...GatewayEDI FormormC- Prim Other Notee.@&AR r@PH????tblClaimdL(@YW@TPF0 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...GatewayEDI Form SnapToGrid UnitsInchesZoomdUseReportDesigner Claim.Chart Number Claim.Billing Code Claim.Indicator 1 Claim.Date CreatedClaim.Insurance Carrier 1 Claim.Claim Number09999999Claim.Batch Number 1"Insurance Carrier 1;Claim Status 1Band1t| ||Q@s rbPageHeadert| ||Q@sTPF0TQrdBandBand1LeftTopWidthHeight Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Frame.StylepsDash AlignToBottomColorclAquaForceNewColumn ForceNewPage Size.ValuesUUUUUU @ @BandType rbPageHeader BandCaption Claim HeaderCaptionBand1DBText35adert| ||Q@sTPF0 TQrdDBTextDBText35LeftGTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@ڻ@UUUUUUu @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 FileFalse+Case/Insurance Carrier #1.Signature on FileSignature on fileSignature on File+Case/Insurance Carrier #1.Signature on File Print namePatient.Full NameDBText12adert| ||Q@sTPF0 TQrdDBTextDBText12LeftTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUUE @UUUUUUu @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 File3Case/Insurance Carrier #1.Insured Signature on File Print nameInsured 1.Full Name3Case/Insurance Carrier #1.Insured Signature on FileSignature on fileSignature on FileName6t12adert| ||Q@sTPF0 TQrdDBTextName6LeftTopWidth HeightHint.File: Claim/Insurance Carrier #1 Field: Name Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@ @j@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblLUInsurance1 DataFieldName Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameClaim/Insurance Carrier #1FontSize Full_Name_LFM3t| ||Q@sTPF0 TQrdDBTextFull_Name_LFM3Left TopWidthHeightHint$File: Patient Field: Full Name LFM Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@VUUUUU@UUUUUU@@ 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 FilePropNamePatientFontSize  Street_11_LFM3t| ||Q@sTPF0 TQrdDBText Street_11Left TopWidthHeightHintFile: Patient Field: Street 1 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@VUUUUU@TUUUUU@@ 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_11_LFM3t| ||Q@sTPF0 TQrdDBTextCity1Left TopWidthHeightHintFile: Patient Field: City Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@VUUUUU@2@@ 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_LFM3t| ||Q@sTPF0 TQrdDBText Zip_Code2Left TopWidthpHeightHintFile: Patient Field: Zip Code Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@VUUUUU@UUUUUUY@*@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblPatient DataFieldZip Code Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNamePatientFontSize State3de2_LFM3t| ||Q@sTPF0 TQrdDBTextState3LeftTopWidth HeightHintFile: Patient Field: State Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@ @2@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_132_LFM3t| ||Q@sTPF0 TQrdDBTextPhone_13LeftTopWidthHeightHintFile: Patient Field: Phone 1 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@UUUUUUY@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_Birth4t| ||Q@sTPF0 TQrdDBTextDate_of_Birth4TagLeft TopWidthqHeightHint$File: Patient Field: Date of Birth Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@UUUUUU@UUUUUU}@ Alignment taLeftJustify 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 DBText11Birth4t| ||Q@sTPF0 TQrdDBTextDBText11LeftTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@H @UUUUUU@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize  Patient.SexMaleXDBText21Birth4t| ||Q@sTPF0 TQrdDBTextDBText2LeftTopWidthHeightHint-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  Patient.SexFemaleXDBText61Birth4t| ||Q@sTPF0 TQrdDBTextDBText6Left9TopWidthHeightHint-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 #1SelfXDBText51Birth4t| ||Q@sTPF0 TQrdDBTextDBText5LeftTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@J @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 #1ChildXDBText91Birth4t| ||Q@sTPF0 TQrdDBTextDBText9LeftTopWidthHeightHint-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 #1OtherXDBText71Birth4t| ||Q@sTPF0 TQrdDBTextDBText7LeftkTopWidthHeightHint-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 #1SpouseXPolicy_Number__12| ||Q@sTPF0 TQrdDBTextPolicy_Number__12LeftTop}Width HeightHint$File: Case Field: Policy Number #1 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUUi @UUUUUU]@@ 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 Full_Name_LFM1_12| ||Q@sTPF0 TQrdDBTextFull_Name_LFM1LeftTopWidthHeightHint&File: Insured 1 Field: Full Name LFM Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUUi @UUUUUU@ֽ@ 