       *********************************************
       *                                           *
       *           A T T E N T I O N               *
       *                                           *
       *   THESE POS RECORD SPECIFICATIONS WERE    *
       *   PRODUCED FROM OUR DICTIONARY AT THE     *
       *   SAME TIME AS THE POS DATA FILE THAT     *
       *   YOU REQUESTED. YOU MAY WISH TO CHECK    *
       *   THESE SPECIFICATIONS TO SEE IF ANY      *
       *   CHANGES HAVE OCCURED SINCE YOUR RECEIPT *
       *   OF ANY PRIOR DOCUMENTATION.             *
       *                                           *
       *   FILE CREATION DATE = 01/26/2012         *
       *                                           *
       *********************************************
 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 1
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

   Provider Category Subtype Code                    2    1     2    VARCHAR2
     Description: This field is used mainly by batch report programs to
                  determine the breakdown of the provider category. This
                  field is mainly used for SNFs and hospitals.
     SAS Name:    PRVDR_CTGRY_SBTYP_CD
     COBOL Name:  PRVDR-CTGRY-SBTYP-CD
     VALUES:      01=SHORT TERM
                  02=LONG TERM
                  03=RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS
                  04=PSYCHIATRIC
                  05=REHABILITATION
                  06=CHILDRENS'
                  07=DISTINCT PART PSYCHIATRIC HOSPITAL
                  11=CRITICAL ACCESS HOSPITALS
                  20=TRANSPLANT HOSPITALS
                  22=MEDICAID ONLY NON-PSYCHIATRIC HOSPITAL
                  23=MEDICAID ONLY PSYCHIATRIC HOSPITAL

   Provider Category Code                            2    3     4    VARCHAR2
     Description: This code identifies the category which is most
                  descriptive of the facility identified on the
                  Medicare/Medicaid Certification and Transmittal Form (CMS
                  1539).
     SAS Name:    PRVDR_CTGRY_CD
     COBOL Name:  PRVDR-CTGRY-CD
     VALUES:      01=Hospital

   Change of Ownership Count                         2    5     6    NUMBER
     Description: The number of times a change of ownership (CHOW) has
                  taken place for a particular provider.
     SAS Name:    CHOW_CNT
     COBOL Name:  CHOW-CNT

   Change of Ownership Date                          8    7     14   DATE
     Description: Effective date of a change of ownership.
     SAS Name:    CHOW_DT
     COBOL Name:  CHOW-DT

   City                                              28   15    42   VARCHAR2
     Description: City in which the provider is physically located.
     SAS Name:    CITY_NAME
     COBOL Name:  CITY-NAME

   Compliance: Plan of Correction                    1    43    43   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements based on an acceptable plan for correction
                  of deficiencies.
     SAS Name:    ACPTBL_POC_SW
     COBOL Name:  ACPTBL-POC-SW

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 2
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Compliance: Status                                1    44    44   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements.
     SAS Name:    CMPLNC_STUS_CD
     COBOL Name:  CMPLNC-STUS-CD
     VALUES:      A=IN COMPLIANCE
                  B=NOT IN COMPLIANCE

   SSA County Code                                   3    45    47   VARCHAR2
     Description: SSA (State Survey Agency) geographic code indicating the
                  county where the facility is located.
     SAS Name:    SSA_CNTY_CD
     COBOL Name:  SSA-CNTY-CD

   Cross Ref Provider Number                         10   48    57   CHAR
     Description: Cross reference provider number
     SAS Name:    CROSS_RFRNC_PRVDR_NUM
     COBOL Name:  CROSS-RFRNC-PRVDR-NUM

   Certification Date                                8    58    65   DATE
     Description: The Certification date is equal to the exit date of the
                  initial visit of the Health survey or LSC survey,
                  whichever is later.
     SAS Name:    CRTFCTN_DT
     COBOL Name:  CRTFCTN-DT

   Eligibility Switch                                1    66    66   VARCHAR2
     Description: Indicates if a facility is eligible to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    ELGBLTY_SW
     COBOL Name:  ELGBLTY-SW

   Facility Name                                     50   67    116  VARCHAR2
     Description: The name of a provider certified to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    FAC_NAME
     COBOL Name:  FAC-NAME

   Intermediary Carrier Code                         5    117   121  VARCHAR2
     Description: A number assigned to an intermediary or carrier servicing
                  a provider or supplier. Not all numbers apply to all
                  provider types.
     SAS Name:    INTRMDRY_CARR_CD
     COBOL Name:  INTRMDRY-CARR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 3
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 4
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 5
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 6
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Medicare or Medicaid Vendor Number                15   122   136  VARCHAR2
     Description: A number which may be assigned to a facility by the state
                  Medicaid agency for external control or billing purposes.
     SAS Name:    MDCD_VNDR_NUM
     COBOL Name:  MDCD-VNDR-NUM

   Participation Date                                8    137   144  DATE
     Description: The date a facility is first approved to provide Medicare
                  and/or Medicaid services.
     SAS Name:    ORGNL_PRTCPTN_DT
     COBOL Name:  ORGNL-PRTCPTN-DT

   Prior Change of Ownership Date                    8    145   152  DATE
     Description: The date of a prior change of ownership.
     SAS Name:    CHOW_PRIOR_DT
     COBOL Name:  CHOW-PRIOR-DT

   Intermediary Carrier Prior Code                   5    153   157  VARCHAR2
     Description: The previous intermediary carrier number.
     SAS Name:    INTRMDRY_CARR_PRIOR_CD
     COBOL Name:  INTRMDRY-CARR-PRIOR-CD

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 7
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 8
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 9
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 10
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Provider Number                                   10   158   167  VARCHAR2
     Description: A six or ten position identification number that is

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 11
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  assigned to a certified provider.
     SAS Name:    PRVDR_NUM
     COBOL Name:  PRVDR-NUM

   Record Status Code                                1    168   168  VARCHAR2
     Description: This indicator specifies the current status of the
                  record.
     SAS Name:    REC_STUS_CD
     COBOL Name:  REC-STUS-CD
     VALUES:      A=ACCEPTED RECORD
                  C=COMPLAINT RECORD

   Region Code                                       2    169   170  VARCHAR2
     Description: The regional location of the provider.
     SAS Name:    RGN_CD
     COBOL Name:  RGN-CD
     VALUES:      01=BOSTON
                  02=NEW YORK
                  03=PHILADELPHIA
                  04=ATLANTA
                  05=CHICAGO
                  06=DALLAS
                  07=KANSAS CITY
                  08=DENVER
                  09=SAN FRANCISCO
                  10=SEATTLE

   Skeleton Record Switch                            1    171   171  VARCHAR2
     Description: Indicates the record is a skeleton record.  Only a
                  limited set of the provider data is available for this
                  provider.
     SAS Name:    SKLTN_REC_SW
     COBOL Name:  SKLTN-REC-SW

   State Abbreviation                                2    172   173  VARCHAR2
     Description: The two-character state abbreviation.
     SAS Name:    STATE_CD
     COBOL Name:  STATE-CD
     VALUES:      AK=ALASKA
                  AL=ALABAMA
                  AR=ARKANSAS
                  AS=AMERICAN SAMOA
                  AZ=ARIZONA
                  CA=CALIFORNIA
                  CN=CANADA
                  CO=COLORADO
                  CT=CONNECTICUT
                  DC=DISTRICT OF COLUMBIA
                  DE=DELAWARE
                  FL=FLORIDA
                  FN=FOREIGN
                  GA=GEORGIA
                  GU=GUAM
                  HI=HAWAII
                  IA=IOWA
                  ID=IDAHO
                  IL=ILLINOIS
                  IN=INDIANA
                  KS=KANSAS
                  KY=KENTUCKY
                  LA=LOUISIANA
                  MA=MASSACHUSETTS
                  MD=MARYLAND
                  ME=MAINE

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 12
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  MI=MICHIGAN
                  MN=MINNESOTA
                  MO=MISSOURI
                  MP=SAIPAN
                  MS=MISSISSIPPI
                  MT=MONTANA
                  MX=MEXICO
                  NC=NORTH CAROLINA
                  ND=NORTH DAKOTA
                  NE=NEBRASKA
                  NH=NEW HAMPSHIRE
                  NJ=NEW JERSEY
                  NM=NEW MEXICO
                  NV=NEVADA
                  NY=NEW YORK
                  OH=OHIO
                  OK=OKLAHOMA
                  OR=OREGON
                  PA=PENNSYLVANIA
                  PR=PUERTO RICO
                  RI=RHODE ISLAND
                  SC=SOUTH CAROLINA
                  SD=SOUTH DAKOTA
                  TN=TENNESSEE
                  TX=TEXAS
                  UT=UTAH
                  VA=VIRGINIA
                  VI=VIRGIN ISLANDS
                  VT=VERMONT
                  WA=WASHINGTON
                  WI=WISCONSIN
                  WV=WEST VIRGINIA
                  WY=WYOMING

   SSA State Code                                    2    174   175  VARCHAR2
     Description: SSA (Social Security Administration) geographic code
                  indicating the state of the provider's residence. Must
                  agree with the first two positions of the Provider number
                  (except California: 05 and 55; Texas: 45 and 67; FL: 10
                  and 68; MD: 21 and 80).
     SAS Name:    SSA_STATE_CD
     COBOL Name:  SSA-STATE-CD
     VALUES:      01=ALABAMA
                  02=ALASKA
                  03=ARIZONA
                  04=ARKANSAS
                  05=CALIFORNIA
                  06=COLORADO
                  07=CONNECTICUT
                  08=DELAWARE
                  09=DISTRICT OF COLUMBIA
                  10=FLORIDA
                  11=GEORGIA
                  12=HAWAII
                  13=IDAHO
                  14=ILLINOIS
                  15=INDIANA
                  16=IOWA
                  17=KANSAS
                  18=KENTUCKY
                  19=LOUISIANA
                  20=MAINE
                  21=MARYLAND
                  22=MASSACHUSETTS

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 13
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  23=MICHIGAN
                  24=MINNESOTA
                  25=MISSISSIPPI
                  26=MISSOURI
                  27=MONTANA
                  28=NEBRASKA
                  29=NEVADA
                  30=NEW HAMPSHIRE
                  31=NEW JERSEY
                  32=NEW MEXICO
                  33=NEW YORK
                  34=NORTH CAROLINA
                  35=NORTH DAKOTA
                  36=OHIO
                  37=OKLAHOMA
                  38=OREGON
                  39=PENNSYLVANIA
                  40=PUERTO RICO
                  41=RHODE ISLAND
                  42=SOUTH CAROLINA
                  43=SOUTH DAKOTA
                  44=TENNESSEE
                  45=TEXAS
                  46=UTAH
                  47=VERMONT
                  48=VIRGIN ISLANDS
                  49=VIRGINIA
                  50=WASHINGTON
                  51=WEST VIRGINIA
                  52=WISCONSIN
                  53=WYOMING
                  54=AFRICA
                  56=CANADA
                  57=WEST INDIES
                  58=EUROPE
                  59=MEXICO
                  60=OCEANIA
                  61=PHILIPPINES
                  62=SOUTH AMERICA
                  63=UNITED STATES POSSESSIONS
                  64=AMERICAN SAMOA
                  65=GUAM
                  66=SAIPAN
                  99=FOREIGN

   State Region Code                                 3    176   178  VARCHAR2
     Description: For selected states, identifies the particular region
                  within the state where the provider is located.
     SAS Name:    STATE_RGN_CD
     COBOL Name:  STATE-RGN-CD
     VALUES:      AK/001=ALASKA
                  AK/LAB=LABORATORIES
                  AK/UNK=UNKNOWN
                  AL/001=ALABAMA
                  AL/LAB=LABORATORIES
                  AL/UNK=UNKNOWN
                  AR/001=ARKANSAS
                  AR/LAB=LABORATORIES
                  AR/UNK=UNKNOWN
                  AS/001=AMERICAN SAMOA
                  AS/LAB=LABORATORY
                  AS/UNK=UNKNOWN
                  AZ/AZ=PHOENIX
                  AZ/LAB=ARIZONA LAB

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 14
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  AZ/TUC=TUCSON
                  AZ/UNK=UNKNOWN
                  CA/BAK=BAKERSFIELD
                  CA/BER=SAN BERNARDINO
                  CA/BK=BERKELEY
                  CA/BK1=CONTRA COSTA
                  CA/FR=FRESNO
                  CA/L1=L.A. WEST
                  CA/L2=L.A. NORTH
                  CA/L3=L.A. CENTRAL
                  CA/L4=L.A. EAST
                  CA/L5=SAN GABRIEL
                  CA/LAB=LABORATORIES
                  CA/M1=LAB. SOUTH
                  CA/M2=LAB. NORTH
                  CA/ORG=ORANGE CO
                  CA/RIV=RIVERSIDE
                  CA/RWC=REDWOOD COAST
                  CA/S1=SACRAMENTO
                  CA/S2=SACTO SOUTH
                  CA/S3=CHICO
                  CA/SD=SAN DIEGO
                  CA/SDS=SAN DIEGO SOUTH
                  CA/SF=SAN FRANCISCO
                  CA/SJ=SAN JOSE
                  CA/SR=SANTA ROSA
                  CA/UNK=UNKNOWN
                  CA/VEN=VENTURA
                  CN/001=CANADA
                  CN/LAB=LABORATORY
                  CN/UNK=UNKNOWN
                  CO/001=COLORADO
                  CO/LAB=LABORATORIES
                  CO/UNK=UNKNOWN
                  CT/001=CONNECTICUT
                  CT/LAB=LABORATORIES
                  CT/UNK=UNKNOWN
                  DC/001=DISTRICT OF COLUMBIA
                  DC/LAB=LABORATORIES
                  DC/UNK=UNKNOWN
                  DE/001=DELAWARE
                  DE/LAB=LABORATORIES
                  DE/UNK=UNKNOWN
                  FL/FTM=FT. MYERS
                  FL/GAI=GAINESVILLE
                  FL/JAX=JACKSONVILLE
                  FL/LAB=LABORATORIES
                  FL/LAN=LANTANA
                  FL/LAU=LAUDERHILL
                  FL/MIA=MIAMI
                  FL/ORL=ORLANDO
                  FL/PEN=PENSACOLA
                  FL/STP=ST. PETERSBURG
                  FL/TAL=TALLAHASSEE
                  FL/TAM=TAMPA
                  FL/UNK=UNKNOWN
                  FM/001=FEDERATED STATES OF MICRO
                  FN/001=FOREIGN
                  FN/LAB=LABORATORIES
                  FN/UNK=UNKNOWN
                  GA/001=GEORGIA
                  GA/GAA=GEORGIA ALL
                  GA/GAC=GEORGIA CENTRAL
                  GA/GAE=GEORGIA EASTERN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 15
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  GA/GAN=GEORGIA NORTH
                  GA/GAS=GEORGIA SOUTH
                  GA/GAW=GEORGIA WESTERN
                  GA/LAB=LABORATORIES
                  GA/UNK=UNKNOWN
                  GU/001=GUAM
                  GU/LAB=LABORATORIES
                  GU/UNK=UNKNOWN
                  HI/001=HAWAII
                  HI/LAB=LABORATORIES
                  HI/UNK=UNKNOWN
                  IA/001=IOWA
                  IA/LAB=LABORATORIES
                  IA/UNK=UNKNOWN
                  ID/001=IDAHO
                  ID/LAB=LABORATORIES
                  ID/UNK=UNKNOWN
                  IL/001=ILLINOIS
                  IL/LAB=LABORATORIES
                  IL/UNK=UNKNOWN
                  IN/001=INDIANA
                  IN/LAB=LABORATORIES
                  IN/UNK=UNKNOWN
                  KS/LAB=LABORATORIES
                  KS/LAW=LAWRENCE
                  KS/NC=NORTH CENTRAL KANSAS
                  KS/NE=NORTH EAST KANSAS
                  KS/NW=NORTH WEST KANSAS
                  KS/SC=SOUTH CENTRAL KANSAS
                  KS/SE=SOUTH EAST KANSAS
                  KS/SW=SOUTH WEST KANSAS
                  KS/UNK=UNKNOWN
                  KS/WST=WEST
                  KY/2C1=HOPKINSVILLE
                  KY/2C2=LOUISVILLE
                  KY/2C3=LONDON
                  KY/2C4=LEXINGTON
                  KY/LAB=LABORATORIES
                  KY/UNK=UNKNOWN
                  LA/001=LOUISIANA
                  LA/LA1=NEW ORLEANS
                  LA/LA2=MANDEVILLE
                  LA/LA3=LAFAYETTE
                  LA/LA4=MONROE
                  LA/LA5=SHREVEPORT
                  LA/LA6=ALEXANDRIA
                  LA/LAB=LABORATORIES
                  LA/LB1=CLIA NEW ORLEANS
                  LA/LB5=CLIA SHREVEPORT
                  LA/LB6=CLIA ALEXANDRIA
                  LA/UNK=UNKNOWN
                  MA/001=MASSACHUSETTS
                  MA/LAB=LABORATORIES
                  MA/UNK=UNKNOWN
                  MD/001=MARYLAND
                  MD/LAB=LABORATORIES
                  MD/UNK=UNKNOWN
                  ME/001=MAINE
                  ME/LAB=LABORATORIES
                  ME/UNK=UNKNOWN
                  MH/001=MARSHALL ISLANDS
                  MI/001=MICHIGAN
                  MI/LAB=LABORATORIES
                  MI/UNK=UNKNOWN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 16
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  MN/001=MINNESOTA
                  MN/LAB=LABORATORIES
                  MN/UNK=UNKNOWN
                  MO/01=REGION01
                  MO/02=REGION02
                  MO/03=REGION 03
                  MO/04=REGION 04
                  MO/05=REGION 05
                  MO/06=REGION 06
                  MO/07=REGION 07
                  MO/1NH=REGION 1 NH
                  MO/2NH=REGION 2 NH
                  MO/3NH=REGION 3 NH
                  MO/4NH=REGION 4 NH
                  MO/5NH=REGION 5 NH
                  MO/6NH=REGION 6 NH
                  MO/7NH=REGION 7 NH
                  MO/LAB=LABORATORIES
                  MO/MO=STATEWIDE
                  MO/UNK=UNKNOWN
                  MP/001=NORTHERN MARIANA ISLANDS
                  MP/LAB=LABORATORIES
                  MP/UNK=UNKNOWN
                  MS/001=MISSISSIPPI
                  MS/LAB=LABORATORIES
                  MS/UNK=UNKNOWN
                  MT/001=MONTANA
                  MT/LAB=LABORATORIES
                  MT/UNK=UNKNOWN
                  MX/001=MEXICO
                  MX/LAB=LABORATORY
                  MX/UNK=UNKNOWN
                  NC/LAB=LABORATORIES
                  NC/NCC=NORTH CAROLINA CENTRAL
                  NC/NCE=NORTH CAROLINA EAST
                  NC/NCN=NORTH CAROLINA NORTH
                  NC/NCS=NORTH CAROLINA SOUTH
                  NC/NCW=NORTH CAROLINA WEST
                  NC/UNK=UNKNOWN
                  ND/001=NORTH DAKOTA
                  ND/LAB=LABORATORIES
                  ND/UNK=UNKNOWN
                  NE/1=NORTH CENTRAL
                  NE/2=CENTRAL
                  NE/3=NORTHEAST
                  NE/4=SOUTHEAST
                  NE/5=WESTERN
                  NE/LAB=LABORATORIES
                  NE/UNK=UNKNOWN
                  NH/001=NEW HAMPSHIRE
                  NH/LAB=LABORATORIES
                  NH/UNK=UNKNOWN
                  NJ/001=NEW JERSEY
                  NJ/LAB=LABORATORIES
                  NJ/UNK=UNKNOWN
                  NM/001=NEW MEXICO
                  NM/LAB=LABORATORIES
                  NM/UNK=UNKNOWN
                  NV/CC=CARSON CITY
                  NV/LAB=LABORATORIES
                  NV/LV=LAS VEGAS
                  NV/UNK=UNKNOWN
                  NY/001=BUFFALO
                  NY/002=ROCHESTER

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 17
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  NY/003=SYRACUSE
                  NY/004=ALBANY
                  NY/005=NEW ROCHELLE
                  NY/006=NEW YORK CITY
                  NY/007=SUFFOLK/NASSAU COUNTY
                  NY/LAB=LABORATORIES
                  NY/UNK=UNKNOWN
                  OH/001=OHIO
                  OH/LAB=LABORATORIES
                  OH/UNK=UNKNOWN
                  OK/001=OKLAHOMA
                  OK/LAB=LABORATORIES
                  OK/UNK=UNKNOWN
                  OR/001=OFFICE #1
                  OR/002=OFFICE #2
                  OR/003=OFFICE #3
                  OR/LAB=LABORATORIES
                  OR/UNK=UNKNOWN
                  PA/001=PENNSYLVANIA
                  PA/LAB=LABORATORIES
                  PA/UNK=UNKNOWN
                  PR/001=PUERTO RICO
                  PR/LAB=LABORATORIES
                  PR/UNK=UNKNOWN
                  PW/001=PALAU
                  RI/001=RHODE ISLAND
                  RI/LAB=LABORATORIES
                  RI/UNK=UNKNOWN
                  SC/001=SOUTH CAROLINA
                  SC/LAB=LABORATORIES
                  SC/UNK=UNKNOWN
                  SD/001=SOUTH DAKOTA
                  SD/LAB=LABORATORIES
                  SD/UNK=UNKNOWN
                  TN/LAB=LABORATORIES
                  TN/TNC=TENNESSEE COOKEVILLE
                  TN/TNE=TENNESSEE EASTERN
                  TN/TNM=TENNESSEE MIDDLE
                  TN/TNW=TENNESSEE WESTERN
                  TN/UNK=UNKNOWN
                  TX/001=TEXAS
                  TX/L01=AMARILLO-LTC
                  TX/L02=ABILENE-LTC
                  TX/L03=ARLINGTON-LTC
                  TX/L04=TYLER-LTC
                  TX/L05=BEAUMONT-LTC
                  TX/L06=HOUSTON-LTC
                  TX/L07=TEMPLE-LTC
                  TX/L08=SAN ANTONIO-LTC
                  TX/L09=SAN ANGELO-LTC
                  TX/L10=EL PASO-LTC
                  TX/L11=CORPUS CHRISTI-LTC
                  TX/LAB=LABORATORIES
                  TX/TX1=LUBBOCK
                  TX/TX2=ARLINGTON
                  TX/TX3=SAN ANTONIO
                  TX/TX4=HOUSTON
                  TX/TX5=TYLER
                  TX/TX6=AUSTIN
                  TX/UNK=UNKNOWN
                  UT/001=UTAH
                  UT/LAB=LABORATORIES
                  UT/UNK=UNKNOWN
                  VA/001=VIRGINIA

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 18
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  VA/LAB=LABORATORIES
                  VA/UNK=UNKNOWN
                  VI/001=VIRGIN ISLANDS
                  VI/LAB=LABORATORIES
                  VI/UNK=UNKNOWN
                  VT/001=VERMONT
                  VT/LAB=LABORATORIES
                  VT/UNK=UNKNOWN
                  WA/001=ALL OTHERS (NON-LTC FAC)
                  WA/D1=SPOKANE & YAKIMA AREAS
                  WA/D1A=District 1, Unit A
                  WA/D1B=District 1, Unit B
                  WA/D1C=District 1, Unit C
                  WA/D1D=District 1, Unit D
                  WA/D2=SPOKANE & SE
                  WA/D2A=District 2, Unit A
                  WA/D2B=District 2, Unit B
                  WA/D2C=District 2, Unit C
                  WA/D2D=District 2, Unit D
                  WA/D2E=District 2, Unit E
                  WA/D2F=District 2, Unit F
                  WA/D2G=District 2, Unit G
                  WA/D3=NW WASHINGTON
                  WA/D3A=District 3, Unit A
                  WA/D3B=District 3, Unit B
                  WA/D3C=District 3, Unit C
                  WA/D3D=District 3, Unit D
                  WA/D3E=District 3, Unit E
                  WA/D4A=GREATER SEATTLE AREA
                  WA/D4B=S KING COUNTY
                  WA/D5A=PIERCE CTY & PENINSULA
                  WA/D5B=PIERCE CTY & GRAYS HARBOR
                  WA/D6=OLYMPIA AREA
                  WA/LAB=LABORATORIES
                  WA/UNK=UNKNOWN
                  WI/001=WISCONSIN
                  WI/LAB=LABORATORIES
                  WI/UNK=UNKNOWN
                  WV/001=WEST VIRGINIA
                  WV/LAB=LABORATORIES
                  WV/UNK=UNKNOWN
                  WY/001=WYOMING
                  WY/LAB=LABORATORIES
                  WY/UNK=UNKNOWN

   Street Address                                    50   179   228  VARCHAR2
     Description: Street address of a provider that is certified to provide
                  Medicare and/or Medicaid services.
     SAS Name:    ST_ADR
     COBOL Name:  ST-ADR

   Telephone Number                                  10   229   238  VARCHAR2
     Description: The 10-digit telephone number of the primary contact or
                  the operator of a provider.
     SAS Name:    PHNE_NUM
     COBOL Name:  PHNE-NUM

   Termination Code 1                                2    239   240  VARCHAR2
     Description: Termination code number one: the reason a facility has
                  been terminated from the CLIA, Medicare and/or Medicaid
                  programs.
     SAS Name:    PGM_TRMNTN_CD
     COBOL Name:  PGM-TRMNTN-CD
     VALUES:      00=ACTIVE PROVIDER

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 19
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  01=VOLUNTARY-MERGER, CLOSURE
                  02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT
                  03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION
                  04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL
                  05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ
                  06=INVOLUNTARY-FAILURE TO MEET AGREEMENT
                  07=OTHER-PROVIDER STATUS CHANGE
                  08=NONPAYMENT OF FEES - CLIA Only
                  09=REV/UNSUCCESSFUL PARTICIPATION IN PT - CLIA Only
                  10=REV/OTHER REASON - CLIA Only
                  11=INCMPLETE CLIA APPLICATION INFORMATION - CLIA Only
                  12=NO LONGER PERFORMING TESTS - CLIA Only
                  13=MULTIPLE TO SINGLE SITE CERTIFICATE - CLIA Only
                  14=SHARED LABORATORY - CLIA Only
                  15=FAILURE TO RENEW WAIVER PPM CERTIFICATE - CLIA Only
                  16=DUPLICATE CLIA NUMBER - CLIA Only
                  17=MAIL RETURNED NO FORWARD ADDRESS CERT ENDED - CLIA Only
                  20=NOTIFICATION BANKRUPTCY - CLIA Only
                  33=ACCREDITATION NOT CONFIRMED - CLIA Only
                  80=AWAITING STATE APPROVAL
                  99=OIG ACTION - DO NOT ACTIVATE - CLIA Only

   Termination Date / Expiration Date 1              8    241   248  DATE
     Description: The date the laboratory's certificate terminated or the
                  expiration date of the current CLIA certificate. For
                  other non-CLIA providers, it is the date the facility was
                  terminated.
     SAS Name:    TRMNTN_EXPRTN_DT
     COBOL Name:  TRMNTN-EXPRTN-DT

   Type of Action                                    1    249   249  VARCHAR2
     Description: Type of action on the 'official' survey record.  This
                  field is copied from type of action on the HCFA-1539,
                  certification and transmittal.
     SAS Name:    SRVY_PRPSE_CD
     COBOL Name:  SRVY-PRPSE-CD
     VALUES:      1=INITIAL
                  2=RECERTIFICATION
                  3=TERMINATION
                  4=CHANGE OF OWNERSHIP
                  5=VALIDATION
                  6=ONSITE SURVEY DUE TO FLEXIBLE SURVEY - CLIA Only
                  8=FULL SURVEY AFTER COMPLAINT - CLIA ONLY

   General Type of Control Code                      2    250   251  VARCHAR2
     Description: Indicates the nature of the organization that operates a
                  provider of services.
     SAS Name:    GNRL_CNTL_TYPE_CD
     COBOL Name:  GNRL-CNTL-TYPE-CD
     VALUES:      01=CHURCH
                  02=PRIVATE (NOT FOR PROFIT)
                  03=OTHER (SPECIFY)
                  04=PRIVATE (FOR PROFIT)
                  05=FEDERAL
                  06=STATE
                  07=LOCAL
                  08=HOSPITAL DISTRICT OR AUTHORITY
                  09=PHYSICIAN OWNERSHIP
                  10=TRIBAL

   ZIP Code                                          5    252   256  VARCHAR2
     Description: The five-digit postal code for the provider.
     SAS Name:    ZIP_CD
     COBOL Name:  ZIP-CD

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 20
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   FIPS State Code                                   2    257   258  VARCHAR2
     Description: FIPS State Code
     SAS Name:    FIPS_STATE_CD
     COBOL Name:  FIPS-STATE-CD

   FIPS County Code                                  3    259   261  VARCHAR2
     Description: FIPS County Code
     SAS Name:    FIPS_CNTY_CD
     COBOL Name:  FIPS-CNTY-CD

   CBSA Urban Rural Indicator                        1    262   262  VARCHAR2
     Description: CBSA (Core Based Statistical Area) indicates whether the
                  county is defined as Urban or Rural.
     SAS Name:    CBSA_URBN_RRL_IND
     COBOL Name:  CBSA-URBN-RRL-IND

   Accreditation Effective Date                      8    263   270  DATE
     Description: The effective date of the current period of accreditation
                  by the Joint Commission on Accreditation of Health Care
                  Organizations (JCAHO) or the American Osteopathic
                  Association (AOA).
     SAS Name:    ACRDTN_EFCTV_DT
     COBOL Name:  ACRDTN-EFCTV-DT

   Accreditation Expiration Date                     8    271   278  DATE
     Description: The expiration date of the current period of
                  Accreditation by the Joint Committee on Accreditation of
                  Health Care Organizations (JCAHO) or the American
                  Osteopathic Association (AOA).
     SAS Name:    ACRDTN_EXPRTN_DT
     COBOL Name:  ACRDTN-EXPRTN-DT

   Accreditation Type Code                           1    279   279  VARCHAR2
     Description: This code indicates the organization that is responsible
                  for the accreditation of the provider.
     SAS Name:    ACRDTN_TYPE_CD
     COBOL Name:  ACRDTN-TYPE-CD
     VALUES:      0=NOT ACCREDITED
                  1=JC
                  2=AOA
                  3=DNV

   Beds - Total Certified                            4    386   389  NUMBER
     Description: Number of beds in Medicare and/or Medicaid certified
                  areas within a facility.
     SAS Name:    CRTFD_BED_CNT
     COBOL Name:  CRTFD-BED-CNT

   Beds-Total                                        4    390   393  NUMBER
     Description: Total number of beds in a facility, including those in
                  non-participating or non-licensed areas.
     SAS Name:    BED_CNT
     COBOL Name:  BED-CNT

   Certified Registered Nurse Anesthetists (CRNA)    7    472   478  NUMBER
     Description: Number of full-time equivalent Certified Registered Nurse
                  Anesthetists (CRNA) employed by a hospital.
     SAS Name:    CRNA_CNT
     COBOL Name:  CRNA-CNT

   Compliance: 24 Hour Registered Nurse              1    481   481  VARCHAR2
     Description: Indicates if a waiver of the 24-hour registered nurse
                  requirement has been recommended for a facility.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 21
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    RN_24_HR_WVR_SW
     COBOL Name:  RN-24-HR-WVR-SW

   Compliance: Life Safety Code                      1    484   484  VARCHAR2
     Description: INDICATES IF A WAIVER OF ANY LIFE SAFETY CODE (LSC)
                  PROVISIONS HAS BEEN RECOMMENDED FOR A PROVIDER.
     SAS Name:    LSC_WVR_SW
     COBOL Name:  LSC-WVR-SW

   Compliance: Scope of Service                      1    486   486  VARCHAR2
     Description: Indicates if a waiver of the scope of services
                  requirement has been recommended for a hospital.
     SAS Name:    SCOPE_OF_SRVC_WVR_SW
     COBOL Name:  SCOPE-OF-SRVC-WVR-SW

   Compliance: Technical Personnel Waiver            1    487   487  VARCHAR2
     Description: Indicates if a waiver of the technical personnel
                  requirement has been recommended for a hospital.
     SAS Name:    TCHNCL_PRSNEL_WVR_SW
     COBOL Name:  TCHNCL-PRSNEL-WVR-SW

   Current Survey Ever Accredited                    1    504   504  VARCHAR2
     Description: Indicates if this provider was an accredited hospital
                  anytime during the current survey.
     SAS Name:    SRVY_EVER_ACRDTD_SW
     COBOL Name:  SRVY-EVER-ACRDTD-SW

   Current Survey Ever Non-Accredited                1    505   505  VARCHAR2
     Description: Indicates if this provider was a non-accredited hospital
                  anytime during the current survey.
     SAS Name:    SRVY_EVER_NACRDTD_SW
     COBOL Name:  SRVY-EVER-NACRDTD-SW

   Current Survey Ever Swing Bed                     1    506   506  VARCHAR2
     Description: Indicates if this provider was a swing bed hospital
                  anytime during the current survey.
     SAS Name:    SRVY_EVER_SB_SW
     COBOL Name:  SRVY-EVER-SB-SW

   Date of Validation Survey                         8    515   522  DATE
     Description: Date a validation survey is performed by the state agency
                  in a JCAHCO (Joint Commission on Accreditation of Health
                  Care Organizations) or AOA (American Osteopathic
                  Association) accredited hospital.
     SAS Name:    VLDTN_SRVY_DT
     COBOL Name:  VLDTN-SRVY-DT

   Dietitians                                        7    547   553  NUMBER
     Description: Number of full-time equivalent dietitians employed by a
                  facility.
     SAS Name:    DIETN_CNT
     COBOL Name:  DIETN-CNT

   Fax Phone Number                                  10   601   610  VARCHAR2
     Description: The 10-digit fax phone number of the primary contact or
                  the operator of the laboratory.
     SAS Name:    FAX_PHNE_NUM
     COBOL Name:  FAX-PHNE-NUM

   Fiscal Year Ending Date                           4    613   616  VARCHAR2
     Description: The ending date (month and day) of a facility's fiscal
                  year.
     SAS Name:    FY_END_MO_DAY_CD
     COBOL Name:  FY-END-MO-DAY-CD

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 22
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Licensed Practical/Vocational Nurses              7    711   717  NUMBER
     Description: Number of full-time equivalent licensed practical or
                  vocational nurses employed by a facility.
     SAS Name:    LPN_LVN_CNT
     COBOL Name:  LPN-LVN-CNT

   Medical School Affiliation                        1    815   815  VARCHAR2
     Description: The type of affiliation that a hospital may have with a
                  medical school.
     SAS Name:    MDCL_SCHL_AFLTN_CD
     COBOL Name:  MDCL-SCHL-AFLTN-CD
     VALUES:      1=MAJOR
                  2=LIMITED
                  3=GRADUATE
                  4=NO AFFILIATION

   Medical Social Workers                            7    816   822  NUMBER
     Description: Number of full-time equivalent medical social workers
                  employed by a hospital or hospice.
     SAS Name:    MDCL_SCL_WORKR_CNT
     COBOL Name:  MDCL-SCL-WORKR-CNT

   Medical Technologist Count                        7    832   838  NUMBER
     Description: The count of medical technologists.
     SAS Name:    MDCL_TCHNLGST_CNT
     COBOL Name:  MDCL-TCHNLGST-CNT

