PC704
- Kathleen Hart (Unlicensed)
- Tim Holder
Owned by Kathleen Hart (Unlicensed)
Data Element | Original Claim Number |
---|---|
Description | The original claim number. Report the Claim Control Number (PC004) that was originally sent during a prior filing to which this line corresponds. When reported, this data cannot equal its own PC004. |
Type | Text |
Format | varchar |
Length | 35 |
Threshold | 10% if PC005A > 1 |
Required | Required |
Tip / Notes | |
Rank | 087 |