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 FilePropName Insured 1FontSize  Street_15_LFM1_12| ||Q@sTPF0 TQrdDBText Street_15LeftTopWidth HeightHint!File: Insured 1 Field: Street 1 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@ @TUUUUU@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblInsured1 DataFieldStreet 1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName Insured 1FontSize City3t_15_LFM1_12| ||Q@sTPF0 TQrdDBTextCity3LeftTopWidthHeightHintFile: Insured 1 Field: City Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@ @2@UUUUUUu@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblInsured1 DataFieldCity Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName Insured 1FontSize State1_15_LFM1_12| ||Q@sTPF0 TQrdDBTextState1LeftTopWidth8HeightHintFile: Insured 1 Field: State Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@z @2@*@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblInsured1 DataFieldState Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName Insured 1FontSize  Zip_Code3_LFM1_12| ||Q@sTPF0 TQrdDBText Zip_Code3LeftTopWidthxHeightHint!File: Insured 1 Field: Zip Code Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@ @UUUUUUY@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblInsured1 DataFieldZip Code Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName Insured 1FontSize Phone_113_LFM1_12| ||Q@sTPF0 TQrdDBTextPhone_11LeftfTopWidthHeightHint File: Insured 1 Field: Phone 1 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU @UUUUUUY@UUUUUUM@ AlignmenttaRightJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblInsured1 DataFieldPhone 1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropName Insured 1FontSize Date_of_Birth3_12| ||Q@sTPF0 TQrdDBTextDate_of_Birth3TagLeftTop@WidthHeightHint&File: Insured 1 Field: Date of Birth Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU_ @@UUUUUUM@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblInsured1 DataField Date of Birth Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation ReplacementText FilePropName Insured 1FontSize Group_Number__122| ||Q@sTPF0 TQrdDBTextGroup_Number__12LeftTopWidthHeightHint#File: Case Field: Group Number #1 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@ @ֽ@@ 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 DBText4umber__122| ||Q@sTPF0 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  Insured 1.SexMaleXDBText29mber__122| ||Q@sTPF0 TQrdDBTextDBText29LeftTop@WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@v @@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize  Insured 1.SexFemaleXDBText10mber__122| ||Q@sTPF0 TQrdDBTextDBText10LeftOTopWidthHeightHint-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 Case.Marital StatusSingleXDBText13mber__122| ||Q@sTPF0 TQrdDBTextDBText13LeftTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@N @2@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Marital StatusMarriedXDBText14mber__122| ||Q@sTPF0 TQrdDBTextDBText14LeftTopWidthHeightHint-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 Case.Marital StatusDivorcedXCase.Marital StatusUnknownXCase.Marital StatusWidowedXCase.Marital StatusLegally separatedXDBText21mber__122| ||Q@sTPF0 TQrdDBTextDBText21LeftOTopWidthHeightHint-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.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Case.Employment Status Full timeXCase.Employment Status Part timeXDBText20mber__122| ||Q@sTPF0 TQrdDBTextDBText20LeftTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@N @UUUUUUY@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 timeXDBText22mber__122| ||Q@sTPF0 TQrdDBTextDBText22LeftTopWidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU} @UUUUUUY@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 timeXDBText82mber__122| ||Q@sTPF0 TQrdDBTextDBText8LeftOTop@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.Related to EmploymentXDBText25mber__122| ||Q@sTPF0 TQrdDBTextDBText25LeftTop@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 Case.Related to EmploymentXDBText44mber__122| ||Q@sTPF0 TQrdDBTextDBText44LeftOTop^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.Related to AccidentAutoXDBText24mber__122| ||Q@sTPF0 TQrdDBTextDBText24LeftTop^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 Case.Related to AccidentAutoXDBText23mber__122| ||Q@sTPF0 TQrdDBTextDBText23LeftOTopWidthHeightHint-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 AccidentYesXDBText17mber__122| ||Q@sTPF0 TQrdDBTextDBText17LeftTopWidthHeightHint-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.Related to AccidentYesXPolicy_Number__22| ||Q@sTPF0 