$ 2KLEANCLAIMS 5010 (Secondary) 02-12.@&AMދ.@PB????tblClaim&F'w.@j_@hTPF0 TQrdQuickRep QuickReportLeftTopWidth0Height  Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRightDataSetformReport.tblClaim Font.CharsetDEFAULT_CHARSET Font.Color clWindowText Font.Height Font.NameArial Font.Style Functions.Strings PAGENUMBER COLUMNNUMBER REPORTTITLEFunctions.DATA00''Options FirstPageHeaderLastPageFooter Page.ColumnsPage.Orientation poPortraitPage.PaperSizeLetter Page.Values@ @@ @@@PrinterSettings.CopiesPrinterSettings.DuplexPrinterSettings.FirstPagePrinterSettings.LastPagePrinterSettings.OutputBinAuto PrintIfEmpty ReportTitle$ 2KLEANCLAIMS 5010 (Secondary) 02-12 SnapToGrid UnitsPixelsZoomdUseReportDesigner Claim.Chart Number Claim.EMC Receiver 1Claim.Billing Code Claim.Indicator 1 Claim.Date CreatedClaim.ProviderClaim.Insurance Carrier 1 Claim.Claim NumberClaim.Batch Number 1"Insurance Carrier 1;Claim Status 1Band1`wwZx$@Z rbPageHeaderwZx$@ZTPF0TQrdBandBand1LeftTopWidthHeight Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Frame.StylepsDash AlignToBottomColorclAquaForceNewColumn ForceNewPage Size.Values8 @ @BandType rbPageHeader BandCaption Claim HeaderCaptionBand1DBText52aderwZx$@ZTPF0 TQrdDBTextDBText52Left&TopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU@UUUUUU @UUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FontSize Patient.Signature on FileFalseSignature on file+Case/Insurance Carrier #1.Signature on FileSignature on fileSignature on File+Case/Insurance Carrier #1.Signature on File Print namePatient.Full NameDBText35aderwZx$@ZTPF0 TQrdDBTextDBText35LeftTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU @* @UUUUUUu@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FontSize Insured 1.Signature on FileSignature on file3Case/Insurance Carrier #1.Insured Signature on File Print nameInsured 1.Full Name3Case/Insurance Carrier #1.Insured Signature on FileSignature on fileSignature on FileName2t35aderwZx$@ZTPF0 TQrdDBTextName2LeftGTop.Width HeightHint.File: Claim/Insurance Carrier #2 Field: Name Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@K@j@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblLUInsurance2 DataFieldName Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameClaim/Insurance Carrier #2FontSize Full_Name_LFM4Zx$@ZTPF0 TQrdDBTextFull_Name_LFM4Left TopWidthHeightHint$File: Patient Field: Full Name LFM Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@VUUUUU@@@>@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblPatient DataField Full Name LFM Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropNamePatientFontSize  Street_15_LFM4Zx$@ZTPF0 TQrdDBText Street_15Left TopWidthHeightHintFile: Patient Field: Street 1 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@VUUUUU@b@UUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblPatient DataFieldStreet 1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNamePatientFontSize City1t_15_LFM4Zx$@ZTPF0 TQrdDBTextCity1Left TopWidthHeightHintFile: Patient Field: City Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@VUUUUU@6@>@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblPatient DataFieldCity Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNamePatientFontSize  Zip_Code2_LFM4Zx$@ZTPF0 TQrdDBText Zip_Code2Left TopWidthpHeightHintFile: Patient Field: Zip Code Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@VUUUUU@@*@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblPatient DataFieldZip Code Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNamePatientFontSize DBText132_LFM4Zx$@ZTPF0 TQrdDBTextDBText13Left5Top|WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@:@ @UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Claim/Insurance Carrier #2.TypeMedicaidXDBText632_LFM4Zx$@ZTPF0 TQrdDBTextDBText6LeftTop|WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@r@ @UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Claim/Insurance Carrier #2.TypeChampsVAXDBText732_LFM4Zx$@ZTPF0 TQrdDBTextDBText7LeftTop|WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@Ĝ@ @UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Claim/Insurance Carrier #2.TypeGroupXClaim/Insurance Carrier #2.TypeHMOXClaim/Insurance Carrier #2.TypePPOXDBText372_LFM4Zx$@ZTPF0 TQrdDBTextDBText37Left]Top|WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU@ @UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Claim/Insurance Carrier #2.TypeOtherXClaim/Insurance Carrier #2.TypeBlue Cross/ShieldXDBText312_LFM4Zx$@ZTPF0 TQrdDBTextDBText31Left-Top|WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU@ @UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Claim/Insurance Carrier #2.TypeFECAXDBText452_LFM4Zx$@ZTPF0 TQrdDBTextDBText45Left Top|WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@VUUUUU@ @UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Claim/Insurance Carrier #2.TypeMedicareXState1452_LFM4Zx$@ZTPF0 TQrdDBTextState1LeftTopWidth HeightHintFile: Patient Field: State Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblPatient DataFieldState Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNamePatientFontSize Phone_122_LFM4Zx$@ZTPF0 TQrdDBTextPhone_12LeftJTopWidthHeightHintFile: Patient Field: Phone 1 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@UUUUUU]@UUUUUUM@ AlignmenttaRightJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblPatient DataFieldPhone 1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropNamePatientFontSize Date_of_Birth3Zx$@ZTPF0 TQrdDBTextDate_of_Birth3TagLeftTopWidthXHeightHint$File: Patient Field: Date of Birth Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU@VUUUUU @VUUUUU@ AlignmenttaCenter AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblPatient DataField Date of Birth Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropNamePatientFontSize DBText30Birth3Zx$@ZTPF0 TQrdDBTextDBText30LeftETopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU@VUUUUU @UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize  Patient.SexMaleXDBText10Birth3Zx$@ZTPF0 TQrdDBTextDBText1LeftmTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@n@VUUUUU @UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize  Patient.SexFemaleXDBText50Birth3Zx$@ZTPF0 TQrdDBTextDBText50LeftTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUUY@TUUUUU@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Insured Relationship #2SelfXDBText90Birth3Zx$@ZTPF0 TQrdDBTextDBText9LeftETopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU@TUUUUU@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Insured Relationship #2ChildXDBText10Birth3Zx$@ZTPF0 