   Medicare or Medicaid Participating Provider Switch1    840   840  VARCHAR2
     Description: This code indicates whether a provider is participating
                  in the Medicaid or Medicare program.
     SAS Name:    MDCD_MDCR_PRTCPTG_PRVDR_SW
     COBOL Name:  MDCD-MDCR-PRTCPTG-PRVDR-SW

   Meets 1861 Definition                             1    865   865  VARCHAR2
     Description: Indicates if an emergency hospital meets the definition
                  of 'hospital' contained in Section 1861 of the Social
                  Security Act.
     SAS Name:    MEET_1861_SW
     COBOL Name:  MEET-1861-SW

   Nuclear Medicine Technician Count                 7    929   935  NUMBER
     Description: The count of nuclear medicine technicians.
     SAS Name:    NUCLR_MDCN_TCHNCN_CNT
     COBOL Name:  NUCLR-MDCN-TCHNCN-CNT

   Nurse Practitioners                               7    964   970  NUMBER
     Description: Number of full-time equivalent nurse practitioners in a
                  rural health clinic.
     SAS Name:    NRS_PRCTNR_CNT
     COBOL Name:  NRS-PRCTNR-CNT

   Occupational Therapists                           7    1020  1026 NUMBER
     Description: The number of full-time equivalent occupational
                  therapists employed by a provider.
     SAS Name:    OCPTNL_THRPST_CNT
     COBOL Name:  OCPTNL-THRPST-CNT

   Other Personnel                                   7    1105  1111 NUMBER
     Description: The number of full-time equivalent other salaried
                  personnel employed by a facility.
     SAS Name:    PRSNEL_OTHR_CNT
     COBOL Name:  PRSNEL-OTHR-CNT


 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 23
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

   Physical Therapists                               7    1204  1210 NUMBER
     Description: The number of full-time equivalent physical therapists
                  employed by an outpatient physical therapy provider or a
                  home health agency provider.
     SAS Name:    PHYS_THRPST_CNT
     COBOL Name:  PHYS-THRPST-CNT

   Physician Assistants (PA)                         7    1292  1298 NUMBER
     Description: The number of full-time equivalent physician assistants
                  (PA) employed by a hospital or rural health clinic.
     SAS Name:    PHYSN_ASTNT_CNT
     COBOL Name:  PHYSN-ASTNT-CNT

   Physicians                                        7    1327  1333 NUMBER
     Description: The number of full-time equivalent physicians employed by
                  a provider.
     SAS Name:    PHYSN_CNT
     COBOL Name:  PHYSN-CNT

   Physicians (Residents)                            7    1335  1341 NUMBER
     Description: The number of full-time equivalent residents (physicians)
                  employed by a hospital.
     SAS Name:    RSDNT_PHYSN_CNT
     COBOL Name:  RSDNT-PHYSN-CNT

   Program Participation                             1    1399  1399 VARCHAR2
     Description: Indicates if the provider participates in Medicare,
                  Medicaid, or both programs.
     SAS Name:    PGM_PRTCPTN_CD
     COBOL Name:  PGM-PRTCPTN-CD
     VALUES:      1=MEDICARE ONLY
                  2=MEDICAID ONLY
                  3=MEDICARE AND MEDICAID

   Psychiatric Unit Bed Count                        3    1401  1403 NUMBER
     Description: The number of beds in a PPS-exempt psychiatric unit of a
                  hospital.
     SAS Name:    PSYCH_UNIT_BED_CNT
     COBOL Name:  PSYCH-UNIT-BED-CNT

   Psychiatric Unit Effective Date                   8    1404  1411 DATE
     Description: The date a psychiatric unit became exempt from the
                  Prospective Payment System (PPS).
     SAS Name:    PSYCH_UNIT_EFCTV_DT
     COBOL Name:  PSYCH-UNIT-EFCTV-DT

   Psychiatric Unit Switch                           1    1412  1412 VARCHAR2
     Description: Indicates if a hospital has a PPS-exempt psychiatric
                  unit.
     SAS Name:    PSYCH_UNIT_SW
     COBOL Name:  PSYCH-UNIT-SW

   Psychiatric Unit Termination Code                 1    1413  1413 VARCHAR2
     Description: Indicates the reason that a psychiatric unit is no longer
                  exempt from PPS.
     SAS Name:    PSYCH_UNIT_TRMNTN_CD
     COBOL Name:  PSYCH-UNIT-TRMNTN-CD
     VALUES:      0=ACTIVE
                  1=VOLUNTARY-MERGER OR CLOSURE
                  2=VOLUNTARY-DISSATISFIED WITH REIMBURSEMENT
                  3=RISK OF INVOLUNTARY TERMINATION
                  4=VOLUNTARY-OTHER
                  5=FAILURE TO MEET HEALTH/SAFETY
                  6=FAILURE TO MEET AGREEMENT

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 24
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  7=PROVIDER STATUS CHANGE

   Psychiatric Unit Termination Date                 8    1414  1421 DATE
     Description: The date a psychiatric unit is no longer exempt from the
                  Prospective Payment System (PPS).
     SAS Name:    PSYCH_UNIT_TRMNTN_DT
     COBOL Name:  PSYCH-UNIT-TRMNTN-DT

   Psychologist Count                                7    1422  1428 NUMBER
     Description: The count of psychologists.
     SAS Name:    PSYCHLGST_CNT
     COBOL Name:  PSYCHLGST-CNT

   Radiology Technician Count                        7    1430  1436 NUMBER
     Description: The count of radiology technicians.
     SAS Name:    RDLGY_TCHNCN_CNT
     COBOL Name:  RDLGY-TCHNCN-CNT

   Regional Override # 1 (Number Beds)               1    1438  1438 VARCHAR2
     Description: This field is set to 'Y' when the regional office has to
                  approve a pending record in the special fields screen.
                  This field only applies to categories in ODIE data entry
                  system.
     SAS Name:    OVRRD_BED_CNT_SW
     COBOL Name:  OVRRD-BED-CNT-SW

   Regional Override # 2 (Staffing)                  1    1439  1439 VARCHAR2
     Description: This field is set to 'Y' when the regional office has to
                  approve a pending record in the special fields screen.
                  This field only applies to categories in ODIE data entry
                  system.
     SAS Name:    OVRRD_STFG_SW
     COBOL Name:  OVRRD-STFG-SW

   Regional Override # 3 (Nurse - Bed)               1    1440  1440 VARCHAR2
     Description: This field is set to 'Y' when the regional office has to
                  approve a pending record in the special fields screen.
                  This field only applies to categories in ODIE data entry
                  system.
     SAS Name:    OVRRD_NRS_BED_SW
     COBOL Name:  OVRRD-NRS-BED-SW

   Registered Nurses                                 7    1465  1471 NUMBER
     Description: The number of full-time equivalent registered
                  professional nurses employed by a provider.
     SAS Name:    RN_CNT
     COBOL Name:  RN-CNT

   Registered Pharmacists                            7    1481  1487 NUMBER
     Description: The number of full-time equivalent registered pharmacists
                  employed by a provider.
     SAS Name:    REG_PHRMCST_CNT
     COBOL Name:  REG-PHRMCST-CNT

   Rehabilitation Unit Bed Count                     3    1489  1491 NUMBER
     Description: The number of beds in a PPS-exempt rehabilitation unit of
                  a hospital.
     SAS Name:    REHAB_UNIT_BED_CNT
     COBOL Name:  REHAB-UNIT-BED-CNT

   Rehabilitation Unit Effective Date                8    1492  1499 DATE
     Description: The date a rehabilitation unit became exempt from the
                  Prospective Payment System (PPS).
     SAS Name:    REHAB_UNIT_EFCTV_DT

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 25
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  REHAB-UNIT-EFCTV-DT

   Rehabilitation Unit Switch                        1    1500  1500 VARCHAR2
     Description: Indicates if a hospital has a PPS-exempt rehabilitation
                  unit.
     SAS Name:    REHAB_UNIT_SW
     COBOL Name:  REHAB-UNIT-SW

   Rehabilitation Unit Termination Code              1    1501  1501 VARCHAR2
     Description: This element indicates the reason for a hospital
                  rehabilitation unit's termination of its exclusion status
                  under Prospective Payment System (PPS).
     SAS Name:    REHAB_UNIT_TRMNTN_CD
     COBOL Name:  REHAB-UNIT-TRMNTN-CD
     VALUES:      0=ACTIVE
                  1=VOLUNTARY-MERGER OR CLOSURE
                  2=VOLUNTARY-DISSATISFIED WITH REIMBURSEMENT
                  3=RISK OF INVOLUNTARY TERMINATION
                  4=VOLUNTARY-OTHER
                  5=FAILURE TO MEET HEALTH/SAFETY
                  6=FAILURE TO MEET AGREEMENT
                  7=PROVIDER STATUS CHANGE

   Rehabilitation Unit Termination Date              8    1502  1509 DATE
     Description: This element is the date the hospital's psychiatric unit
                  is no longer excluded from Prospective Payment System
                  (PPS).
     SAS Name:    REHAB_UNIT_TRMNTN_DT
     COBOL Name:  REHAB-UNIT-TRMNTN-DT

   Related Provider Number                           10   1510  1519 CHAR
     Description: Related provider number
     SAS Name:    RLTD_PRVDR_NUM
     COBOL Name:  RLTD-PRVDR-NUM

   Resident Program Approved by ADA                  1    1528  1528 VARCHAR2
     Description: Indicates if the resident program at a hospital is
                  approved by the American Dental Association (ADA).
     SAS Name:    RSDNT_PGM_ADA_APRVD_SW
     COBOL Name:  RSDNT-PGM-ADA-APRVD-SW

   Resident Program Approved by AMA                  1    1529  1529 VARCHAR2
     Description: Indicates if the resident program at a hospital is
                  approved by the American Medical Association (AMA).
     SAS Name:    RSDNT_PGM_AMA_APRVD_SW
     COBOL Name:  RSDNT-PGM-AMA-APRVD-SW

   Resident Program Approved by AOA                  1    1530  1530 VARCHAR2
     Description: Indicates if the resident program at a hospital is
                  approved by the American Osteopathic Association (AOA).
     SAS Name:    RSDNT_PGM_AOA_APRVD_SW
     COBOL Name:  RSDNT-PGM-AOA-APRVD-SW

   Resident Program Approved by Other                1    1531  1531 VARCHAR2
     Description: Indicates if the resident program at a hospital is
                  approved by other professional organizations.
     SAS Name:    RSDNT_PGM_OTHR_APRVD_SW
     COBOL Name:  RSDNT-PGM-OTHR-APRVD-SW

   Respiratory Therapists                            7    1532  1538 NUMBER
     Description: NUMBER OF FULL-TIME EQUIVALENT RESPIRATORY THERAPISTS
                  EMPLOYED BY A HOSPITAL.
     SAS Name:    INHLTN_THRPST_CNT
     COBOL Name:  INHLTN-THRPST-CNT

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 26
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Services Provided:  Cardiac - Thoracic Surgery    1    1660  1660 VARCHAR2
     Description: Indicates how open heart surgery facility services are
                  provided by a hospital.
     SAS Name:    OPEN_HRT_SRGRY_SRVC_CD
     COBOL Name:  OPEN-HRT-SRGRY-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided:  Postoperative Recovery Room   1    1661  1661 VARCHAR2
     Description: Indicates how postoperative recovery room services are
                  provided by a hospital.
     SAS Name:    PSTOPRTV_RCVRY_SRVC_CD
     COBOL Name:  PSTOPRTV-RCVRY-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Acute Renal Dialysis           1    1662  1662 VARCHAR2
     Description: Indicates how acute renal dialysis services are provided
                  in a hospital.
     SAS Name:    ACUTE_RNL_DLYS_SRVC_CD
     COBOL Name:  ACUTE-RNL-DLYS-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Acute Renal Dialysis Description39   1663  1701 VARCHAR2
     Description: Indicates how acute renal dialysis services are provided
                  in a hospital.
     SAS Name:    ACUTE_RNL_DLYS_SRVC_DESC
     COBOL Name:  ACUTE-RNL-DLYS-SRVC-DESC

   Services Provided: Alcohol and or Drug Description39   1702  1740 VARCHAR2
     Description: Indicates how alcohol and/or drug services are provided
                  by a hospital.
     SAS Name:    ALCHL_DRUG_SRVC_DESC
     COBOL Name:  ALCHL-DRUG-SRVC-DESC

   Services Provided: Alcohol and/or Drug            1    1741  1741 VARCHAR2
     Description: Indicates how alcohol and/or drug services are provided
                  by a hospital.
     SAS Name:    ALCHL_DRUG_SRVC_CD
     COBOL Name:  ALCHL-DRUG-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Anesthesia                     1    1742  1742 VARCHAR2
     Description: Indicates how anesthesia services are provided by a
                  hospital.
     SAS Name:    ANSTHSA_SRVC_CD
     COBOL Name:  ANSTHSA-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Anesthesia Description         39   1743  1781 VARCHAR2

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 27
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     Description: Indicates how anesthesia services are provided by a
                  hospital.
     SAS Name:    ANSTHSA_SRVC_DESC
     COBOL Name:  ANSTHSA-SRVC-DESC

   Services Provided: Audiology                      1    1782  1782 VARCHAR2
     Description: Indicates how audiology services are provided by a
                  hospital.
     SAS Name:    AUDLGY_SRVC_CD
     COBOL Name:  AUDLGY-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Audiology Description          39   1783  1821 VARCHAR2
     Description: Indicates how audiology services are provided by a
                  hospital.
     SAS Name:    AUDLGY_SRVC_DESC
     COBOL Name:  AUDLGY-SRVC-DESC

   Services Provided: Burn Care Unit                 1    1822  1822 VARCHAR2
     Description: Indicates how burn care unit services are provided by a
                  hospital.
     SAS Name:    BURN_CARE_UNIT_SRVC_CD
     COBOL Name:  BURN-CARE-UNIT-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Burn Care Unit Description     39   1823  1861 VARCHAR2
     Description: Indicates how burn care unit services are provided by a
                  hospital.
     SAS Name:    BURN_CARE_UNIT_SRVC_DESC
     COBOL Name:  BURN-CARE-UNIT-SRVC-DESC

   Services Provided: Cardiac - Thoracic Surgery     39   1862  1900 VARCHAR2
   Description
     Description: Indicates how open heart surgery facility services are
                  provided by a hospital.
     SAS Name:    OPEN_HRT_SRGRY_SRVC_DESC
     COBOL Name:  OPEN-HRT-SRGRY-SRVC-DESC

   Services Provided: Cardiac Catheterization Lab    1    1901  1901 VARCHAR2
     Description: Indicates how cardiac catheterization lab service is
                  provided.
     SAS Name:    CRDC_CTHTRZTN_LAB_SRVC_CD
     COBOL Name:  CRDC-CTHTRZTN-LAB-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Cardiac Catheterization Lab    39   1902  1940 VARCHAR2
   Description
     Description: Indicates how cardiac catheterization lab service is
                  provided.
     SAS Name:    CRDC_CTHTRZTN_LAB_SRVC_DESC
     COBOL Name:  CRDC-CTHTRZTN-LAB-SRVC-DESC

   Services Provided: CARF Inpatient Rehabilitation Code1    1941  1941 VARCHAR2
     Description: Indicates how CARF inpatient rehabilitation service is
                  provided.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 28
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    CARF_IP_REHAB_SRVC_CD
     COBOL Name:  CARF-IP-REHAB-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: CARF Inpatient Rehabilitation  39   1942  1980 VARCHAR2
   Description
     Description: Indicates how CARF inpatient rehabilitation service is
                  provided.
     SAS Name:    CARF_IP_REHAB_SRVC_DESC
     COBOL Name:  CARF-IP-REHAB-SRVC-DESC

   Services Provided: Chemotherapy                   1    1981  1981 VARCHAR2
     Description: Indicates how chemotherapy service is provided.
     SAS Name:    CHMTHRPY_SRVC_CD
     COBOL Name:  CHMTHRPY-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Chemotherapy Description       39   1982  2020 VARCHAR2
     Description: Indicates how chemotherapy service is provided.
     SAS Name:    CHMTHRPY_SRVC_DESC
     COBOL Name:  CHMTHRPY-SRVC-DESC

   Services Provided: Child Adolescent Psychiatric   39   2021  2059 VARCHAR2
   Description
     Description: Indicates how child adolescent psychiatric services are
                  provided by a hospital.
     SAS Name:    CHLD_ADLSCNT_PSYCH_SRVC_DESC
     COBOL Name:  CHLD-ADLSCNT-PSYCH-SRVC-DESC

   Services Provided: Chiropractic                   1    2060  2060 VARCHAR2
     Description: Indicates how Chiropractic services are provided by a
                  hospital.
     SAS Name:    CHRPRCTIC_SRVC_CD
     COBOL Name:  CHRPRCTIC-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Chiropractic Description       39   2061  2099 VARCHAR2
     Description: Indicates how Chiropractic services are provided by a
                  hospital.
     SAS Name:    CHRPRCTIC_SRVC_DESC
     COBOL Name:  CHRPRCTIC-SRVC-DESC

   Services Provided: Clinical Laboratory            1    2100  2100 VARCHAR2
     Description: Indicates how clinical laboratory services are provided
                  in a hospital.
     SAS Name:    CL_SRVC_CD
     COBOL Name:  CL-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Clinical Laboratory Description39   2101  2139 VARCHAR2
     Description: Indicates how clinical laboratory services are provided
                  in a hospital.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 29
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    CL_SRVC_DESC
     COBOL Name:  CL-SRVC-DESC

   Services Provided: CT Scanner                     1    2140  2140 VARCHAR2
     Description: Indicates how CT scanner services are provided by a
                  hospital.
     SAS Name:    CT_SCAN_SRVC_CD
     COBOL Name:  CT-SCAN-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: CT Scanner Description         39   2141  2179 VARCHAR2
     Description: Indicates how CT scanner services are provided by a
                  hospital.
     SAS Name:    CT_SCAN_SRVC_DESC
     COBOL Name:  CT-SCAN-SRVC-DESC

   Services Provided: Dental                         1    2180  2180 VARCHAR2
     Description: Indicates how dental services are provided.
     SAS Name:    DNTL_SRVC_CD
     COBOL Name:  DNTL-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Dental Description             39   2181  2219 VARCHAR2
     Description: Indicates how dental services are provided.
     SAS Name:    DNTL_SRVC_DESC
     COBOL Name:  DNTL-SRVC-DESC

   Services Provided: Diagnostic Radiology Description39   2220  2258 VARCHAR2
     Description: Indicates how diagnostic radiology services are provided
                  by a hospital.
     SAS Name:    DGNSTC_RDLGY_SRVC_DESC
     COBOL Name:  DGNSTC-RDLGY-SRVC-DESC

   Services Provided: Dietary                        1    2259  2259 VARCHAR2
     Description: Indicates how dietary services are provided.
     SAS Name:    DTRY_SRVC_CD
     COBOL Name:  DTRY-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Dietary Description            39   2260  2298 VARCHAR2
     Description: Indicates how dietary services are provided.
     SAS Name:    DTRY_SRVC_DESC
     COBOL Name:  DTRY-SRVC-DESC

   Services Provided: Emergency Dept (Dedicated)     39   2299  2337 VARCHAR2
   Description
     Description: Indicates how dedicated emergency department services are
                  provided by a hospital.
     SAS Name:    DCTD_ER_SRVC_DESC
     COBOL Name:  DCTD-ER-SRVC-DESC

   Services Provided: Emergency Dept(Dedicated)      1    2338  2338 VARCHAR2
     Description: Indicates how dedicated emergency department services are
                  provided by a hospital.
     SAS Name:    DCTD_ER_SRVC_CD

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 30
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  DCTD-ER-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Extracorporeal Shock Wave      1    2339  2339 VARCHAR2
     Description: Indicates how extracorporeal shockwave lithotripter
                  services are provided in a hospital.
     SAS Name:    XTRCRPRL_SHCK_LTHTRPTR_SRVC_CD
     COBOL Name:  XTRCRPRL-SHCK-LTHTRPTR-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Extracorporeal Shock Wave      39   2340  2378 VARCHAR2
   Description
     Description: Indicates how extracorporeal shockwave lithotripter
                  services are provided in a hospital.
     SAS Name:    XTRCRPRL_SHCK_LTHTRPTR_SRVCDSC
     COBOL Name:  XTRCRPRL-SHCK-LTHTRPTR-SRVCDSC

   Services Provided: Gerontological Specialty       1    2379  2379 VARCHAR2
     Description: Indicates how gerontological specialty service is
                  provided in a hospital.
     SAS Name:    GRNTLGCL_SPCLTY_SRVC_CD
     COBOL Name:  GRNTLGCL-SPCLTY-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Gerontological Specialty       39   2380  2418 VARCHAR2
   Description
     Description: Indicates how gerontological specialty service is
                  provided in a hospital.
     SAS Name:    GRNTLGCL_SPCLTY_SRVC_DESC
     COBOL Name:  GRNTLGCL-SPCLTY-SRVC-DESC

   Services Provided: ICU Cardiac (non-surgical)     1    2419  2419 VARCHAR2
     Description: Indicates how Coronary Care Unit services are provided by
                  a hospital.
     SAS Name:    CRNRY_CARE_UNIT_SRVC_CD
     COBOL Name:  CRNRY-CARE-UNIT-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: ICU Cardiac (non-surgical)     39   2420  2458 VARCHAR2
   Description
     Description: Indicates how Coronary Care Unit services are provided by
                  a hospital.
     SAS Name:    CRNRY_CARE_UNIT_SRVC_DESC
     COBOL Name:  CRNRY-CARE-UNIT-SRVC-DESC

   Services Provided: ICU Medical/Surgical           1    2459  2459 VARCHAR2
     Description: A code representive the way that services are provided to
                  the Intensive Care Unit.
     SAS Name:    ICU_SRVC_CD
     COBOL Name:  ICU-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 31
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: ICU Medical/Surgical Description44   2460  2503 VARCHAR2
     Description: A code representive the way that services are provided to
                  the Intensive Care Unit.
     SAS Name:    ICU_SRVC_DESC
     COBOL Name:  ICU-SRVC-DESC

   Services Provided: ICU Neonatal                   1    2504  2504 VARCHAR2
     Description: Indicates how neonatal ICU service is provided in a
                  hospital.
     SAS Name:    NEONTL_ICU_SRVC_CD
     COBOL Name:  NEONTL-ICU-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: ICU Pediatric                  1    2505  2505 VARCHAR2
     Description: Indicates how pediatric ICU service is provided in
                  hospital.
     SAS Name:    PED_ICU_SRVC_CD
     COBOL Name:  PED-ICU-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: ICU Surgical                   1    2506  2506 VARCHAR2
     Description: Indicates how surgical ICU services are provided in a
                  hospital.
     SAS Name:    SRGCL_ICU_SRVC_CD
     COBOL Name:  SRGCL-ICU-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Inpatient Surgical             1    2507  2507 VARCHAR2
     Description: Indicates how inpatient surgical services are provided by
                  a hospital.
     SAS Name:    IP_SRGCL_SRVC_CD
     COBOL Name:  IP-SRGCL-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Inpatient Surgical Description 39   2508  2546 VARCHAR2
     Description: Indicates how inpatient surgical services are provided by
                  a hospital.
     SAS Name:    IP_SRGCL_SRVC_DESC
     COBOL Name:  IP-SRGCL-SRVC-DESC

   Services Provided: Magnetic Resonance Imaging     1    2547  2547 VARCHAR2
     Description: Indicates how magnetic resonance imaging service is
                  provided in a hospital.
     SAS Name:    MGNTC_RSNC_IMG_SRVC_CD
     COBOL Name:  MGNTC-RSNC-IMG-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 32
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Services Provided: Magnetic Resonance Imaging     39   2548  2586 VARCHAR2
   Description
     Description: Indicates how magnetic resonance imaging service is
                  provided in a hospital.
     SAS Name:    MGNTC_RSNC_IMG_SRVC_DESC
     COBOL Name:  MGNTC-RSNC-IMG-SRVC-DESC

   Services Provided: Neonatal ICU Description       39   2587  2625 VARCHAR2
     Description: Indicates how forensic psychiatric service is provided in
                  a hospital.
     SAS Name:    NEONTL_ICU_SRVC_DESC
     COBOL Name:  NEONTL-ICU-SRVC-DESC

   Services Provided: Neonatal Nursery               1    2626  2626 VARCHAR2
     Description: Indicates how neonatal nursery services are provided by a
                  hospital.
     SAS Name:    NEONTL_NRSRY_SRVC_CD
     COBOL Name:  NEONTL-NRSRY-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Neonatal Nursery Description   39   2627  2665 VARCHAR2
     Description: Indicates how neonatal nursery services are provided by a
                  hospital.
     SAS Name:    NEONTL_NRSRY_SRVC_DESC
     COBOL Name:  NEONTL-NRSRY-SRVC-DESC

   Services Provided: Neurosurgical Description      39   2666  2704 VARCHAR2
     Description: Indicates how neurosurgical services are provided in a
                  hospital.
     SAS Name:    NRSRGCL_SRVC_DESC
     COBOL Name:  NRSRGCL-SRVC-DESC

   Services Provided: Neurosurgical Services         1    2705  2705 VARCHAR2
     Description: Indicates how neurosurgical services are provided in a
                  hospital.
     SAS Name:    NRSRGCL_SRVC_CD
     COBOL Name:  NRSRGCL-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Nuclear Medicine               1    2706  2706 VARCHAR2
     Description: Indicates how nuclear medicine services are provided by a
                  hospital.
     SAS Name:    NUCLR_MDCN_SRVC_CD
     COBOL Name:  NUCLR-MDCN-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Nuclear Medicine Description   39   2707  2745 VARCHAR2
     Description: Indicates how nuclear medicine services are provided by a
                  hospital.
     SAS Name:    NUCLR_MDCN_SRVC_DESC
     COBOL Name:  NUCLR-MDCN-SRVC-DESC

   Services Provided: Obstetrics                     1    2746  2746 VARCHAR2
     Description: Indicates how obstetrics services are provided by a

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 33
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  hospital.
     SAS Name:    OB_SRVC_CD
     COBOL Name:  OB-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Obstetrics Description         39   2747  2785 VARCHAR2
     Description: Indicates how obstetrics services are provided by a
                  hospital.
     SAS Name:    OB_SRVC_DESC
     COBOL Name:  OB-SRVC-DESC

   Services Provided: Occupational Therapy           1    2786  2786 VARCHAR2
     Description: Indicates how occupational therapy services are provided.
     SAS Name:    OT_SRVC_CD
     COBOL Name:  OT-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Occupational Therapy Description39   2787  2825 VARCHAR2
     Description: Indicates how occupational therapy services are provided.
     SAS Name:    OT_SRVC_DESC
     COBOL Name:  OT-SRVC-DESC

   Services Provided: Operating Room Description     39   2826  2864 VARCHAR2
     Description: Indicates how operating room services are provided by a
                  hospital.
     SAS Name:    OPRTG_ROOM_SRVC_DESC
     COBOL Name:  OPRTG-ROOM-SRVC-DESC

   Services Provided: Operating Rooms                1    2865  2865 VARCHAR2
     Description: Indicates how operating room services are provided by a
                  hospital.
     SAS Name:    OPRTG_ROOM_SRVC_CD
     COBOL Name:  OPRTG-ROOM-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Ophthalmic Surgery             1    2866  2866 VARCHAR2
     Description: Indicates how ophthalmic surgery services are provided by
                  a hospital.
     SAS Name:    OPTHLMC_SRGY_SRVC_CD
     COBOL Name:  OPTHLMC-SRGY-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Ophthalmic Surgery Description 39   2867  2905 VARCHAR2
     Description: Indicates how ophthalmic surgery services are provided by
                  a hospital.
     SAS Name:    OPTHLMC_SRGY_SRVC_DESC
     COBOL Name:  OPTHLMC-SRGY-SRVC-DESC

   Services Provided: Optometric                     1    2906  2906 VARCHAR2
     Description: Indicates how optometric services are provided by a
                  hospital.
     SAS Name:    OPTMTRC_SRVC_CD

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 34
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  OPTMTRC-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Optometric Description         44   2907  2950 VARCHAR2
     Description: Indicates how optometric services are provided by a
                  hospital.
     SAS Name:    OPTMTRC_SRVC_DESC
     COBOL Name:  OPTMTRC-SRVC-DESC

   Services Provided: Organ Transplant (Not Medicare 1    2951  2951 VARCHAR2
   Certified)
     Description: Indicates how organ transplant services are provided by a
                  hospital.
     SAS Name:    ORGN_TRNSPLNT_SRVC_CD
     COBOL Name:  ORGN-TRNSPLNT-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Organ Transplant (Not Medicare 39   2952  2990 VARCHAR2
   Certified) Description
     Description: Indicates how organ transplant services are provided by a
                  hospital.
     SAS Name:    ORGN_TRNSPLNT_SRVC_DESC
     COBOL Name:  ORGN-TRNSPLNT-SRVC-DESC

   Services Provided: Orthopedic Surgery             1    2991  2991 VARCHAR2
     Description: Indicates how orthopedic surgery service is provided in a
                  hospital.
     SAS Name:    ORTHPDC_SRGY_SRVC_CD
     COBOL Name:  ORTHPDC-SRGY-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Orthopedic Surgery Description 39   2992  3030 VARCHAR2
     Description: Indicates how orthopedic surgery service is provided in a
                  hospital.
     SAS Name:    ORTHPDC_SRGY_SRVC_DESC
     COBOL Name:  ORTHPDC-SRGY-SRVC-DESC

   Services Provided: Outpatient                     1    3031  3031 VARCHAR2
     Description: Indicates how outpatient services are provided by a
                  hospital.
     SAS Name:    OP_SRVC_CD
     COBOL Name:  OP-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Outpatient Description         39   3032  3070 VARCHAR2
     Description: Indicates how outpatient services are provided by a
                  hospital.
     SAS Name:    OP_SRVC_DESC
     COBOL Name:  OP-SRVC-DESC

   Services Provided: Outpatient Surgery             1    3071  3071 VARCHAR2
     Description: Indicates how outpatient surgery unit services are

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 35
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  provided by a hospital.
     SAS Name:    OP_SRGRY_UNIT_SRVC_CD
     COBOL Name:  OP-SRGRY-UNIT-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Outpatient Surgery Description 39   3072  3110 VARCHAR2
     Description: Indicates how outpatient surgery unit services are
                  provided by a hospital.
     SAS Name:    OP_SRGRY_UNIT_SRVC_DESC
     COBOL Name:  OP-SRGRY-UNIT-SRVC-DESC

   Services Provided: Pediatric                      1    3111  3111 VARCHAR2
     Description: Indicates how pediatric services are provided by a
                  hospital.
     SAS Name:    PED_SRVC_CD
     COBOL Name:  PED-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Pediatric Description          39   3112  3150 VARCHAR2
     Description: Indicates how pediatric services are provided by a
                  hospital.
     SAS Name:    PED_SRVC_DESC
     COBOL Name:  PED-SRVC-DESC

   Services Provided: Pediatric ICU Description      39   3151  3189 VARCHAR2
     Description: Indicates how pediatric ICU service is provided in
                  hospital.
     SAS Name:    PED_ICU_SRVC_DESC
     COBOL Name:  PED-ICU-SRVC-DESC

   Services Provided: PET Scan Services              1    3190  3190 VARCHAR2
     Description: Indicates how Positron Emissions Tomography (PET) scanner
                  services are provided by a hospital.
     SAS Name:    PET_SCAN_SRVC_CD
     COBOL Name:  PET-SCAN-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: PET Scanner Description        39   3191  3229 VARCHAR2
     Description: Indicates how Positron Emissions Tomography (PET) scanner
                  services are provided by a hospital.
     SAS Name:    PET_SCAN_SRVC_DESC
     COBOL Name:  PET-SCAN-SRVC-DESC

   Services Provided: Pharmacy                       1    3230  3230 VARCHAR2
     Description: Indicates how pharmacy services are provided.
     SAS Name:    PHRMCY_SRVC_CD
     COBOL Name:  PHRMCY-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Pharmacy Description           39   3231  3269 VARCHAR2
     Description: Indicates how pharmacy services are provided.
     SAS Name:    PHRMCY_SRVC_DESC

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 36
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  PHRMCY-SRVC-DESC

   Services Provided: Physical Therapy               1    3270  3270 VARCHAR2
     Description: Indicates how physical therapy services are provided.
     SAS Name:    PT_SRVC_CD
     COBOL Name:  PT-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Physical Therapy Description   39   3271  3309 VARCHAR2
     Description: Indicates how physical therapy services are provided.
     SAS Name:    PT_SRVC_DESC
     COBOL Name:  PT-SRVC-DESC

   Services Provided: Postoperative Recovery Room    39   3310  3348 VARCHAR2
   Description
     Description: Indicates how postoperative recovery room services are
                  provided by a hospital.
     SAS Name:    PSTOPRTV_RCVRY_SRVC_DESC
     COBOL Name:  PSTOPRTV-RCVRY-SRVC-DESC

   Services Provided: Psychiatric - Adult Inpatient  1    3349  3349 VARCHAR2
     Description: Indicates how psychiatric services are provided by a
                  hospital.
     SAS Name:    PSYCH_SRVC_CD
     COBOL Name:  PSYCH-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Psychiatric - Adult Inpatient  39   3350  3388 VARCHAR2
   Description
     Description: Indicates how psychiatric services are provided by a
                  hospital.
     SAS Name:    PSYCH_SRVC_DESC
     COBOL Name:  PSYCH-SRVC-DESC

   Services Provided: Psychiatric - Emergency        1    3389  3389 VARCHAR2
     Description: Indicates how emergency psychiatric services are provided
                  by a hospital.
     SAS Name:    EMER_PSYCH_SRVC_CD
     COBOL Name:  EMER-PSYCH-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Psychiatric - Forensic         1    3390  3390 VARCHAR2
     Description: Indicates how forensic psychiatric service is provided by
                  a hospital.
     SAS Name:    FRNSC_PSYCH_SRVC_CD
     COBOL Name:  FRNSC-PSYCH-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Psychiatric - Geriatric        1    3391  3391 VARCHAR2
     Description: Indicates how geriatric psychiatric service is provided
                  by a hospital.
     SAS Name:    GRTRC_PSYCH_SRVC_CD

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 37
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  GRTRC-PSYCH-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Psychiatric - Outpatient       1    3392  3392 VARCHAR2
     Description: Indicates how outpatient psychiatric service is provided
                  in a hospital.
     SAS Name:    OP_PSYCH_SRVC_CD
     COBOL Name:  OP-PSYCH-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Psychiatric Child/Adolescent   1    3393  3393 VARCHAR2
     Description: Indicates how child adolescent psychiatric services are
                  provided by a hospital.
     SAS Name:    CHLD_ADLSCNT_PSYCH_SRVC_CD
     COBOL Name:  CHLD-ADLSCNT-PSYCH-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Psychiatric Emergency Description39   3394  3432 VARCHAR2
     Description: Indicates how emergency psychiatric services are provided
                  by a hospital.
     SAS Name:    EMER_PSYCH_SRVC_DESC
     COBOL Name:  EMER-PSYCH-SRVC-DESC

   Services Provided: Psychiatric Forensic Description39   3433  3471 VARCHAR2
     Description: Indicates how forensic psychiatric service is provided by
                  a hospital.
     SAS Name:    FRNSC_PSYCH_SRVC_DESC
     COBOL Name:  FRNSC-PSYCH-SRVC-DESC

