Forms
must be keyed in all CAPITAL LETTERS.
“Key what you see” means to literally key what you see. You are trying to replicate the form as it was submitted; you cannot fix errors.
“Key what you see” means to literally key what you see. You are trying to replicate the form as it was submitted; you cannot fix errors.
|
Field
No |
HCFA
|
COMMON VALUES
|
RULE
|
|
10
|
H10a_Employment_MS
|
Only allowed values:
Y N |
Y=Yes N=No
|
|
10
|
H10b_Auto_Accident
|
Only allowed values:
Y N |
Y=Yes N=No
|
|
10
|
H10b_Place
|
Two digit state abbreviation
|
Key what you see.
|
|
10
|
H10c_Other_Accident
|
Only allowed values:
Y N |
Y=Yes N=No
|
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