TQrdDBTextDBText10LeftmTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@n@TUUUUU@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Insured Relationship #2OtherXDBText36Birth3Zx$@ZTPF0 TQrdDBTextDBText36Left%TopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@TUUUUU@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Insured Relationship #2SpouseXPolicy_Number__21Zx$@ZTPF0 TQrdDBTextPolicy_Number__21LeftTop}Width HeightHint$File: Case Field: Policy Number #2 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU @UUUUUU]@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblCase DataFieldPolicy Number #2 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameCaseFontSize Full_Name_LFM3_21Zx$@ZTPF0 TQrdDBTextFull_Name_LFM3LeftTopWidthHeightHint&File: Insured 2 Field: Full Name LFM Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@@@ֽ@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblInsured2 DataField Full Name LFM Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropName Insured 2FontSize  Street_14_LFM3_21Zx$@ZTPF0 TQrdDBText Street_14LeftTopWidth HeightHint!File: Insured 2 Field: Street 1 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@R @TUUUUU@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblInsured2 DataFieldStreet 1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName Insured 2FontSize City3t_14_LFM3_21Zx$@ZTPF0 TQrdDBTextCity3LeftTopWidthHeightHintFile: Insured 2 Field: City Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@@UUUUUUu@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblInsured2 DataFieldCity Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName Insured 2FontSize State3_14_LFM3_21Zx$@ZTPF0 TQrdDBTextState3Left<TopWidth8HeightHintFile: Insured 2 Field: State Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU- @@*@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblInsured2 DataFieldState Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName Insured 2FontSize  Zip_Code1_LFM3_21Zx$@ZTPF0 TQrdDBText Zip_Code1LeftTopWidthxHeightHint!File: Insured 2 Field: Zip Code Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@H @UUUUUU]@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblInsured2 DataFieldZip Code Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName Insured 2FontSize Phone_111_LFM3_21Zx$@ZTPF0 TQrdDBTextPhone_11LeftTopWidthHeightHint File: Insured 2 Field: Phone 1 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@ @UUUUUU]@UUUUUUM@ AlignmenttaRightJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblInsured2 DataFieldPhone 1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropName Insured 2FontSize Date_of_Birth4_21Zx$@ZTPF0 TQrdDBTextDate_of_Birth4TagLeftkTop7WidthpHeightHint&File: Insured 2 Field: Date of Birth Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@@*@ AlignmenttaCenter AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblInsured2 DataField Date of Birth Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropName Insured 2FontSize Group_Number__211Zx$@ZTPF0 TQrdDBTextGroup_Number__21LeftTopWidthHeightHint#File: Case Field: Group Number #2 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU @UUUUUU5@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblCase DataFieldGroup Number #2 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameCaseFontSize DBText46mber__211Zx$@ZTPF0 TQrdDBTextDBText46LeftTop5WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUUI @d@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize  Insured 2.SexMaleXDBText14mber__211Zx$@ZTPF0 TQrdDBTextDBText14LeftETop5WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU' @d@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize  Insured 2.SexFemaleXDBText21mber__211Zx$@ZTPF0 TQrdDBTextDBText21Left TopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@UUUUUU@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Marital StatusSingleXDBText19mber__211Zx$@ZTPF0 TQrdDBTextDBText19Left=TopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@UUUUUU@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Marital StatusMarriedXDBText15mber__211Zx$@ZTPF0 TQrdDBTextDBText15LefteTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@$@@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Marital StatusDivorcedXCase.Marital StatusUnknownXCase.Marital StatusWidowedXCase.Marital StatusLegally separatedXDBText85mber__211Zx$@ZTPF0 TQrdDBTextDBText8Left TopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@UUUUUU]@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Employment Status Full timeXCase.Employment Status Part timeXDBText22mber__211Zx$@ZTPF0 TQrdDBTextDBText22Left=TopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Student Status Full timeXDBText20mber__211Zx$@ZTPF0 TQrdDBTextDBText20LeftmTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@n@@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Student Status Part timeXDBText75mber__211Zx$@ZTPF0 TQrdDBTextDBText75Left Top8WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@`@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Related to EmploymentXDBText55mber__211Zx$@ZTPF0 TQrdDBTextDBText5Left=Top8WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@`@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Related to EmploymentXDBText24mber__211Zx$@ZTPF0 TQrdDBTextDBText24Left TopUWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Related to AccidentAutoXDBText23mber__211Zx$@ZTPF0 TQrdDBTextDBText23Left5TopUWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@d@@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Related to AccidentAutoXDBText41mber__211Zx$@ZTPF0 TQrdDBTextDBText41Left ToptWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Related to AccidentYesXDBText42mber__211Zx$@ZTPF0 TQrdDBTextDBText42Left5ToptWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@d@@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Related to AccidentYesXPolicy_Number__11Zx$@ZTPF0 TQrdDBTextPolicy_Number__11LeftTop8WidthHeightHint$File: Case Field: Policy Number #1 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@`@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblCase DataFieldPolicy Number #1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameCaseFontSize Date_of_Birth1_11Zx$@ZTPF0 TQrdDBTextDate_of_Birth1TagLeft TopVWidthXHeightHint&File: Insured 2 Field: Date of Birth Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@VUUUUU@8@VUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblInsured2 DataField Date of Birth Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropName Insured 2FontSize DBText12Birth1_11Zx$@ZTPF0 TQrdDBTextDBText12LeftTopVWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@8@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize  Insured 2.SexMaleXDBText32Birth1_11Zx$@ZTPF0 TQrdDBTextDBText3LeftTopVWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@r@8@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize  Insured 2.SexFemaleXName3t32Birth1_11Zx$@ZTPF0 TQrdDBTextName3LeftTopsWidthHeightHint8File: Insured 2/Employer Field: Name (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUUU@f@R@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblIns2Employer DataFieldName Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameInsured 2/EmployerFontSize Claim.Insurance Carrier 2 Plan_Name2rth1_11Zx$@ZTPF0 TQrdDBText Plan_Name2LeftTopWidthHeightHintEFile: Claim/Insurance Carrier #1 Field: Plan Name (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@F @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblLUInsurance1 DataField Plan Name Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameClaim/Insurance Carrier #1FontSize $Claim/Insurance Carrier #1.Plan NameClaim/Insurance Carrier #1.NameDate_of_Injury_Illness1x$@ZTPF0 TQrdDBTextDate_of_Injury_Illness1TagLeft TopWidthVHeightHint*File: Case Field: Date of Injury/Illness Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@VUUUUU@UUUUUU] @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblCase DataFieldDate of Injury/Illness Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropNameCaseFontSize Date_Similar_Symptoms11x$@ZTPF0 TQrdDBTextDate_Similar_Symptoms1TagLeftTopWidthXHeightHint;File: Case Field: Date Similar Symptoms (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@ @VUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblCase DataFieldDate Similar Symptoms Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropNameCaseFontSize DTP 438 NOT USEDDTP 438 NOT USED Street_11lar_Symptoms11x$@ZTPF0 TQrdDBText Street_11LeftGTop>Width HeightHint2File: Claim/Insurance Carrier #2 Field: Street 1 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@K@ @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblLUInsurance2 DataFieldStreet 1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameClaim/Insurance Carrier #2FontSize DBText281lar_Symptoms11x$@ZTPF0 TQrdDBTextDBText28LefteTopUWidth HeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@$@@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Related to AccidentAutoCase.Accident StateDBText171lar_Symptoms11x$@ZTPF0 TQrdDBTextDBText17LeftTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@L @H @UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Insurance Carrier #2XDBText181lar_Symptoms11x$@ZTPF0 TQrdDBTextDBText18LeftTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@, @ @UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Insurance Carrier #2XName4t181lar_Symptoms11x$@ZTPF0 TQrdDBTextName4LeftTopUWidth HeightHint&File: Insured 2/Employer Field: Name Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@ @@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblIns2Employer DataFieldName Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameInsured 2/EmployerFontSize DBText321lar_Symptoms11x$@ZTPF0 TQrdDBTextDBText32LeftToptWidth HeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@N @@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize )Case/Insurance Carrier #1.ETS Record CodeC)Case/Insurance Carrier #1.ETS Record CodeC#Case/Insurance Carrier #1.Plan Name#Case/Insurance Carrier #1.Plan Name)Case/Insurance Carrier #1.ETS Record CodeC#Case/Insurance Carrier #1.Plan NameCase/Insurance Carrier #1.NameDate_Unable_to_Work_From2x$@ZTPF0 TQrdDBTextDate_Unable_to_Work_From2TagLeftTopWidth`HeightHint,File: Case Field: Date Unable to Work From Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@ @ @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblCase DataFieldDate Unable to Work From Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropNameCaseFontSize Date_Unable_to_Work_To2m2x$@ZTPF0 TQrdDBTextDate_Unable_to_Work_To2TagLeftTopWidth`HeightHint*File: Case Field: Date Unable to Work To Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@ @ @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblCase DataFieldDate Unable to Work To Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropNameCaseFontSize Hospital_Date_From1_To2m2x$@ZTPF0 TQrdDBTextHospital_Date_From1TagLeftTopWidth`HeightHint&File: Case Field: Hospital Date From Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@ @ @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblCase DataFieldHospital Date From Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropNameCaseFontSize Hospital_Date_To2m1_To2m2x$@ZTPF0 TQrdDBTextHospital_Date_To2TagLeftTopWidth`HeightHint$File: Case Field: Hospital Date To Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@ @ @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblCase DataFieldHospital Date To Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropNameCaseFontSize  Legacy_13Date_To2m1_To2m2x$@ZTPF0 TQrdDBText Legacy_13LeftTopWidthqHeightHint4File: Case/Referring Provider/Pins Field: Legacy 1 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@.@ @UUUUUU}@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.qryReferringPrvPins DataFieldLegacy 1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameCase/Referring Provider/PinsFontSize  Full_Name1ate_To2m1_To2m2x$@ZTPF0 TQrdDBText Full_Name1Left TopWidthHeightHint0File: Case/Referring Provider Field: Full Name Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@VUUUUU@ @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblReferringProvider DataField Full Name Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameCase/Referring ProviderFontSize DBText4me1ate_To2m1_To2m2x$@ZTPF0 TQrdDBTextDBText4LeftTop.WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@ @ @UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Outside Lab WorkXDBText43e1ate_To2m1_To2m2x$@ZTPF0 TQrdDBTextDBText43LeftTop.WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@, @ @UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Outside Lab WorkXDBText73e1ate_To2m1_To2m2x$@ZTPF0 TQrdDBTextDBText73LeftTop`WidthFHeightHintFile: (none) Field: (none) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@UUUUUUUUUUUU @UUUUUU5@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize DBText92e1ate_To2m1_To2m2x$@ZTPF0 TQrdDBTextDBText92LeftTopMWidthDHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@j@ @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblDiag3 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize -Claim/Insurance Carrier #2.Diagnosis Code Set2Claim/Diagnosis Code 3.Code 2-Claim/Insurance Carrier #2.Diagnosis Code