   Services Provided: Psychiatric Geriatric Description39   3472  3510 VARCHAR2
     Description: Indicates how geriatric psychiatric service is provided
                  by a hospital.
     SAS Name:    GRTRC_PSYCH_SRVC_DESC
     COBOL Name:  GRTRC-PSYCH-SRVC-DESC

   Services Provided: Psychiatric Outpatient Description39   3511  3549 VARCHAR2
     Description: Indicates how outpatient psychiatric service is provided
                  in a hospital.
     SAS Name:    OP_PSYCH_SRVC_DESC
     COBOL Name:  OP-PSYCH-SRVC-DESC

   Services Provided: Radiology (Diagnostic)         1    3550  3550 VARCHAR2
     Description: Indicates how diagnostic radiology services are provided
                  by a hospital.
     SAS Name:    DGNSTC_RDLGY_SRVC_CD
     COBOL Name:  DGNSTC-RDLGY-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Radiology (Therapeutic)        1    3551  3551 VARCHAR2
     Description: Indicates how therapeutic radiology services are provided
                  by a hospital.
     SAS Name:    THRPTC_RDLGY_SRVC_CD

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 38
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  THRPTC-RDLGY-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Radiology Therapeutic Description39   3552  3590 VARCHAR2
     Description: Indicates how therapeutic radiology services are provided
                  by a hospital.
     SAS Name:    THRPTC_RDLGY_SRVC_DESC
     COBOL Name:  THRPTC-RDLGY-SRVC-DESC

   Services Provided: Reconstruction Surgery Description39   3591  3629 VARCHAR2
     Description: Indicates how reconstruction surgery services are
                  provided by a hospital.
     SAS Name:    RCNSTRCTN_SRGY_SRVC_DESC
     COBOL Name:  RCNSTRCTN-SRGY-SRVC-DESC

   Services Provided: Reconstructive Surgery         1    3630  3630 VARCHAR2
     Description: Indicates how reconstruction surgery services are
                  provided by a hospital.
     SAS Name:    RCNSTRCTN_SRGY_SRVC_CD
     COBOL Name:  RCNSTRCTN-SRGY-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Rehabilitation Outpatient      1    3631  3631 VARCHAR2
     Description: Indicates how outpatient rehabilitation service is
                  provided in a hospital.
     SAS Name:    OP_REHAB_SRVC_CD
     COBOL Name:  OP-REHAB-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Rehabilitation Outpatient      39   3632  3670 VARCHAR2
   Description
     Description: Indicates how outpatient rehabilitation service is
                  provided in a hospital.
     SAS Name:    OP_REHAB_SRVC_DESC
     COBOL Name:  OP-REHAB-SRVC-DESC

   Services Provided: Respiratory Care               1    3671  3671 VARCHAR2
     Description: Indicates how respiratory care services are provided.
     SAS Name:    RSPRTRY_CARE_SRVC_CD
     COBOL Name:  RSPRTRY-CARE-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Respiratory Care Description   44   3672  3715 VARCHAR2
     Description: Indicates how respiratory care services are provided.
     SAS Name:    RSPRTRY_CARE_SRVC_DESC
     COBOL Name:  RSPRTRY-CARE-SRVC-DESC

   Services Provided: Social                         1    3716  3716 VARCHAR2
     Description: Indicates how social services are provided.
     SAS Name:    SCL_SRVC_CD
     COBOL Name:  SCL-SRVC-CD
     VALUES:      0=NOT PROVIDED

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 39
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Social Description             39   3717  3755 VARCHAR2
     Description: Indicates how social services are provided.
     SAS Name:    SCL_SRVC_DESC
     COBOL Name:  SCL-SRVC-DESC

   Services Provided: Speech Pathology               1    3756  3756 VARCHAR2
     Description: Indicates how speech pathology services are provided.
     SAS Name:    SPCH_PTHLGY_SRVC_CD
     COBOL Name:  SPCH-PTHLGY-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Speech Pathology Description   39   3757  3795 VARCHAR2
     Description: Indicates how speech pathology services are provided.
     SAS Name:    SPCH_PTHLGY_SRVC_DESC
     COBOL Name:  SPCH-PTHLGY-SRVC-DESC

   Services Provided: Surgical ICU Description       39   3796  3834 VARCHAR2
     Description: Indicates how surgical ICU services are provided in a
                  hospital.
     SAS Name:    SRGCL_ICU_SRVC_DESC
     COBOL Name:  SRGCL-ICU-SRVC-DESC

   Services Provided: Transplant Center (Medicare    1    3835  3835 VARCHAR2
   Certified)
     Description: Indicates how Medicare transplant center service is
                  provided by a hospital.
     SAS Name:    MDCR_TRNSPLNT_CNTR_SRVC_CD
     COBOL Name:  MDCR-TRNSPLNT-CNTR-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Transplant Center (Medicare    39   3836  3874 VARCHAR2
   Certified) Description
     Description: Indicates how Medicare transplant center service is
                  provided by a hospital.
     SAS Name:    MDCR_TRNSPLNT_CNTR_SRVC_DESC
     COBOL Name:  MDCR-TRNSPLNT-CNTR-SRVC-DESC

   Services Provided: Trauma Center (Designated)     1    3875  3875 VARCHAR2
     Description: Indicates how shock trauma services are provided by a
                  hospital.
     SAS Name:    SHCK_TRMA_SRVC_CD
     COBOL Name:  SHCK-TRMA-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Trauma Center (Designated)     39   3876  3914 VARCHAR2
   Description
     Description: Indicates how shock trauma services are provided by a
                  hospital.
     SAS Name:    SHCK_TRMA_SRVC_DESC
     COBOL Name:  SHCK-TRMA-SRVC-DESC


 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 40
                 Hospital, CATEGORY = "01" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

   Services Provided: Urgent Care Center Services    1    3915  3915 VARCHAR2
     Description: Indicates how urgent care center services are provided by
                  a hospital.
     SAS Name:    URGNT_CARE_SRVC_CD
     COBOL Name:  URGNT-CARE-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY STAFF AND UNDER ARRANGEMENT

   Services Provided: Urgent Care Description        39   3916  3954 VARCHAR2
     Description: Indicates how urgent care center services are provided by
                  a hospital.
     SAS Name:    URGNT_CARE_SRVC_DESC
     COBOL Name:  URGNT-CARE-SRVC-DESC

   Speech Pathologist or Audiologist                 7    4050  4056 NUMBER
     Description: The number of full-time equivalent speech pathologists or
                  audiologists employed by a provider.
     SAS Name:    SPCH_PTHLGST_AUDLGST_CNT
     COBOL Name:  SPCH-PTHLGST-AUDLGST-CNT

   Swing Bed Size Code                               1    4086  4086 VARCHAR2
     Description: Indicates the size of a hospital providing swing bed
                  services (beds can be used for either hospital or long
                  term care services).
     SAS Name:    SB_SIZE_CD
     COBOL Name:  SB-SIZE-CD
     VALUES:      1=49 OR FEWER BEDS
                  2=50 TO 99 BEDS

   Swing Bed Switch                                  1    4087  4087 VARCHAR2
     Description: Indicates if a hospital provides swing bed services -
                  beds can be used for either hospital or long term care
                  services.
     SAS Name:    SB_SW
     COBOL Name:  SB-SW

   Type of Facility                                  2    4171  4172 VARCHAR2
     Description: Indicates the category which represents the type of
                  facility.
     SAS Name:    GNRL_FAC_TYPE_CD
     COBOL Name:  GNRL-FAC-TYPE-CD
     VALUES:      01=SHORT - TERM
                  02=LONG - TERM
                  03=RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTION
                  04=PSYCHIATRIC
                  05=REHABILITATION
                  06=CHILDRENS
                  07=DISTINCT PART PSYCHIATRIC HOSPITAL
                  11=CRITICAL ACCESS HOSPITALS

   Type of Non-Participating Provider                1    4173  4173 VARCHAR2
     Description: Indicates whether a non-participating hospital is federal
                  or other than federal.
     SAS Name:    NPP_TYPE_CD
     COBOL Name:  NPP-TYPE-CD
     VALUES:      E=EMERGENCY HOSPITAL NON-FEDERAL
                  F=EMERGENCY HOSPITAL FEDERAL






 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 1
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Provider Category Subtype Code                    2    1     2    VARCHAR2
     Description: This field is used mainly by batch report programs to
                  determine the breakdown of the provider category. This
                  field is mainly used for SNFs and hospitals.
     SAS Name:    PRVDR_CTGRY_SBTYP_CD
     COBOL Name:  PRVDR-CTGRY-SBTYP-CD
     VALUES:      03=TITLE 18/19

   Provider Category Code                            2    3     4    VARCHAR2
     Description: This code identifies the category which is most
                  descriptive of the facility identified on the
                  Medicare/Medicaid Certification and Transmittal Form (CMS
                  1539).
     SAS Name:    PRVDR_CTGRY_CD
     COBOL Name:  PRVDR-CTGRY-CD
     VALUES:      02=Skilled Nursing Facility/Nursing Facility (Dually Certified)

   Change of Ownership Count                         2    5     6    NUMBER
     Description: The number of times a change of ownership (CHOW) has
                  taken place for a particular provider.
     SAS Name:    CHOW_CNT
     COBOL Name:  CHOW-CNT

   Change of Ownership Date                          8    7     14   DATE
     Description: Effective date of a change of ownership.
     SAS Name:    CHOW_DT
     COBOL Name:  CHOW-DT

   City                                              28   15    42   VARCHAR2
     Description: City in which the provider is physically located.
     SAS Name:    CITY_NAME
     COBOL Name:  CITY-NAME

   Compliance: Plan of Correction                    1    43    43   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements based on an acceptable plan for correction
                  of deficiencies.
     SAS Name:    ACPTBL_POC_SW
     COBOL Name:  ACPTBL-POC-SW

   Compliance: Status                                1    44    44   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements.
     SAS Name:    CMPLNC_STUS_CD
     COBOL Name:  CMPLNC-STUS-CD
     VALUES:      A=IN COMPLIANCE
                  B=NOT IN COMPLIANCE

   SSA County Code                                   3    45    47   VARCHAR2
     Description: SSA (State Survey Agency) geographic code indicating the
                  county where the facility is located.
     SAS Name:    SSA_CNTY_CD
     COBOL Name:  SSA-CNTY-CD

   Cross Ref Provider Number                         10   48    57   CHAR
     Description: Cross reference provider number
     SAS Name:    CROSS_RFRNC_PRVDR_NUM
     COBOL Name:  CROSS-RFRNC-PRVDR-NUM

   Certification Date                                8    58    65   DATE
     Description: The Certification date is equal to the exit date of the
                  initial visit of the Health survey or LSC survey,

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 2
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  whichever is later.
     SAS Name:    CRTFCTN_DT
     COBOL Name:  CRTFCTN-DT

   Eligibility Switch                                1    66    66   VARCHAR2
     Description: Indicates if a facility is eligible to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    ELGBLTY_SW
     COBOL Name:  ELGBLTY-SW

   Facility Name                                     50   67    116  VARCHAR2
     Description: The name of a provider certified to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    FAC_NAME
     COBOL Name:  FAC-NAME

   Intermediary Carrier Code                         5    117   121  VARCHAR2
     Description: A number assigned to an intermediary or carrier servicing
                  a provider or supplier. Not all numbers apply to all
                  provider types.
     SAS Name:    INTRMDRY_CARR_CD
     COBOL Name:  INTRMDRY-CARR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 3
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 4
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 5
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 6
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Medicare or Medicaid Vendor Number                15   122   136  VARCHAR2
     Description: A number which may be assigned to a facility by the state
                  Medicaid agency for external control or billing purposes.
     SAS Name:    MDCD_VNDR_NUM
     COBOL Name:  MDCD-VNDR-NUM

   Participation Date                                8    137   144  DATE
     Description: The date a facility is first approved to provide Medicare
                  and/or Medicaid services.
     SAS Name:    ORGNL_PRTCPTN_DT
     COBOL Name:  ORGNL-PRTCPTN-DT

   Prior Change of Ownership Date                    8    145   152  DATE
     Description: The date of a prior change of ownership.
     SAS Name:    CHOW_PRIOR_DT
     COBOL Name:  CHOW-PRIOR-DT

   Intermediary Carrier Prior Code                   5    153   157  VARCHAR2
     Description: The previous intermediary carrier number.
     SAS Name:    INTRMDRY_CARR_PRIOR_CD
     COBOL Name:  INTRMDRY-CARR-PRIOR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 7
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 8
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 9
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 10
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Provider Number                                   10   158   167  VARCHAR2
     Description: A six or ten position identification number that is
                  assigned to a certified provider.
     SAS Name:    PRVDR_NUM
     COBOL Name:  PRVDR-NUM

   Record Status Code                                1    168   168  VARCHAR2
     Description: This indicator specifies the current status of the
                  record.
     SAS Name:    REC_STUS_CD
     COBOL Name:  REC-STUS-CD
     VALUES:      A=ACCEPTED RECORD
                  C=COMPLAINT RECORD

   Region Code                                       2    169   170  VARCHAR2
     Description: The regional location of the provider.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 11
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    RGN_CD
     COBOL Name:  RGN-CD
     VALUES:      01=BOSTON
                  02=NEW YORK
                  03=PHILADELPHIA
                  04=ATLANTA
                  05=CHICAGO
                  06=DALLAS
                  07=KANSAS CITY
                  08=DENVER
                  09=SAN FRANCISCO
                  10=SEATTLE

   Skeleton Record Switch                            1    171   171  VARCHAR2
     Description: Indicates the record is a skeleton record.  Only a
                  limited set of the provider data is available for this
                  provider.
     SAS Name:    SKLTN_REC_SW
     COBOL Name:  SKLTN-REC-SW

   State Abbreviation                                2    172   173  VARCHAR2
     Description: The two-character state abbreviation.
     SAS Name:    STATE_CD
     COBOL Name:  STATE-CD
     VALUES:      AK=ALASKA
                  AL=ALABAMA
                  AR=ARKANSAS
                  AS=AMERICAN SAMOA
                  AZ=ARIZONA
                  CA=CALIFORNIA
                  CN=CANADA
                  CO=COLORADO
                  CT=CONNECTICUT
                  DC=DISTRICT OF COLUMBIA
                  DE=DELAWARE
                  FL=FLORIDA
                  FN=FOREIGN
                  GA=GEORGIA
                  GU=GUAM
                  HI=HAWAII
                  IA=IOWA
                  ID=IDAHO
                  IL=ILLINOIS
                  IN=INDIANA
                  KS=KANSAS
                  KY=KENTUCKY
                  LA=LOUISIANA
                  MA=MASSACHUSETTS
                  MD=MARYLAND
                  ME=MAINE
                  MI=MICHIGAN
                  MN=MINNESOTA
                  MO=MISSOURI
                  MP=SAIPAN
                  MS=MISSISSIPPI
                  MT=MONTANA
                  MX=MEXICO
                  NC=NORTH CAROLINA
                  ND=NORTH DAKOTA
                  NE=NEBRASKA
                  NH=NEW HAMPSHIRE
                  NJ=NEW JERSEY
                  NM=NEW MEXICO

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 12
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  NV=NEVADA
                  NY=NEW YORK
                  OH=OHIO
                  OK=OKLAHOMA
                  OR=OREGON
                  PA=PENNSYLVANIA
                  PR=PUERTO RICO
                  RI=RHODE ISLAND
                  SC=SOUTH CAROLINA
                  SD=SOUTH DAKOTA
                  TN=TENNESSEE
                  TX=TEXAS
                  UT=UTAH
                  VA=VIRGINIA
                  VI=VIRGIN ISLANDS
                  VT=VERMONT
                  WA=WASHINGTON
                  WI=WISCONSIN
                  WV=WEST VIRGINIA
                  WY=WYOMING

   SSA State Code                                    2    174   175  VARCHAR2
     Description: SSA (Social Security Administration) geographic code
                  indicating the state of the provider's residence. Must
                  agree with the first two positions of the Provider number
                  (except California: 05 and 55; Texas: 45 and 67; FL: 10
                  and 68; MD: 21 and 80).
     SAS Name:    SSA_STATE_CD
     COBOL Name:  SSA-STATE-CD
     VALUES:      01=ALABAMA
                  02=ALASKA
                  03=ARIZONA
                  04=ARKANSAS
                  05=CALIFORNIA
                  06=COLORADO
                  07=CONNECTICUT
                  08=DELAWARE
                  09=DISTRICT OF COLUMBIA
                  10=FLORIDA
                  11=GEORGIA
                  12=HAWAII
                  13=IDAHO
                  14=ILLINOIS
                  15=INDIANA
                  16=IOWA
                  17=KANSAS
                  18=KENTUCKY
                  19=LOUISIANA
                  20=MAINE
                  21=MARYLAND
                  22=MASSACHUSETTS
                  23=MICHIGAN
                  24=MINNESOTA
                  25=MISSISSIPPI
                  26=MISSOURI
                  27=MONTANA
                  28=NEBRASKA
                  29=NEVADA
                  30=NEW HAMPSHIRE
                  31=NEW JERSEY
                  32=NEW MEXICO
                  33=NEW YORK
                  34=NORTH CAROLINA

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 13
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  35=NORTH DAKOTA
                  36=OHIO
                  37=OKLAHOMA
                  38=OREGON
                  39=PENNSYLVANIA
                  40=PUERTO RICO
                  41=RHODE ISLAND
                  42=SOUTH CAROLINA
                  43=SOUTH DAKOTA
                  44=TENNESSEE
                  45=TEXAS
                  46=UTAH
                  47=VERMONT
                  48=VIRGIN ISLANDS
                  49=VIRGINIA
                  50=WASHINGTON
                  51=WEST VIRGINIA
                  52=WISCONSIN
                  53=WYOMING
                  54=AFRICA
                  56=CANADA
                  57=WEST INDIES
                  58=EUROPE
                  59=MEXICO
                  60=OCEANIA
                  61=PHILIPPINES
                  62=SOUTH AMERICA
                  63=UNITED STATES POSSESSIONS
                  64=AMERICAN SAMOA
                  65=GUAM
                  66=SAIPAN
                  99=FOREIGN

   State Region Code                                 3    176   178  VARCHAR2
     Description: For selected states, identifies the particular region
                  within the state where the provider is located.
     SAS Name:    STATE_RGN_CD
     COBOL Name:  STATE-RGN-CD
     VALUES:      AK/001=ALASKA
                  AK/LAB=LABORATORIES
                  AK/UNK=UNKNOWN
                  AL/001=ALABAMA
                  AL/LAB=LABORATORIES
                  AL/UNK=UNKNOWN
                  AR/001=ARKANSAS
                  AR/LAB=LABORATORIES
                  AR/UNK=UNKNOWN
                  AS/001=AMERICAN SAMOA
                  AS/LAB=LABORATORY
                  AS/UNK=UNKNOWN
                  AZ/AZ=PHOENIX
                  AZ/LAB=ARIZONA LAB
                  AZ/TUC=TUCSON
                  AZ/UNK=UNKNOWN
                  CA/BAK=BAKERSFIELD
                  CA/BER=SAN BERNARDINO
                  CA/BK=BERKELEY
                  CA/BK1=CONTRA COSTA
                  CA/FR=FRESNO
                  CA/L1=L.A. WEST
                  CA/L2=L.A. NORTH
                  CA/L3=L.A. CENTRAL
                  CA/L4=L.A. EAST

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 14
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  CA/L5=SAN GABRIEL
                  CA/LAB=LABORATORIES
                  CA/M1=LAB. SOUTH
                  CA/M2=LAB. NORTH
                  CA/ORG=ORANGE CO
                  CA/RIV=RIVERSIDE
                  CA/RWC=REDWOOD COAST
                  CA/S1=SACRAMENTO
                  CA/S2=SACTO SOUTH
                  CA/S3=CHICO
                  CA/SD=SAN DIEGO
                  CA/SDS=SAN DIEGO SOUTH
                  CA/SF=SAN FRANCISCO
                  CA/SJ=SAN JOSE
                  CA/SR=SANTA ROSA
                  CA/UNK=UNKNOWN
                  CA/VEN=VENTURA
                  CN/001=CANADA
                  CN/LAB=LABORATORY
                  CN/UNK=UNKNOWN
                  CO/001=COLORADO
                  CO/LAB=LABORATORIES
                  CO/UNK=UNKNOWN
                  CT/001=CONNECTICUT
                  CT/LAB=LABORATORIES
                  CT/UNK=UNKNOWN
                  DC/001=DISTRICT OF COLUMBIA
                  DC/LAB=LABORATORIES
                  DC/UNK=UNKNOWN
                  DE/001=DELAWARE
                  DE/LAB=LABORATORIES
                  DE/UNK=UNKNOWN
                  FL/FTM=FT. MYERS
                  FL/GAI=GAINESVILLE
                  FL/JAX=JACKSONVILLE
                  FL/LAB=LABORATORIES
                  FL/LAN=LANTANA
                  FL/LAU=LAUDERHILL
                  FL/MIA=MIAMI
                  FL/ORL=ORLANDO
                  FL/PEN=PENSACOLA
                  FL/STP=ST. PETERSBURG
                  FL/TAL=TALLAHASSEE
                  FL/TAM=TAMPA
                  FL/UNK=UNKNOWN
                  FM/001=FEDERATED STATES OF MICRO
                  FN/001=FOREIGN
                  FN/LAB=LABORATORIES
                  FN/UNK=UNKNOWN
                  GA/001=GEORGIA
                  GA/GAA=GEORGIA ALL
                  GA/GAC=GEORGIA CENTRAL
                  GA/GAE=GEORGIA EASTERN
                  GA/GAN=GEORGIA NORTH
                  GA/GAS=GEORGIA SOUTH
                  GA/GAW=GEORGIA WESTERN
                  GA/LAB=LABORATORIES
                  GA/UNK=UNKNOWN
                  GU/001=GUAM
                  GU/LAB=LABORATORIES
                  GU/UNK=UNKNOWN
                  HI/001=HAWAII
                  HI/LAB=LABORATORIES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 15
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  HI/UNK=UNKNOWN
                  IA/001=IOWA
                  IA/LAB=LABORATORIES
                  IA/UNK=UNKNOWN
                  ID/001=IDAHO
                  ID/LAB=LABORATORIES
                  ID/UNK=UNKNOWN
                  IL/001=ILLINOIS
                  IL/LAB=LABORATORIES
                  IL/UNK=UNKNOWN
                  IN/001=INDIANA
                  IN/LAB=LABORATORIES
                  IN/UNK=UNKNOWN
                  KS/LAB=LABORATORIES
                  KS/LAW=LAWRENCE
                  KS/NC=NORTH CENTRAL KANSAS
                  KS/NE=NORTH EAST KANSAS
                  KS/NW=NORTH WEST KANSAS
                  KS/SC=SOUTH CENTRAL KANSAS
                  KS/SE=SOUTH EAST KANSAS
                  KS/SW=SOUTH WEST KANSAS
                  KS/UNK=UNKNOWN
                  KS/WST=WEST
                  KY/2C1=HOPKINSVILLE
                  KY/2C2=LOUISVILLE
                  KY/2C3=LONDON
                  KY/2C4=LEXINGTON
                  KY/LAB=LABORATORIES
                  KY/UNK=UNKNOWN
                  LA/001=LOUISIANA
                  LA/LA1=NEW ORLEANS
                  LA/LA2=MANDEVILLE
                  LA/LA3=LAFAYETTE
                  LA/LA4=MONROE
                  LA/LA5=SHREVEPORT
                  LA/LA6=ALEXANDRIA
                  LA/LAB=LABORATORIES
                  LA/LB1=CLIA NEW ORLEANS
                  LA/LB5=CLIA SHREVEPORT
                  LA/LB6=CLIA ALEXANDRIA
                  LA/UNK=UNKNOWN
                  MA/001=MASSACHUSETTS
                  MA/LAB=LABORATORIES
                  MA/UNK=UNKNOWN
                  MD/001=MARYLAND
                  MD/LAB=LABORATORIES
                  MD/UNK=UNKNOWN
                  ME/001=MAINE
                  ME/LAB=LABORATORIES
                  ME/UNK=UNKNOWN
                  MH/001=MARSHALL ISLANDS
                  MI/001=MICHIGAN
                  MI/LAB=LABORATORIES
                  MI/UNK=UNKNOWN
                  MN/001=MINNESOTA
                  MN/LAB=LABORATORIES
                  MN/UNK=UNKNOWN
                  MO/01=REGION01
                  MO/02=REGION02
                  MO/03=REGION 03
                  MO/04=REGION 04
                  MO/05=REGION 05
                  MO/06=REGION 06

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 16
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  MO/07=REGION 07
                  MO/1NH=REGION 1 NH
                  MO/2NH=REGION 2 NH
                  MO/3NH=REGION 3 NH
                  MO/4NH=REGION 4 NH
                  MO/5NH=REGION 5 NH
                  MO/6NH=REGION 6 NH
                  MO/7NH=REGION 7 NH
                  MO/LAB=LABORATORIES
                  MO/MO=STATEWIDE
                  MO/UNK=UNKNOWN
                  MP/001=NORTHERN MARIANA ISLANDS
                  MP/LAB=LABORATORIES
                  MP/UNK=UNKNOWN
                  MS/001=MISSISSIPPI
                  MS/LAB=LABORATORIES
                  MS/UNK=UNKNOWN
                  MT/001=MONTANA
                  MT/LAB=LABORATORIES
                  MT/UNK=UNKNOWN
                  MX/001=MEXICO
                  MX/LAB=LABORATORY
                  MX/UNK=UNKNOWN
                  NC/LAB=LABORATORIES
                  NC/NCC=NORTH CAROLINA CENTRAL
                  NC/NCE=NORTH CAROLINA EAST
                  NC/NCN=NORTH CAROLINA NORTH
                  NC/NCS=NORTH CAROLINA SOUTH
                  NC/NCW=NORTH CAROLINA WEST
                  NC/UNK=UNKNOWN
                  ND/001=NORTH DAKOTA
                  ND/LAB=LABORATORIES
                  ND/UNK=UNKNOWN
                  NE/1=NORTH CENTRAL
                  NE/2=CENTRAL
                  NE/3=NORTHEAST
                  NE/4=SOUTHEAST
                  NE/5=WESTERN
                  NE/LAB=LABORATORIES
                  NE/UNK=UNKNOWN
                  NH/001=NEW HAMPSHIRE
                  NH/LAB=LABORATORIES
                  NH/UNK=UNKNOWN
                  NJ/001=NEW JERSEY
                  NJ/LAB=LABORATORIES
                  NJ/UNK=UNKNOWN
                  NM/001=NEW MEXICO
                  NM/LAB=LABORATORIES
                  NM/UNK=UNKNOWN
                  NV/CC=CARSON CITY
                  NV/LAB=LABORATORIES
                  NV/LV=LAS VEGAS
                  NV/UNK=UNKNOWN
                  NY/001=BUFFALO
                  NY/002=ROCHESTER
                  NY/003=SYRACUSE
                  NY/004=ALBANY
                  NY/005=NEW ROCHELLE
                  NY/006=NEW YORK CITY
                  NY/007=SUFFOLK/NASSAU COUNTY
                  NY/LAB=LABORATORIES
                  NY/UNK=UNKNOWN
                  OH/001=OHIO

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 17
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  OH/LAB=LABORATORIES
                  OH/UNK=UNKNOWN
                  OK/001=OKLAHOMA
                  OK/LAB=LABORATORIES
                  OK/UNK=UNKNOWN
                  OR/001=OFFICE #1
                  OR/002=OFFICE #2
                  OR/003=OFFICE #3
                  OR/LAB=LABORATORIES
                  OR/UNK=UNKNOWN
                  PA/001=PENNSYLVANIA
                  PA/LAB=LABORATORIES
                  PA/UNK=UNKNOWN
                  PR/001=PUERTO RICO
                  PR/LAB=LABORATORIES
                  PR/UNK=UNKNOWN
                  PW/001=PALAU
                  RI/001=RHODE ISLAND
                  RI/LAB=LABORATORIES
                  RI/UNK=UNKNOWN
                  SC/001=SOUTH CAROLINA
                  SC/LAB=LABORATORIES
                  SC/UNK=UNKNOWN
                  SD/001=SOUTH DAKOTA
                  SD/LAB=LABORATORIES
                  SD/UNK=UNKNOWN
                  TN/LAB=LABORATORIES
                  TN/TNC=TENNESSEE COOKEVILLE
                  TN/TNE=TENNESSEE EASTERN
                  TN/TNM=TENNESSEE MIDDLE
                  TN/TNW=TENNESSEE WESTERN
                  TN/UNK=UNKNOWN
                  TX/001=TEXAS
                  TX/L01=AMARILLO-LTC
                  TX/L02=ABILENE-LTC
                  TX/L03=ARLINGTON-LTC
                  TX/L04=TYLER-LTC
                  TX/L05=BEAUMONT-LTC
                  TX/L06=HOUSTON-LTC
                  TX/L07=TEMPLE-LTC
                  TX/L08=SAN ANTONIO-LTC
                  TX/L09=SAN ANGELO-LTC
                  TX/L10=EL PASO-LTC
                  TX/L11=CORPUS CHRISTI-LTC
                  TX/LAB=LABORATORIES
                  TX/TX1=LUBBOCK
                  TX/TX2=ARLINGTON
                  TX/TX3=SAN ANTONIO
                  TX/TX4=HOUSTON
                  TX/TX5=TYLER
                  TX/TX6=AUSTIN
                  TX/UNK=UNKNOWN
                  UT/001=UTAH
                  UT/LAB=LABORATORIES
                  UT/UNK=UNKNOWN
                  VA/001=VIRGINIA
                  VA/LAB=LABORATORIES
                  VA/UNK=UNKNOWN
                  VI/001=VIRGIN ISLANDS
                  VI/LAB=LABORATORIES
                  VI/UNK=UNKNOWN
                  VT/001=VERMONT
                  VT/LAB=LABORATORIES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 18
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  VT/UNK=UNKNOWN
                  WA/001=ALL OTHERS (NON-LTC FAC)
                  WA/D1=SPOKANE & YAKIMA AREAS
                  WA/D1A=District 1, Unit A
                  WA/D1B=District 1, Unit B
                  WA/D1C=District 1, Unit C
                  WA/D1D=District 1, Unit D
                  WA/D2=SPOKANE & SE
                  WA/D2A=District 2, Unit A
                  WA/D2B=District 2, Unit B
                  WA/D2C=District 2, Unit C
                  WA/D2D=District 2, Unit D
                  WA/D2E=District 2, Unit E
                  WA/D2F=District 2, Unit F
                  WA/D2G=District 2, Unit G
                  WA/D3=NW WASHINGTON
                  WA/D3A=District 3, Unit A
                  WA/D3B=District 3, Unit B
                  WA/D3C=District 3, Unit C
                  WA/D3D=District 3, Unit D
                  WA/D3E=District 3, Unit E
                  WA/D4A=GREATER SEATTLE AREA
                  WA/D4B=S KING COUNTY
                  WA/D5A=PIERCE CTY & PENINSULA
                  WA/D5B=PIERCE CTY & GRAYS HARBOR
                  WA/D6=OLYMPIA AREA
                  WA/LAB=LABORATORIES
                  WA/UNK=UNKNOWN
                  WI/001=WISCONSIN
                  WI/LAB=LABORATORIES
                  WI/UNK=UNKNOWN
                  WV/001=WEST VIRGINIA
                  WV/LAB=LABORATORIES
                  WV/UNK=UNKNOWN
                  WY/001=WYOMING
                  WY/LAB=LABORATORIES
                  WY/UNK=UNKNOWN

   Street Address                                    50   179   228  VARCHAR2
     Description: Street address of a provider that is certified to provide
                  Medicare and/or Medicaid services.
     SAS Name:    ST_ADR
     COBOL Name:  ST-ADR

   Telephone Number                                  10   229   238  VARCHAR2
     Description: The 10-digit telephone number of the primary contact or
                  the operator of a provider.
     SAS Name:    PHNE_NUM
     COBOL Name:  PHNE-NUM

   Termination Code 1                                2    239   240  VARCHAR2
     Description: Termination code number one: the reason a facility has
                  been terminated from the CLIA, Medicare and/or Medicaid
                  programs.
     SAS Name:    PGM_TRMNTN_CD
     COBOL Name:  PGM-TRMNTN-CD
     VALUES:      00=ACTIVE PROVIDER
                  01=VOLUNTARY-MERGER, CLOSURE
                  02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT
                  03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION
                  04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL
                  05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ
                  06=INVOLUNTARY-FAILURE TO MEET AGREEMENT

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 19
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  07=OTHER-PROVIDER STATUS CHANGE
                  08=NONPAYMENT OF FEES - CLIA Only
                  09=REV/UNSUCCESSFUL PARTICIPATION IN PT - CLIA Only
                  10=REV/OTHER REASON - CLIA Only
                  11=INCMPLETE CLIA APPLICATION INFORMATION - CLIA Only
                  12=NO LONGER PERFORMING TESTS - CLIA Only
                  13=MULTIPLE TO SINGLE SITE CERTIFICATE - CLIA Only
                  14=SHARED LABORATORY - CLIA Only
                  15=FAILURE TO RENEW WAIVER PPM CERTIFICATE - CLIA Only
                  16=DUPLICATE CLIA NUMBER - CLIA Only
                  17=MAIL RETURNED NO FORWARD ADDRESS CERT ENDED - CLIA Only
                  20=NOTIFICATION BANKRUPTCY - CLIA Only
                  33=ACCREDITATION NOT CONFIRMED - CLIA Only
                  80=AWAITING STATE APPROVAL
                  99=OIG ACTION - DO NOT ACTIVATE - CLIA Only

   Termination Date / Expiration Date 1              8    241   248  DATE
     Description: The date the laboratory's certificate terminated or the
                  expiration date of the current CLIA certificate. For
                  other non-CLIA providers, it is the date the facility was
                  terminated.
     SAS Name:    TRMNTN_EXPRTN_DT
     COBOL Name:  TRMNTN-EXPRTN-DT

   Type of Action                                    1    249   249  VARCHAR2
     Description: Type of action on the 'official' survey record.  This
                  field is copied from type of action on the HCFA-1539,
                  certification and transmittal.
     SAS Name:    SRVY_PRPSE_CD
     COBOL Name:  SRVY-PRPSE-CD
     VALUES:      1=INITIAL
                  2=RECERTIFICATION
                  3=TERMINATION
                  4=CHANGE OF OWNERSHIP
                  5=VALIDATION
                  6=ONSITE SURVEY DUE TO FLEXIBLE SURVEY - CLIA Only
                  8=FULL SURVEY AFTER COMPLAINT - CLIA ONLY

   General Type of Control Code                      2    250   251  VARCHAR2
     Description: Indicates the nature of the organization that operates a
                  provider of services.
     SAS Name:    GNRL_CNTL_TYPE_CD
     COBOL Name:  GNRL-CNTL-TYPE-CD
     VALUES:      01=FOR PROFIT - INDIVIDUAL
                  02=FOR PROFIT - PARTNERSHIP
                  03=FOR PROFIT - CORPORATION
                  04=NONPROFIT - CHURCH RELATED
                  05=NONPROFIT - CORPORATION
                  06=NONPROFIT - OTHER
                  07=GOVERNMENT - STATE
                  08=GOVERNMENT - COUNTY
                  09=GOVERNMENT - CITY
                  10=GOVERNMENT - CITY/COUNTY
                  11=GOVERNMENT - HOSPITAL DISTRICT
                  12=GOVERNMENT - FEDERAL
                  13=FOR PROFIT - LIMITED LIABILITY CORPORATION