TQrdDBTextPolicy_Number__22Left Top@WidthHeightHint$File: Case Field: Policy Number #2 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@VUUUUU@@@ 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 Date_of_Birth2_22| ||Q@sTPF0 TQrdDBTextDate_of_Birth2TagLeft Top^WidthrHeightHint8File: Insured 2 Field: Date of Birth (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@VUUUUU@@Ж@ 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 Claim.Insurance Carrier 2DBText3_Birth2_22| ||Q@sTPF0 TQrdDBTextDBText3LeftTop^WidthHeightHint-File: (none) Field: (none) (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuationFontSize Claim.Insurance Carrier 2 Insured 2.SexMaleXDBText27Birth2_22| ||Q@sTPF0 TQrdDBTextDBText27LeftTop^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 Insured 2.SexFemaleXName3t27Birth2_22| ||Q@sTPF0 TQrdDBTextName3Left TopWidthHeightHint8File: Insured 2/Employer Field: Name (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@VUUUUU@@@ 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_Name3rth2_22| ||Q@sTPF0 TQrdDBText Plan_Name3Left TopWidthHeightHintEFile: Claim/Insurance Carrier #2 Field: Plan Name (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@VUUUUU@UUUUUU @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblLUInsurance2 DataField Plan Name Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameClaim/Insurance Carrier #2FontSize $Claim/Insurance Carrier #2.Plan NameClaim/Insurance Carrier #2.Name Local_Use_A1h2_22| ||Q@sTPF0 TQrdDBText Local_Use_A1Left TopWidthHeightHintFile: Case Field: Local Use A Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@UUUUUU @j@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblCase DataField Local Use A Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameCaseFontSize Date_of_Injury_Illness2| ||Q@sTPF0 TQrdDBTextDate_of_Injury_Illness2TagLeft TopWidthVHeightHint*File: Case Field: Date of Injury/Illness Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@ @@ 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 Illness_Indicator1ness2| ||Q@sTPF0 TQrdDBTextIllness_Indicator1LeftTopWidthHHeightHint%File: Case Field: Illness Indicator Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUU@ @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblCase DataFieldIllness Indicator Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameCaseFontSize Date_Similar_Symptoms22| ||Q@sTPF0 TQrdDBTextDate_Similar_Symptoms2TagLeftdTopWidthXHeightHint)File: Case Field: Date Similar Symptoms Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@z@ @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  Street_17lar_Symptoms22| ||Q@sTPF0 TQrdDBText Street_17LeftTop&Width HeightHint2File: Claim/Insurance Carrier #1 Field: Street 1 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@ @UUUUUU@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblLUInsurance1 DataFieldStreet 1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameClaim/Insurance Carrier #1FontSize  City_Line1ar_Symptoms22| ||Q@sTPF0 TQrdDBText City_Line1LeftTop9Width HeightHint3File: Claim/Insurance Carrier #1 Field: City Line Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@ @Ж@@ Alignment taLeftJustify 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Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Frame.StylepsDash AlignToBottomColorclAquaForceNewColumn ForceNewPage Size.Values@ @MasterformReport.QuickReportDataSetformReport.tblTransaction HeaderBandformReport.Band2 PrintBefore PrintIfEmpty BandCaptionTransaction Detail Date_From1lerider_Identifier3||Q@sTPF0 TQrdDBText Date_From1TagLeftTopWidthXHeightHint$File: Transaction Field: Date From Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@UUUUUUU@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_Code1er_Identifier3||Q@sTPF0 TQrdDBTextProcedure_Code1LeftTopWidthJHeightHint)File: Transaction Field: Procedure Code Frame.ColorclBlack 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TQrdDBTextDate_To1TagLeftXTopWidthXHeightHint"File: Transaction Field: Date To Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@VUUUUU@UUUUUUU@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_12ode1er_Identifier3||Q@sTPF0 TQrdDBText Modifier_12Left8TopWidthHeightHint%File: Transaction Field: Modifier 1 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@`@UUUUUUU@@ 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_21ode1er_Identifier3||Q@sTPF0 TQrdDBText Modifier_21LeftRTopWidthHeightHint%File: Transaction Field: Modifier 2 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@@UUUUUUU@@ 