Set3Claim/Diagnosis Code 3.Code 3DBText93e1ate_To2m1_To2m2x$@ZTPF0 TQrdDBTextDBText93LeftTopMWidthDHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@ @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblDiag4 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize -Claim/Insurance Carrier #2.Diagnosis Code Set2Claim/Diagnosis Code 4.Code 2-Claim/Insurance Carrier #2.Diagnosis Code Set3Claim/Diagnosis Code 4.Code 3DBText91e1ate_To2m1_To2m2x$@ZTPF0 TQrdDBTextDBText91LeftiTopMWidthDHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@ @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblDiag2 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize -Claim/Insurance Carrier #2.Diagnosis Code Set2Claim/Diagnosis Code 2.Code 2-Claim/Insurance Carrier #2.Diagnosis Code Set3Claim/Diagnosis Code 2.Code 3Prior_Authorization_No1m2x$@ZTPF0 TQrdDBTextPrior_Authorization_No1LeftToplWidth HeightHint*File: Case Field: Prior Authorization No Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU @VUUUUU @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblCase DataFieldPrior Authorization No Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameCaseFontSize Medicaid_Resubmission_No2x$@ZTPF0 TQrdDBTextMedicaid_Resubmission_No2LefteTopPWidthhHeightHint,File: Case Field: Medicaid Resubmission No Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@$@ @UUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblCase DataFieldMedicaid Resubmission No Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameCaseFontSize DBText44_Resubmission_No2x$@ZTPF0 TQrdDBTextDBText44LeftTop.Width`HeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@ @ @@ AlignmenttaRightJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Outside Lab WorkCase.Lab ChargesDBText90_Resubmission_No2x$@ZTPF0 TQrdDBTextDBText90LeftTopMWidthDHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@ @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblDiag1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize -Claim/Insurance Carrier #2.Diagnosis Code Set2Claim/Diagnosis Code 1.Code 2-Claim/Insurance Carrier #2.Diagnosis Code Set3Claim/Diagnosis Code 1.Code 3Medicaid_Original_Ref_No1x$@ZTPF0 TQrdDBTextMedicaid_Original_Ref_No1LeftTopPWidthHeightHint,File: Case Field: Medicaid Original Ref No Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@ @ @VUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblCase DataFieldMedicaid Original Ref No Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameCaseFontSize DBText49_Original_Ref_No1x$@ZTPF0 TQrdDBTextDBText49TagLeftTopWidthpHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU5@* @*@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FontSize Patient.Signature on FilePatient.Signature on FilePatient.SOF DateClaim.Date CreatedPatient.Signature on FilePatient.SOF DatePatient.SOF DateFull_Name_LFM1nal_Ref_No1x$@ZTPF0 TQrdDBTextFull_Name_LFM1Left TopWidth HeightHint&File: Insured 1 Field: Full Name LFM Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@VUUUUU@@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblInsured1 DataField Full Name LFM Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropName Insured 1FontSize DBText29e_LFM1nal_Ref_No1x$@ZTPF0 TQrdDBTextDBText29LeftHTop]Width HeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@UUUUUU@@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize *Claim/Insurance Carrier #2.ETS Record Code*Claim/Insurance Carrier #2.ETS Record Code*Claim/Insurance Carrier #2.ETS Record CodeF City_Line4LFM1nal_Ref_No1x$@ZTPF0 TQrdDBText City_Line4LeftHTopNWidth HeightHint3File: Claim/Insurance Carrier #2 Field: City Line Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU@`@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblLUInsurance2 DataField City Line Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropNameClaim/Insurance Carrier #2FontSize PrimaryClaimsPayerID3_No1x$@ZTPF0 TQrdDBTextPrimaryClaimsPayerID3LeftRTop\Width HeightHint>File: Claim/Insurance Carrier #2 Field: PrimaryClaimsPayerID Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@j@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblLUInsurance2 DataFieldPrimaryClaimsPayerID Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameClaim/Insurance Carrier #2FontSize  Claim_Number2PayerID3_No1x$@ZTPF0 TQrdDBText Claim_Number2LeftTop.Width\HeightHint!File: Claim Field: Claim Number Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUUU@j@j@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblClaim DataField Claim Number Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameClaimFontSize DBText40mber2PayerID3_No1x$@ZTPF0 TQrdDBTextDBText40LeftmTop|WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@2@ @UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Claim/Insurance Carrier #2.TypeChampusX Local_Use_B22PayerID3_No1x$@ZTPF0 TQrdDBText Local_Use_B2Left Top.WidthvHeightHintFile: Case Field: Local Use B Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@VUUUUU@ @b@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblCase DataField Local Use B Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameCaseFontSize PrimaryClaimsPayerID2_No1x$@ZTPF0 TQrdDBTextPrimaryClaimsPayerID2LeftTopWidth~HeightHint>File: Claim/Insurance Carrier #1 Field: PrimaryClaimsPayerID Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@UUUUUU @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblLUInsurance1 DataFieldPrimaryClaimsPayerID Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameClaim/Insurance Carrier #1FontSize DBText16laimsPayerID2_No1x$@ZTPF0 TQrdDBTextDBText16LeftTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@F @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize MEDICARE SECONDARY REASONBECOMES AVAILIBLEADD HEREWAITING ON MCKESSONWAITING ON MCKESSON DBText11laimsPayerID2_No1x$@ZTPF0 TQrdDBTextDBText11LeftTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@ @j@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize *Claim/Insurance Carrier #1.ETS Record CodeCMB*Claim/Insurance Carrier #1.ETS Record CodeDMC*Claim/Insurance Carrier #1.ETS Record CodeGBL*Claim/Insurance Carrier #1.ETS Record CodeHCHPractice.Practice NamePractice.Practice NameCIGroup_Number__11erID2_No1x$@ZTPF0 TQrdDBTextGroup_Number__11LeftTop9WidthHeightHint#File: Case Field: Group Number #1 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@UUUUUU @UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblCase DataFieldGroup Number #1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameCaseFontSize NPI1p_Number__11erID2_No1x$@ZTPF0 TQrdDBTextNPI1LeftTopWidthqHeightHint/File: Case/Referring Provider/Pins Field: NPI Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@.