   ZIP Code                                          5    252   256  VARCHAR2
     Description: The five-digit postal code for the provider.
     SAS Name:    ZIP_CD
     COBOL Name:  ZIP-CD

   FIPS State Code                                   2    257   258  VARCHAR2

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 20
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     Description: FIPS State Code
     SAS Name:    FIPS_STATE_CD
     COBOL Name:  FIPS-STATE-CD

   FIPS County Code                                  3    259   261  VARCHAR2
     Description: FIPS County Code
     SAS Name:    FIPS_CNTY_CD
     COBOL Name:  FIPS-CNTY-CD

   CBSA Urban Rural Indicator                        1    262   262  VARCHAR2
     Description: CBSA (Core Based Statistical Area) indicates whether the
                  county is defined as Urban or Rural.
     SAS Name:    CBSA_URBN_RRL_IND
     COBOL Name:  CBSA-URBN-RRL-IND

   Activity Professional Contract Count              7    280   286  NUMBER
     Description: The number of full-time equivalent activity professionals
                  under contract to a facility.
     SAS Name:    ACTVTY_PROFNL_CNTRCT_CNT
     COBOL Name:  ACTVTY-PROFNL-CNTRCT-CNT

   Activity Professional Full-Time Count             7    288   294  NUMBER
     Description: The number of full-time equivalent activity professionals
                  employed full-time by a facility.
     SAS Name:    ACTVTY_PROFNL_FLTM_CNT
     COBOL Name:  ACTVTY-PROFNL-FLTM-CNT

   Activity Professional Part-Time Count             7    296   302  NUMBER
     Description: The number of full-time equivalent activity professionals
                  employed part-time by a facility.
     SAS Name:    ACTVTY_PROFNL_PRTM_CNT
     COBOL Name:  ACTVTY-PROFNL-PRTM-CNT

   Activity Staff Other Contract Count               7    304   310  NUMBER
     Description: Number of contract staff hours for other activities.
     SAS Name:    ACTVTY_STF_OTHR_CNTRCT_CNT
     COBOL Name:  ACTVTY-STF-OTHR-CNTRCT-CNT

   Activity Staff Other Full-Time Count              7    312   318  NUMBER
     Description: Number of full-time staff hours for other activities.
     SAS Name:    ACTVTY_STF_OTHR_FLTM_CNT
     COBOL Name:  ACTVTY-STF-OTHR-FLTM-CNT

   Activity Staff Other Part-Time Count              7    320   326  NUMBER
     Description: Number of part-time staff hours provided by other
                  activity staff.
     SAS Name:    ACTVTY_STF_OTHR_PRTM_CNT
     COBOL Name:  ACTVTY-STF-OTHR-PRTM-CNT

   Administrator - Contract                          7    329   335  NUMBER
     Description: The number of full-time equivalent administrative staff
                  under contract to a facility.
     SAS Name:    PROFNL_ADMIN_CNTRCT_CNT
     COBOL Name:  PROFNL-ADMIN-CNTRCT-CNT

   Administrator - Full-Time                         7    337   343  NUMBER
     Description: The number of full-time equivalent administrative staff
                  employed on a full-time basis by a facility.
     SAS Name:    PROFNL_ADMIN_FLTM_CNT
     COBOL Name:  PROFNL-ADMIN-FLTM-CNT

   Administrator - Part-Time                         7    345   351  NUMBER
     Description: The number of full-time equivalent administrative staff

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 21
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  employed on a part-time basis by a facility.
     SAS Name:    PROFNL_ADMIN_PRTM_CNT
     COBOL Name:  PROFNL-ADMIN-PRTM-CNT

   Beds - Medicare SNF                               4    374   377  NUMBER
     Description: Number of Medicare-certified SNF (Skilled Nursing
                  Facility) beds in a facility.
     SAS Name:    MDCR_SNF_BED_CNT
     COBOL Name:  MDCR-SNF-BED-CNT

   Beds - Nursing Facility                           4    378   381  NUMBER
     Description: Number of medicaid certified nursing facility beds in a
                  facility.
     SAS Name:    MDCD_SNF_BED_CNT
     COBOL Name:  MDCD-SNF-BED-CNT

   Beds - SNF / NF                                   4    382   385  NUMBER
     Description: Number of beds certified for both Medicare and Medicaid
                  skilled nursing care in a long term care facility.
     SAS Name:    MDCR_MDCD_SNF_BED_CNT
     COBOL Name:  MDCR-MDCD-SNF-BED-CNT

   Beds - Total Certified                            4    386   389  NUMBER
     Description: Number of beds in Medicare and/or Medicaid certified
                  areas within a facility.
     SAS Name:    CRTFD_BED_CNT
     COBOL Name:  CRTFD-BED-CNT

   Beds-Total                                        4    390   393  NUMBER
     Description: Total number of beds in a facility, including those in
                  non-participating or non-licensed areas.
     SAS Name:    BED_CNT
     COBOL Name:  BED-CNT

   Certification Nurse Aides - Contract              7    448   454  NUMBER
     Description: The number of full-time equivalent certified nurse aides
                  under contract to a facility.
     SAS Name:    NRS_AIDE_CNTRCT_CNT
     COBOL Name:  NRS-AIDE-CNTRCT-CNT

   Certification Nurse Aides - Full-Time             7    456   462  NUMBER
     Description: The number of full-time equivalent certified nurse aides
                  employed by a facility on a full-time basis.
     SAS Name:    NRS_AIDE_FLTM_CNT
     COBOL Name:  NRS-AIDE-FLTM-CNT

   Certification Nurse Aides - Part-Time             7    464   470  NUMBER
     Description: The number of full-time equivalent certified nurse aides
                  employed by a facility on a part-time basis.
     SAS Name:    NRS_AIDE_PRTM_CNT
     COBOL Name:  NRS-AIDE-PRTM-CNT

   Compliance: 24 Hour Registered Nurse              1    481   481  VARCHAR2
     Description: Indicates if a waiver of the 24-hour registered nurse
                  requirement has been recommended for a facility.
     SAS Name:    RN_24_HR_WVR_SW
     COBOL Name:  RN-24-HR-WVR-SW

   Compliance: 7 Day Registered Nurse                1    482   482  VARCHAR2
     Description: Indicates if a waiver of the 7-day registered nurse
                  requirements has been recommended for a SNF or NF.
     SAS Name:    RN_7_DAY_WVR_SW
     COBOL Name:  RN-7-DAY-WVR-SW

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 22
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Compliance: Beds Per Room Waiver                  1    483   483  VARCHAR2
     Description: Indicates if a waiver of the beds per room requirement
                  has been recommended for a facility.
     SAS Name:    BED_PER_ROOM_WVR_SW
     COBOL Name:  BED-PER-ROOM-WVR-SW

   Compliance: Life Safety Code                      1    484   484  VARCHAR2
     Description: INDICATES IF A WAIVER OF ANY LIFE SAFETY CODE (LSC)
                  PROVISIONS HAS BEEN RECOMMENDED FOR A PROVIDER.
     SAS Name:    LSC_WVR_SW
     COBOL Name:  LSC-WVR-SW

   Compliance: Patient Room Size                     1    485   485  VARCHAR2
     Description: Indicates if a waiver of patient room size has been
                  recommended for a facility.
     SAS Name:    ROOM_SIZE_WVR_SW
     COBOL Name:  ROOM-SIZE-WVR-SW

   Dentists - Contract                               7    523   529  NUMBER
     Description: The number of full-time equivalent dentists under
                  contract to a facility.
     SAS Name:    DNTST_CNTRCT_CNT
     COBOL Name:  DNTST-CNTRCT-CNT

   Dentists - Full-Time                              7    531   537  NUMBER
     Description: The number of full-time equivalent dentists employed by a
                  facility on a full-time basis.
     SAS Name:    DNTST_FLTM_CNT
     COBOL Name:  DNTST-FLTM-CNT

   Dentists - Part-Time                              7    539   545  NUMBER
     Description: The number of full-time equivalent dentists employed by a
                  facility on a part-time basis.
     SAS Name:    DNTST_PRTM_CNT
     COBOL Name:  DNTST-PRTM-CNT

   Dietitians - Contract                             7    555   561  NUMBER
     Description: The number of full-time equivalent dietitians under
                  contract to a facility.
     SAS Name:    DIETN_CNTRCT_CNT
     COBOL Name:  DIETN-CNTRCT-CNT

   Dietitians - Full-Time                            7    563   569  NUMBER
     Description: The number of full-time equivalent dietitians employed by
                  a facility on a full-time basis.
     SAS Name:    DIETN_FLTM_CNT
     COBOL Name:  DIETN-FLTM-CNT

   Dietitians - Part-Time                            7    571   577  NUMBER
     Description: The number of full-time equivalent dietitians employed by
                  a facility on a part-time basis.
     SAS Name:    DIETN_PRTM_CNT
     COBOL Name:  DIETN-PRTM-CNT

   Experimental Research Conducted                   1    590   590  VARCHAR2
     Description: Indicates if a facility uses residents to develop and
                  test clinical treatments.
     SAS Name:    EXPRMT_RSRCH_CNDCTD_SW
     COBOL Name:  EXPRMT-RSRCH-CNDCTD-SW

   Fiscal Year Ending Date                           4    613   616  VARCHAR2
     Description: The ending date (month and day) of a facility's fiscal

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 23
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  year.
     SAS Name:    FY_END_MO_DAY_CD
     COBOL Name:  FY-END-MO-DAY-CD

   Food Service - Contract                           7    617   623  NUMBER
     Description: The number of full-time equivalent food service personnel
                  under contract to a facility.
     SAS Name:    FOOD_SRVC_CNTRCT_CNT
     COBOL Name:  FOOD-SRVC-CNTRCT-CNT

   Food Service - Full-Time                          7    625   631  NUMBER
     Description: The number of full-time equivalent food service personnel
                  employed by a facility on a full-time basis.
     SAS Name:    FOOD_SRVC_FLTM_CNT
     COBOL Name:  FOOD-SRVC-FLTM-CNT

   Food Service - Part-Time                          7    633   639  NUMBER
     Description: The number of full-time equivalent food service personnel
                  employed by a facility on a part-time basis.
     SAS Name:    FOOD_SRVC_PRTM_CNT
     COBOL Name:  FOOD-SRVC-PRTM-CNT

   Housekeeping - Contract                           7    677   683  NUMBER
     Description: The number of full-time equivalent housekeeping personnel
                  under contract to a facility.
     SAS Name:    HSEKPNG_CNTRCT_CNT
     COBOL Name:  HSEKPNG-CNTRCT-CNT

   Housekeeping - Full-Time                          7    685   691  NUMBER
     Description: The number of full-time equivalent housekeeping personnel
                  employed by a facility on a full time basis.
     SAS Name:    HSEKPNG_FLTM_CNT
     COBOL Name:  HSEKPNG-FLTM-CNT

   Housekeeping - Part-Time                          7    693   699  NUMBER
     Description: The number of full-time equivalent housekeeping personnel
                  employed by a facility on a part-time basis.
     SAS Name:    HSEKPNG_PRTM_CNT
     COBOL Name:  HSEKPNG-PRTM-CNT

   LPN/LVN - Contract                                7    719   725  NUMBER
     Description: The number of full-time equivalent licensed practical/
                  vocational nurses under contract to a facility.
     SAS Name:    LPN_LVN_CNTRCT_CNT
     COBOL Name:  LPN-LVN-CNTRCT-CNT

   LPN/LVN - Full-Time                               7    727   733  NUMBER
     Description: The number of full-time equivalent licensed practical/
                  vocational nurses employed by a facility on a full-time
                  basis.
     SAS Name:    LPN_LVN_FLTM_CNT
     COBOL Name:  LPN-LVN-FLTM-CNT

   LPN/LVN - Part-Time                               7    735   741  NUMBER
     Description: The number of full-time equivalent licensed practical/
                  vocational nurses employed by a facility on a part-time
                  basis.
     SAS Name:    LPN_LVN_PRTM_CNT
     COBOL Name:  LPN-LVN-PRTM-CNT

   Medical Director - Contract                       7    791   797  NUMBER
     Description: The number of full-time equivalent medical directors
                  under contract to a facility.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 24
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    MDCL_DRCTR_CNTRCT_CNT
     COBOL Name:  MDCL-DRCTR-CNTRCT-CNT

   Medical Director - Full-Time                      7    799   805  NUMBER
     Description: The number of full-time equivalent medical directors
                  employed by a facility on a full-time basis.
     SAS Name:    MDCL_DRCTR_FLTM_CNT
     COBOL Name:  MDCL-DRCTR-FLTM-CNT

   Medical Director - Part-Time                      7    807   813  NUMBER
     Description: The number of full-time equivalent medical directors
                  employed by a facility on a part-time basis.
     SAS Name:    MDCL_DRCTR_PRTM_CNT
     COBOL Name:  MDCL-DRCTR-PRTM-CNT

   Medication Aides / Techs - Contract               7    841   847  NUMBER
     Description: The number of full-time equivalent medication aides/
                  technicians under contract to a facility.
     SAS Name:    MDCTN_AIDE_CNTRCT_CNT
     COBOL Name:  MDCTN-AIDE-CNTRCT-CNT

   Medication Aides / Techs - Full-Time              7    849   855  NUMBER
     Description: The number of full-time equivalent medication aides/
                  technicians employed by a facility on a full-time basis.
     SAS Name:    MDCTN_AIDE_FLTM_CNT
     COBOL Name:  MDCTN-AIDE-FLTM-CNT

   Medication Aides / Techs - Part-Time              7    857   863  NUMBER
     Description: The number of full-time equivalent medication aides/
                  technicians employed by a facility on a part-time basis.
     SAS Name:    MDCTN_AIDE_PRTM_CNT
     COBOL Name:  MDCTN-AIDE-PRTM-CNT

   Mental Health Services - Contract                 7    866   872  NUMBER
     Description: The number of full-time equivalent mental health services
                  personnel under contract to a facility.
     SAS Name:    MENTL_HLTH_SRVC_CNTRCT_CNT
     COBOL Name:  MENTL-HLTH-SRVC-CNTRCT-CNT

   Mental Health Services - Full-Time                7    874   880  NUMBER
     Description: The number of full-time equivalent mental health services
                  personnel employed by a facility on a full-time basis.
     SAS Name:    MENTL_HLTH_SRVC_FLTM_CNT
     COBOL Name:  MENTL-HLTH-SRVC-FLTM-CNT

   Mental Health Services - Part-Time                7    882   888  NUMBER
     Description: The number of full-time equivalent mental health services
                  personnel employed by a facility on a part-time basis.
     SAS Name:    MENTL_HLTH_SRVC_PRTM_CNT
     COBOL Name:  MENTL-HLTH-SRVC-PRTM-CNT

   Multi-Facility Organization Name                  38   890   927  VARCHAR2
     Description: The name of the multi-facility organization that owns the
                  facility.
     SAS Name:    MLT_FAC_ORG_NAME
     COBOL Name:  MLT-FAC-ORG-NAME

   Multi-Facility Organization Owned                 1    928   928  VARCHAR2
     Description: Indicates if a facility is owned by an organization that
                  owns (or leases) two or more nursing facilities.
     SAS Name:    MLT_OWND_FAC_ORG_SW
     COBOL Name:  MLT-OWND-FAC-ORG-SW


 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 25
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

   Nurse Aides in Training - Contract                7    940   946  NUMBER
     Description: Number of full-time equivalent nurse aides in training
                  under contract to a facility.
     SAS Name:    NAT_CNTRCT_CNT
     COBOL Name:  NAT-CNTRCT-CNT

   Nurse Aides in Training - Full-Time               7    948   954  NUMBER
     Description: The number of full-time equivalent nurse aides in
                  training employed by a facility on a full-time basis.
     SAS Name:    NAT_FLTM_CNT
     COBOL Name:  NAT-FLTM-CNT

   Nurse Aides in Training - Part-Time               7    956   962  NUMBER
     Description: The number of full-time equivalent nurse aides in
                  training employed by a facility on a part-time basis.
     SAS Name:    NAT_PRTM_CNT
     COBOL Name:  NAT-PRTM-CNT

   Nurses With Administrative Duties - Contract      7    972   978  NUMBER
     Description: The number of full-time equivalent nurses with
                  administrative duties under contract to a facility.
     SAS Name:    NRS_ADMINV_CNTRCT_CNT
     COBOL Name:  NRS-ADMINV-CNTRCT-CNT

   Nurses With Administrative Duties - Full-Time     7    980   986  NUMBER
     Description: The number of full-time equivalent nurses with
                  administrative duties employed by a facility on a
                  full-time basis.
     SAS Name:    NRS_ADMINV_FLTM_CNT
     COBOL Name:  NRS-ADMINV-FLTM-CNT

   Nurses With Administrative Duties - Part-Time     7    988   994  NUMBER
     Description: Number of full-time equivalent nurses with administrative
                  duties employed by a facility on a part-time basis.
     SAS Name:    NRS_ADMINV_PRTM_CNT
     COBOL Name:  NRS-ADMINV-PRTM-CNT

   Occupational Therapist - Contract                 7    996   1002 NUMBER
     Description: The number of full-time equivalent occupational
                  therapists under contract to a facility.
     SAS Name:    OCPTNL_THRPST_CNTRCT_CNT
     COBOL Name:  OCPTNL-THRPST-CNTRCT-CNT

   Occupational Therapist - Full-Time                7    1004  1010 NUMBER
     Description: The number of full-time equivalent occupational
                  therapists employed by a facility on a full-time basis.
     SAS Name:    OCPTNL_THRPST_FLTM_CNT
     COBOL Name:  OCPTNL-THRPST-FLTM-CNT

   Occupational Therapist - Part-Time                7    1012  1018 NUMBER
     Description: The number of full-time equivalent occupational
                  therapists employed by a facility on a part-time basis.
     SAS Name:    OCPTNL_THRPST_PRTM_CNT
     COBOL Name:  OCPTNL-THRPST-PRTM-CNT

   Occupational Therapy Aide - Contract              7    1028  1034 NUMBER
     Description: The number of full-time equivalent occupational therapy
                  aides under contract to a facility.
     SAS Name:    OT_AIDE_CNTRCT_CNT
     COBOL Name:  OT-AIDE-CNTRCT-CNT

   Occupational Therapy Aide - Full-Time             7    1036  1042 NUMBER
     Description: The number of full-time equivalent occupational therapy

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 26
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  aides employed by a facility on a full-time basis.
     SAS Name:    OT_AIDE_FLTM_CNT
     COBOL Name:  OT-AIDE-FLTM-CNT

   Occupational Therapy Aide - Part-Time             7    1044  1050 NUMBER
     Description: The number of full-time equivalent occupational therapy
                  aides employed by a facility on a part-time basis.
     SAS Name:    OT_AIDE_PRTM_CNT
     COBOL Name:  OT-AIDE-PRTM-CNT

   Occupational Therapy Assistant - Contract         7    1052  1058 NUMBER
     Description: The number of full-time equivalent occupational therapy
                  assistants under contract to a facility.
     SAS Name:    OT_ASTNT_AIDE_CNTRCT_CNT
     COBOL Name:  OT-ASTNT-AIDE-CNTRCT-CNT

   Occupational Therapy Assistant - Full-Time        7    1060  1066 NUMBER
     Description: The number of full-time equivalent occupational therapy
                  assistants employed by a facility on a full-time basis.
     SAS Name:    OT_ASTNT_AIDE_FLTM_CNT
     COBOL Name:  OT-ASTNT-AIDE-FLTM-CNT

   Occupational Therapy Assistant - Part-Time        7    1068  1074 NUMBER
     Description: The number of full-time equivalent occupational therapy
                  assistants employed by a facility on a part-time basis.
     SAS Name:    OT_ASTNT_AIDE_PRTM_CNT
     COBOL Name:  OT-ASTNT-AIDE-PRTM-CNT

   Organized Family Group                            1    1078  1078 VARCHAR2
     Description: Indicates if the facility has an organized group of
                  family members of residents.
     SAS Name:    ORGNZ_FMLY_MBR_GRP_SW
     COBOL Name:  ORGNZ-FMLY-MBR-GRP-SW

   Organized Resident Group                          1    1079  1079 VARCHAR2
     Description: Indicates if the facility has an organized residents
                  group.
     SAS Name:    ORGNZ_RSDNT_GRP_SW
     COBOL Name:  ORGNZ-RSDNT-GRP-SW

   Other - Contract                                  7    1081  1087 NUMBER
     Description: The number of full-time equivalent staff not included in
                  any other categories under contract to the facility.
     SAS Name:    STF_OTHR_CNTRCT_CNT
     COBOL Name:  STF-OTHR-CNTRCT-CNT

   Other - Full-Time                                 7    1089  1095 NUMBER
     Description: The number of full-time equivalent persons not included
                  in any other categories employed by the facility on a
                  full-time basis.
     SAS Name:    STF_OTHR_FLTM_CNT
     COBOL Name:  STF-OTHR-FLTM-CNT

   Other - Part-Time                                 7    1097  1103 NUMBER
     Description: The number of full-time equivalent persons not included
                  in any other categories employed by the facility on a
                  part-time basis.
     SAS Name:    STF_OTHR_PRTM_CNT
     COBOL Name:  STF-OTHR-PRTM-CNT

   Other Physician Contract                          7    1113  1119 NUMBER
     Description: The number of full-time equivalent other physicians under
                  contract to a facility.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 27
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    PHYSN_OTHR_CNTRCT_CNT
     COBOL Name:  PHYSN-OTHR-CNTRCT-CNT

   Other Physician Full-Time                         7    1121  1127 NUMBER
     Description: The number of full-time equivalent other physicians
                  employed by a facility on a full-time basis.
     SAS Name:    PHYSN_OTHR_FLTM_CNT
     COBOL Name:  PHYSN-OTHR-FLTM-CNT

   Other Physician Part-Time                         7    1129  1135 NUMBER
     Description: The number of full-time equivalent other physicians
                  employed by a facility on a part-time basis.
     SAS Name:    PHYSN_OTHR_PRTM_CNT
     COBOL Name:  PHYSN-OTHR-PRTM-CNT

   Other Social Service Staff - Contract             7    1137  1143 NUMBER
     Description: Number of contract staff hours provided by other social
                  services staff.
     SAS Name:    SCL_SRVC_OTHR_STF_CNTRCT_CNT
     COBOL Name:  SCL-SRVC-OTHR-STF-CNTRCT-CNT

   Other Social Service Staff - Full-Time            7    1145  1151 NUMBER
     Description: Number of full-time staff hours provided by other social
                  services staff.
     SAS Name:    SCL_SRVC_OTHR_STF_FLTM_CNT
     COBOL Name:  SCL-SRVC-OTHR-STF-FLTM-CNT

   Other Social Service Staff - Part-Time            7    1153  1159 NUMBER
     Description: Number of part-time staff hours provided by other social
                  services staff.
     SAS Name:    SCL_SRVC_OTHR_STF_PRTM_CNT
     COBOL Name:  SCL-SRVC-OTHR-STF-PRTM-CNT

   Pharmacists - Contract                            7    1172  1178 NUMBER
     Description: The number of full-time equivalent pharmacists under
                  contract to a facility.
     SAS Name:    PHRMCST_CNTRCT_CNT
     COBOL Name:  PHRMCST-CNTRCT-CNT

   Pharmacists - Full-Time                           7    1180  1186 NUMBER
     Description: The number of full-time equivalent pharmacists employed
                  by a facility on a full-time basis.
     SAS Name:    PHRMCST_FLTM_CNT
     COBOL Name:  PHRMCST-FLTM-CNT

   Pharmacists - Part-Time                           7    1188  1194 NUMBER
     Description: The number of full-time equivalent pharmacists employed
                  by a facility on a part-time basis.
     SAS Name:    PHRMCST_PRTM_CNT
     COBOL Name:  PHRMCST-PRTM-CNT

   Physical Therapists - Contract                    7    1212  1218 NUMBER
     Description: The number of full-time equivalent physical therapists
                  under contract to a facility.
     SAS Name:    PHYS_THRPST_CNTRCT_CNT
     COBOL Name:  PHYS-THRPST-CNTRCT-CNT

   Physical Therapists - Full-Time                   7    1220  1226 NUMBER
     Description: The number of full-time equivalent physical therapists
                  employed by a facility on a full-time basis.
     SAS Name:    PHYS_THRPST_FLTM_CNT
     COBOL Name:  PHYS-THRPST-FLTM-CNT


 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 28
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

   Physical Therapists - Part-Time                   7    1228  1234 NUMBER
     Description: The number of full-time equivalent physical therapists
                  employed by a facility on a part-time basis.
     SAS Name:    PHYS_THRPST_PRTM_CNT
     COBOL Name:  PHYS-THRPST-PRTM-CNT

   Physical Therapy Aide - Contract                  7    1244  1250 NUMBER
     Description: The number of full-time equivalent physical therapy aides
                  under contract to a facility.
     SAS Name:    PT_AIDE_CNTRCT_CNT
     COBOL Name:  PT-AIDE-CNTRCT-CNT

   Physical Therapy Aide - Full-Time                 7    1252  1258 NUMBER
     Description: The number of full-time equivalent physical therapy aides
                  employed by a facility on a full-time basis.
     SAS Name:    PT_AIDE_FLTM_CNT
     COBOL Name:  PT-AIDE-FLTM-CNT

   Physical Therapy Aide - Part-Time                 7    1260  1266 NUMBER
     Description: The number of full-time equivalent physical therapy aides
                  employed by a facility on a part-time basis.
     SAS Name:    PT_AIDE_PRTM_CNT
     COBOL Name:  PT-AIDE-PRTM-CNT

   Physical Therapy Assistant - Contract             7    1268  1274 NUMBER
     Description: Number of contract staff hours for physical therapy
                  assistants.
     SAS Name:    PT_ASTNT_CNTRCT_CNT
     COBOL Name:  PT-ASTNT-CNTRCT-CNT

   Physical Therapy Assistant - Full-Time            7    1276  1282 NUMBER
     Description: Number of full-time staff hours for physical therapy
                  assistants.
     SAS Name:    PT_ASTNT_FLTM_CNT
     COBOL Name:  PT-ASTNT-FLTM-CNT

   Physical Therapy Assistant - Part-Time            7    1284  1290 NUMBER
     Description: Number of part-time staff hours for physical therapy
                  assistants.
     SAS Name:    PT_ASTNT_PRTM_CNT
     COBOL Name:  PT-ASTNT-PRTM-CNT

   Physician Extender -  Contract                    7    1300  1306 NUMBER
     Description: The number of full-time equivalent physician extenders
                  under contract to the facility.
     SAS Name:    PHYSN_EXT_CNTRCT_CNT
     COBOL Name:  PHYSN-EXT-CNTRCT-CNT

   Physician Extender Full-Time Count (F37B)         7    1308  1314 NUMBER
     Description: The number of full-time equivalent physician extenders
                  employed by the facility on a full-time basis.
     SAS Name:    PHYSN_EXT_FLTM_CNT
     COBOL Name:  PHYSN-EXT-FLTM-CNT

   Physician Extender Part-Time Count (F37C)         7    1316  1322 NUMBER
     Description: The number of full-time equivalent physician extenders
                  employed by the facility on a part-time basis.
     SAS Name:    PHYSN_EXT_PRTM_CNT
     COBOL Name:  PHYSN-EXT-PRTM-CNT

   Physician Extender Service Offsite To Resident Switch1    1324  1324 VARCHAR2
   (F37A3)
     Description: Indicates if physician extender services are provided

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 29
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  offsite to residents.
     SAS Name:    PHYSN_EXT_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  PHYSN-EXT-SRVC-OFSITE-RSDNT-SW

   Physician Extender Service Onsite To Non-Resident 1    1325  1325 VARCHAR2
   Switch (F37A2)
     Description: Indicates if physician extender services are provided
                  onsite to non-residents.
     SAS Name:    PHYSN_EXT_SRVC_ONST_NRSDNT_SW
     COBOL Name:  PHYSN-EXT-SRVC-ONST-NRSDNT-SW

   Physician Extender Service Onsite To Resident Switch1    1326  1326 VARCHAR2
   (F37A1)
     Description: Indicates if physician extender services are provided
                  on-site to residents.
     SAS Name:    PHYSN_EXT_SRVC_ONST_RSDNT_SW
     COBOL Name:  PHYSN-EXT-SRVC-ONST-RSDNT-SW

   Podiatrists - Contract                            7    1351  1357 NUMBER
     Description: The number of full-time equivalent podiatrists under
                  contract to a facility.
     SAS Name:    PDTRST_CNTRCT_CNT
     COBOL Name:  PDTRST-CNTRCT-CNT

   Podiatrists - Full-Time                           7    1359  1365 NUMBER
     Description: The number of full-time equivalent podiatrists employed
                  by a facility on a full-time basis.
     SAS Name:    PDTRST_FLTM_CNT
     COBOL Name:  PDTRST-FLTM-CNT

   Podiatrists - Part-Time                           7    1367  1373 NUMBER
     Description: The number of full-time equivalent podiatrists employed
                  by a facility on a part-time basis.
     SAS Name:    PDTRST_PRTM_CNT
     COBOL Name:  PDTRST-PRTM-CNT

   Program Participation                             1    1399  1399 VARCHAR2
     Description: Indicates if the provider participates in Medicare,
                  Medicaid, or both programs.
     SAS Name:    PGM_PRTCPTN_CD
     COBOL Name:  PGM-PRTCPTN-CD
     VALUES:      1=MEDICARE ONLY
                  2=MEDICAID ONLY
                  3=MEDICARE AND MEDICAID

   Provider Based Facility                           1    1400  1400 VARCHAR2
     Description: Indicates if a long term care facility is provider based.
     SAS Name:    PRVDR_BSD_FAC_SW
     COBOL Name:  PRVDR-BSD-FAC-SW

   Regional Override # 1 (Number Beds)               1    1438  1438 VARCHAR2
     Description: This field is set to 'Y' when the regional office has to
                  approve a pending record in the special fields screen.
                  This field only applies to categories in ODIE data entry
                  system.
     SAS Name:    OVRRD_BED_CNT_SW
     COBOL Name:  OVRRD-BED-CNT-SW

   Regional Override # 2 (Staffing)                  1    1439  1439 VARCHAR2
     Description: This field is set to 'Y' when the regional office has to
                  approve a pending record in the special fields screen.
                  This field only applies to categories in ODIE data entry
                  system.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 30
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    OVRRD_STFG_SW
     COBOL Name:  OVRRD-STFG-SW

   Registered Nurse - Contract                       7    1441  1447 NUMBER
     Description: The number of full-time equivalent registered nurses
                  under contract to a facility.
     SAS Name:    RN_CNTRCT_CNT
     COBOL Name:  RN-CNTRCT-CNT

   Registered Nurse - Full-Time                      7    1449  1455 NUMBER
     Description: The number of full-time equivalent registered nurses
                  employed by a facility on a full-time basis.
     SAS Name:    RN_FLTM_CNT
     COBOL Name:  RN-FLTM-CNT

   Registered Nurse - Part-Time                      7    1457  1463 NUMBER
     Description: The number of full-time equivalent registered nurses
                  employed by a facility on a part-time basis.
     SAS Name:    RN_PRTM_CNT
     COBOL Name:  RN-PRTM-CNT

   Related Provider Number                           10   1510  1519 CHAR
     Description: Related provider number
     SAS Name:    RLTD_PRVDR_NUM
     COBOL Name:  RLTD-PRVDR-NUM

   Rescind Suspension Date                           8    1520  1527 DATE
     Description: Date that the suspension of payments for new admissions
                  to a long term care (LTC) facility is rescinded.
     SAS Name:    RSCND_SUSPNSN_DT
     COBOL Name:  RSCND-SUSPNSN-DT

   RN Director of Nursing - Contract                 7    1540  1546 NUMBER
     Description: The number of full-time equivalent registered nurse
                  directors of nursing under contract to a facility.
     SAS Name:    RN_DRCTR_CNTRCT_CNT
     COBOL Name:  RN-DRCTR-CNTRCT-CNT

   RN Director of Nursing - Full-Time                7    1548  1554 NUMBER
     Description: The number of full-time equivalent registered nurse
                  directors of nursing employed by a facility on a
                  full-time basis.
     SAS Name:    RN_DRCTR_FLTM_CNT
     COBOL Name:  RN-DRCTR-FLTM-CNT

   RN Director of Nursing - Part-Time                7    1556  1562 NUMBER
     Description: The number of full-time equivalent registered nurse
                  directors of nursing employed by a facility on a
                  part-time basis.
     SAS Name:    RN_DRCTR_PRTM_CNT
     COBOL Name:  RN-DRCTR-PRTM-CNT

   Service: Activities-Offsite-Residents Switch      1    1564  1564 VARCHAR2
     Description: Indicates if activity services are provided off-site to
                  residents.
     SAS Name:    ACTVTY_OFSITE_RSDNT_SW
     COBOL Name:  ACTVTY-OFSITE-RSDNT-SW

   Service: Activities-Onsite-Nonresidents Switch    1    1565  1565 VARCHAR2
     Description: Indicates if activity services are provided on-site to
                  nonresidents.
     SAS Name:    ACTVTY_ONST_NRSDNT_SW
     COBOL Name:  ACTVTY-ONST-NRSDNT-SW

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 31
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Service: Activities-Onsite-Residents Switch       1    1566  1566 VARCHAR2
     Description: Indicates if activity services are provided on-site to
                  residents.
     SAS Name:    ACTVTY_ONST_RSDNT_SW
     COBOL Name:  ACTVTY-ONST-RSDNT-SW

   Service: Blood Administered-Offsite-Resident      1    1568  1568 VARCHAR2
     Description: Indicates if administration and storage of blood services
                  are provided off-site to residents.
     SAS Name:    BLOOD_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  BLOOD-SRVC-OFSITE-RSDNT-SW

   Service: Blood Administered-Onsite-Nonresident    1    1569  1569 VARCHAR2
     Description: Indicates if administration and storage of blood services
                  are provided onsite to nonresidents.
     SAS Name:    BLOOD_SRVC_ONST_NRSDNT_SW
     COBOL Name:  BLOOD-SRVC-ONST-NRSDNT-SW

   Service: Blood Administered-Onsite-Resident       1    1570  1570 VARCHAR2
     Description: Indicates if administration and storage of blood services
                  are provided onsite to residents.
     SAS Name:    BLOOD_SRVC_ONST_RSDNT_SW
     COBOL Name:  BLOOD-SRVC-ONST-RSDNT-SW

   Service: Clinical Laboratory-Offsite-Resident     1    1571  1571 VARCHAR2
     Description: Indicates if clinical laboratory services are provided
                  off-site to residents.
     SAS Name:    CL_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  CL-SRVC-OFSITE-RSDNT-SW

   Service: Clinical Laboratory-Onsite-Nonresident   1    1572  1572 VARCHAR2
     Description: Indicates if clinical laboratory services are provided
                  onsite to nonresidents.
     SAS Name:    CL_SRVC_ONST_NRSDNT_SW
     COBOL Name:  CL-SRVC-ONST-NRSDNT-SW