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_Service1_Identifier3||Q@sTPF0 TQrdDBTextPlace_of_Service1LeftTopWidthHeightHint+File: Transaction Field: Place of Service Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@TUUUUU@UUUUUUU@@ 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 DBText1f_Service1_Identifier3||Q@sTPF0 TQrdDBTextDBText1LeftTopWidthHeightHint-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.EmergencyTrueY Modifier_32rvice1_Identifier3||Q@sTPF0 TQrdDBText Modifier_32LeftmTopWidthHeightHint%File: Transaction Field: Modifier 3 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@n@UUUUUUU@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblTransaction DataField Modifier 3 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier 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TQrdLabelText13LeftyTopWidthHeightHintStatic text field Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@Z @@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchCaptionNPIColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap FontSizeBand43al_Provider_Identifier2||Q@s rbPageFootervider_Identifier2||Q@sTPF0TQrdBandBand4LeftTopWidthHeight Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Frame.StylepsDash AlignToBottom ColorclLimeForceNewColumn ForceNewPage Size.Values@@ @BandType rbPageFooter BandCaption Claim FooterCaptionBand4 Chart_Number1ider_Identifier2||Q@sTPF0 TQrdDBText Chart_Number1LeftTop WidthPHeightHint!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 Practice_Name2der_Identifier2||Q@sTPF0 TQrdDBTextPractice_Name2LeftTop0WidthHeightHint%File: Practice Field: Practice Name Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@UUUUUUe @@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblPractice DataField Practice Name Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNamePracticeFontSize  Street_12Name2der_Identifier2||Q@sTPF0 TQrdDBText Street_12LeftTop>WidthHeightHint&File: Claim/Provider Field: Street 1 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@ @ @@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblLUProvider DataFieldStreet 1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameClaim/ProviderFontSize  City_Line3ame2der_Identifier2||Q@sTPF0 TQrdDBText City_Line3LeftTopLWidthHeightHint'File: Claim/Provider Field: City Line Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@UUUUUUe @UUUUUU@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblLUProvider DataField City Line Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameClaim/ProviderFontSize Name1Line3ame2der_Identifier2||Q@sTPF0 TQrdDBTextName1LeftTop0WidthHeightHint!File: Case/Facility Field: Name Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@@@UUUUUUU@ 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  Street_163ame2der_Identifier2||Q@sTPF0 TQrdDBText Street_16LeftTop>WidthHeightHint%File: Case/Facility Field: Street 1 Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@@ @UUUUUUU@ 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  City_Line4ame2der_Identifier2||Q@sTPF0 TQrdDBText City_Line4LeftTopLWidthHeightHint&File: Case/Facility Field: City Line Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@@UUUUUU@UUUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblFacility DataField City Line Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName Case/FacilityFontSize DBText52e4ame2der_Identifier2||Q@sTPF0 TQrdDBTextDBText52LefthTop 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.Accept Assignment #1XDBText47e4ame2der_Identifier2||Q@sTPF0 TQrdDBTextDBText47LeftTop 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.Accept Assignment #1XDBText53e4ame2der_Identifier2||Q@sTPF0 TQrdDBTextDBText53LeftTop 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/Provider.Federal Tax ID IndicatorXDBText51e4ame2der_Identifier2||Q@sTPF0 TQrdDBTextDBText51LeftTop 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/Provider.Federal Tax ID IndicatorXSSN_or_Fed_Tax_ID1Identifier2||Q@sTPF0 TQrdDBTextSSN_or_Fed_Tax_ID1Left Top WidthHeightHint7File: Case/Assigned Provider Field: SSN or Fed Tax ID Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@VUUUUU@@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblAssignedProvider DataFieldSSN or Fed Tax ID Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameCase/Assigned ProviderFontSize Any_Charge2Tax_ID1Identifier2||Q@sTPF0TQrdExpr Any_Charge2LeftTop Width]HeightHint%File: Transaction Field: Any Charge Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@ @@@ 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_Charge1Tax_ID1Identifier2||Q@sTPF0TQrdExpr Any_Charge1LeftTop