@UUUUUUA @UUUUUU}@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.qryReferringPrvPins DataFieldNPI Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameCase/Referring Provider/PinsFontSize Text1_Number__11erID2_No1x$@ZTPF0 TQrdLabelText1LeftTop.WidthHeightHintStatic text field Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@`@j@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchCaptionMSPColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap FontSize DBText33mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText33LeftTop.WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@Z@j@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize DELAY REASON CODENEEDEDXXDELAY REASON CODENEEDEDDBText38mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText38LeftGTopnWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@K@UUUUUU@VUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Claim Office Number 2010BBNeededFYDBText51mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText51LeftdTopnWidthXHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@z@UUUUUU@VUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Claim Office Number 2010BBNeeded The NumberDBText53mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText53LeftTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUUY@@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Insured Relationship #1SelfXDBText54mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText54Left%TopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Insured Relationship #1SpouseXDBText55mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText55LeftETopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU@@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Insured Relationship #1ChildXDBText56mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText56LeftmTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@n@@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Insured Relationship #1OtherXDBText26mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText2LeftTop>WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@UUUUUUU@ @j@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize ABOZDBText57mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText57LeftTop>WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@@ @j@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize ABELDBText58mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText58Left\Top>WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@j@ @j@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize ABACDBText60mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText60LeftzTop>WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@UUUUUUe@ @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Attachment Control NumberCase.Attachment Control NumberDBText59mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText59LeftTopNWidth HeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@UUUUUUU@`@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize ABSpecial Ambulance NoteDBText61mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText61LeftTop\WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@UUUUUUU@j@j@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize ABPatient Weight 999DBText63mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText63Left"Top\WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@@j@j@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize AB Ambulance Transport Code I R T XDBText64mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText64Left2Top\WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@J@j@j@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize ABAmbulance Reason Code A B C D EDBText65mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText65LeftBTop\WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@@j@j@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize AB Mileage 9999DBText66mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText66LeftiTop\WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@@j@j@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize AB07DBText67mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText67Left}Top\WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@UUUUUU]@j@j@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize ABCondition Response Code Y NDBText68mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText68LeftTop\WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@ҿ@j@j@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize ABCondition Indicator 1DBText69mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText69LeftTop\WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@UUUUUU@j@j@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize ABCondition Indicator 2DBText70mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText70LeftTop\WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@@j@j@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize ABCondition Indicator 3DBText71mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText71LeftTop\WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@UUUUUU@j@j@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize ABCondition Indicator 4DBText72mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText72LeftTop\WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@@j@j@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize ABCondition Indicator 5DBText74mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText74LeftTopnWidthQHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@UUUUUUU@UUUUUU@P@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize  CORRECTEDNEEEDED CORRECTEDDBText62mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText62LeftQTopnWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@P@UUUUUU@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize  CORRECTED NEEDED7DBText76mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText76Left\TopnWidthZHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@j@UUUUUU@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize  CORRECTEDNEEDED TESTREFICNDBText48mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText48LeftTopMWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUUU@ @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize -Claim/Insurance Carrier #2.Diagnosis Code Set09-Claim/Insurance Carrier #2.Diagnosis Code Set209-Claim/Insurance Carrier #2.Diagnosis Code Set310DBText95mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText95LeftTop_WidthDHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@ @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblDiag1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize -Claim/Insurance Carrier #2.Diagnosis Code Set2Claim/Diagnosis_Code5.Code 2-Claim/Insurance Carrier #2.Diagnosis Code Set3Claim/Diagnosis_Code5.Code 3DBText96mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText96LeftiTop_WidthDHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@ @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblDiag1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize -Claim/Insurance Carrier #2.Diagnosis Code Set2Claim/Diagnosis_Code6.Code 2-Claim/Insurance Carrier #2.Diagnosis Code Set3Claim/Diagnosis_Code6.Code 3DBText94mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText94LeftTop_WidthDHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@j@ @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblDiag1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize -Claim/Insurance Carrier #2.Diagnosis Code Set2Claim/Diagnosis_Code7.Code 2-Claim/Insurance Carrier #2.Diagnosis Code Set3Claim/Diagnosis_Code7.Code 3DBText98mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText98LeftTop_WidthDHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@ @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblDiag1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize -Claim/Insurance Carrier #2.Diagnosis Code Set2Claim/Diagnosis_Code8.Code 2-Claim/Insurance Carrier #2.Diagnosis Code Set3Claim/Diagnosis_Code8.Code 3DBText99mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText99LeftTopqWidthDHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@ @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblDiag1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize -Claim/Insurance Carrier #2.Diagnosis Code Set2Claim/Diagnosis_Code9.Code 2-Claim/Insurance Carrier #2.Diagnosis Code Set3Claim/Diagnosis_Code9.Code 3DBText97mber__11erID2_No1x$@ZTPF0 TQrdDBTextDBText97LeftiTopqWidthDHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@ @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblDiag1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize -Claim/Insurance Carrier #2.Diagnosis Code Set2Claim/Diagnosis_Code10.Code 2-Claim/Insurance Carrier #2.Diagnosis Code Set3Claim/Diagnosis_Code10.Code 3 DBText101ber__11erID2_No1x$@ZTPF0 TQrdDBText DBText101LeftTopqWidthDHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@j@ @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblDiag1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize -Claim/Insurance Carrier #2.Diagnosis Code Set2Claim/Diagnosis_Code11.Code 2-Claim/Insurance Carrier #2.Diagnosis Code Set3Claim/Diagnosis_Code11.Code 3 DBText102ber__11erID2_No1x$@ZTPF0 TQrdDBText DBText102LeftTopqWidthDHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@ @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblDiag1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize -Claim/Insurance Carrier #2.Diagnosis Code Set2Claim/Diagnosis_Code12.Code 2-Claim/Insurance Carrier #2.Diagnosis Code Set3Claim/Diagnosis_Code12.Code 3Band2t102ber__11erID2_No1x$@Z rbGroupHeader_11erID2_No1x$@ZTPF0TQrdBandBand2LeftTopWidthHeight Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Frame.StylepsDash AlignToBottomColorclLimeForceNewColumn ForceNewPage Size.Values @BandType rbGroupHeader BandCaptionTransaction HeaderCaptionBand2Band3upHeader_11erID2_No1x$@Z rbSubDetailer_11erID2_No1x$@ZTPF0 TQrdSubDetailBand3LeftTopWidthHeight Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Frame.StylepsDash AlignToBottomColorclAquaForceNewColumn ForceNewPage Size.ValuesUUUUUUU@ @MasterformReport.QuickReportDataSetformReport.tblTransaction HeaderBandformReport.Band2 PrintBefore PrintIfEmpty BandCaptionTransaction Detail Date_From2ler_11erID2_No1x$@ZTPF0 TQrdDBText Date_From2TagLeftTopWidthXHeightHint$File: Transaction Field: Date From Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@VUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblTransaction DataField Date From Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropName TransactionFontSize Procedure_Code21erID2_No1x$@ZTPF0 TQrdDBTextProcedure_Code2LeftTopWidth(HeightHint;File: Transaction Field: Procedure Code (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@8@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblTransaction DataFieldProcedure Code Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName TransactionFontSize ,Case/Insurance Carrier #1.Procedure Code Set3!Transaction/Procedure Code.Code 3,Case/Insurance Carrier #1.Procedure Code Set2!Transaction/Procedure Code.Code 2Amount1re_Code21erID2_No1x$@ZTPF0 TQrdDBTextAmount1TagLeftTopWidthQHeightHint!File: Transaction Field: Amount Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@R @P@ AlignmenttaRightJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblTransaction DataFieldAmount Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName TransactionFontSize Date_To2e_Code21erID2_No1x$@ZTPF0 TQrdDBTextDate_To2TagLeft.TopWidthXHeightHint"File: Transaction Field: Date To Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@j@VUUUUU@ AlignmenttaRightJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblTransaction DataFieldDate To Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropName TransactionFontSize  Modifier_12ode21erID2_No1x$@ZTPF0 TQrdDBText Modifier_12LeftTopWidthHeightHint%File: Transaction Field: Modifier 1 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@.@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblTransaction DataField Modifier 1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName TransactionFontSize  Modifier_21ode21erID2_No1x$@ZTPF0 TQrdDBText Modifier_21LeftTopWidthHeightHint%File: Transaction Field: Modifier 2 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@Ĝ@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblTransaction DataField Modifier 2 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName TransactionFontSize Place_of_Service2rID2_No1x$@ZTPF0 TQrdDBTextPlace_of_Service2LeftTopWidthHeightHint+File: Transaction Field: Place of Service Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU-@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblTransaction DataFieldPlace of Service Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName TransactionFontSize  Modifier_31rvice2rID2_No1x$@ZTPF0 TQrdDBText Modifier_31LeftTopWidthHeightHint%File: Transaction Field: Modifier 3 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUUY@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblTransaction DataField Modifier 3 