   Service: Clinical Laboratory-Onsite-Resident      1    1573  1573 VARCHAR2
     Description: Indicates if clinical laboratory services are provided
                  on-site to residents.
     SAS Name:    CL_SRVC_ONST_RSDNT_SW
     COBOL Name:  CL-SRVC-ONST-RSDNT-SW

   Service: Dental  On-Site Nonresidents             1    1575  1575 VARCHAR2
     Description: Indicates if dental services are provided on-site to
                  nonresidents.
     SAS Name:    DNTL_SRVC_ONST_NRSDNT_SW
     COBOL Name:  DNTL-SRVC-ONST-NRSDNT-SW

   Service: Dental Off-Site Residents                1    1576  1576 VARCHAR2
     Description: Indicates if dental services are provided off-site to
                  residents.
     SAS Name:    DNTL_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  DNTL-SRVC-OFSITE-RSDNT-SW

   Service: Dental On-Site Residents                 1    1577  1577 VARCHAR2
     Description: Indicates if dental services are provided on-site to
                  residents.
     SAS Name:    DNTL_SRVC_ONST_RSDNT_SW
     COBOL Name:  DNTL-SRVC-ONST-RSDNT-SW

   Service: Dietary  On-Site Nonresidents            1    1578  1578 VARCHAR2
     Description: Indicates if dietary services are provided on-site to

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 32
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  nonresidents.
     SAS Name:    DTRY_ONST_NRSDNT_SW
     COBOL Name:  DTRY-ONST-NRSDNT-SW

   Service: Dietary Off-Site Residents               1    1579  1579 VARCHAR2
     Description: Indicates if dietary services are provided off-site to
                  residents.
     SAS Name:    DTRY_OFSITE_RSDNT_SW
     COBOL Name:  DTRY-OFSITE-RSDNT-SW

   Service: Dietary On-Site Residents                1    1580  1580 VARCHAR2
     Description: Indicates if dietary services are provided on-site to
                  residents.
     SAS Name:    DTRY_ONST_RSDNT_SW
     COBOL Name:  DTRY-ONST-RSDNT-SW

   Service: Housekeeping  On-Site to Nonresidents    1    1584  1584 VARCHAR2
     Description: Indicates if housekeeping services are provided on-site
                  to nonresidents.
     SAS Name:    HSEKPNG_SRVC_ONST_NRSDNT_SW
     COBOL Name:  HSEKPNG-SRVC-ONST-NRSDNT-SW

   Service: Housekeeping Off-Site to Residents       1    1585  1585 VARCHAR2
     Description: Indicates if housekeeping services are provided off-site
                  to residents.
     SAS Name:    HSEKPNG_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  HSEKPNG-SRVC-OFSITE-RSDNT-SW

   Service: Housekeeping On-Site to Residents        1    1586  1586 VARCHAR2
     Description: Indicates if housekeeping services are provided on-site
                  to residents.
     SAS Name:    HSEKPNG_SRVC_ONST_RSDNT_SW
     COBOL Name:  HSEKPNG-SRVC-ONST-RSDNT-SW

   Service: Mental Health  Off-Site to Residents     1    1591  1591 VARCHAR2
     Description: Indicates if mental health services are provided off-site
                  to residents.
     SAS Name:    MENTL_HLTH_OFSITE_RSDNT_SW
     COBOL Name:  MENTL-HLTH-OFSITE-RSDNT-SW

   Service: Mental Health On-Site  to Residents      1    1592  1592 VARCHAR2
     Description: Indicates if mental health services are provided on-site
                  to residents.
     SAS Name:    MENTL_HLTH_ONST_RSDNT_SW
     COBOL Name:  MENTL-HLTH-ONST-RSDNT-SW

   Service: Mental Health On-site to Nonresidents    1    1593  1593 VARCHAR2
     Description: Indicates if mental health services are provided on-site
                  to nonresidents.
     SAS Name:    MENTL_HLTH_ONST_NRSDNT_SW
     COBOL Name:  MENTL-HLTH-ONST-NRSDNT-SW

   Service: Nursing  On-Site to Nonresidents         1    1595  1595 VARCHAR2
     Description: Indicates if nursing services are provided on-site to
                  nonresidents.
     SAS Name:    NRSNG_SRVC_ONST_NRSDNT_SW
     COBOL Name:  NRSNG-SRVC-ONST-NRSDNT-SW

   Service: Nursing Off-Site to Residents            1    1598  1598 VARCHAR2
     Description: Indicates if nursing services are provided off-site to
                  residents.
     SAS Name:    NRSNG_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  NRSNG-SRVC-OFSITE-RSDNT-SW

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 33
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Service: Nursing On-Site to Residents             1    1599  1599 VARCHAR2
     Description: Indicates if nursing services are provided on-site to
                  residents.
     SAS Name:    NRSNG_SRVC_ONST_RSDNT_SW
     COBOL Name:  NRSNG-SRVC-ONST-RSDNT-SW

   Service: Occupational Therapy  On-Site to         1    1601  1601 VARCHAR2
   Nonresidents
     Description: Indicates if occupational therapy services are provided
                  on-site to nonresidents.
     SAS Name:    OT_SRVC_ONST_NRSDNT_SW
     COBOL Name:  OT-SRVC-ONST-NRSDNT-SW

   Service: Occupational Therapy Off-Site to Residents1    1604  1604 VARCHAR2
     Description: Indicates if occupational therapy services are provided
                  off-site to residents.
     SAS Name:    OT_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  OT-SRVC-OFSITE-RSDNT-SW

   Service: Occupational Therapy On-Site to Residents1    1605  1605 VARCHAR2
     Description: Indicates if occupational therapy services are provided
                  on-site to residents.
     SAS Name:    OT_SRVC_ONST_RSDNT_SW
     COBOL Name:  OT-SRVC-ONST-RSDNT-SW

   Service: Other Activities-Offsite-Residents Switch1    1609  1609 VARCHAR2
     Description: Field 3 - indicates other activity services provided by
                  staff off-site to residents.
     SAS Name:    ACTVTY_OTHR_OFSITE_RSDNT_SW
     COBOL Name:  ACTVTY-OTHR-OFSITE-RSDNT-SW

   Service: Other Activities-Onsite-Nonresidents Switch1    1610  1610 VARCHAR2
     Description: Field 2 - indicates other activity services provided by
                  staff on-site to nonresidents.
     SAS Name:    ACTVTY_OTHR_ONST_NRSDNT_SW
     COBOL Name:  ACTVTY-OTHR-ONST-NRSDNT-SW

   Service: Other Activities-Onsite-Residents Switch 1    1611  1611 VARCHAR2
     Description: Field 1 - indicates other activity services provided by
                  staff on-site to residents.
     SAS Name:    ACTVTY_OTHR_ONST_RSDNT_SW
     COBOL Name:  ACTVTY-OTHR-ONST-RSDNT-SW

   Service: Other Off-Site to Residents              1    1612  1612 VARCHAR2
     Description: Field 3 - indicates services provided by other social
                  services staff off-site to residents.
     SAS Name:    SCL_SRVC_OTHR_OFSITE_RSDNT_SW
     COBOL Name:  SCL-SRVC-OTHR-OFSITE-RSDNT-SW

   Service: Other On-Site to Nonresidents            1    1613  1613 VARCHAR2
     Description: Indicates if other social services are provided on-site
                  to nonresidents.
     SAS Name:    SCL_SRVC_OTHR_ONST_NRSDNT_SW
     COBOL Name:  SCL-SRVC-OTHR-ONST-NRSDNT-SW

   Service: Other On-Site to Residents               1    1614  1614 VARCHAR2
     Description: Field 1 - indicates services provided by social service
                  staff on-site to residents.
     SAS Name:    SCL_SRVC_OTHR_ONST_RSDNT_SW
     COBOL Name:  SCL-SRVC-OTHR-ONST-RSDNT-SW

   Service: Pharmacy Off-Site to Residents           1    1615  1615 VARCHAR2

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 34
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     Description: Indicates if pharmacy services are provided off-site to
                  residents.
     SAS Name:    PHRMCY_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  PHRMCY-SRVC-OFSITE-RSDNT-SW

   Service: Pharmacy On-Site to Nonresidents         1    1616  1616 VARCHAR2
     Description: Indicates if pharmacy services are provided on-site to
                  non residents.
     SAS Name:    PHRMCY_SRVC_ONST_NRSDNT_SW
     COBOL Name:  PHRMCY-SRVC-ONST-NRSDNT-SW

   Service: Pharmacy On-Site to Residents            1    1617  1617 VARCHAR2
     Description: Indicates if pharmacy services are provided on-site to
                  residents.
     SAS Name:    PHRMCY_SRVC_ONST_RSDNT_SW
     COBOL Name:  PHRMCY-SRVC-ONST-RSDNT-SW

   Service: Physical Therapy Off-Site to Residents   1    1620  1620 VARCHAR2
     Description: Indicates if physical therapy services are provided
                  off-site to residents.
     SAS Name:    PT_OFSITE_RSDNT_SW
     COBOL Name:  PT-OFSITE-RSDNT-SW

   Service: Physical Therapy On-Site to Nonresidents 1    1621  1621 VARCHAR2
     Description: Indicates if physical therapy services are provided
                  on-site to nonresidents.
     SAS Name:    PT_ONST_NRSDNT_SW
     COBOL Name:  PT-ONST-NRSDNT-SW

   Service: Physical Therapy On-Site to Residents    1    1622  1622 VARCHAR2
     Description: Indicates if physical therapy services are provided
                  on-site to residents.
     SAS Name:    PT_ONST_RSDNT_SW
     COBOL Name:  PT-ONST-RSDNT-SW

   Service: Physician Off-Site to Residents          1    1626  1626 VARCHAR2
     Description: Indicates if physician services are provided off-site to
                  residents.
     SAS Name:    PHYSN_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  PHYSN-SRVC-OFSITE-RSDNT-SW

   Service: Physician On-Site to Nonresidents        1    1627  1627 VARCHAR2
     Description: Indicates if physician services are provided on-site to
                  nonresidents.
     SAS Name:    PHYSN_SRVC_ONST_NRSDNT_SW
     COBOL Name:  PHYSN-SRVC-ONST-NRSDNT-SW

   Service: Physician On-Site to Residents           1    1628  1628 VARCHAR2
     Description: Indicates if physician services are provided on-site to
                  residents.
     SAS Name:    PHYSN_SRVC_ONST_RSDNT_SW
     COBOL Name:  PHYSN-SRVC-ONST-RSDNT-SW

   Service: Podiatry Off-Site to Residents           1    1629  1629 VARCHAR2
     Description: Indicates if podiatry services are provided off-site to
                  residents.
     SAS Name:    PDTRY_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  PDTRY-SRVC-OFSITE-RSDNT-SW

   Service: Podiatry On-Site to Nonresidents         1    1630  1630 VARCHAR2
     Description: Indicates if podiatry services are provided on-site to
                  nonresidents.
     SAS Name:    PDTRY_SRVC_ONST_NRSDNT_SW

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 35
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  PDTRY-SRVC-ONST-NRSDNT-SW

   Service: Podiatry On-Site to Residents            1    1631  1631 VARCHAR2
     Description: Indicates if podiatry services are provided on-site to
                  residents.
     SAS Name:    PDTRY_SRVC_ONST_RSDNT_SW
     COBOL Name:  PDTRY-SRVC-ONST-RSDNT-SW

   Service: Social Work Off-Site to Residents        1    1641  1641 VARCHAR2
     Description: Indicates if social work services are provided off-site
                  to residents.
     SAS Name:    SCL_WORK_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  SCL-WORK-SRVC-OFSITE-RSDNT-SW

   Service: Social Work On-Site to Nonresidents      1    1642  1642 VARCHAR2
     Description: Indicates if social work services are provided on-site to
                  nonresidents.
     SAS Name:    SCL_WORK_SRVC_ONST_NRSDNT_SW
     COBOL Name:  SCL-WORK-SRVC-ONST-NRSDNT-SW

   Service: Social Work On-Site to Residents         1    1643  1643 VARCHAR2
     Description: Indicates if social work services are provided on-site to
                  residents.
     SAS Name:    SCL_WORK_SRVC_ONST_RSDNT_SW
     COBOL Name:  SCL-WORK-SRVC-ONST-RSDNT-SW

   Service: Speech Pathology Off-Site to Residents   1    1646  1646 VARCHAR2
     Description: Indicates if speech/language pathology services are
                  provided offsite to residents.
     SAS Name:    SPCH_PTHLGY_OFSITE_RSDNT_SW
     COBOL Name:  SPCH-PTHLGY-OFSITE-RSDNT-SW

   Service: Speech Pathology On-Site to Nonresidents 1    1647  1647 VARCHAR2
     Description: Indicates if speech/language pathology services are
                  provided on-site to nonresidents.
     SAS Name:    SPCH_PTHLGY_ONST_NRSDNT_SW
     COBOL Name:  SPCH-PTHLGY-ONST-NRSDNT-SW

   Service: Speech Pathology On-Site to Residents    1    1648  1648 VARCHAR2
     Description: Indicates if speech/language pathology services are
                  provided on-site to residents.
     SAS Name:    SPCH_PTHLGY_ONST_RSDNT_SW
     COBOL Name:  SPCH-PTHLGY-ONST-RSDNT-SW

   Service: Therapeutic Recreational Specialty Off-Site1    1650  1650 VARCHAR2
   to Residents
     Description: Indicates if therapeutic recreation specialist services
                  are provided off-site to residents.
     SAS Name:    THRPTC_RCRTNL_OFSITE_RSDNT_SW
     COBOL Name:  THRPTC-RCRTNL-OFSITE-RSDNT-SW

   Service: Therapeutic Recreational Specialty On-Site1    1651  1651 VARCHAR2
   to Non Residents
     Description: Indicates if therapeutic recreation specialist services
                  are provided on-site to nonresidents.
     SAS Name:    THRPTC_RCRTNL_ONST_NRSDNT_SW
     COBOL Name:  THRPTC-RCRTNL-ONST-NRSDNT-SW

   Service: Therapeutic Recreational Specialty On-Site1    1652  1652 VARCHAR2
   to Residents
     Description: Indicates if therapeutic recreation specialist services
                  are provided on-site to residents.
     SAS Name:    THRPTC_RCRTNL_ONST_RSDNT_SW

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 36
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  THRPTC-RCRTNL-ONST-RSDNT-SW

   Service: Vocational Off-Site to Residents         1    1654  1654 VARCHAR2
     Description: Indicates if vocational services are provided off-site to
                  residents.
     SAS Name:    VCTNL_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  VCTNL-SRVC-OFSITE-RSDNT-SW

   Service: Vocational On-Site to Nonresidents       1    1655  1655 VARCHAR2
     Description: Indicates if vocational services are provided on-site to
                  nonresidents.
     SAS Name:    VCTNL_SRVC_ONST_NRSDNT_SW
     COBOL Name:  VCTNL-SRVC-ONST-NRSDNT-SW

   Service: Vocational On-Site to Residents          1    1656  1656 VARCHAR2
     Description: Indicates if vocational services are provided on-site to
                  residents.
     SAS Name:    VCTNL_SRVC_ONST_RSDNT_SW
     COBOL Name:  VCTNL-SRVC-ONST-RSDNT-SW

   Service: X-ray Off-Site Residents                 1    1657  1657 VARCHAR2
     Description: Indicates if diagnostic X-ray services are provided
                  off-site to residents.
     SAS Name:    DGNSTC_XRAY_OFSITE_RSDNT_SW
     COBOL Name:  DGNSTC-XRAY-OFSITE-RSDNT-SW

   Service: X-ray On-Site Nonresidents               1    1658  1658 VARCHAR2
     Description: Indicates if diagnostic X-ray services are provided
                  on-site to nonresidents.
     SAS Name:    DGNSTC_XRAY_ONST_NRSDNT_SW
     COBOL Name:  DGNSTC-XRAY-ONST-NRSDNT-SW

   Service: X-ray On-Site Residents                  1    1659  1659 VARCHAR2
     Description: Indicates if diagnostic X-ray services are provided
                  on-site to residents.
     SAS Name:    DGNSTC_XRAY_ONST_RSDNT_SW
     COBOL Name:  DGNSTC-XRAY-ONST-RSDNT-SW

   Social Worker - Contract                          7    3955  3961 NUMBER
     Description: The number of full-time equivalent social workers under
                  contract to a facility.
     SAS Name:    SCL_WORKR_CNTRCT_CNT
     COBOL Name:  SCL-WORKR-CNTRCT-CNT

   Social Worker - Full-Time                         7    3963  3969 NUMBER
     Description: The number of full-time equivalent social workers
                  employed by a facility on a full-time basis.
     SAS Name:    SCL_WORKR_FLTM_CNT
     COBOL Name:  SCL-WORKR-FLTM-CNT

   Social Worker - Part-Time                         7    3971  3977 NUMBER
     Description: The number of full-time equivalent social workers
                  employed by a facility on a part time basis.
     SAS Name:    SCL_WORKR_PRTM_CNT
     COBOL Name:  SCL-WORKR-PRTM-CNT

   Special Care Bed - Specialized Rehab              3    3987  3989 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for residents with specialized rehab needs.
     SAS Name:    REHAB_BED_CNT
     COBOL Name:  REHAB-BED-CNT

   Special Care Beds - AIDS                          3    3990  3992 NUMBER

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 37
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     Description: The number of beds in a unit identified and dedicated by
                  the facility for residents with AIDS.
     SAS Name:    AIDS_BED_CNT
     COBOL Name:  AIDS-BED-CNT

   Special Care Beds - Alzheimers                    3    3993  3995 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for residents with Alzheimer's disease.
     SAS Name:    ALZHMR_BED_CNT
     COBOL Name:  ALZHMR-BED-CNT

   Special Care Beds - Dialysis                      3    3996  3998 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for residents needing dialysis.
     SAS Name:    DLYS_BED_CNT
     COBOL Name:  DLYS-BED-CNT

   Special Care Beds - Disabled Child                3    3999  4001 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for disabled children.
     SAS Name:    DSBL_CHLDRN_BED_CNT
     COBOL Name:  DSBL-CHLDRN-BED-CNT

   Special Care Beds - Head Trauma                   3    4002  4004 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facilty for residents with head trauma.
     SAS Name:    HEAD_TRMA_BED_CNT
     COBOL Name:  HEAD-TRMA-BED-CNT

   Special Care Beds - Hospice                       3    4005  4007 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  a facility for residents needing hospice services.
     SAS Name:    HOSPC_BED_CNT
     COBOL Name:  HOSPC-BED-CNT

   Special Care Beds - Huntingtons                   3    4008  4010 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for residents with Huntington's disease.
     SAS Name:    HNTGTN_DEASE_BED_CNT
     COBOL Name:  HNTGTN-DEASE-BED-CNT

   Special Care Beds - Ventilator                    3    4011  4013 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for residents with ventilator/resipiratory
                  care needs.
     SAS Name:    VNTLTR_BED_CNT
     COBOL Name:  VNTLTR-BED-CNT

   Speech Pathologist - Contract                     7    4026  4032 NUMBER
     Description: The number of full-time equivalent speech pathologists
                  under contract to a facility.
     SAS Name:    SPCH_PTHLGST_CNTRCT_CNT
     COBOL Name:  SPCH-PTHLGST-CNTRCT-CNT

   Speech Pathologist - Full-Time                    7    4034  4040 NUMBER
     Description: The number of full-time equivalent speech pathologists
                  employed by a facility on a full-time basis.
     SAS Name:    SPCH_PTHLGST_FLTM_CNT
     COBOL Name:  SPCH-PTHLGST-FLTM-CNT

   Speech Pathologist - Part-Time                    7    4042  4048 NUMBER
     Description: The number of full-time equivalent speech pathologists
                  employed by a facility on a part-time basis.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 38
 Skilled Nursing Facility/Nursing Facility (Dually Certified), CATEGORY = "02"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    SPCH_PTHLGST_PRTM_CNT
     COBOL Name:  SPCH-PTHLGST-PRTM-CNT

   Therapeutic Recreational Specialty - Contract     7    4112  4118 NUMBER
     Description: Number of contract staff hours provided by therapeutic
                  recreation specialist.
     SAS Name:    THRPTC_RCRTNL_CNTRCT_CNT
     COBOL Name:  THRPTC-RCRTNL-CNTRCT-CNT

   Therapeutic Recreational Specialty - Full-Time    7    4120  4126 NUMBER
     Description: Number of full-time staff hours provided by therapeutic
                  recreation specialist.
     SAS Name:    THRPTC_RCRTNL_FLTM_CNT
     COBOL Name:  THRPTC-RCRTNL-FLTM-CNT

   Therapeutic Recreational Specialty - Part-Time    7    4128  4134 NUMBER
     Description: Number of part-time staff hours provided by therapeutic
                  recreation specialist.
     SAS Name:    THRPTC_RCRTNL_PRTM_CNT
     COBOL Name:  THRPTC-RCRTNL-PRTM-CNT












































 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 1
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Provider Category Subtype Code                    2    1     2    VARCHAR2
     Description: This field is used mainly by batch report programs to
                  determine the breakdown of the provider category. This
                  field is mainly used for SNFs and hospitals.
     SAS Name:    PRVDR_CTGRY_SBTYP_CD
     COBOL Name:  PRVDR-CTGRY-SBTYP-CD
     VALUES:      03=TITLE 18/19

   Provider Category Code                            2    3     4    VARCHAR2
     Description: This code identifies the category which is most
                  descriptive of the facility identified on the
                  Medicare/Medicaid Certification and Transmittal Form (CMS
                  1539).
     SAS Name:    PRVDR_CTGRY_CD
     COBOL Name:  PRVDR-CTGRY-CD
     VALUES:      03=Skilled Nursing Facility/Nursing Facility (Distinct Part)

   Change of Ownership Count                         2    5     6    NUMBER
     Description: The number of times a change of ownership (CHOW) has
                  taken place for a particular provider.
     SAS Name:    CHOW_CNT
     COBOL Name:  CHOW-CNT

   Change of Ownership Date                          8    7     14   DATE
     Description: Effective date of a change of ownership.
     SAS Name:    CHOW_DT
     COBOL Name:  CHOW-DT

   City                                              28   15    42   VARCHAR2
     Description: City in which the provider is physically located.
     SAS Name:    CITY_NAME
     COBOL Name:  CITY-NAME

   Compliance: Plan of Correction                    1    43    43   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements based on an acceptable plan for correction
                  of deficiencies.
     SAS Name:    ACPTBL_POC_SW
     COBOL Name:  ACPTBL-POC-SW

   Compliance: Status                                1    44    44   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements.
     SAS Name:    CMPLNC_STUS_CD
     COBOL Name:  CMPLNC-STUS-CD
     VALUES:      A=IN COMPLIANCE
                  B=NOT IN COMPLIANCE

   SSA County Code                                   3    45    47   VARCHAR2
     Description: SSA (State Survey Agency) geographic code indicating the
                  county where the facility is located.
     SAS Name:    SSA_CNTY_CD
     COBOL Name:  SSA-CNTY-CD

   Cross Ref Provider Number                         10   48    57   CHAR
     Description: Cross reference provider number
     SAS Name:    CROSS_RFRNC_PRVDR_NUM
     COBOL Name:  CROSS-RFRNC-PRVDR-NUM

   Certification Date                                8    58    65   DATE
     Description: The Certification date is equal to the exit date of the
                  initial visit of the Health survey or LSC survey,

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 2
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  whichever is later.
     SAS Name:    CRTFCTN_DT
     COBOL Name:  CRTFCTN-DT

   Eligibility Switch                                1    66    66   VARCHAR2
     Description: Indicates if a facility is eligible to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    ELGBLTY_SW
     COBOL Name:  ELGBLTY-SW

   Facility Name                                     50   67    116  VARCHAR2
     Description: The name of a provider certified to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    FAC_NAME
     COBOL Name:  FAC-NAME

   Intermediary Carrier Code                         5    117   121  VARCHAR2
     Description: A number assigned to an intermediary or carrier servicing
                  a provider or supplier. Not all numbers apply to all
                  provider types.
     SAS Name:    INTRMDRY_CARR_CD
     COBOL Name:  INTRMDRY-CARR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 3
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 4
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 5
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 6
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Medicare or Medicaid Vendor Number                15   122   136  VARCHAR2
     Description: A number which may be assigned to a facility by the state
                  Medicaid agency for external control or billing purposes.
     SAS Name:    MDCD_VNDR_NUM
     COBOL Name:  MDCD-VNDR-NUM

   Participation Date                                8    137   144  DATE
     Description: The date a facility is first approved to provide Medicare
                  and/or Medicaid services.
     SAS Name:    ORGNL_PRTCPTN_DT
     COBOL Name:  ORGNL-PRTCPTN-DT

   Prior Change of Ownership Date                    8    145   152  DATE
     Description: The date of a prior change of ownership.
     SAS Name:    CHOW_PRIOR_DT
     COBOL Name:  CHOW-PRIOR-DT

   Intermediary Carrier Prior Code                   5    153   157  VARCHAR2
     Description: The previous intermediary carrier number.
     SAS Name:    INTRMDRY_CARR_PRIOR_CD
     COBOL Name:  INTRMDRY-CARR-PRIOR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 7
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 8
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 9
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 10
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Provider Number                                   10   158   167  VARCHAR2
     Description: A six or ten position identification number that is
                  assigned to a certified provider.
     SAS Name:    PRVDR_NUM
     COBOL Name:  PRVDR-NUM

   Record Status Code                                1    168   168  VARCHAR2
     Description: This indicator specifies the current status of the
                  record.
     SAS Name:    REC_STUS_CD
     COBOL Name:  REC-STUS-CD
     VALUES:      A=ACCEPTED RECORD
                  C=COMPLAINT RECORD

   Region Code                                       2    169   170  VARCHAR2
     Description: The regional location of the provider.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 11
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    RGN_CD
     COBOL Name:  RGN-CD
     VALUES:      01=BOSTON
                  02=NEW YORK
                  03=PHILADELPHIA
                  04=ATLANTA
                  05=CHICAGO
                  06=DALLAS
                  07=KANSAS CITY
                  08=DENVER
                  09=SAN FRANCISCO
                  10=SEATTLE

   Skeleton Record Switch                            1    171   171  VARCHAR2
     Description: Indicates the record is a skeleton record.  Only a
                  limited set of the provider data is available for this
                  provider.
     SAS Name:    SKLTN_REC_SW
     COBOL Name:  SKLTN-REC-SW

   State Abbreviation                                2    172   173  VARCHAR2
     Description: The two-character state abbreviation.
     SAS Name:    STATE_CD
     COBOL Name:  STATE-CD
     VALUES:      AK=ALASKA
                  AL=ALABAMA
                  AR=ARKANSAS
                  AS=AMERICAN SAMOA
                  AZ=ARIZONA
                  CA=CALIFORNIA
                  CN=CANADA
                  CO=COLORADO
                  CT=CONNECTICUT
                  DC=DISTRICT OF COLUMBIA
                  DE=DELAWARE
                  FL=FLORIDA
                  FN=FOREIGN
                  GA=GEORGIA
                  GU=GUAM
                  HI=HAWAII
                  IA=IOWA
                  ID=IDAHO
                  IL=ILLINOIS
                  IN=INDIANA
                  KS=KANSAS
                  KY=KENTUCKY
                  LA=LOUISIANA
                  MA=MASSACHUSETTS
                  MD=MARYLAND
                  ME=MAINE
                  MI=MICHIGAN
                  MN=MINNESOTA
                  MO=MISSOURI
                  MP=SAIPAN
                  MS=MISSISSIPPI
                  MT=MONTANA
                  MX=MEXICO
                  NC=NORTH CAROLINA
                  ND=NORTH DAKOTA
                  NE=NEBRASKA
                  NH=NEW HAMPSHIRE
                  NJ=NEW JERSEY
                  NM=NEW MEXICO

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 12
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  NV=NEVADA
                  NY=NEW YORK
                  OH=OHIO
                  OK=OKLAHOMA
                  OR=OREGON
                  PA=PENNSYLVANIA
                  PR=PUERTO RICO
                  RI=RHODE ISLAND
                  SC=SOUTH CAROLINA
                  SD=SOUTH DAKOTA
                  TN=TENNESSEE
                  TX=TEXAS
                  UT=UTAH
                  VA=VIRGINIA
                  VI=VIRGIN ISLANDS
                  VT=VERMONT
                  WA=WASHINGTON
                  WI=WISCONSIN
                  WV=WEST VIRGINIA
                  WY=WYOMING

   SSA State Code                                    2    174   175  VARCHAR2
     Description: SSA (Social Security Administration) geographic code
                  indicating the state of the provider's residence. Must
                  agree with the first two positions of the Provider number
                  (except California: 05 and 55; Texas: 45 and 67; FL: 10
                  and 68; MD: 21 and 80).
     SAS Name:    SSA_STATE_CD
     COBOL Name:  SSA-STATE-CD
     VALUES:      01=ALABAMA
                  02=ALASKA
                  03=ARIZONA
                  04=ARKANSAS
                  05=CALIFORNIA
                  06=COLORADO
                  07=CONNECTICUT
                  08=DELAWARE
                  09=DISTRICT OF COLUMBIA
                  10=FLORIDA
                  11=GEORGIA
                  12=HAWAII
                  13=IDAHO
                  14=ILLINOIS
                  15=INDIANA
                  16=IOWA
                  17=KANSAS
                  18=KENTUCKY
                  19=LOUISIANA
                  20=MAINE
                  21=MARYLAND
                  22=MASSACHUSETTS
                  23=MICHIGAN
                  24=MINNESOTA
                  25=MISSISSIPPI
                  26=MISSOURI
                  27=MONTANA
                  28=NEBRASKA
                  29=NEVADA
                  30=NEW HAMPSHIRE
                  31=NEW JERSEY
                  32=NEW MEXICO
                  33=NEW YORK
                  34=NORTH CAROLINA

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 13
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  35=NORTH DAKOTA
                  36=OHIO
                  37=OKLAHOMA
                  38=OREGON
                  39=PENNSYLVANIA
                  40=PUERTO RICO
                  41=RHODE ISLAND
                  42=SOUTH CAROLINA
                  43=SOUTH DAKOTA
                  44=TENNESSEE
                  45=TEXAS
                  46=UTAH
                  47=VERMONT
                  48=VIRGIN ISLANDS
                  49=VIRGINIA
                  50=WASHINGTON
                  51=WEST VIRGINIA
                  52=WISCONSIN
                  53=WYOMING
                  54=AFRICA
                  56=CANADA
                  57=WEST INDIES
                  58=EUROPE
                  59=MEXICO
                  60=OCEANIA
                  61=PHILIPPINES
                  62=SOUTH AMERICA
                  63=UNITED STATES POSSESSIONS
                  64=AMERICAN SAMOA
                  65=GUAM
                  66=SAIPAN
                  99=FOREIGN

   State Region Code                                 3    176   178  VARCHAR2
     Description: For selected states, identifies the particular region
                  within the state where the provider is located.
     SAS Name:    STATE_RGN_CD
     COBOL Name:  STATE-RGN-CD
     VALUES:      AK/001=ALASKA
                  AK/LAB=LABORATORIES
                  AK/UNK=UNKNOWN
                  AL/001=ALABAMA
                  AL/LAB=LABORATORIES
                  AL/UNK=UNKNOWN
                  AR/001=ARKANSAS
                  AR/LAB=LABORATORIES
                  AR/UNK=UNKNOWN
                  AS/001=AMERICAN SAMOA
                  AS/LAB=LABORATORY
                  AS/UNK=UNKNOWN
                  AZ/AZ=PHOENIX
                  AZ/LAB=ARIZONA LAB
                  AZ/TUC=TUCSON
                  AZ/UNK=UNKNOWN
                  CA/BAK=BAKERSFIELD
                  CA/BER=SAN BERNARDINO
                  CA/BK=BERKELEY
                  CA/BK1=CONTRA COSTA
                  CA/FR=FRESNO
                  CA/L1=L.A. WEST
                  CA/L2=L.A. NORTH
                  CA/L3=L.A. CENTRAL
                  CA/L4=L.A. EAST

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 14
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  CA/L5=SAN GABRIEL
                  CA/LAB=LABORATORIES
                  CA/M1=LAB. SOUTH
                  CA/M2=LAB. NORTH
                  CA/ORG=ORANGE CO
                  CA/RIV=RIVERSIDE
                  CA/RWC=REDWOOD COAST
                  CA/S1=SACRAMENTO
                  CA/S2=SACTO SOUTH
                  CA/S3=CHICO
                  CA/SD=SAN DIEGO
                  CA/SDS=SAN DIEGO SOUTH
                  CA/SF=SAN FRANCISCO
                  CA/SJ=SAN JOSE
                  CA/SR=SANTA ROSA
                  CA/UNK=UNKNOWN
                  CA/VEN=VENTURA
                  CN/001=CANADA
                  CN/LAB=LABORATORY
                  CN/UNK=UNKNOWN
                  CO/001=COLORADO
                  CO/LAB=LABORATORIES
                  CO/UNK=UNKNOWN
                  CT/001=CONNECTICUT
                  CT/LAB=LABORATORIES
                  CT/UNK=UNKNOWN
                  DC/001=DISTRICT OF COLUMBIA
                  DC/LAB=LABORATORIES
                  DC/UNK=UNKNOWN
                  DE/001=DELAWARE
                  DE/LAB=LABORATORIES
                  DE/UNK=UNKNOWN
                  FL/FTM=FT. MYERS
                  FL/GAI=GAINESVILLE
                  FL/JAX=JACKSONVILLE
                  FL/LAB=LABORATORIES
                  FL/LAN=LANTANA
                  FL/LAU=LAUDERHILL
                  FL/MIA=MIAMI
                  FL/ORL=ORLANDO
                  FL/PEN=PENSACOLA
                  FL/STP=ST. PETERSBURG
                  FL/TAL=TALLAHASSEE
                  FL/TAM=TAMPA
                  FL/UNK=UNKNOWN
                  FM/001=FEDERATED STATES OF MICRO
                  FN/001=FOREIGN
                  FN/LAB=LABORATORIES
                  FN/UNK=UNKNOWN
                  GA/001=GEORGIA
                  GA/GAA=GEORGIA ALL
                  GA/GAC=GEORGIA CENTRAL
                  GA/GAE=GEORGIA EASTERN
                  GA/GAN=GEORGIA NORTH
                  GA/GAS=GEORGIA SOUTH
                  GA/GAW=GEORGIA WESTERN
                  GA/LAB=LABORATORIES
                  GA/UNK=UNKNOWN
                  GU/001=GUAM
                  GU/LAB=LABORATORIES
                  GU/UNK=UNKNOWN
                  HI/001=HAWAII
                  HI/LAB=LABORATORIES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 15
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  HI/UNK=UNKNOWN
                  IA/001=IOWA
                  IA/LAB=LABORATORIES
                  IA/UNK=UNKNOWN
                  ID/001=IDAHO
                  ID/LAB=LABORATORIES
                  ID/UNK=UNKNOWN
                  IL/001=ILLINOIS
                  IL/LAB=LABORATORIES
                  IL/UNK=UNKNOWN
                  IN/001=INDIANA
                  IN/LAB=LABORATORIES
                  IN/UNK=UNKNOWN
                  KS/LAB=LABORATORIES
                  KS/LAW=LAWRENCE
                  KS/NC=NORTH CENTRAL KANSAS
                  KS/NE=NORTH EAST KANSAS
                  KS/NW=NORTH WEST KANSAS
                  KS/SC=SOUTH CENTRAL KANSAS
                  KS/SE=SOUTH EAST KANSAS
                  KS/SW=SOUTH WEST KANSAS
                  KS/UNK=UNKNOWN
                  KS/WST=WEST
                  KY/2C1=HOPKINSVILLE
                  KY/2C2=LOUISVILLE
                  KY/2C3=LONDON
                  KY/2C4=LEXINGTON
                  KY/LAB=LABORATORIES
                  KY/UNK=UNKNOWN
                  LA/001=LOUISIANA
                  LA/LA1=NEW ORLEANS
                  LA/LA2=MANDEVILLE
                  LA/LA3=LAFAYETTE
                  LA/LA4=MONROE
                  LA/LA5=SHREVEPORT
                  LA/LA6=ALEXANDRIA
                  LA/LAB=LABORATORIES
                  LA/LB1=CLIA NEW ORLEANS
                  LA/LB5=CLIA SHREVEPORT
                  LA/LB6=CLIA ALEXANDRIA
                  LA/UNK=UNKNOWN
                  MA/001=MASSACHUSETTS
                  MA/LAB=LABORATORIES
                  MA/UNK=UNKNOWN
                  MD/001=MARYLAND
                  MD/LAB=LABORATORIES
                  MD/UNK=UNKNOWN
                  ME/001=MAINE
                  ME/LAB=LABORATORIES
                  ME/UNK=UNKNOWN
                  MH/001=MARSHALL ISLANDS
                  MI/001=MICHIGAN
                  MI/LAB=LABORATORIES
                  MI/UNK=UNKNOWN
                  MN/001=MINNESOTA
                  MN/LAB=LABORATORIES
                  MN/UNK=UNKNOWN
                  MO/01=REGION01
                  MO/02=REGION02
                  MO/03=REGION 03
                  MO/04=REGION 04
                  MO/05=REGION 05
                  MO/06=REGION 06

