Get 1.0 Statistical Database System - Ftp Ihs

This guide provides detailed instructions on filling out the 1.0 Statistical Database System form online. Users will find a step-by-step approach tailored to assist individuals with varying levels of experience in digital document management.

Follow the steps to complete the Statistical Database System form accurately.

1. Click the ‘Get Form’ button to access the form in the online editor.
2. Begin with the header record (AD0). Input the associated information: record code, exporting box details, date of export, beginning and ending date. Ensure all required fields are filled out accurately.
3. Proceed to fill out Record AD1. Enter the unique visit record ID, as well as patient details such as date of birth, sex, social security number, and eligibility information for Medicaid, Medicare, and private insurance.
4. Continue with Record AD2. Enter details about diagnoses, procedure codes, and any relevant medical information as required in the specified fields.
5. Next, complete Record AD3. Ensure to include examination details, patient education topics, and any measurements taken during the visit.
6. Fill out Record AD4 focusing on additional diagnosis information, as well as any injury-related fields specified in the record.
7. Complete Record AD5, entering details such as the PHN activity code, dentist information, and cost information where relevant.
8. After finishing all necessary records, review the completed form for accuracy. Save your changes, download a copy for your records, or share the form as required.

Take the time to complete your documents online efficiently and accurately today.