WidthXHeightHint%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  Full_Name31Tax_ID1Identifier2||Q@sTPF0 TQrdDBText Full_Name3LeftTop WidthHeightHint'File: Claim/Provider Field: Full Name Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.ValuesUUUUUU@UUUUUUU@UUUUUUU@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblLUProvider DataField Full Name Font.Charset ANSI_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameClaim/ProviderFontSize Date1Name31Tax_ID1Identifier2||Q@sTPF0 TQrdSysDataDate1LeftTopLWidthaHeightHintSystem data field Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@*@UUUUUU@R@ Alignment taLeftJustify AlignToBandAutoSize ColorclWhiteDataqrsDate Font.Charset ANSI_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFontTextDate: TransparentFontSize National_Provider_Identifier1||Q@sTPF0 TQrdDBTextNational_Provider_Identifier1LeftTopbWidthHeightHint9File: Case/Facility Field: National Provider Identifier Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@@UUUUUU@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblFacility DataFieldNational Provider Identifier Font.Charset ANSI_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropName Case/FacilityFontSize Provider_PIN_12er_Identifier1||Q@sTPF0 TQrdDBTextProvider_PIN_12Left TopbWidthqHeightHint5File: Claim Field: Provider PIN 1 (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@UUUUUUO @UUUUUU@UUUUUU}@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblClaim DataFieldProvider PIN 1 Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameClaimFontSize Claim.Group ID 10Claim.Group ID 1Phone1er_PIN_12er_Identifier1||Q@sTPF0 TQrdDBTextPhone1LeftTop Width&HeightHint#File: Claim/Provider Field: Phone Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@ @UUUUUUU@UUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblLUProvider DataFieldPhone Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameClaim/ProviderFontSize Text81er_PIN_12er_Identifier1||Q@sTPF0 TQrdLabelText8LeftTopbWidthHeightHintStatic text field Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@UUUUUU@UUUUUU@VUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchCaptionNPIColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap FontSize National_Provider_Identifier4||Q@sTPF0 TQrdDBTextNational_Provider_Identifier4Left TopsWidthHeightHintLFile: Claim/Provider Field: National Provider Identifier (Has expressions) Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@UUUUUUM @"@0@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblLUProvider DataFieldNational Provider Identifier Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameClaim/ProviderFontSize 1Claim/Provider/Class.National Provider Identifier1Claim/Provider/Class.National Provider IdentifierText10al_Provider_Identifier4||Q@sTPF0 TQrdLabelText10LeftTopsWidthHeightHintStatic text field Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@ @"@VUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchCaptionNPIColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap FontSize Text14al_Provider_Identifier4||Q@sTPF0 TQrdLabelText14LeftTopbWidthHeightHintStatic text field Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@ @UUUUUU@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchCaptionTAXColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap FontSize  TAT_Number1ovider_Identifier4||Q@sTPF0 TQrdDBText TAT_Number1Left<TopbWidthHeightHint(File: Claim/Provider Field: TAT Number Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@@UUUUUU@UUUUUU5@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.tblLUProvider DataField TAT Number Font.Charset ANSI_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameClaim/ProviderFontSize  Pin_Number1ovider_Identifier4||Q@sTPF0 TQrdDBText Pin_Number1LeftTopsWidthHeightHint,File: Case/Facility/Pins Field: Pin Number Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@UUUUUUQ@"@@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchColorclWhiteDataSetformReport.qryFacilityPINS DataField Pin Number Font.Charset ANSI_CHARSET Font.ColorclBlack Font.Height Font.Name Courier New Font.Style ParentFont TransparentWordWrap ReplacePunctuation FilePropNameCase/Facility/PinsFontSize Text15mber1ovider_Identifier4||Q@sTPF0 TQrdLabelText15LeftTopsWidthHeightHintStatic text field Frame.ColorclBlack Frame.DrawTopFrame.DrawBottomFrame.DrawLeftFrame.DrawRight Size.Values@@"@VUUUUU@ Alignment taLeftJustify AlignToBandAutoSize AutoStretchCaptionPINColorclWhite Font.CharsetDEFAULT_CHARSET Font.ColorclBlack Font.Height Font.NameArial Font.Style ParentFont TransparentWordWrap FontSize