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 16
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  MO/07=REGION 07
                  MO/1NH=REGION 1 NH
                  MO/2NH=REGION 2 NH
                  MO/3NH=REGION 3 NH
                  MO/4NH=REGION 4 NH
                  MO/5NH=REGION 5 NH
                  MO/6NH=REGION 6 NH
                  MO/7NH=REGION 7 NH
                  MO/LAB=LABORATORIES
                  MO/MO=STATEWIDE
                  MO/UNK=UNKNOWN
                  MP/001=NORTHERN MARIANA ISLANDS
                  MP/LAB=LABORATORIES
                  MP/UNK=UNKNOWN
                  MS/001=MISSISSIPPI
                  MS/LAB=LABORATORIES
                  MS/UNK=UNKNOWN
                  MT/001=MONTANA
                  MT/LAB=LABORATORIES
                  MT/UNK=UNKNOWN
                  MX/001=MEXICO
                  MX/LAB=LABORATORY
                  MX/UNK=UNKNOWN
                  NC/LAB=LABORATORIES
                  NC/NCC=NORTH CAROLINA CENTRAL
                  NC/NCE=NORTH CAROLINA EAST
                  NC/NCN=NORTH CAROLINA NORTH
                  NC/NCS=NORTH CAROLINA SOUTH
                  NC/NCW=NORTH CAROLINA WEST
                  NC/UNK=UNKNOWN
                  ND/001=NORTH DAKOTA
                  ND/LAB=LABORATORIES
                  ND/UNK=UNKNOWN
                  NE/1=NORTH CENTRAL
                  NE/2=CENTRAL
                  NE/3=NORTHEAST
                  NE/4=SOUTHEAST
                  NE/5=WESTERN
                  NE/LAB=LABORATORIES
                  NE/UNK=UNKNOWN
                  NH/001=NEW HAMPSHIRE
                  NH/LAB=LABORATORIES
                  NH/UNK=UNKNOWN
                  NJ/001=NEW JERSEY
                  NJ/LAB=LABORATORIES
                  NJ/UNK=UNKNOWN
                  NM/001=NEW MEXICO
                  NM/LAB=LABORATORIES
                  NM/UNK=UNKNOWN
                  NV/CC=CARSON CITY
                  NV/LAB=LABORATORIES
                  NV/LV=LAS VEGAS
                  NV/UNK=UNKNOWN
                  NY/001=BUFFALO
                  NY/002=ROCHESTER
                  NY/003=SYRACUSE
                  NY/004=ALBANY
                  NY/005=NEW ROCHELLE
                  NY/006=NEW YORK CITY
                  NY/007=SUFFOLK/NASSAU COUNTY
                  NY/LAB=LABORATORIES
                  NY/UNK=UNKNOWN
                  OH/001=OHIO

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 17
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  OH/LAB=LABORATORIES
                  OH/UNK=UNKNOWN
                  OK/001=OKLAHOMA
                  OK/LAB=LABORATORIES
                  OK/UNK=UNKNOWN
                  OR/001=OFFICE #1
                  OR/002=OFFICE #2
                  OR/003=OFFICE #3
                  OR/LAB=LABORATORIES
                  OR/UNK=UNKNOWN
                  PA/001=PENNSYLVANIA
                  PA/LAB=LABORATORIES
                  PA/UNK=UNKNOWN
                  PR/001=PUERTO RICO
                  PR/LAB=LABORATORIES
                  PR/UNK=UNKNOWN
                  PW/001=PALAU
                  RI/001=RHODE ISLAND
                  RI/LAB=LABORATORIES
                  RI/UNK=UNKNOWN
                  SC/001=SOUTH CAROLINA
                  SC/LAB=LABORATORIES
                  SC/UNK=UNKNOWN
                  SD/001=SOUTH DAKOTA
                  SD/LAB=LABORATORIES
                  SD/UNK=UNKNOWN
                  TN/LAB=LABORATORIES
                  TN/TNC=TENNESSEE COOKEVILLE
                  TN/TNE=TENNESSEE EASTERN
                  TN/TNM=TENNESSEE MIDDLE
                  TN/TNW=TENNESSEE WESTERN
                  TN/UNK=UNKNOWN
                  TX/001=TEXAS
                  TX/L01=AMARILLO-LTC
                  TX/L02=ABILENE-LTC
                  TX/L03=ARLINGTON-LTC
                  TX/L04=TYLER-LTC
                  TX/L05=BEAUMONT-LTC
                  TX/L06=HOUSTON-LTC
                  TX/L07=TEMPLE-LTC
                  TX/L08=SAN ANTONIO-LTC
                  TX/L09=SAN ANGELO-LTC
                  TX/L10=EL PASO-LTC
                  TX/L11=CORPUS CHRISTI-LTC
                  TX/LAB=LABORATORIES
                  TX/TX1=LUBBOCK
                  TX/TX2=ARLINGTON
                  TX/TX3=SAN ANTONIO
                  TX/TX4=HOUSTON
                  TX/TX5=TYLER
                  TX/TX6=AUSTIN
                  TX/UNK=UNKNOWN
                  UT/001=UTAH
                  UT/LAB=LABORATORIES
                  UT/UNK=UNKNOWN
                  VA/001=VIRGINIA
                  VA/LAB=LABORATORIES
                  VA/UNK=UNKNOWN
                  VI/001=VIRGIN ISLANDS
                  VI/LAB=LABORATORIES
                  VI/UNK=UNKNOWN
                  VT/001=VERMONT
                  VT/LAB=LABORATORIES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 18
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  VT/UNK=UNKNOWN
                  WA/001=ALL OTHERS (NON-LTC FAC)
                  WA/D1=SPOKANE & YAKIMA AREAS
                  WA/D1A=District 1, Unit A
                  WA/D1B=District 1, Unit B
                  WA/D1C=District 1, Unit C
                  WA/D1D=District 1, Unit D
                  WA/D2=SPOKANE & SE
                  WA/D2A=District 2, Unit A
                  WA/D2B=District 2, Unit B
                  WA/D2C=District 2, Unit C
                  WA/D2D=District 2, Unit D
                  WA/D2E=District 2, Unit E
                  WA/D2F=District 2, Unit F
                  WA/D2G=District 2, Unit G
                  WA/D3=NW WASHINGTON
                  WA/D3A=District 3, Unit A
                  WA/D3B=District 3, Unit B
                  WA/D3C=District 3, Unit C
                  WA/D3D=District 3, Unit D
                  WA/D3E=District 3, Unit E
                  WA/D4A=GREATER SEATTLE AREA
                  WA/D4B=S KING COUNTY
                  WA/D5A=PIERCE CTY & PENINSULA
                  WA/D5B=PIERCE CTY & GRAYS HARBOR
                  WA/D6=OLYMPIA AREA
                  WA/LAB=LABORATORIES
                  WA/UNK=UNKNOWN
                  WI/001=WISCONSIN
                  WI/LAB=LABORATORIES
                  WI/UNK=UNKNOWN
                  WV/001=WEST VIRGINIA
                  WV/LAB=LABORATORIES
                  WV/UNK=UNKNOWN
                  WY/001=WYOMING
                  WY/LAB=LABORATORIES
                  WY/UNK=UNKNOWN

   Street Address                                    50   179   228  VARCHAR2
     Description: Street address of a provider that is certified to provide
                  Medicare and/or Medicaid services.
     SAS Name:    ST_ADR
     COBOL Name:  ST-ADR

   Telephone Number                                  10   229   238  VARCHAR2
     Description: The 10-digit telephone number of the primary contact or
                  the operator of a provider.
     SAS Name:    PHNE_NUM
     COBOL Name:  PHNE-NUM

   Termination Code 1                                2    239   240  VARCHAR2
     Description: Termination code number one: the reason a facility has
                  been terminated from the CLIA, Medicare and/or Medicaid
                  programs.
     SAS Name:    PGM_TRMNTN_CD
     COBOL Name:  PGM-TRMNTN-CD
     VALUES:      00=ACTIVE PROVIDER
                  01=VOLUNTARY-MERGER, CLOSURE
                  02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT
                  03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION
                  04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL
                  05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ
                  06=INVOLUNTARY-FAILURE TO MEET AGREEMENT

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 19
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  07=OTHER-PROVIDER STATUS CHANGE
                  08=NONPAYMENT OF FEES - CLIA Only
                  09=REV/UNSUCCESSFUL PARTICIPATION IN PT - CLIA Only
                  10=REV/OTHER REASON - CLIA Only
                  11=INCMPLETE CLIA APPLICATION INFORMATION - CLIA Only
                  12=NO LONGER PERFORMING TESTS - CLIA Only
                  13=MULTIPLE TO SINGLE SITE CERTIFICATE - CLIA Only
                  14=SHARED LABORATORY - CLIA Only
                  15=FAILURE TO RENEW WAIVER PPM CERTIFICATE - CLIA Only
                  16=DUPLICATE CLIA NUMBER - CLIA Only
                  17=MAIL RETURNED NO FORWARD ADDRESS CERT ENDED - CLIA Only
                  20=NOTIFICATION BANKRUPTCY - CLIA Only
                  33=ACCREDITATION NOT CONFIRMED - CLIA Only
                  80=AWAITING STATE APPROVAL
                  99=OIG ACTION - DO NOT ACTIVATE - CLIA Only

   Termination Date / Expiration Date 1              8    241   248  DATE
     Description: The date the laboratory's certificate terminated or the
                  expiration date of the current CLIA certificate. For
                  other non-CLIA providers, it is the date the facility was
                  terminated.
     SAS Name:    TRMNTN_EXPRTN_DT
     COBOL Name:  TRMNTN-EXPRTN-DT

   Type of Action                                    1    249   249  VARCHAR2
     Description: Type of action on the 'official' survey record.  This
                  field is copied from type of action on the HCFA-1539,
                  certification and transmittal.
     SAS Name:    SRVY_PRPSE_CD
     COBOL Name:  SRVY-PRPSE-CD
     VALUES:      1=INITIAL
                  2=RECERTIFICATION
                  3=TERMINATION
                  4=CHANGE OF OWNERSHIP
                  5=VALIDATION
                  6=ONSITE SURVEY DUE TO FLEXIBLE SURVEY - CLIA Only
                  8=FULL SURVEY AFTER COMPLAINT - CLIA ONLY

   General Type of Control Code                      2    250   251  VARCHAR2
     Description: Indicates the nature of the organization that operates a
                  provider of services.
     SAS Name:    GNRL_CNTL_TYPE_CD
     COBOL Name:  GNRL-CNTL-TYPE-CD
     VALUES:      01=FOR PROFIT - INDIVIDUAL
                  02=FOR PROFIT - PARTNERSHIP
                  03=FOR PROFIT - CORPORATION
                  04=NONPROFIT - CHURCH RELATED
                  05=NONPROFIT - CORPORATION
                  06=NONPROFIT - OTHER
                  07=GOVERNMENT - STATE
                  08=GOVERNMENT - COUNTY
                  09=GOVERNMENT - CITY
                  10=GOVERNMENT - CITY/COUNTY
                  11=GOVERNMENT - HOSPITAL DISTRICT
                  12=GOVERNMENT - FEDERAL
                  13=FOR PROFIT - LIMITED LIABILITY CORPORATION

   ZIP Code                                          5    252   256  VARCHAR2
     Description: The five-digit postal code for the provider.
     SAS Name:    ZIP_CD
     COBOL Name:  ZIP-CD

   FIPS State Code                                   2    257   258  VARCHAR2

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 20
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     Description: FIPS State Code
     SAS Name:    FIPS_STATE_CD
     COBOL Name:  FIPS-STATE-CD

   FIPS County Code                                  3    259   261  VARCHAR2
     Description: FIPS County Code
     SAS Name:    FIPS_CNTY_CD
     COBOL Name:  FIPS-CNTY-CD

   CBSA Urban Rural Indicator                        1    262   262  VARCHAR2
     Description: CBSA (Core Based Statistical Area) indicates whether the
                  county is defined as Urban or Rural.
     SAS Name:    CBSA_URBN_RRL_IND
     COBOL Name:  CBSA-URBN-RRL-IND

   Activity Professional Contract Count              7    280   286  NUMBER
     Description: The number of full-time equivalent activity professionals
                  under contract to a facility.
     SAS Name:    ACTVTY_PROFNL_CNTRCT_CNT
     COBOL Name:  ACTVTY-PROFNL-CNTRCT-CNT

   Activity Professional Full-Time Count             7    288   294  NUMBER
     Description: The number of full-time equivalent activity professionals
                  employed full-time by a facility.
     SAS Name:    ACTVTY_PROFNL_FLTM_CNT
     COBOL Name:  ACTVTY-PROFNL-FLTM-CNT

   Activity Professional Part-Time Count             7    296   302  NUMBER
     Description: The number of full-time equivalent activity professionals
                  employed part-time by a facility.
     SAS Name:    ACTVTY_PROFNL_PRTM_CNT
     COBOL Name:  ACTVTY-PROFNL-PRTM-CNT

   Activity Staff Other Contract Count               7    304   310  NUMBER
     Description: Number of contract staff hours for other activities.
     SAS Name:    ACTVTY_STF_OTHR_CNTRCT_CNT
     COBOL Name:  ACTVTY-STF-OTHR-CNTRCT-CNT

   Activity Staff Other Full-Time Count              7    312   318  NUMBER
     Description: Number of full-time staff hours for other activities.
     SAS Name:    ACTVTY_STF_OTHR_FLTM_CNT
     COBOL Name:  ACTVTY-STF-OTHR-FLTM-CNT

   Activity Staff Other Part-Time Count              7    320   326  NUMBER
     Description: Number of part-time staff hours provided by other
                  activity staff.
     SAS Name:    ACTVTY_STF_OTHR_PRTM_CNT
     COBOL Name:  ACTVTY-STF-OTHR-PRTM-CNT

   Administrator - Contract                          7    329   335  NUMBER
     Description: The number of full-time equivalent administrative staff
                  under contract to a facility.
     SAS Name:    PROFNL_ADMIN_CNTRCT_CNT
     COBOL Name:  PROFNL-ADMIN-CNTRCT-CNT

   Administrator - Full-Time                         7    337   343  NUMBER
     Description: The number of full-time equivalent administrative staff
                  employed on a full-time basis by a facility.
     SAS Name:    PROFNL_ADMIN_FLTM_CNT
     COBOL Name:  PROFNL-ADMIN-FLTM-CNT

   Administrator - Part-Time                         7    345   351  NUMBER
     Description: The number of full-time equivalent administrative staff

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 21
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  employed on a part-time basis by a facility.
     SAS Name:    PROFNL_ADMIN_PRTM_CNT
     COBOL Name:  PROFNL-ADMIN-PRTM-CNT

   Beds - Medicare SNF                               4    374   377  NUMBER
     Description: Number of Medicare-certified SNF (Skilled Nursing
                  Facility) beds in a facility.
     SAS Name:    MDCR_SNF_BED_CNT
     COBOL Name:  MDCR-SNF-BED-CNT

   Beds - Nursing Facility                           4    378   381  NUMBER
     Description: Number of medicaid certified nursing facility beds in a
                  facility.
     SAS Name:    MDCD_SNF_BED_CNT
     COBOL Name:  MDCD-SNF-BED-CNT

   Beds - SNF / NF                                   4    382   385  NUMBER
     Description: Number of beds certified for both Medicare and Medicaid
                  skilled nursing care in a long term care facility.
     SAS Name:    MDCR_MDCD_SNF_BED_CNT
     COBOL Name:  MDCR-MDCD-SNF-BED-CNT

   Beds - Total Certified                            4    386   389  NUMBER
     Description: Number of beds in Medicare and/or Medicaid certified
                  areas within a facility.
     SAS Name:    CRTFD_BED_CNT
     COBOL Name:  CRTFD-BED-CNT

   Beds-Total                                        4    390   393  NUMBER
     Description: Total number of beds in a facility, including those in
                  non-participating or non-licensed areas.
     SAS Name:    BED_CNT
     COBOL Name:  BED-CNT

   Certification Nurse Aides - Contract              7    448   454  NUMBER
     Description: The number of full-time equivalent certified nurse aides
                  under contract to a facility.
     SAS Name:    NRS_AIDE_CNTRCT_CNT
     COBOL Name:  NRS-AIDE-CNTRCT-CNT

   Certification Nurse Aides - Full-Time             7    456   462  NUMBER
     Description: The number of full-time equivalent certified nurse aides
                  employed by a facility on a full-time basis.
     SAS Name:    NRS_AIDE_FLTM_CNT
     COBOL Name:  NRS-AIDE-FLTM-CNT

   Certification Nurse Aides - Part-Time             7    464   470  NUMBER
     Description: The number of full-time equivalent certified nurse aides
                  employed by a facility on a part-time basis.
     SAS Name:    NRS_AIDE_PRTM_CNT
     COBOL Name:  NRS-AIDE-PRTM-CNT

   Compliance: 24 Hour Registered Nurse              1    481   481  VARCHAR2
     Description: Indicates if a waiver of the 24-hour registered nurse
                  requirement has been recommended for a facility.
     SAS Name:    RN_24_HR_WVR_SW
     COBOL Name:  RN-24-HR-WVR-SW

   Compliance: 7 Day Registered Nurse                1    482   482  VARCHAR2
     Description: Indicates if a waiver of the 7-day registered nurse
                  requirements has been recommended for a SNF or NF.
     SAS Name:    RN_7_DAY_WVR_SW
     COBOL Name:  RN-7-DAY-WVR-SW

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 22
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Compliance: Beds Per Room Waiver                  1    483   483  VARCHAR2
     Description: Indicates if a waiver of the beds per room requirement
                  has been recommended for a facility.
     SAS Name:    BED_PER_ROOM_WVR_SW
     COBOL Name:  BED-PER-ROOM-WVR-SW

   Compliance: Life Safety Code                      1    484   484  VARCHAR2
     Description: INDICATES IF A WAIVER OF ANY LIFE SAFETY CODE (LSC)
                  PROVISIONS HAS BEEN RECOMMENDED FOR A PROVIDER.
     SAS Name:    LSC_WVR_SW
     COBOL Name:  LSC-WVR-SW

   Compliance: Patient Room Size                     1    485   485  VARCHAR2
     Description: Indicates if a waiver of patient room size has been
                  recommended for a facility.
     SAS Name:    ROOM_SIZE_WVR_SW
     COBOL Name:  ROOM-SIZE-WVR-SW

   Dentists - Contract                               7    523   529  NUMBER
     Description: The number of full-time equivalent dentists under
                  contract to a facility.
     SAS Name:    DNTST_CNTRCT_CNT
     COBOL Name:  DNTST-CNTRCT-CNT

   Dentists - Full-Time                              7    531   537  NUMBER
     Description: The number of full-time equivalent dentists employed by a
                  facility on a full-time basis.
     SAS Name:    DNTST_FLTM_CNT
     COBOL Name:  DNTST-FLTM-CNT

   Dentists - Part-Time                              7    539   545  NUMBER
     Description: The number of full-time equivalent dentists employed by a
                  facility on a part-time basis.
     SAS Name:    DNTST_PRTM_CNT
     COBOL Name:  DNTST-PRTM-CNT

   Dietitians - Contract                             7    555   561  NUMBER
     Description: The number of full-time equivalent dietitians under
                  contract to a facility.
     SAS Name:    DIETN_CNTRCT_CNT
     COBOL Name:  DIETN-CNTRCT-CNT

   Dietitians - Full-Time                            7    563   569  NUMBER
     Description: The number of full-time equivalent dietitians employed by
                  a facility on a full-time basis.
     SAS Name:    DIETN_FLTM_CNT
     COBOL Name:  DIETN-FLTM-CNT

   Dietitians - Part-Time                            7    571   577  NUMBER
     Description: The number of full-time equivalent dietitians employed by
                  a facility on a part-time basis.
     SAS Name:    DIETN_PRTM_CNT
     COBOL Name:  DIETN-PRTM-CNT

   Experimental Research Conducted                   1    590   590  VARCHAR2
     Description: Indicates if a facility uses residents to develop and
                  test clinical treatments.
     SAS Name:    EXPRMT_RSRCH_CNDCTD_SW
     COBOL Name:  EXPRMT-RSRCH-CNDCTD-SW

   Fiscal Year Ending Date                           4    613   616  VARCHAR2
     Description: The ending date (month and day) of a facility's fiscal

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 23
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  year.
     SAS Name:    FY_END_MO_DAY_CD
     COBOL Name:  FY-END-MO-DAY-CD

   Food Service - Contract                           7    617   623  NUMBER
     Description: The number of full-time equivalent food service personnel
                  under contract to a facility.
     SAS Name:    FOOD_SRVC_CNTRCT_CNT
     COBOL Name:  FOOD-SRVC-CNTRCT-CNT

   Food Service - Full-Time                          7    625   631  NUMBER
     Description: The number of full-time equivalent food service personnel
                  employed by a facility on a full-time basis.
     SAS Name:    FOOD_SRVC_FLTM_CNT
     COBOL Name:  FOOD-SRVC-FLTM-CNT

   Food Service - Part-Time                          7    633   639  NUMBER
     Description: The number of full-time equivalent food service personnel
                  employed by a facility on a part-time basis.
     SAS Name:    FOOD_SRVC_PRTM_CNT
     COBOL Name:  FOOD-SRVC-PRTM-CNT

   Housekeeping - Contract                           7    677   683  NUMBER
     Description: The number of full-time equivalent housekeeping personnel
                  under contract to a facility.
     SAS Name:    HSEKPNG_CNTRCT_CNT
     COBOL Name:  HSEKPNG-CNTRCT-CNT

   Housekeeping - Full-Time                          7    685   691  NUMBER
     Description: The number of full-time equivalent housekeeping personnel
                  employed by a facility on a full time basis.
     SAS Name:    HSEKPNG_FLTM_CNT
     COBOL Name:  HSEKPNG-FLTM-CNT

   Housekeeping - Part-Time                          7    693   699  NUMBER
     Description: The number of full-time equivalent housekeeping personnel
                  employed by a facility on a part-time basis.
     SAS Name:    HSEKPNG_PRTM_CNT
     COBOL Name:  HSEKPNG-PRTM-CNT

   LPN/LVN - Contract                                7    719   725  NUMBER
     Description: The number of full-time equivalent licensed practical/
                  vocational nurses under contract to a facility.
     SAS Name:    LPN_LVN_CNTRCT_CNT
     COBOL Name:  LPN-LVN-CNTRCT-CNT

   LPN/LVN - Full-Time                               7    727   733  NUMBER
     Description: The number of full-time equivalent licensed practical/
                  vocational nurses employed by a facility on a full-time
                  basis.
     SAS Name:    LPN_LVN_FLTM_CNT
     COBOL Name:  LPN-LVN-FLTM-CNT

   LPN/LVN - Part-Time                               7    735   741  NUMBER
     Description: The number of full-time equivalent licensed practical/
                  vocational nurses employed by a facility on a part-time
                  basis.
     SAS Name:    LPN_LVN_PRTM_CNT
     COBOL Name:  LPN-LVN-PRTM-CNT

   Medical Director - Contract                       7    791   797  NUMBER
     Description: The number of full-time equivalent medical directors
                  under contract to a facility.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 24
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    MDCL_DRCTR_CNTRCT_CNT
     COBOL Name:  MDCL-DRCTR-CNTRCT-CNT

   Medical Director - Full-Time                      7    799   805  NUMBER
     Description: The number of full-time equivalent medical directors
                  employed by a facility on a full-time basis.
     SAS Name:    MDCL_DRCTR_FLTM_CNT
     COBOL Name:  MDCL-DRCTR-FLTM-CNT

   Medical Director - Part-Time                      7    807   813  NUMBER
     Description: The number of full-time equivalent medical directors
                  employed by a facility on a part-time basis.
     SAS Name:    MDCL_DRCTR_PRTM_CNT
     COBOL Name:  MDCL-DRCTR-PRTM-CNT

   Medication Aides / Techs - Contract               7    841   847  NUMBER
     Description: The number of full-time equivalent medication aides/
                  technicians under contract to a facility.
     SAS Name:    MDCTN_AIDE_CNTRCT_CNT
     COBOL Name:  MDCTN-AIDE-CNTRCT-CNT

   Medication Aides / Techs - Full-Time              7    849   855  NUMBER
     Description: The number of full-time equivalent medication aides/
                  technicians employed by a facility on a full-time basis.
     SAS Name:    MDCTN_AIDE_FLTM_CNT
     COBOL Name:  MDCTN-AIDE-FLTM-CNT

   Medication Aides / Techs - Part-Time              7    857   863  NUMBER
     Description: The number of full-time equivalent medication aides/
                  technicians employed by a facility on a part-time basis.
     SAS Name:    MDCTN_AIDE_PRTM_CNT
     COBOL Name:  MDCTN-AIDE-PRTM-CNT

   Mental Health Services - Contract                 7    866   872  NUMBER
     Description: The number of full-time equivalent mental health services
                  personnel under contract to a facility.
     SAS Name:    MENTL_HLTH_SRVC_CNTRCT_CNT
     COBOL Name:  MENTL-HLTH-SRVC-CNTRCT-CNT

   Mental Health Services - Full-Time                7    874   880  NUMBER
     Description: The number of full-time equivalent mental health services
                  personnel employed by a facility on a full-time basis.
     SAS Name:    MENTL_HLTH_SRVC_FLTM_CNT
     COBOL Name:  MENTL-HLTH-SRVC-FLTM-CNT

   Mental Health Services - Part-Time                7    882   888  NUMBER
     Description: The number of full-time equivalent mental health services
                  personnel employed by a facility on a part-time basis.
     SAS Name:    MENTL_HLTH_SRVC_PRTM_CNT
     COBOL Name:  MENTL-HLTH-SRVC-PRTM-CNT

   Multi-Facility Organization Name                  38   890   927  VARCHAR2
     Description: The name of the multi-facility organization that owns the
                  facility.
     SAS Name:    MLT_FAC_ORG_NAME
     COBOL Name:  MLT-FAC-ORG-NAME

   Multi-Facility Organization Owned                 1    928   928  VARCHAR2
     Description: Indicates if a facility is owned by an organization that
                  owns (or leases) two or more nursing facilities.
     SAS Name:    MLT_OWND_FAC_ORG_SW
     COBOL Name:  MLT-OWND-FAC-ORG-SW


 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 25
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

   Nurse Aides in Training - Contract                7    940   946  NUMBER
     Description: Number of full-time equivalent nurse aides in training
                  under contract to a facility.
     SAS Name:    NAT_CNTRCT_CNT
     COBOL Name:  NAT-CNTRCT-CNT

   Nurse Aides in Training - Full-Time               7    948   954  NUMBER
     Description: The number of full-time equivalent nurse aides in
                  training employed by a facility on a full-time basis.
     SAS Name:    NAT_FLTM_CNT
     COBOL Name:  NAT-FLTM-CNT

   Nurse Aides in Training - Part-Time               7    956   962  NUMBER
     Description: The number of full-time equivalent nurse aides in
                  training employed by a facility on a part-time basis.
     SAS Name:    NAT_PRTM_CNT
     COBOL Name:  NAT-PRTM-CNT

   Nurses With Administrative Duties - Contract      7    972   978  NUMBER
     Description: The number of full-time equivalent nurses with
                  administrative duties under contract to a facility.
     SAS Name:    NRS_ADMINV_CNTRCT_CNT
     COBOL Name:  NRS-ADMINV-CNTRCT-CNT

   Nurses With Administrative Duties - Full-Time     7    980   986  NUMBER
     Description: The number of full-time equivalent nurses with
                  administrative duties employed by a facility on a
                  full-time basis.
     SAS Name:    NRS_ADMINV_FLTM_CNT
     COBOL Name:  NRS-ADMINV-FLTM-CNT

   Nurses With Administrative Duties - Part-Time     7    988   994  NUMBER
     Description: Number of full-time equivalent nurses with administrative
                  duties employed by a facility on a part-time basis.
     SAS Name:    NRS_ADMINV_PRTM_CNT
     COBOL Name:  NRS-ADMINV-PRTM-CNT

   Occupational Therapist - Contract                 7    996   1002 NUMBER
     Description: The number of full-time equivalent occupational
                  therapists under contract to a facility.
     SAS Name:    OCPTNL_THRPST_CNTRCT_CNT
     COBOL Name:  OCPTNL-THRPST-CNTRCT-CNT

   Occupational Therapist - Full-Time                7    1004  1010 NUMBER
     Description: The number of full-time equivalent occupational
                  therapists employed by a facility on a full-time basis.
     SAS Name:    OCPTNL_THRPST_FLTM_CNT
     COBOL Name:  OCPTNL-THRPST-FLTM-CNT

   Occupational Therapist - Part-Time                7    1012  1018 NUMBER
     Description: The number of full-time equivalent occupational
                  therapists employed by a facility on a part-time basis.
     SAS Name:    OCPTNL_THRPST_PRTM_CNT
     COBOL Name:  OCPTNL-THRPST-PRTM-CNT

   Occupational Therapy Aide - Contract              7    1028  1034 NUMBER
     Description: The number of full-time equivalent occupational therapy
                  aides under contract to a facility.
     SAS Name:    OT_AIDE_CNTRCT_CNT
     COBOL Name:  OT-AIDE-CNTRCT-CNT

   Occupational Therapy Aide - Full-Time             7    1036  1042 NUMBER
     Description: The number of full-time equivalent occupational therapy

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 26
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  aides employed by a facility on a full-time basis.
     SAS Name:    OT_AIDE_FLTM_CNT
     COBOL Name:  OT-AIDE-FLTM-CNT

   Occupational Therapy Aide - Part-Time             7    1044  1050 NUMBER
     Description: The number of full-time equivalent occupational therapy
                  aides employed by a facility on a part-time basis.
     SAS Name:    OT_AIDE_PRTM_CNT
     COBOL Name:  OT-AIDE-PRTM-CNT

   Occupational Therapy Assistant - Contract         7    1052  1058 NUMBER
     Description: The number of full-time equivalent occupational therapy
                  assistants under contract to a facility.
     SAS Name:    OT_ASTNT_AIDE_CNTRCT_CNT
     COBOL Name:  OT-ASTNT-AIDE-CNTRCT-CNT

   Occupational Therapy Assistant - Full-Time        7    1060  1066 NUMBER
     Description: The number of full-time equivalent occupational therapy
                  assistants employed by a facility on a full-time basis.
     SAS Name:    OT_ASTNT_AIDE_FLTM_CNT
     COBOL Name:  OT-ASTNT-AIDE-FLTM-CNT

   Occupational Therapy Assistant - Part-Time        7    1068  1074 NUMBER
     Description: The number of full-time equivalent occupational therapy
                  assistants employed by a facility on a part-time basis.
     SAS Name:    OT_ASTNT_AIDE_PRTM_CNT
     COBOL Name:  OT-ASTNT-AIDE-PRTM-CNT

   Organized Family Group                            1    1078  1078 VARCHAR2
     Description: Indicates if the facility has an organized group of
                  family members of residents.
     SAS Name:    ORGNZ_FMLY_MBR_GRP_SW
     COBOL Name:  ORGNZ-FMLY-MBR-GRP-SW

   Organized Resident Group                          1    1079  1079 VARCHAR2
     Description: Indicates if the facility has an organized residents
                  group.
     SAS Name:    ORGNZ_RSDNT_GRP_SW
     COBOL Name:  ORGNZ-RSDNT-GRP-SW

   Other - Contract                                  7    1081  1087 NUMBER
     Description: The number of full-time equivalent staff not included in
                  any other categories under contract to the facility.
     SAS Name:    STF_OTHR_CNTRCT_CNT
     COBOL Name:  STF-OTHR-CNTRCT-CNT

   Other - Full-Time                                 7    1089  1095 NUMBER
     Description: The number of full-time equivalent persons not included
                  in any other categories employed by the facility on a
                  full-time basis.
     SAS Name:    STF_OTHR_FLTM_CNT
     COBOL Name:  STF-OTHR-FLTM-CNT

   Other - Part-Time                                 7    1097  1103 NUMBER
     Description: The number of full-time equivalent persons not included
                  in any other categories employed by the facility on a
                  part-time basis.
     SAS Name:    STF_OTHR_PRTM_CNT
     COBOL Name:  STF-OTHR-PRTM-CNT

   Other Physician Contract                          7    1113  1119 NUMBER
     Description: The number of full-time equivalent other physicians under
                  contract to a facility.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 27
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    PHYSN_OTHR_CNTRCT_CNT
     COBOL Name:  PHYSN-OTHR-CNTRCT-CNT

   Other Physician Full-Time                         7    1121  1127 NUMBER
     Description: The number of full-time equivalent other physicians
                  employed by a facility on a full-time basis.
     SAS Name:    PHYSN_OTHR_FLTM_CNT
     COBOL Name:  PHYSN-OTHR-FLTM-CNT

   Other Physician Part-Time                         7    1129  1135 NUMBER
     Description: The number of full-time equivalent other physicians
                  employed by a facility on a part-time basis.
     SAS Name:    PHYSN_OTHR_PRTM_CNT
     COBOL Name:  PHYSN-OTHR-PRTM-CNT

   Other Social Service Staff - Contract             7    1137  1143 NUMBER
     Description: Number of contract staff hours provided by other social
                  services staff.
     SAS Name:    SCL_SRVC_OTHR_STF_CNTRCT_CNT
     COBOL Name:  SCL-SRVC-OTHR-STF-CNTRCT-CNT

   Other Social Service Staff - Full-Time            7    1145  1151 NUMBER
     Description: Number of full-time staff hours provided by other social
                  services staff.
     SAS Name:    SCL_SRVC_OTHR_STF_FLTM_CNT
     COBOL Name:  SCL-SRVC-OTHR-STF-FLTM-CNT

