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# | Location | File | Last Modified |
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1 | CPEE_Build9_Sprint27.zip\HAC_CPE_CH | CHFMPX41.m | Mon Nov 5 16:45:03 2018 UTC |
2 | CPEE_Build9_Sprint27.zip\HAC_CPE_CH | CHFMPX41.m | Fri Nov 9 01:16:35 2018 UTC |
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Character case | Differences in character case are significant |
Line endings | Differences in line endings (CR and LF characters) are ignored |
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1 | CHFMPX41 ; CVA/CJM;FM P EOB PRIN T - INIT C ONSTANT DA TA;01/08/9 6 3:08 PM | |||||
2 | ;;1.0; | |||||
3 | ;---INIT FIXED FORM | |||||
4 | K CHEOB | |||||
5 | S CHSINL= "",$P(CHSI NL,"-",133 )="" | |||||
6 | S CHDUBL= "",$P(CHDU BL,"=",133 )="" | |||||
7 | S CHBARCD ="_______" | |||||
8 | F Y=1:1:6 S CHEOB(" HDR1",Y,0) ="" | |||||
9 | S CHEOB(" HDR1",1,49 )="U.S. DE PARTMENT O F VETERANS AFFAIRS" | |||||
10 | S CHEOB(" HDR1",1,11 5)="Page" | |||||
11 | S CHEOB(" HDR1",2,40 )="FOREIGN MEDICAL P ROGRAM - E XPLANATION OF BENEFI TS" | |||||
12 | S CHEOB(" HDR1",3,0) ="FOREIGN MEDICAL PR OGRAM" ;T LH 8/18/06 CHANGED P ROJECT 151 1 | |||||
13 | ;S CHEOB( "HDR1",4,0 )="PO BOX 65021" ;A EB DEV0056 60 10/28/2 008 REMOVE PO BOX | |||||
14 | S CHEOB(" HDR1",4,0) ="PO BOX 4 69061" ;A EB DEV0056 60 10/28/2 008 CHANGE PO BOX | |||||
15 | S CHEOB(" HDR1",4,65 )="THIS IS NOT A BIL L. This i s a statem ent of the action ta ken on" | |||||
16 | ;S CHEOB( "HDR1",5,0 )="DENVER, CO 80206 -5021";AEB DEV005660 10/28/200 8 REMOVE P O BOX | |||||
17 | S CHEOB("HDR 1",5,0)="D ENVER, CO 80246-906 1" ;AEB D EV005660 1 0/28/2008 CHANGE PO BOX | |||||
18 | S CHEOB(" HDR1",5,65 )="your cl aim. Paym ent if ind icated, wi ll be mail ed separat ely." | |||||
19 | S CHEOB(" HDR1",6,0) ="USA" | |||||
20 | S CHEOB(" HDR1",6,65 )="Appeals must be s ubmitted i n writing to HAC," ;TLH 8/18/ 06 CHANGED PROJECT 1 511 | |||||
21 | S CHEOB(" HDR1",7,0) ="(303) 33 1-7590 WW W.VA.GOV/H AC" | |||||
22 | S CHEOB(" HDR1",7,65 )="ATTN: A ppeals, PO Box 46094 8, Denver, CO 80246. " ;TLH 8/ 21/06 CHAN GED PROJEC T 1511 | |||||
23 | ; | |||||
24 | F Y=1:1:3 S CHEOB(" HDR2",Y,0) ="" | |||||
25 | S CHEOB(" HDR2",1,75 )="VETERAN :" | |||||
26 | S CHEOB(" HDR2",1,10 6)="DATE:" | |||||
27 | ;S CHEOB( "HDR2",2,7 5)="C-FILE #:" ;TLH REMOVED 8/ 8/06 PROJE CT 1511 | |||||
28 | S CHEOB(" HDR2",2,75 )="MEMBER# : " ;TLH 8/8/06 PRO JECT 1511 | |||||
29 | ;S CHEOB( "HDR2",2,1 06)="SSN:" ;TLH REM OVED 8/8/0 6 PROJECT 1511 | |||||
30 | S CHEOB(" HDR2",2,10 6)="" ;TL H 8/8/06 P ROJECT 151 1 | |||||
31 | ;S CHEOB( "HDR2",3,1 05)="DOB:" | |||||
32 | ; | |||||
33 | F Y=1:1:7 S CHEOB(" HDR3",Y,0) ="" | |||||
34 | ;S CHEOB( "HDR3",4,9 9)="DEDUCT IBLE" | |||||
35 | ;S CHEOB( "HDR3",4,1 19)="CAT C AP" | |||||
36 | ;S CHEOB( "HDR3",5,9 0)="YR" | |||||
37 | ;S CHEOB( "HDR3",5,9 4)="INDIV" | |||||
38 | ;S CHEOB( "HDR3",5,1 09)="FAM" | |||||
39 | ;S CHEOB( "HDR3",5,1 19)="ACCRU AL" | |||||
40 | ; | |||||
41 | F Y=1:1:4 S CHEOB(" HDR4",Y,0) ="" | |||||
42 | S CHEOB(" HDR4",1,0) =CHSINL | |||||
43 | S CHEOB(" HDR4",2,0) ="CONTROL" | |||||
44 | S CHEOB(" HDR4",2,34 )="DATES O F SERVICE" | |||||
45 | S CHEOB(" HDR4",2,54 )="DESCRIP TION OF SE RVICE" | |||||
46 | S CHEOB(" HDR4",2,88 )="AMT" | |||||
47 | S CHEOB(" HDR4",2,10 0)="AMT" | |||||
48 | S CHEOB(" HDR4",2,10 8)="AMT NO T" | |||||
49 | S CHEOB(" HDR4",2,11 7)="REMARK S/" | |||||
50 | S CHEOB(" HDR4",3,0) ="NUMBER" | |||||
51 | S CHEOB(" HDR4",3,13 )="PROVIDE R" | |||||
52 | S CHEOB(" HDR4",3,34 )="FROM" | |||||
53 | S CHEOB(" HDR4",3,44 )="TO" | |||||
54 | S CHEOB(" HDR4",3,54 )="CODE/MO DIFIER/MUL TIPLIER" | |||||
55 | S CHEOB(" HDR4",3,85 )="BILLED" | |||||
56 | S CHEOB(" HDR4",3,96 )="ALLOWED " | |||||
57 | S CHEOB(" HDR4",3,10 8)="COVERE D" | |||||
58 | S CHEOB(" HDR4",3,11 7)="CODES" | |||||
59 | S CHEOB(" HDR4",4,0) =CHSINL | |||||
60 | ; | |||||
61 | F Y=1:1:2 S CHEOB(" FTR1",Y,0) ="" | |||||
62 | S CHEOB(" FTR1",1,0) ="ABBREVIA TIONS: OH I = OTHER HEALTH INS URANCE" | |||||
63 | S CHEOB(" FTR1",2,0) ="VA FORM 10-7959B JUL 2006 DHCP" ; TLH 8/8/06 PROJ 1511 | |||||
64 | ; | |||||
65 | F Y=1:1:2 S CHEOB(" FTR2",Y,0) ="" | |||||
66 | S CHEOB(" FTR2",1,0) =CHDUBL | |||||
67 | ; | |||||
68 | Q | |||||
69 | T |
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