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName TransactionFontSize Units1er_31rvice2rID2_No1x$@ZTPF0 TQrdDBTextUnits1LeftTopWidth<HeightHint File: Transaction Field: Units Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUUm @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblTransaction DataFieldUnits Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropName TransactionFontSize DBText27_31rvice2rID2_No1x$@ZTPF0 TQrdDBTextDBText27Left%TopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Transaction.Diagnosis 111Transaction.Diagnosis 11Transaction.Diagnosis 2Transaction.Diagnosis 22Transaction.Diagnosis 3Transaction.Diagnosis 33Transaction.Diagnosis 4 Legacy_1431rvice2rID2_No1x$@ZTPF0 TQrdDBText Legacy_14LefthTopWidthhHeightHint7File: Claim/Insurance Carrier #2/Pins Field: Legacy 1 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@ @UUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.qryInsurance2Pin DataFieldLegacy 1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameClaim/Insurance Carrier #2/PinsFontSize  Diagnosis_22vice2rID2_No1x$@ZTPF0 TQrdDBText Diagnosis_22Left-TopWidthHeightHint&File: Transaction Field: Diagnosis 2 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblTransaction DataField Diagnosis 2 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName TransactionFontSize  Diagnosis_32vice2rID2_No1x$@ZTPF0 TQrdDBText Diagnosis_32Left5TopWidthHeightHint&File: Transaction Field: Diagnosis 3 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@d@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblTransaction DataField Diagnosis 3 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName TransactionFontSize  Diagnosis_42vice2rID2_No1x$@ZTPF0 TQrdDBText Diagnosis_42Left=TopWidthHeightHint&File: Transaction Field: Diagnosis 4 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblTransaction DataField Diagnosis 4 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName TransactionFontSize  Modifier_422vice2rID2_No1x$@ZTPF0 TQrdDBText Modifier_42LeftTopWidthHeightHint%File: Transaction Field: Modifier 4 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblTransaction DataField Modifier 4 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName TransactionFontSize  Entry_Number1ice2rID2_No1x$@ZTPF0 TQrdDBText Entry_Number1Left TopWidthEHeightHint'File: Transaction Field: Entry Number Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@ @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblTransaction DataField Entry Number Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropName TransactionFontSize  Description21ice2rID2_No1x$@ZTPF0 TQrdDBText Description2LeftTopWidthFHeightHint&File: Transaction Field: Description Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@@@UUUUUU5@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblTransaction DataField Description Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName TransactionFontSize Any_Insurance_Payment2No1x$@ZTPF0 TQrdDBTextAny_Insurance_Payment2Left`TopWidthFHeightHint0File: Transaction Field: Any Insurance Payment Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@@UUUUUUU@UUUUUU5@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblTransaction DataFieldAny Insurance Payment Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName TransactionFontSize Any_Adjustment2ayment2No1x$@ZTPF0 TQrdDBTextAny_Adjustment2LeftTopWidthFHeightHint)File: Transaction Field: Any Adjustment Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@@@UUUUUU5@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblTransaction DataFieldAny Adjustment Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName TransactionFontSize DBText83stment2ayment2No1x$@ZTPF0 TQrdDBTextDBText83LeftETopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize  DX POINTER 5 AVAILIBLE5TH DIAG POINTERDBText82stment2ayment2No1x$@ZTPF0 TQrdDBTextDBText82LeftMTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@D@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize  DX POINTER 6 AVAILIBLE6TH DIAG POINTERDBText84stment2ayment2No1x$@ZTPF0 TQrdDBTextDBText84LeftUTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize  DX POINTER 7 AVAILIBLE7TH DIAG POINTERDBText85stment2ayment2No1x$@ZTPF0 TQrdDBTextDBText85Left]TopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize  DX POINTER 8 AVAILIBLE8TH DIAG POINTERDBText86stment2ayment2No1x$@ZTPF0 TQrdDBTextDBText86LeftdTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@z@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize  DX POINTER 9 AVAILIBLE9TH DIAG POINTERDBText87stment2ayment2No1x$@ZTPF0 TQrdDBTextDBText87LeftkTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize  DX POINTER 10 AVAILIBLE10TH DIAG POINTERDBText88stment2ayment2No1x$@ZTPF0 TQrdDBTextDBText88LeftrTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize  DX POINTER 11 AVAILIBLE11TH DIAG POINTERDBText89stment2ayment2No1x$@ZTPF0 TQrdDBTextDBText89LeftzTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize  DX POINTER 12 AVAILIBLE12TH DIAG POINTERBand4t89stment2ayment2No1x$@Z rbPageFooternt2ayment2No1x$@ZTPF0TQrdBandBand4LeftTopWidthHeight Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Frame.StylepsDash AlignToBottom ColorclLimeForceNewColumn ForceNewPage Size.Values@ @BandType rbPageFooter BandCaption Claim FooterCaptionBand4 Chart_Number1t2ayment2No1x$@ZTPF0 TQrdDBText Chart_Number1LeftTopWidthyHeightHint!File: Claim Field: Chart Number Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblClaim DataField Chart Number Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameClaimFontSize  Group_ID_11r1t2ayment2No1x$@ZTPF0 TQrdDBText Group_ID_11LeftTopZWidthhHeightHint1File: Claim Field: Group ID 1 (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@ @@UUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblClaim DataField Group ID 1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameClaimFontSize Claim.Group ID 1Claim.Provider PIN 1Name1_ID_11r1t2ayment2No1x$@ZTPF0 TQrdDBTextName1LeftTop%WidthHeightHint3File: Case/Facility Field: Name (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@r@@B@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblFacility DataFieldName Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName Case/FacilityFontSize Practice.Practice NameCase/Facility.Name Street_1311r1t2ayment2No1x$@ZTPF0 TQrdDBText Street_13LeftTop5WidthHeightHint7File: Case/Facility Field: Street 1 (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@r@:@B@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblFacility DataFieldStreet 1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName Case/FacilityFontSize Practice.Practice