   Other Social Service Staff - Part-Time            7    1153  1159 NUMBER
     Description: Number of part-time staff hours provided by other social
                  services staff.
     SAS Name:    SCL_SRVC_OTHR_STF_PRTM_CNT
     COBOL Name:  SCL-SRVC-OTHR-STF-PRTM-CNT

   Pharmacists - Contract                            7    1172  1178 NUMBER
     Description: The number of full-time equivalent pharmacists under
                  contract to a facility.
     SAS Name:    PHRMCST_CNTRCT_CNT
     COBOL Name:  PHRMCST-CNTRCT-CNT

   Pharmacists - Full-Time                           7    1180  1186 NUMBER
     Description: The number of full-time equivalent pharmacists employed
                  by a facility on a full-time basis.
     SAS Name:    PHRMCST_FLTM_CNT
     COBOL Name:  PHRMCST-FLTM-CNT

   Pharmacists - Part-Time                           7    1188  1194 NUMBER
     Description: The number of full-time equivalent pharmacists employed
                  by a facility on a part-time basis.
     SAS Name:    PHRMCST_PRTM_CNT
     COBOL Name:  PHRMCST-PRTM-CNT

   Physical Therapists - Contract                    7    1212  1218 NUMBER
     Description: The number of full-time equivalent physical therapists
                  under contract to a facility.
     SAS Name:    PHYS_THRPST_CNTRCT_CNT
     COBOL Name:  PHYS-THRPST-CNTRCT-CNT

   Physical Therapists - Full-Time                   7    1220  1226 NUMBER
     Description: The number of full-time equivalent physical therapists
                  employed by a facility on a full-time basis.
     SAS Name:    PHYS_THRPST_FLTM_CNT
     COBOL Name:  PHYS-THRPST-FLTM-CNT


 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 28
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

   Physical Therapists - Part-Time                   7    1228  1234 NUMBER
     Description: The number of full-time equivalent physical therapists
                  employed by a facility on a part-time basis.
     SAS Name:    PHYS_THRPST_PRTM_CNT
     COBOL Name:  PHYS-THRPST-PRTM-CNT

   Physical Therapy Aide - Contract                  7    1244  1250 NUMBER
     Description: The number of full-time equivalent physical therapy aides
                  under contract to a facility.
     SAS Name:    PT_AIDE_CNTRCT_CNT
     COBOL Name:  PT-AIDE-CNTRCT-CNT

   Physical Therapy Aide - Full-Time                 7    1252  1258 NUMBER
     Description: The number of full-time equivalent physical therapy aides
                  employed by a facility on a full-time basis.
     SAS Name:    PT_AIDE_FLTM_CNT
     COBOL Name:  PT-AIDE-FLTM-CNT

   Physical Therapy Aide - Part-Time                 7    1260  1266 NUMBER
     Description: The number of full-time equivalent physical therapy aides
                  employed by a facility on a part-time basis.
     SAS Name:    PT_AIDE_PRTM_CNT
     COBOL Name:  PT-AIDE-PRTM-CNT

   Physical Therapy Assistant - Contract             7    1268  1274 NUMBER
     Description: Number of contract staff hours for physical therapy
                  assistants.
     SAS Name:    PT_ASTNT_CNTRCT_CNT
     COBOL Name:  PT-ASTNT-CNTRCT-CNT

   Physical Therapy Assistant - Full-Time            7    1276  1282 NUMBER
     Description: Number of full-time staff hours for physical therapy
                  assistants.
     SAS Name:    PT_ASTNT_FLTM_CNT
     COBOL Name:  PT-ASTNT-FLTM-CNT

   Physical Therapy Assistant - Part-Time            7    1284  1290 NUMBER
     Description: Number of part-time staff hours for physical therapy
                  assistants.
     SAS Name:    PT_ASTNT_PRTM_CNT
     COBOL Name:  PT-ASTNT-PRTM-CNT

   Physician Extender -  Contract                    7    1300  1306 NUMBER
     Description: The number of full-time equivalent physician extenders
                  under contract to the facility.
     SAS Name:    PHYSN_EXT_CNTRCT_CNT
     COBOL Name:  PHYSN-EXT-CNTRCT-CNT

   Physician Extender Full-Time Count (F37B)         7    1308  1314 NUMBER
     Description: The number of full-time equivalent physician extenders
                  employed by the facility on a full-time basis.
     SAS Name:    PHYSN_EXT_FLTM_CNT
     COBOL Name:  PHYSN-EXT-FLTM-CNT

   Physician Extender Part-Time Count (F37C)         7    1316  1322 NUMBER
     Description: The number of full-time equivalent physician extenders
                  employed by the facility on a part-time basis.
     SAS Name:    PHYSN_EXT_PRTM_CNT
     COBOL Name:  PHYSN-EXT-PRTM-CNT

   Physician Extender Service Offsite To Resident Switch1    1324  1324 VARCHAR2
   (F37A3)
     Description: Indicates if physician extender services are provided

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 29
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  offsite to residents.
     SAS Name:    PHYSN_EXT_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  PHYSN-EXT-SRVC-OFSITE-RSDNT-SW

   Physician Extender Service Onsite To Non-Resident 1    1325  1325 VARCHAR2
   Switch (F37A2)
     Description: Indicates if physician extender services are provided
                  onsite to non-residents.
     SAS Name:    PHYSN_EXT_SRVC_ONST_NRSDNT_SW
     COBOL Name:  PHYSN-EXT-SRVC-ONST-NRSDNT-SW

   Physician Extender Service Onsite To Resident Switch1    1326  1326 VARCHAR2
   (F37A1)
     Description: Indicates if physician extender services are provided
                  on-site to residents.
     SAS Name:    PHYSN_EXT_SRVC_ONST_RSDNT_SW
     COBOL Name:  PHYSN-EXT-SRVC-ONST-RSDNT-SW

   Podiatrists - Contract                            7    1351  1357 NUMBER
     Description: The number of full-time equivalent podiatrists under
                  contract to a facility.
     SAS Name:    PDTRST_CNTRCT_CNT
     COBOL Name:  PDTRST-CNTRCT-CNT

   Podiatrists - Full-Time                           7    1359  1365 NUMBER
     Description: The number of full-time equivalent podiatrists employed
                  by a facility on a full-time basis.
     SAS Name:    PDTRST_FLTM_CNT
     COBOL Name:  PDTRST-FLTM-CNT

   Podiatrists - Part-Time                           7    1367  1373 NUMBER
     Description: The number of full-time equivalent podiatrists employed
                  by a facility on a part-time basis.
     SAS Name:    PDTRST_PRTM_CNT
     COBOL Name:  PDTRST-PRTM-CNT

   Program Participation                             1    1399  1399 VARCHAR2
     Description: Indicates if the provider participates in Medicare,
                  Medicaid, or both programs.
     SAS Name:    PGM_PRTCPTN_CD
     COBOL Name:  PGM-PRTCPTN-CD
     VALUES:      1=MEDICARE ONLY
                  2=MEDICAID ONLY
                  3=MEDICARE AND MEDICAID

   Provider Based Facility                           1    1400  1400 VARCHAR2
     Description: Indicates if a long term care facility is provider based.
     SAS Name:    PRVDR_BSD_FAC_SW
     COBOL Name:  PRVDR-BSD-FAC-SW

   Regional Override # 1 (Number Beds)               1    1438  1438 VARCHAR2
     Description: This field is set to 'Y' when the regional office has to
                  approve a pending record in the special fields screen.
                  This field only applies to categories in ODIE data entry
                  system.
     SAS Name:    OVRRD_BED_CNT_SW
     COBOL Name:  OVRRD-BED-CNT-SW

   Regional Override # 2 (Staffing)                  1    1439  1439 VARCHAR2
     Description: This field is set to 'Y' when the regional office has to
                  approve a pending record in the special fields screen.
                  This field only applies to categories in ODIE data entry
                  system.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 30
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    OVRRD_STFG_SW
     COBOL Name:  OVRRD-STFG-SW

   Registered Nurse - Contract                       7    1441  1447 NUMBER
     Description: The number of full-time equivalent registered nurses
                  under contract to a facility.
     SAS Name:    RN_CNTRCT_CNT
     COBOL Name:  RN-CNTRCT-CNT

   Registered Nurse - Full-Time                      7    1449  1455 NUMBER
     Description: The number of full-time equivalent registered nurses
                  employed by a facility on a full-time basis.
     SAS Name:    RN_FLTM_CNT
     COBOL Name:  RN-FLTM-CNT

   Registered Nurse - Part-Time                      7    1457  1463 NUMBER
     Description: The number of full-time equivalent registered nurses
                  employed by a facility on a part-time basis.
     SAS Name:    RN_PRTM_CNT
     COBOL Name:  RN-PRTM-CNT

   Related Provider Number                           10   1510  1519 CHAR
     Description: Related provider number
     SAS Name:    RLTD_PRVDR_NUM
     COBOL Name:  RLTD-PRVDR-NUM

   Rescind Suspension Date                           8    1520  1527 DATE
     Description: Date that the suspension of payments for new admissions
                  to a long term care (LTC) facility is rescinded.
     SAS Name:    RSCND_SUSPNSN_DT
     COBOL Name:  RSCND-SUSPNSN-DT

   RN Director of Nursing - Contract                 7    1540  1546 NUMBER
     Description: The number of full-time equivalent registered nurse
                  directors of nursing under contract to a facility.
     SAS Name:    RN_DRCTR_CNTRCT_CNT
     COBOL Name:  RN-DRCTR-CNTRCT-CNT

   RN Director of Nursing - Full-Time                7    1548  1554 NUMBER
     Description: The number of full-time equivalent registered nurse
                  directors of nursing employed by a facility on a
                  full-time basis.
     SAS Name:    RN_DRCTR_FLTM_CNT
     COBOL Name:  RN-DRCTR-FLTM-CNT

   RN Director of Nursing - Part-Time                7    1556  1562 NUMBER
     Description: The number of full-time equivalent registered nurse
                  directors of nursing employed by a facility on a
                  part-time basis.
     SAS Name:    RN_DRCTR_PRTM_CNT
     COBOL Name:  RN-DRCTR-PRTM-CNT

   Service: Activities-Offsite-Residents Switch      1    1564  1564 VARCHAR2
     Description: Indicates if activity services are provided off-site to
                  residents.
     SAS Name:    ACTVTY_OFSITE_RSDNT_SW
     COBOL Name:  ACTVTY-OFSITE-RSDNT-SW

   Service: Activities-Onsite-Nonresidents Switch    1    1565  1565 VARCHAR2
     Description: Indicates if activity services are provided on-site to
                  nonresidents.
     SAS Name:    ACTVTY_ONST_NRSDNT_SW
     COBOL Name:  ACTVTY-ONST-NRSDNT-SW

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 31
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Service: Activities-Onsite-Residents Switch       1    1566  1566 VARCHAR2
     Description: Indicates if activity services are provided on-site to
                  residents.
     SAS Name:    ACTVTY_ONST_RSDNT_SW
     COBOL Name:  ACTVTY-ONST-RSDNT-SW

   Service: Blood Administered-Offsite-Resident      1    1568  1568 VARCHAR2
     Description: Indicates if administration and storage of blood services
                  are provided off-site to residents.
     SAS Name:    BLOOD_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  BLOOD-SRVC-OFSITE-RSDNT-SW

   Service: Blood Administered-Onsite-Nonresident    1    1569  1569 VARCHAR2
     Description: Indicates if administration and storage of blood services
                  are provided onsite to nonresidents.
     SAS Name:    BLOOD_SRVC_ONST_NRSDNT_SW
     COBOL Name:  BLOOD-SRVC-ONST-NRSDNT-SW

   Service: Blood Administered-Onsite-Resident       1    1570  1570 VARCHAR2
     Description: Indicates if administration and storage of blood services
                  are provided onsite to residents.
     SAS Name:    BLOOD_SRVC_ONST_RSDNT_SW
     COBOL Name:  BLOOD-SRVC-ONST-RSDNT-SW

   Service: Clinical Laboratory-Offsite-Resident     1    1571  1571 VARCHAR2
     Description: Indicates if clinical laboratory services are provided
                  off-site to residents.
     SAS Name:    CL_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  CL-SRVC-OFSITE-RSDNT-SW

   Service: Clinical Laboratory-Onsite-Nonresident   1    1572  1572 VARCHAR2
     Description: Indicates if clinical laboratory services are provided
                  onsite to nonresidents.
     SAS Name:    CL_SRVC_ONST_NRSDNT_SW
     COBOL Name:  CL-SRVC-ONST-NRSDNT-SW

   Service: Clinical Laboratory-Onsite-Resident      1    1573  1573 VARCHAR2
     Description: Indicates if clinical laboratory services are provided
                  on-site to residents.
     SAS Name:    CL_SRVC_ONST_RSDNT_SW
     COBOL Name:  CL-SRVC-ONST-RSDNT-SW

   Service: Dental  On-Site Nonresidents             1    1575  1575 VARCHAR2
     Description: Indicates if dental services are provided on-site to
                  nonresidents.
     SAS Name:    DNTL_SRVC_ONST_NRSDNT_SW
     COBOL Name:  DNTL-SRVC-ONST-NRSDNT-SW

   Service: Dental Off-Site Residents                1    1576  1576 VARCHAR2
     Description: Indicates if dental services are provided off-site to
                  residents.
     SAS Name:    DNTL_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  DNTL-SRVC-OFSITE-RSDNT-SW

   Service: Dental On-Site Residents                 1    1577  1577 VARCHAR2
     Description: Indicates if dental services are provided on-site to
                  residents.
     SAS Name:    DNTL_SRVC_ONST_RSDNT_SW
     COBOL Name:  DNTL-SRVC-ONST-RSDNT-SW

   Service: Dietary  On-Site Nonresidents            1    1578  1578 VARCHAR2
     Description: Indicates if dietary services are provided on-site to

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 32
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  nonresidents.
     SAS Name:    DTRY_ONST_NRSDNT_SW
     COBOL Name:  DTRY-ONST-NRSDNT-SW

   Service: Dietary Off-Site Residents               1    1579  1579 VARCHAR2
     Description: Indicates if dietary services are provided off-site to
                  residents.
     SAS Name:    DTRY_OFSITE_RSDNT_SW
     COBOL Name:  DTRY-OFSITE-RSDNT-SW

   Service: Dietary On-Site Residents                1    1580  1580 VARCHAR2
     Description: Indicates if dietary services are provided on-site to
                  residents.
     SAS Name:    DTRY_ONST_RSDNT_SW
     COBOL Name:  DTRY-ONST-RSDNT-SW

   Service: Housekeeping  On-Site to Nonresidents    1    1584  1584 VARCHAR2
     Description: Indicates if housekeeping services are provided on-site
                  to nonresidents.
     SAS Name:    HSEKPNG_SRVC_ONST_NRSDNT_SW
     COBOL Name:  HSEKPNG-SRVC-ONST-NRSDNT-SW

   Service: Housekeeping Off-Site to Residents       1    1585  1585 VARCHAR2
     Description: Indicates if housekeeping services are provided off-site
                  to residents.
     SAS Name:    HSEKPNG_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  HSEKPNG-SRVC-OFSITE-RSDNT-SW

   Service: Housekeeping On-Site to Residents        1    1586  1586 VARCHAR2
     Description: Indicates if housekeeping services are provided on-site
                  to residents.
     SAS Name:    HSEKPNG_SRVC_ONST_RSDNT_SW
     COBOL Name:  HSEKPNG-SRVC-ONST-RSDNT-SW

   Service: Mental Health  Off-Site to Residents     1    1591  1591 VARCHAR2
     Description: Indicates if mental health services are provided off-site
                  to residents.
     SAS Name:    MENTL_HLTH_OFSITE_RSDNT_SW
     COBOL Name:  MENTL-HLTH-OFSITE-RSDNT-SW

   Service: Mental Health On-Site  to Residents      1    1592  1592 VARCHAR2
     Description: Indicates if mental health services are provided on-site
                  to residents.
     SAS Name:    MENTL_HLTH_ONST_RSDNT_SW
     COBOL Name:  MENTL-HLTH-ONST-RSDNT-SW

   Service: Mental Health On-site to Nonresidents    1    1593  1593 VARCHAR2
     Description: Indicates if mental health services are provided on-site
                  to nonresidents.
     SAS Name:    MENTL_HLTH_ONST_NRSDNT_SW
     COBOL Name:  MENTL-HLTH-ONST-NRSDNT-SW

   Service: Nursing  On-Site to Nonresidents         1    1595  1595 VARCHAR2
     Description: Indicates if nursing services are provided on-site to
                  nonresidents.
     SAS Name:    NRSNG_SRVC_ONST_NRSDNT_SW
     COBOL Name:  NRSNG-SRVC-ONST-NRSDNT-SW

   Service: Nursing Off-Site to Residents            1    1598  1598 VARCHAR2
     Description: Indicates if nursing services are provided off-site to
                  residents.
     SAS Name:    NRSNG_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  NRSNG-SRVC-OFSITE-RSDNT-SW

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 33
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Service: Nursing On-Site to Residents             1    1599  1599 VARCHAR2
     Description: Indicates if nursing services are provided on-site to
                  residents.
     SAS Name:    NRSNG_SRVC_ONST_RSDNT_SW
     COBOL Name:  NRSNG-SRVC-ONST-RSDNT-SW

   Service: Occupational Therapy  On-Site to         1    1601  1601 VARCHAR2
   Nonresidents
     Description: Indicates if occupational therapy services are provided
                  on-site to nonresidents.
     SAS Name:    OT_SRVC_ONST_NRSDNT_SW
     COBOL Name:  OT-SRVC-ONST-NRSDNT-SW

   Service: Occupational Therapy Off-Site to Residents1    1604  1604 VARCHAR2
     Description: Indicates if occupational therapy services are provided
                  off-site to residents.
     SAS Name:    OT_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  OT-SRVC-OFSITE-RSDNT-SW

   Service: Occupational Therapy On-Site to Residents1    1605  1605 VARCHAR2
     Description: Indicates if occupational therapy services are provided
                  on-site to residents.
     SAS Name:    OT_SRVC_ONST_RSDNT_SW
     COBOL Name:  OT-SRVC-ONST-RSDNT-SW

   Service: Other Activities-Offsite-Residents Switch1    1609  1609 VARCHAR2
     Description: Field 3 - indicates other activity services provided by
                  staff off-site to residents.
     SAS Name:    ACTVTY_OTHR_OFSITE_RSDNT_SW
     COBOL Name:  ACTVTY-OTHR-OFSITE-RSDNT-SW

   Service: Other Activities-Onsite-Nonresidents Switch1    1610  1610 VARCHAR2
     Description: Field 2 - indicates other activity services provided by
                  staff on-site to nonresidents.
     SAS Name:    ACTVTY_OTHR_ONST_NRSDNT_SW
     COBOL Name:  ACTVTY-OTHR-ONST-NRSDNT-SW

   Service: Other Activities-Onsite-Residents Switch 1    1611  1611 VARCHAR2
     Description: Field 1 - indicates other activity services provided by
                  staff on-site to residents.
     SAS Name:    ACTVTY_OTHR_ONST_RSDNT_SW
     COBOL Name:  ACTVTY-OTHR-ONST-RSDNT-SW

   Service: Other Off-Site to Residents              1    1612  1612 VARCHAR2
     Description: Field 3 - indicates services provided by other social
                  services staff off-site to residents.
     SAS Name:    SCL_SRVC_OTHR_OFSITE_RSDNT_SW
     COBOL Name:  SCL-SRVC-OTHR-OFSITE-RSDNT-SW

   Service: Other On-Site to Nonresidents            1    1613  1613 VARCHAR2
     Description: Indicates if other social services are provided on-site
                  to nonresidents.
     SAS Name:    SCL_SRVC_OTHR_ONST_NRSDNT_SW
     COBOL Name:  SCL-SRVC-OTHR-ONST-NRSDNT-SW

   Service: Other On-Site to Residents               1    1614  1614 VARCHAR2
     Description: Field 1 - indicates services provided by social service
                  staff on-site to residents.
     SAS Name:    SCL_SRVC_OTHR_ONST_RSDNT_SW
     COBOL Name:  SCL-SRVC-OTHR-ONST-RSDNT-SW

   Service: Pharmacy Off-Site to Residents           1    1615  1615 VARCHAR2

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 34
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     Description: Indicates if pharmacy services are provided off-site to
                  residents.
     SAS Name:    PHRMCY_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  PHRMCY-SRVC-OFSITE-RSDNT-SW

   Service: Pharmacy On-Site to Nonresidents         1    1616  1616 VARCHAR2
     Description: Indicates if pharmacy services are provided on-site to
                  non residents.
     SAS Name:    PHRMCY_SRVC_ONST_NRSDNT_SW
     COBOL Name:  PHRMCY-SRVC-ONST-NRSDNT-SW

   Service: Pharmacy On-Site to Residents            1    1617  1617 VARCHAR2
     Description: Indicates if pharmacy services are provided on-site to
                  residents.
     SAS Name:    PHRMCY_SRVC_ONST_RSDNT_SW
     COBOL Name:  PHRMCY-SRVC-ONST-RSDNT-SW

   Service: Physical Therapy Off-Site to Residents   1    1620  1620 VARCHAR2
     Description: Indicates if physical therapy services are provided
                  off-site to residents.
     SAS Name:    PT_OFSITE_RSDNT_SW
     COBOL Name:  PT-OFSITE-RSDNT-SW

   Service: Physical Therapy On-Site to Nonresidents 1    1621  1621 VARCHAR2
     Description: Indicates if physical therapy services are provided
                  on-site to nonresidents.
     SAS Name:    PT_ONST_NRSDNT_SW
     COBOL Name:  PT-ONST-NRSDNT-SW

   Service: Physical Therapy On-Site to Residents    1    1622  1622 VARCHAR2
     Description: Indicates if physical therapy services are provided
                  on-site to residents.
     SAS Name:    PT_ONST_RSDNT_SW
     COBOL Name:  PT-ONST-RSDNT-SW

   Service: Physician Off-Site to Residents          1    1626  1626 VARCHAR2
     Description: Indicates if physician services are provided off-site to
                  residents.
     SAS Name:    PHYSN_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  PHYSN-SRVC-OFSITE-RSDNT-SW

   Service: Physician On-Site to Nonresidents        1    1627  1627 VARCHAR2
     Description: Indicates if physician services are provided on-site to
                  nonresidents.
     SAS Name:    PHYSN_SRVC_ONST_NRSDNT_SW
     COBOL Name:  PHYSN-SRVC-ONST-NRSDNT-SW

   Service: Physician On-Site to Residents           1    1628  1628 VARCHAR2
     Description: Indicates if physician services are provided on-site to
                  residents.
     SAS Name:    PHYSN_SRVC_ONST_RSDNT_SW
     COBOL Name:  PHYSN-SRVC-ONST-RSDNT-SW

   Service: Podiatry Off-Site to Residents           1    1629  1629 VARCHAR2
     Description: Indicates if podiatry services are provided off-site to
                  residents.
     SAS Name:    PDTRY_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  PDTRY-SRVC-OFSITE-RSDNT-SW

   Service: Podiatry On-Site to Nonresidents         1    1630  1630 VARCHAR2
     Description: Indicates if podiatry services are provided on-site to
                  nonresidents.
     SAS Name:    PDTRY_SRVC_ONST_NRSDNT_SW

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 35
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  PDTRY-SRVC-ONST-NRSDNT-SW

   Service: Podiatry On-Site to Residents            1    1631  1631 VARCHAR2
     Description: Indicates if podiatry services are provided on-site to
                  residents.
     SAS Name:    PDTRY_SRVC_ONST_RSDNT_SW
     COBOL Name:  PDTRY-SRVC-ONST-RSDNT-SW

   Service: Social Work Off-Site to Residents        1    1641  1641 VARCHAR2
     Description: Indicates if social work services are provided off-site
                  to residents.
     SAS Name:    SCL_WORK_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  SCL-WORK-SRVC-OFSITE-RSDNT-SW

   Service: Social Work On-Site to Nonresidents      1    1642  1642 VARCHAR2
     Description: Indicates if social work services are provided on-site to
                  nonresidents.
     SAS Name:    SCL_WORK_SRVC_ONST_NRSDNT_SW
     COBOL Name:  SCL-WORK-SRVC-ONST-NRSDNT-SW

   Service: Social Work On-Site to Residents         1    1643  1643 VARCHAR2
     Description: Indicates if social work services are provided on-site to
                  residents.
     SAS Name:    SCL_WORK_SRVC_ONST_RSDNT_SW
     COBOL Name:  SCL-WORK-SRVC-ONST-RSDNT-SW

   Service: Speech Pathology Off-Site to Residents   1    1646  1646 VARCHAR2
     Description: Indicates if speech/language pathology services are
                  provided offsite to residents.
     SAS Name:    SPCH_PTHLGY_OFSITE_RSDNT_SW
     COBOL Name:  SPCH-PTHLGY-OFSITE-RSDNT-SW

   Service: Speech Pathology On-Site to Nonresidents 1    1647  1647 VARCHAR2
     Description: Indicates if speech/language pathology services are
                  provided on-site to nonresidents.
     SAS Name:    SPCH_PTHLGY_ONST_NRSDNT_SW
     COBOL Name:  SPCH-PTHLGY-ONST-NRSDNT-SW

   Service: Speech Pathology On-Site to Residents    1    1648  1648 VARCHAR2
     Description: Indicates if speech/language pathology services are
                  provided on-site to residents.
     SAS Name:    SPCH_PTHLGY_ONST_RSDNT_SW
     COBOL Name:  SPCH-PTHLGY-ONST-RSDNT-SW

   Service: Therapeutic Recreational Specialty Off-Site1    1650  1650 VARCHAR2
   to Residents
     Description: Indicates if therapeutic recreation specialist services
                  are provided off-site to residents.
     SAS Name:    THRPTC_RCRTNL_OFSITE_RSDNT_SW
     COBOL Name:  THRPTC-RCRTNL-OFSITE-RSDNT-SW

   Service: Therapeutic Recreational Specialty On-Site1    1651  1651 VARCHAR2
   to Non Residents
     Description: Indicates if therapeutic recreation specialist services
                  are provided on-site to nonresidents.
     SAS Name:    THRPTC_RCRTNL_ONST_NRSDNT_SW
     COBOL Name:  THRPTC-RCRTNL-ONST-NRSDNT-SW

   Service: Therapeutic Recreational Specialty On-Site1    1652  1652 VARCHAR2
   to Residents
     Description: Indicates if therapeutic recreation specialist services
                  are provided on-site to residents.
     SAS Name:    THRPTC_RCRTNL_ONST_RSDNT_SW

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 36
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  THRPTC-RCRTNL-ONST-RSDNT-SW

   Service: Vocational Off-Site to Residents         1    1654  1654 VARCHAR2
     Description: Indicates if vocational services are provided off-site to
                  residents.
     SAS Name:    VCTNL_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  VCTNL-SRVC-OFSITE-RSDNT-SW

   Service: Vocational On-Site to Nonresidents       1    1655  1655 VARCHAR2
     Description: Indicates if vocational services are provided on-site to
                  nonresidents.
     SAS Name:    VCTNL_SRVC_ONST_NRSDNT_SW
     COBOL Name:  VCTNL-SRVC-ONST-NRSDNT-SW

   Service: Vocational On-Site to Residents          1    1656  1656 VARCHAR2
     Description: Indicates if vocational services are provided on-site to
                  residents.
     SAS Name:    VCTNL_SRVC_ONST_RSDNT_SW
     COBOL Name:  VCTNL-SRVC-ONST-RSDNT-SW

   Service: X-ray Off-Site Residents                 1    1657  1657 VARCHAR2
     Description: Indicates if diagnostic X-ray services are provided
                  off-site to residents.
     SAS Name:    DGNSTC_XRAY_OFSITE_RSDNT_SW
     COBOL Name:  DGNSTC-XRAY-OFSITE-RSDNT-SW

   Service: X-ray On-Site Nonresidents               1    1658  1658 VARCHAR2
     Description: Indicates if diagnostic X-ray services are provided
                  on-site to nonresidents.
     SAS Name:    DGNSTC_XRAY_ONST_NRSDNT_SW
     COBOL Name:  DGNSTC-XRAY-ONST-NRSDNT-SW

   Service: X-ray On-Site Residents                  1    1659  1659 VARCHAR2
     Description: Indicates if diagnostic X-ray services are provided
                  on-site to residents.
     SAS Name:    DGNSTC_XRAY_ONST_RSDNT_SW
     COBOL Name:  DGNSTC-XRAY-ONST-RSDNT-SW

   Social Worker - Contract                          7    3955  3961 NUMBER
     Description: The number of full-time equivalent social workers under
                  contract to a facility.
     SAS Name:    SCL_WORKR_CNTRCT_CNT
     COBOL Name:  SCL-WORKR-CNTRCT-CNT

   Social Worker - Full-Time                         7    3963  3969 NUMBER
     Description: The number of full-time equivalent social workers
                  employed by a facility on a full-time basis.
     SAS Name:    SCL_WORKR_FLTM_CNT
     COBOL Name:  SCL-WORKR-FLTM-CNT

   Social Worker - Part-Time                         7    3971  3977 NUMBER
     Description: The number of full-time equivalent social workers
                  employed by a facility on a part time basis.
     SAS Name:    SCL_WORKR_PRTM_CNT
     COBOL Name:  SCL-WORKR-PRTM-CNT

   Special Care Bed - Specialized Rehab              3    3987  3989 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for residents with specialized rehab needs.
     SAS Name:    REHAB_BED_CNT
     COBOL Name:  REHAB-BED-CNT

   Special Care Beds - AIDS                          3    3990  3992 NUMBER

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 37
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     Description: The number of beds in a unit identified and dedicated by
                  the facility for residents with AIDS.
     SAS Name:    AIDS_BED_CNT
     COBOL Name:  AIDS-BED-CNT

   Special Care Beds - Alzheimers                    3    3993  3995 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for residents with Alzheimer's disease.
     SAS Name:    ALZHMR_BED_CNT
     COBOL Name:  ALZHMR-BED-CNT

   Special Care Beds - Dialysis                      3    3996  3998 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for residents needing dialysis.
     SAS Name:    DLYS_BED_CNT
     COBOL Name:  DLYS-BED-CNT

   Special Care Beds - Disabled Child                3    3999  4001 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for disabled children.
     SAS Name:    DSBL_CHLDRN_BED_CNT
     COBOL Name:  DSBL-CHLDRN-BED-CNT

   Special Care Beds - Head Trauma                   3    4002  4004 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facilty for residents with head trauma.
     SAS Name:    HEAD_TRMA_BED_CNT
     COBOL Name:  HEAD-TRMA-BED-CNT

   Special Care Beds - Hospice                       3    4005  4007 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  a facility for residents needing hospice services.
     SAS Name:    HOSPC_BED_CNT
     COBOL Name:  HOSPC-BED-CNT

   Special Care Beds - Huntingtons                   3    4008  4010 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for residents with Huntington's disease.
     SAS Name:    HNTGTN_DEASE_BED_CNT
     COBOL Name:  HNTGTN-DEASE-BED-CNT

   Special Care Beds - Ventilator                    3    4011  4013 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for residents with ventilator/resipiratory
                  care needs.
     SAS Name:    VNTLTR_BED_CNT
     COBOL Name:  VNTLTR-BED-CNT

   Speech Pathologist - Contract                     7    4026  4032 NUMBER
     Description: The number of full-time equivalent speech pathologists
                  under contract to a facility.
     SAS Name:    SPCH_PTHLGST_CNTRCT_CNT
     COBOL Name:  SPCH-PTHLGST-CNTRCT-CNT

   Speech Pathologist - Full-Time                    7    4034  4040 NUMBER
     Description: The number of full-time equivalent speech pathologists
                  employed by a facility on a full-time basis.
     SAS Name:    SPCH_PTHLGST_FLTM_CNT
     COBOL Name:  SPCH-PTHLGST-FLTM-CNT

   Speech Pathologist - Part-Time                    7    4042  4048 NUMBER
     Description: The number of full-time equivalent speech pathologists
                  employed by a facility on a part-time basis.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 38
   Skilled Nursing Facility/Nursing Facility (Distinct Part), CATEGORY = "03"
                              (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    SPCH_PTHLGST_PRTM_CNT
     COBOL Name:  SPCH-PTHLGST-PRTM-CNT

   Therapeutic Recreational Specialty - Contract     7    4112  4118 NUMBER
     Description: Number of contract staff hours provided by therapeutic
                  recreation specialist.
     SAS Name:    THRPTC_RCRTNL_CNTRCT_CNT
     COBOL Name:  THRPTC-RCRTNL-CNTRCT-CNT

   Therapeutic Recreational Specialty - Full-Time    7    4120  4126 NUMBER
     Description: Number of full-time staff hours provided by therapeutic
                  recreation specialist.
     SAS Name:    THRPTC_RCRTNL_FLTM_CNT
     COBOL Name:  THRPTC-RCRTNL-FLTM-CNT

   Therapeutic Recreational Specialty - Part-Time    7    4128  4134 NUMBER
     Description: Number of part-time staff hours provided by therapeutic
                  recreation specialist.
     SAS Name:    THRPTC_RCRTNL_PRTM_CNT
     COBOL Name:  THRPTC-RCRTNL-PRTM-CNT












































 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 1
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Provider Category Subtype Code                    2    1     2    VARCHAR2
     Description: This field is used mainly by batch report programs to
                  determine the breakdown of the provider category. This
                  field is mainly used for SNFs and hospitals.
     SAS Name:    PRVDR_CTGRY_SBTYP_CD
     COBOL Name:  PRVDR-CTGRY-SBTYP-CD
     VALUES:      01=TITLE 18 ONLY

   Provider Category Code                            2    3     4    VARCHAR2
     Description: This code identifies the category which is most
                  descriptive of the facility identified on the
                  Medicare/Medicaid Certification and Transmittal Form (CMS
                  1539).
     SAS Name:    PRVDR_CTGRY_CD
     COBOL Name:  PRVDR-CTGRY-CD
     VALUES:      04=Skilled Nursing Facility

   Change of Ownership Count                         2    5     6    NUMBER
     Description: The number of times a change of ownership (CHOW) has
                  taken place for a particular provider.
     SAS Name:    CHOW_CNT
     COBOL Name:  CHOW-CNT

   Change of Ownership Date                          8    7     14   DATE
     Description: Effective date of a change of ownership.
     SAS Name:    CHOW_DT
     COBOL Name:  CHOW-DT

   City                                              28   15    42   VARCHAR2
     Description: City in which the provider is physically located.
     SAS Name:    CITY_NAME
     COBOL Name:  CITY-NAME

   Compliance: Plan of Correction                    1    43    43   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements based on an acceptable plan for correction
                  of deficiencies.
     SAS Name:    ACPTBL_POC_SW
     COBOL Name:  ACPTBL-POC-SW

   Compliance: Status                                1    44    44   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements.
     SAS Name:    CMPLNC_STUS_CD
     COBOL Name:  CMPLNC-STUS-CD
     VALUES:      A=IN COMPLIANCE
                  B=NOT IN COMPLIANCE

   SSA County Code                                   3    45    47   VARCHAR2
     Description: SSA (State Survey Agency) geographic code indicating the
                  county where the facility is located.
     SAS Name:    SSA_CNTY_CD
     COBOL Name:  SSA-CNTY-CD

