV1-28
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Interest Code
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PV1-29
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Transfer to Bad Debt Code
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PV1-30
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Transfer to Bad Debt Date
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PV1-31
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Bad Debt Agency Code
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PV1-32
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Bad Debt Transfer Amount
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PV1-33
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Bad Debt Recovery Amount
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PV1-34
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Delete Account Indicator
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PV1-35
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Delete Account Type
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PV1-36
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Discharge Disposition
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PV1-37
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Discharged to Location
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PV1-38
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Diet Type
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PV1-39
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Servicing Facility
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PV1-40
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Bed Status
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PV1-41
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Account Status
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PV1-42
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Pending Location
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PV1-43
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Prior Temporary Location
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PV1-44
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Admit Date/Time
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PV1-45
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Discharge Date/Time
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PV1-46
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Current Patient Balance
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PV1-47
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Total Charges
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PV1-48
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Total Adjustments
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PV1-49
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Total Payments
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PV1-50
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Alternate Visit ID
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PV1-51
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Visit Indicator
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PV1-52
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Other Healthcare Provider
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