NameCase/Facility.Name City_Line11r1t2ayment2No1x$@ZTPF0 TQrdDBText City_Line1LeftTopMWidthHeightHint8File: Case/Facility Field: City Line (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@r@@UUUUUUa@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblFacility DataField City Line Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropName Case/FacilityFontSize Practice.Practice NameCase/Facility.NameDBText26e11r1t2ayment2No1x$@ZTPF0 TQrdDBTextDBText26LeftTopBWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@@UUUUUU @ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FontSize 11Claim/Provider.Full NameDBText39e11r1t2ayment2No1x$@ZTPF0 TQrdDBTextDBText39Left$TopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU%@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Accept Assignment #1XDBText47e11r1t2ayment2No1x$@ZTPF0 TQrdDBTextDBText47LeftTTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU@UUUUUUU@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Accept Assignment #1X Any_Charge2r1t2ayment2No1x$@ZTPF0TQrdExpr Any_Charge2LeftoTopWidth]HeightHint%File: Transaction Field: Any Charge Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU@@ AlignmenttaRightJustify AlignToBandAutoSize AutoStretch Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ColorclWhiteMasterformReport.Band3 ParentFontResetAfterPrint TransparentWordWrap ExpressionSUM(tblTransaction.Any Charge)Mask0.00 FilePropName Transaction DataField Any ChargeDataSetformReport.tblTransaction OperationSUMFontSize Any_Charge3r1t2ayment2No1x$@ZTPF0TQrdExpr Any_Charge3LeftTopWidthXHeightHint%File: Transaction Field: Any Charge Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@ @VUUUUU@ AlignmenttaRightJustify AlignToBandAutoSize AutoStretch Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ColorclWhiteMasterformReport.Band3 ParentFontResetAfterPrint TransparentWordWrap ExpressionSUM(tblTransaction.Any Charge)Mask0.00 FilePropName Transaction DataField Any ChargeDataSetformReport.tblTransaction OperationSUMFontSize DBText34ge3r1t2ayment2No1x$@ZTPF0 TQrdDBTextDBText34TagLeft:Top]WidthTHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUUu@@@@ AlignmenttaCenter AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FontSize  Claim/Provider.Signature on File Claim/Provider.Signature on FileClaim/Provider.SOF DateClaim.Date Created Claim/Provider.Signature on FileClaim/Provider.SOF DateClaim/Provider.SOF Date Full_Name23r1t2ayment2No1x$@ZTPF0 TQrdDBText Full_Name2Left TopxWidthHeightHint2File: Case/Supervising Provider Field: Full Name Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@VUUUUU@@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSet!formReport.tblSupervisingProvider DataField Full Name Font.Charset ANSI_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameCase/Supervising ProviderFontSize  Legacy_1223r1t2ayment2No1x$@ZTPF0 TQrdDBText Legacy_12LeftTopxWidthqHeightHintHFile: Case/Supervising Provider/Pins Field: Legacy 1 (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@.@@UUUUUU}@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSet formReport.qrySupervisingPrvPins DataFieldLegacy 1 Font.Charset ANSI_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameCase/Supervising Provider/PinsFontSize Case/Supervising Provider.Code'Case/Supervising Provider/Pins.Legacy 1UPINDate_Last_Seen_PCP1nt2No1x$@ZTPF0 TQrdDBTextDate_Last_Seen_PCP1TagLeftTop[WidthTHeightHint&File: Case Field: Date Last Seen PCP Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@TUUUUU@@@ AlignmenttaCenter AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblCase DataFieldDate Last Seen PCP Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropNameCaseFontSize ID1e_Last_Seen_PCP1nt2No1x$@ZTPF0 TQrdDBTextID1LeftTopjWidtheHeightHintFile: Case/Facility Field: ID Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@r@:@UUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblFacility DataFieldID Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropName Case/FacilityFontSize NPI2_Last_Seen_PCP1nt2No1x$@ZTPF0 TQrdDBTextNPI2LeftTopjWidtheHeightHint%File: Case/Facility/Pins Field: NPI Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU-@:@UUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.qryFacilityPINS DataFieldNPI Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropNameCase/Facility/PinsFontSize NPI3_Last_Seen_PCP1nt2No1x$@ZTPF0 TQrdDBTextNPI3LeftFTopxWidthqHeightHint1File: Case/Supervising Provider/Pins Field: NPI Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@@UUUUUU}@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSet formReport.qrySupervisingPrvPins DataFieldNPI Font.Charset ANSI_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameCase/Supervising Provider/PinsFontSize DBText25t_Seen_PCP1nt2No1x$@ZTPF0 TQrdDBTextDBText25Left TopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@VUUUUU@UUUUUUE@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.Charset ANSI_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize  EPSDT CLM-12NEEDED01Text2t25t_Seen_PCP1nt2No1x$@ZTPF0 TQrdLabelText2LeftTop$WidthHeightHintStatic text field Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@UUUUUU @@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchCaption ColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap FontSize Text3t25t_Seen_PCP1nt2No1x$@ZTPF0 TQrdLabelText3LeftTop4WidthHeightHintStatic text field Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@UUUUUU @UUUUUU@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchCaption ColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap FontSize DBText77t_Seen_PCP1nt2No1x$@ZTPF0 TQrdDBTextDBText77Left"TopWidth HeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@UUUUUUE@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize  EPSDT CRC-02NEEDED2DBText78t_Seen_PCP1nt2No1x$@ZTPF0 TQrdDBTextDBText78Left0TopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@UUUUUUE@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize  EPSDT CRC-03NEEDED03DBText79t_Seen_PCP1nt2No1x$@ZTPF0 TQrdDBTextDBText79LeftITopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU%@UUUUUUE@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize  EPSDT CRC-04NEEDED04DBText80t_Seen_PCP1nt2No1x$@ZTPF0 TQrdDBTextDBText80LeftaTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@R@UUUUUUE@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize  EPSDT CRC-05NEEDED05DBText81t_Seen_PCP1nt2No1x$@ZTPF0 TQrdDBTextDBText81Left TopWidthXHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@VUUUUU@p@p @ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize CORRECTED DESCRIPTIONNEEDEDCORRECTED DESCRIPTION