   Cross Ref Provider Number                         10   48    57   CHAR
     Description: Cross reference provider number
     SAS Name:    CROSS_RFRNC_PRVDR_NUM
     COBOL Name:  CROSS-RFRNC-PRVDR-NUM

   Certification Date                                8    58    65   DATE
     Description: The Certification date is equal to the exit date of the
                  initial visit of the Health survey or LSC survey,
                  whichever is later.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 2
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    CRTFCTN_DT
     COBOL Name:  CRTFCTN-DT

   Eligibility Switch                                1    66    66   VARCHAR2
     Description: Indicates if a facility is eligible to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    ELGBLTY_SW
     COBOL Name:  ELGBLTY-SW

   Facility Name                                     50   67    116  VARCHAR2
     Description: The name of a provider certified to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    FAC_NAME
     COBOL Name:  FAC-NAME

   Intermediary Carrier Code                         5    117   121  VARCHAR2
     Description: A number assigned to an intermediary or carrier servicing
                  a provider or supplier. Not all numbers apply to all
                  provider types.
     SAS Name:    INTRMDRY_CARR_CD
     COBOL Name:  INTRMDRY-CARR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 3
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 4
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 5
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 6
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Medicare or Medicaid Vendor Number                15   122   136  VARCHAR2
     Description: A number which may be assigned to a facility by the state
                  Medicaid agency for external control or billing purposes.
     SAS Name:    MDCD_VNDR_NUM
     COBOL Name:  MDCD-VNDR-NUM

   Participation Date                                8    137   144  DATE
     Description: The date a facility is first approved to provide Medicare
                  and/or Medicaid services.
     SAS Name:    ORGNL_PRTCPTN_DT
     COBOL Name:  ORGNL-PRTCPTN-DT

   Prior Change of Ownership Date                    8    145   152  DATE
     Description: The date of a prior change of ownership.
     SAS Name:    CHOW_PRIOR_DT
     COBOL Name:  CHOW-PRIOR-DT

   Intermediary Carrier Prior Code                   5    153   157  VARCHAR2
     Description: The previous intermediary carrier number.
     SAS Name:    INTRMDRY_CARR_PRIOR_CD
     COBOL Name:  INTRMDRY-CARR-PRIOR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 7
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 8
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 9
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 10
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Provider Number                                   10   158   167  VARCHAR2
     Description: A six or ten position identification number that is
                  assigned to a certified provider.
     SAS Name:    PRVDR_NUM
     COBOL Name:  PRVDR-NUM

   Record Status Code                                1    168   168  VARCHAR2
     Description: This indicator specifies the current status of the
                  record.
     SAS Name:    REC_STUS_CD
     COBOL Name:  REC-STUS-CD
     VALUES:      A=ACCEPTED RECORD
                  C=COMPLAINT RECORD

   Region Code                                       2    169   170  VARCHAR2
     Description: The regional location of the provider.
     SAS Name:    RGN_CD
     COBOL Name:  RGN-CD
     VALUES:      01=BOSTON
                  02=NEW YORK
                  03=PHILADELPHIA
                  04=ATLANTA
                  05=CHICAGO
                  06=DALLAS
                  07=KANSAS CITY
                  08=DENVER

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 11
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  09=SAN FRANCISCO
                  10=SEATTLE

   Skeleton Record Switch                            1    171   171  VARCHAR2
     Description: Indicates the record is a skeleton record.  Only a
                  limited set of the provider data is available for this
                  provider.
     SAS Name:    SKLTN_REC_SW
     COBOL Name:  SKLTN-REC-SW

   State Abbreviation                                2    172   173  VARCHAR2
     Description: The two-character state abbreviation.
     SAS Name:    STATE_CD
     COBOL Name:  STATE-CD
     VALUES:      AK=ALASKA
                  AL=ALABAMA
                  AR=ARKANSAS
                  AS=AMERICAN SAMOA
                  AZ=ARIZONA
                  CA=CALIFORNIA
                  CN=CANADA
                  CO=COLORADO
                  CT=CONNECTICUT
                  DC=DISTRICT OF COLUMBIA
                  DE=DELAWARE
                  FL=FLORIDA
                  FN=FOREIGN
                  GA=GEORGIA
                  GU=GUAM
                  HI=HAWAII
                  IA=IOWA
                  ID=IDAHO
                  IL=ILLINOIS
                  IN=INDIANA
                  KS=KANSAS
                  KY=KENTUCKY
                  LA=LOUISIANA
                  MA=MASSACHUSETTS
                  MD=MARYLAND
                  ME=MAINE
                  MI=MICHIGAN
                  MN=MINNESOTA
                  MO=MISSOURI
                  MP=SAIPAN
                  MS=MISSISSIPPI
                  MT=MONTANA
                  MX=MEXICO
                  NC=NORTH CAROLINA
                  ND=NORTH DAKOTA
                  NE=NEBRASKA
                  NH=NEW HAMPSHIRE
                  NJ=NEW JERSEY
                  NM=NEW MEXICO
                  NV=NEVADA
                  NY=NEW YORK
                  OH=OHIO
                  OK=OKLAHOMA
                  OR=OREGON
                  PA=PENNSYLVANIA
                  PR=PUERTO RICO
                  RI=RHODE ISLAND
                  SC=SOUTH CAROLINA
                  SD=SOUTH DAKOTA
                  TN=TENNESSEE

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 12
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  TX=TEXAS
                  UT=UTAH
                  VA=VIRGINIA
                  VI=VIRGIN ISLANDS
                  VT=VERMONT
                  WA=WASHINGTON
                  WI=WISCONSIN
                  WV=WEST VIRGINIA
                  WY=WYOMING

   SSA State Code                                    2    174   175  VARCHAR2
     Description: SSA (Social Security Administration) geographic code
                  indicating the state of the provider's residence. Must
                  agree with the first two positions of the Provider number
                  (except California: 05 and 55; Texas: 45 and 67; FL: 10
                  and 68; MD: 21 and 80).
     SAS Name:    SSA_STATE_CD
     COBOL Name:  SSA-STATE-CD
     VALUES:      01=ALABAMA
                  02=ALASKA
                  03=ARIZONA
                  04=ARKANSAS
                  05=CALIFORNIA
                  06=COLORADO
                  07=CONNECTICUT
                  08=DELAWARE
                  09=DISTRICT OF COLUMBIA
                  10=FLORIDA
                  11=GEORGIA
                  12=HAWAII
                  13=IDAHO
                  14=ILLINOIS
                  15=INDIANA
                  16=IOWA
                  17=KANSAS
                  18=KENTUCKY
                  19=LOUISIANA
                  20=MAINE
                  21=MARYLAND
                  22=MASSACHUSETTS
                  23=MICHIGAN
                  24=MINNESOTA
                  25=MISSISSIPPI
                  26=MISSOURI
                  27=MONTANA
                  28=NEBRASKA
                  29=NEVADA
                  30=NEW HAMPSHIRE
                  31=NEW JERSEY
                  32=NEW MEXICO
                  33=NEW YORK
                  34=NORTH CAROLINA
                  35=NORTH DAKOTA
                  36=OHIO
                  37=OKLAHOMA
                  38=OREGON
                  39=PENNSYLVANIA
                  40=PUERTO RICO
                  41=RHODE ISLAND
                  42=SOUTH CAROLINA
                  43=SOUTH DAKOTA
                  44=TENNESSEE
                  45=TEXAS
                  46=UTAH

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 13
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  47=VERMONT
                  48=VIRGIN ISLANDS
                  49=VIRGINIA
                  50=WASHINGTON
                  51=WEST VIRGINIA
                  52=WISCONSIN
                  53=WYOMING
                  54=AFRICA
                  56=CANADA
                  57=WEST INDIES
                  58=EUROPE
                  59=MEXICO
                  60=OCEANIA
                  61=PHILIPPINES
                  62=SOUTH AMERICA
                  63=UNITED STATES POSSESSIONS
                  64=AMERICAN SAMOA
                  65=GUAM
                  66=SAIPAN
                  99=FOREIGN

   State Region Code                                 3    176   178  VARCHAR2
     Description: For selected states, identifies the particular region
                  within the state where the provider is located.
     SAS Name:    STATE_RGN_CD
     COBOL Name:  STATE-RGN-CD
     VALUES:      AK/001=ALASKA
                  AK/LAB=LABORATORIES
                  AK/UNK=UNKNOWN
                  AL/001=ALABAMA
                  AL/LAB=LABORATORIES
                  AL/UNK=UNKNOWN
                  AR/001=ARKANSAS
                  AR/LAB=LABORATORIES
                  AR/UNK=UNKNOWN
                  AS/001=AMERICAN SAMOA
                  AS/LAB=LABORATORY
                  AS/UNK=UNKNOWN
                  AZ/AZ=PHOENIX
                  AZ/LAB=ARIZONA LAB
                  AZ/TUC=TUCSON
                  AZ/UNK=UNKNOWN
                  CA/BAK=BAKERSFIELD
                  CA/BER=SAN BERNARDINO
                  CA/BK=BERKELEY
                  CA/BK1=CONTRA COSTA
                  CA/FR=FRESNO
                  CA/L1=L.A. WEST
                  CA/L2=L.A. NORTH
                  CA/L3=L.A. CENTRAL
                  CA/L4=L.A. EAST
                  CA/L5=SAN GABRIEL
                  CA/LAB=LABORATORIES
                  CA/M1=LAB. SOUTH
                  CA/M2=LAB. NORTH
                  CA/ORG=ORANGE CO
                  CA/RIV=RIVERSIDE
                  CA/RWC=REDWOOD COAST
                  CA/S1=SACRAMENTO
                  CA/S2=SACTO SOUTH
                  CA/S3=CHICO
                  CA/SD=SAN DIEGO
                  CA/SDS=SAN DIEGO SOUTH
                  CA/SF=SAN FRANCISCO

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 14
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  CA/SJ=SAN JOSE
                  CA/SR=SANTA ROSA
                  CA/UNK=UNKNOWN
                  CA/VEN=VENTURA
                  CN/001=CANADA
                  CN/LAB=LABORATORY
                  CN/UNK=UNKNOWN
                  CO/001=COLORADO
                  CO/LAB=LABORATORIES
                  CO/UNK=UNKNOWN
                  CT/001=CONNECTICUT
                  CT/LAB=LABORATORIES
                  CT/UNK=UNKNOWN
                  DC/001=DISTRICT OF COLUMBIA
                  DC/LAB=LABORATORIES
                  DC/UNK=UNKNOWN
                  DE/001=DELAWARE
                  DE/LAB=LABORATORIES
                  DE/UNK=UNKNOWN
                  FL/FTM=FT. MYERS
                  FL/GAI=GAINESVILLE
                  FL/JAX=JACKSONVILLE
                  FL/LAB=LABORATORIES
                  FL/LAN=LANTANA
                  FL/LAU=LAUDERHILL
                  FL/MIA=MIAMI
                  FL/ORL=ORLANDO
                  FL/PEN=PENSACOLA
                  FL/STP=ST. PETERSBURG
                  FL/TAL=TALLAHASSEE
                  FL/TAM=TAMPA
                  FL/UNK=UNKNOWN
                  FM/001=FEDERATED STATES OF MICRO
                  FN/001=FOREIGN
                  FN/LAB=LABORATORIES
                  FN/UNK=UNKNOWN
                  GA/001=GEORGIA
                  GA/GAA=GEORGIA ALL
                  GA/GAC=GEORGIA CENTRAL
                  GA/GAE=GEORGIA EASTERN
                  GA/GAN=GEORGIA NORTH
                  GA/GAS=GEORGIA SOUTH
                  GA/GAW=GEORGIA WESTERN
                  GA/LAB=LABORATORIES
                  GA/UNK=UNKNOWN
                  GU/001=GUAM
                  GU/LAB=LABORATORIES
                  GU/UNK=UNKNOWN
                  HI/001=HAWAII
                  HI/LAB=LABORATORIES
                  HI/UNK=UNKNOWN
                  IA/001=IOWA
                  IA/LAB=LABORATORIES
                  IA/UNK=UNKNOWN
                  ID/001=IDAHO
                  ID/LAB=LABORATORIES
                  ID/UNK=UNKNOWN
                  IL/001=ILLINOIS
                  IL/LAB=LABORATORIES
                  IL/UNK=UNKNOWN
                  IN/001=INDIANA
                  IN/LAB=LABORATORIES
                  IN/UNK=UNKNOWN
                  KS/LAB=LABORATORIES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 15
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  KS/LAW=LAWRENCE
                  KS/NC=NORTH CENTRAL KANSAS
                  KS/NE=NORTH EAST KANSAS
                  KS/NW=NORTH WEST KANSAS
                  KS/SC=SOUTH CENTRAL KANSAS
                  KS/SE=SOUTH EAST KANSAS
                  KS/SW=SOUTH WEST KANSAS
                  KS/UNK=UNKNOWN
                  KS/WST=WEST
                  KY/2C1=HOPKINSVILLE
                  KY/2C2=LOUISVILLE
                  KY/2C3=LONDON
                  KY/2C4=LEXINGTON
                  KY/LAB=LABORATORIES
                  KY/UNK=UNKNOWN
                  LA/001=LOUISIANA
                  LA/LA1=NEW ORLEANS
                  LA/LA2=MANDEVILLE
                  LA/LA3=LAFAYETTE
                  LA/LA4=MONROE
                  LA/LA5=SHREVEPORT
                  LA/LA6=ALEXANDRIA
                  LA/LAB=LABORATORIES
                  LA/LB1=CLIA NEW ORLEANS
                  LA/LB5=CLIA SHREVEPORT
                  LA/LB6=CLIA ALEXANDRIA
                  LA/UNK=UNKNOWN
                  MA/001=MASSACHUSETTS
                  MA/LAB=LABORATORIES
                  MA/UNK=UNKNOWN
                  MD/001=MARYLAND
                  MD/LAB=LABORATORIES
                  MD/UNK=UNKNOWN
                  ME/001=MAINE
                  ME/LAB=LABORATORIES
                  ME/UNK=UNKNOWN
                  MH/001=MARSHALL ISLANDS
                  MI/001=MICHIGAN
                  MI/LAB=LABORATORIES
                  MI/UNK=UNKNOWN
                  MN/001=MINNESOTA
                  MN/LAB=LABORATORIES
                  MN/UNK=UNKNOWN
                  MO/01=REGION01
                  MO/02=REGION02
                  MO/03=REGION 03
                  MO/04=REGION 04
                  MO/05=REGION 05
                  MO/06=REGION 06
                  MO/07=REGION 07
                  MO/1NH=REGION 1 NH
                  MO/2NH=REGION 2 NH
                  MO/3NH=REGION 3 NH
                  MO/4NH=REGION 4 NH
                  MO/5NH=REGION 5 NH
                  MO/6NH=REGION 6 NH
                  MO/7NH=REGION 7 NH
                  MO/LAB=LABORATORIES
                  MO/MO=STATEWIDE
                  MO/UNK=UNKNOWN
                  MP/001=NORTHERN MARIANA ISLANDS
                  MP/LAB=LABORATORIES
                  MP/UNK=UNKNOWN
                  MS/001=MISSISSIPPI

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 16
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  MS/LAB=LABORATORIES
                  MS/UNK=UNKNOWN
                  MT/001=MONTANA
                  MT/LAB=LABORATORIES
                  MT/UNK=UNKNOWN
                  MX/001=MEXICO
                  MX/LAB=LABORATORY
                  MX/UNK=UNKNOWN
                  NC/LAB=LABORATORIES
                  NC/NCC=NORTH CAROLINA CENTRAL
                  NC/NCE=NORTH CAROLINA EAST
                  NC/NCN=NORTH CAROLINA NORTH
                  NC/NCS=NORTH CAROLINA SOUTH
                  NC/NCW=NORTH CAROLINA WEST
                  NC/UNK=UNKNOWN
                  ND/001=NORTH DAKOTA
                  ND/LAB=LABORATORIES
                  ND/UNK=UNKNOWN
                  NE/1=NORTH CENTRAL
                  NE/2=CENTRAL
                  NE/3=NORTHEAST
                  NE/4=SOUTHEAST
                  NE/5=WESTERN
                  NE/LAB=LABORATORIES
                  NE/UNK=UNKNOWN
                  NH/001=NEW HAMPSHIRE
                  NH/LAB=LABORATORIES
                  NH/UNK=UNKNOWN
                  NJ/001=NEW JERSEY
                  NJ/LAB=LABORATORIES
                  NJ/UNK=UNKNOWN
                  NM/001=NEW MEXICO
                  NM/LAB=LABORATORIES
                  NM/UNK=UNKNOWN
                  NV/CC=CARSON CITY
                  NV/LAB=LABORATORIES
                  NV/LV=LAS VEGAS
                  NV/UNK=UNKNOWN
                  NY/001=BUFFALO
                  NY/002=ROCHESTER
                  NY/003=SYRACUSE
                  NY/004=ALBANY
                  NY/005=NEW ROCHELLE
                  NY/006=NEW YORK CITY
                  NY/007=SUFFOLK/NASSAU COUNTY
                  NY/LAB=LABORATORIES
                  NY/UNK=UNKNOWN
                  OH/001=OHIO
                  OH/LAB=LABORATORIES
                  OH/UNK=UNKNOWN
                  OK/001=OKLAHOMA
                  OK/LAB=LABORATORIES
                  OK/UNK=UNKNOWN
                  OR/001=OFFICE #1
                  OR/002=OFFICE #2
                  OR/003=OFFICE #3
                  OR/LAB=LABORATORIES
                  OR/UNK=UNKNOWN
                  PA/001=PENNSYLVANIA
                  PA/LAB=LABORATORIES
                  PA/UNK=UNKNOWN
                  PR/001=PUERTO RICO
                  PR/LAB=LABORATORIES
                  PR/UNK=UNKNOWN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 17
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  PW/001=PALAU
                  RI/001=RHODE ISLAND
                  RI/LAB=LABORATORIES
                  RI/UNK=UNKNOWN
                  SC/001=SOUTH CAROLINA
                  SC/LAB=LABORATORIES
                  SC/UNK=UNKNOWN
                  SD/001=SOUTH DAKOTA
                  SD/LAB=LABORATORIES
                  SD/UNK=UNKNOWN
                  TN/LAB=LABORATORIES
                  TN/TNC=TENNESSEE COOKEVILLE
                  TN/TNE=TENNESSEE EASTERN
                  TN/TNM=TENNESSEE MIDDLE
                  TN/TNW=TENNESSEE WESTERN
                  TN/UNK=UNKNOWN
                  TX/001=TEXAS
                  TX/L01=AMARILLO-LTC
                  TX/L02=ABILENE-LTC
                  TX/L03=ARLINGTON-LTC
                  TX/L04=TYLER-LTC
                  TX/L05=BEAUMONT-LTC
                  TX/L06=HOUSTON-LTC
                  TX/L07=TEMPLE-LTC
                  TX/L08=SAN ANTONIO-LTC
                  TX/L09=SAN ANGELO-LTC
                  TX/L10=EL PASO-LTC
                  TX/L11=CORPUS CHRISTI-LTC
                  TX/LAB=LABORATORIES
                  TX/TX1=LUBBOCK
                  TX/TX2=ARLINGTON
                  TX/TX3=SAN ANTONIO
                  TX/TX4=HOUSTON
                  TX/TX5=TYLER
                  TX/TX6=AUSTIN
                  TX/UNK=UNKNOWN
                  UT/001=UTAH
                  UT/LAB=LABORATORIES
                  UT/UNK=UNKNOWN
                  VA/001=VIRGINIA
                  VA/LAB=LABORATORIES
                  VA/UNK=UNKNOWN
                  VI/001=VIRGIN ISLANDS
                  VI/LAB=LABORATORIES
                  VI/UNK=UNKNOWN
                  VT/001=VERMONT
                  VT/LAB=LABORATORIES
                  VT/UNK=UNKNOWN
                  WA/001=ALL OTHERS (NON-LTC FAC)
                  WA/D1=SPOKANE & YAKIMA AREAS
                  WA/D1A=District 1, Unit A
                  WA/D1B=District 1, Unit B
                  WA/D1C=District 1, Unit C
                  WA/D1D=District 1, Unit D
                  WA/D2=SPOKANE & SE
                  WA/D2A=District 2, Unit A
                  WA/D2B=District 2, Unit B
                  WA/D2C=District 2, Unit C
                  WA/D2D=District 2, Unit D
                  WA/D2E=District 2, Unit E
                  WA/D2F=District 2, Unit F
                  WA/D2G=District 2, Unit G
                  WA/D3=NW WASHINGTON
                  WA/D3A=District 3, Unit A

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 18
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  WA/D3B=District 3, Unit B
                  WA/D3C=District 3, Unit C
                  WA/D3D=District 3, Unit D
                  WA/D3E=District 3, Unit E
                  WA/D4A=GREATER SEATTLE AREA
                  WA/D4B=S KING COUNTY
                  WA/D5A=PIERCE CTY & PENINSULA
                  WA/D5B=PIERCE CTY & GRAYS HARBOR
                  WA/D6=OLYMPIA AREA
                  WA/LAB=LABORATORIES
                  WA/UNK=UNKNOWN
                  WI/001=WISCONSIN
                  WI/LAB=LABORATORIES
                  WI/UNK=UNKNOWN
                  WV/001=WEST VIRGINIA
                  WV/LAB=LABORATORIES
                  WV/UNK=UNKNOWN
                  WY/001=WYOMING
                  WY/LAB=LABORATORIES
                  WY/UNK=UNKNOWN

   Street Address                                    50   179   228  VARCHAR2
     Description: Street address of a provider that is certified to provide
                  Medicare and/or Medicaid services.
     SAS Name:    ST_ADR
     COBOL Name:  ST-ADR

   Telephone Number                                  10   229   238  VARCHAR2
     Description: The 10-digit telephone number of the primary contact or
                  the operator of a provider.
     SAS Name:    PHNE_NUM
     COBOL Name:  PHNE-NUM

   Termination Code 1                                2    239   240  VARCHAR2
     Description: Termination code number one: the reason a facility has
                  been terminated from the CLIA, Medicare and/or Medicaid
                  programs.
     SAS Name:    PGM_TRMNTN_CD
     COBOL Name:  PGM-TRMNTN-CD
     VALUES:      00=ACTIVE PROVIDER
                  01=VOLUNTARY-MERGER, CLOSURE
                  02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT
                  03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION
                  04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL
                  05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ
                  06=INVOLUNTARY-FAILURE TO MEET AGREEMENT
                  07=OTHER-PROVIDER STATUS CHANGE
                  08=NONPAYMENT OF FEES - CLIA Only
                  09=REV/UNSUCCESSFUL PARTICIPATION IN PT - CLIA Only
                  10=REV/OTHER REASON - CLIA Only
                  11=INCMPLETE CLIA APPLICATION INFORMATION - CLIA Only
                  12=NO LONGER PERFORMING TESTS - CLIA Only
                  13=MULTIPLE TO SINGLE SITE CERTIFICATE - CLIA Only
                  14=SHARED LABORATORY - CLIA Only
                  15=FAILURE TO RENEW WAIVER PPM CERTIFICATE - CLIA Only
                  16=DUPLICATE CLIA NUMBER - CLIA Only
                  17=MAIL RETURNED NO FORWARD ADDRESS CERT ENDED - CLIA Only
                  20=NOTIFICATION BANKRUPTCY - CLIA Only
                  33=ACCREDITATION NOT CONFIRMED - CLIA Only
                  80=AWAITING STATE APPROVAL
                  99=OIG ACTION - DO NOT ACTIVATE - CLIA Only

   Termination Date / Expiration Date 1              8    241   248  DATE
     Description: The date the laboratory's certificate terminated or the

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 19
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  expiration date of the current CLIA certificate. For
                  other non-CLIA providers, it is the date the facility was
                  terminated.
     SAS Name:    TRMNTN_EXPRTN_DT
     COBOL Name:  TRMNTN-EXPRTN-DT

   Type of Action                                    1    249   249  VARCHAR2
     Description: Type of action on the 'official' survey record.  This
                  field is copied from type of action on the HCFA-1539,
                  certification and transmittal.
     SAS Name:    SRVY_PRPSE_CD
     COBOL Name:  SRVY-PRPSE-CD
     VALUES:      1=INITIAL
                  2=RECERTIFICATION
                  3=TERMINATION
                  4=CHANGE OF OWNERSHIP
                  5=VALIDATION
                  6=ONSITE SURVEY DUE TO FLEXIBLE SURVEY - CLIA Only
                  8=FULL SURVEY AFTER COMPLAINT - CLIA ONLY

   General Type of Control Code                      2    250   251  VARCHAR2
     Description: Indicates the nature of the organization that operates a
                  provider of services.
     SAS Name:    GNRL_CNTL_TYPE_CD
     COBOL Name:  GNRL-CNTL-TYPE-CD
     VALUES:      01=FOR PROFIT - INDIVIDUAL
                  02=FOR PROFIT - PARTNERSHIP
                  03=FOR PROFIT - CORPORATION
                  04=NONPROFIT - CHURCH RELATED
                  05=NONPROFIT - CORPORATION
                  06=NONPROFIT - OTHER
                  07=GOVERNMENT - STATE
                  08=GOVERNMENT - COUNTY
                  09=GOVERNMENT - CITY
                  10=GOVERNMENT - CITY/COUNTY
                  11=GOVERNMENT - HOSPITAL DISTRICT
                  12=GOVERNMENT - FEDERAL
                  13=FOR PROFIT - LIMITED LIABILITY CORPORATION

   ZIP Code                                          5    252   256  VARCHAR2
     Description: The five-digit postal code for the provider.
     SAS Name:    ZIP_CD
     COBOL Name:  ZIP-CD

   FIPS State Code                                   2    257   258  VARCHAR2
     Description: FIPS State Code
     SAS Name:    FIPS_STATE_CD
     COBOL Name:  FIPS-STATE-CD

   FIPS County Code                                  3    259   261  VARCHAR2
     Description: FIPS County Code
     SAS Name:    FIPS_CNTY_CD
     COBOL Name:  FIPS-CNTY-CD

   CBSA Urban Rural Indicator                        1    262   262  VARCHAR2
     Description: CBSA (Core Based Statistical Area) indicates whether the
                  county is defined as Urban or Rural.
     SAS Name:    CBSA_URBN_RRL_IND
     COBOL Name:  CBSA-URBN-RRL-IND

   Activity Professional Contract Count              7    280   286  NUMBER
     Description: The number of full-time equivalent activity professionals
                  under contract to a facility.
     SAS Name:    ACTVTY_PROFNL_CNTRCT_CNT

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 20
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  ACTVTY-PROFNL-CNTRCT-CNT

   Activity Professional Full-Time Count             7    288   294  NUMBER
     Description: The number of full-time equivalent activity professionals
                  employed full-time by a facility.
     SAS Name:    ACTVTY_PROFNL_FLTM_CNT
     COBOL Name:  ACTVTY-PROFNL-FLTM-CNT

   Activity Professional Part-Time Count             7    296   302  NUMBER
     Description: The number of full-time equivalent activity professionals
                  employed part-time by a facility.
     SAS Name:    ACTVTY_PROFNL_PRTM_CNT
     COBOL Name:  ACTVTY-PROFNL-PRTM-CNT

   Activity Staff Other Contract Count               7    304   310  NUMBER
     Description: Number of contract staff hours for other activities.
     SAS Name:    ACTVTY_STF_OTHR_CNTRCT_CNT
     COBOL Name:  ACTVTY-STF-OTHR-CNTRCT-CNT

   Activity Staff Other Full-Time Count              7    312   318  NUMBER
     Description: Number of full-time staff hours for other activities.
     SAS Name:    ACTVTY_STF_OTHR_FLTM_CNT
     COBOL Name:  ACTVTY-STF-OTHR-FLTM-CNT

   Activity Staff Other Part-Time Count              7    320   326  NUMBER
     Description: Number of part-time staff hours provided by other
                  activity staff.
     SAS Name:    ACTVTY_STF_OTHR_PRTM_CNT
     COBOL Name:  ACTVTY-STF-OTHR-PRTM-CNT

   Administrator - Contract                          7    329   335  NUMBER
     Description: The number of full-time equivalent administrative staff
                  under contract to a facility.
     SAS Name:    PROFNL_ADMIN_CNTRCT_CNT
     COBOL Name:  PROFNL-ADMIN-CNTRCT-CNT

   Administrator - Full-Time                         7    337   343  NUMBER
     Description: The number of full-time equivalent administrative staff
                  employed on a full-time basis by a facility.
     SAS Name:    PROFNL_ADMIN_FLTM_CNT
     COBOL Name:  PROFNL-ADMIN-FLTM-CNT

   Administrator - Part-Time                         7    345   351  NUMBER
     Description: The number of full-time equivalent administrative staff
                  employed on a part-time basis by a facility.
     SAS Name:    PROFNL_ADMIN_PRTM_CNT
     COBOL Name:  PROFNL-ADMIN-PRTM-CNT

   Beds - Medicare SNF                               4    374   377  NUMBER
     Description: Number of Medicare-certified SNF (Skilled Nursing
                  Facility) beds in a facility.
     SAS Name:    MDCR_SNF_BED_CNT
     COBOL Name:  MDCR-SNF-BED-CNT

   Beds - Nursing Facility                           4    378   381  NUMBER
     Description: Number of medicaid certified nursing facility beds in a
                  facility.
     SAS Name:    MDCD_SNF_BED_CNT
     COBOL Name:  MDCD-SNF-BED-CNT

   Beds - SNF / NF                                   4    382   385  NUMBER
     Description: Number of beds certified for both Medicare and Medicaid
                  skilled nursing care in a long term care facility.
     SAS Name:    MDCR_MDCD_SNF_BED_CNT

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 21
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  MDCR-MDCD-SNF-BED-CNT

   Beds - Total Certified                            4    386   389  NUMBER
     Description: Number of beds in Medicare and/or Medicaid certified
                  areas within a facility.
     SAS Name:    CRTFD_BED_CNT
     COBOL Name:  CRTFD-BED-CNT

   Beds-Total                                        4    390   393  NUMBER
     Description: Total number of beds in a facility, including those in
                  non-participating or non-licensed areas.
     SAS Name:    BED_CNT
     COBOL Name:  BED-CNT

   Certification Nurse Aides - Contract              7    448   454  NUMBER
     Description: The number of full-time equivalent certified nurse aides
                  under contract to a facility.
     SAS Name:    NRS_AIDE_CNTRCT_CNT
     COBOL Name:  NRS-AIDE-CNTRCT-CNT

   Certification Nurse Aides - Full-Time             7    456   462  NUMBER
     Description: The number of full-time equivalent certified nurse aides
                  employed by a facility on a full-time basis.
     SAS Name:    NRS_AIDE_FLTM_CNT
     COBOL Name:  NRS-AIDE-FLTM-CNT

   Certification Nurse Aides - Part-Time             7    464   470  NUMBER
     Description: The number of full-time equivalent certified nurse aides
                  employed by a facility on a part-time basis.
     SAS Name:    NRS_AIDE_PRTM_CNT
     COBOL Name:  NRS-AIDE-PRTM-CNT

   Compliance: 24 Hour Registered Nurse              1    481   481  VARCHAR2
     Description: Indicates if a waiver of the 24-hour registered nurse
                  requirement has been recommended for a facility.
     SAS Name:    RN_24_HR_WVR_SW
     COBOL Name:  RN-24-HR-WVR-SW

   Compliance: 7 Day Registered Nurse                1    482   482  VARCHAR2
     Description: Indicates if a waiver of the 7-day registered nurse
                  requirements has been recommended for a SNF or NF.
     SAS Name:    RN_7_DAY_WVR_SW
     COBOL Name:  RN-7-DAY-WVR-SW

   Compliance: Beds Per Room Waiver                  1    483   483  VARCHAR2
     Description: Indicates if a waiver of the beds per room requirement
                  has been recommended for a facility.
     SAS Name:    BED_PER_ROOM_WVR_SW
     COBOL Name:  BED-PER-ROOM-WVR-SW

   Compliance: Life Safety Code                      1    484   484  VARCHAR2
     Description: INDICATES IF A WAIVER OF ANY LIFE SAFETY CODE (LSC)
                  PROVISIONS HAS BEEN RECOMMENDED FOR A PROVIDER.
     SAS Name:    LSC_WVR_SW
     COBOL Name:  LSC-WVR-SW

   Compliance: Patient Room Size                     1    485   485  VARCHAR2
     Description: Indicates if a waiver of patient room size has been
                  recommended for a facility.
     SAS Name:    ROOM_SIZE_WVR_SW
     COBOL Name:  ROOM-SIZE-WVR-SW

   Dentists - Contract                               7    523   529  NUMBER
     Description: The number of full-time equivalent dentists under

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 22
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  contract to a facility.
     SAS Name:    DNTST_CNTRCT_CNT
     COBOL Name:  DNTST-CNTRCT-CNT

   Dentists - Full-Time                              7    531   537  NUMBER
     Description: The number of full-time equivalent dentists employed by a
                  facility on a full-time basis.
     SAS Name:    DNTST_FLTM_CNT
     COBOL Name:  DNTST-FLTM-CNT

   Dentists - Part-Time                              7    539   545  NUMBER
     Description: The number of full-time equivalent dentists employed by a
                  facility on a part-time basis.
     SAS Name:    DNTST_PRTM_CNT
     COBOL Name:  DNTST-PRTM-CNT

   Dietitians - Contract                             7    555   561  NUMBER
     Description: The number of full-time equivalent dietitians under
                  contract to a facility.
     SAS Name:    DIETN_CNTRCT_CNT
     COBOL Name:  DIETN-CNTRCT-CNT

   Dietitians - Full-Time                            7    563   569  NUMBER
     Description: The number of full-time equivalent dietitians employed by
                  a facility on a full-time basis.
     SAS Name:    DIETN_FLTM_CNT
     COBOL Name:  DIETN-FLTM-CNT

   Dietitians - Part-Time                            7    571   577  NUMBER
     Description: The number of full-time equivalent dietitians employed by
                  a facility on a part-time basis.
     SAS Name:    DIETN_PRTM_CNT
     COBOL Name:  DIETN-PRTM-CNT

   Experimental Research Conducted                   1    590   590  VARCHAR2
     Description: Indicates if a facility uses residents to develop and
                  test clinical treatments.
     SAS Name:    EXPRMT_RSRCH_CNDCTD_SW
     COBOL Name:  EXPRMT-RSRCH-CNDCTD-SW

   Fiscal Year Ending Date                           4    613   616  VARCHAR2
     Description: The ending date (month and day) of a facility's fiscal
                  year.
     SAS Name:    FY_END_MO_DAY_CD
     COBOL Name:  FY-END-MO-DAY-CD

   Food Service - Contract                           7    617   623  NUMBER
     Description: The number of full-time equivalent food service personnel
                  under contract to a facility.
     SAS Name:    FOOD_SRVC_CNTRCT_CNT
     COBOL Name:  FOOD-SRVC-CNTRCT-CNT

   Food Service - Full-Time                          7    625   631  NUMBER
     Description: The number of full-time equivalent food service personnel
                  employed by a facility on a full-time basis.
     SAS Name:    FOOD_SRVC_FLTM_CNT
     COBOL Name:  FOOD-SRVC-FLTM-CNT

   Food Service - Part-Time                          7    633   639  NUMBER
     Description: The number of full-time equivalent food service personnel
                  employed by a facility on a part-time basis.
     SAS Name:    FOOD_SRVC_PRTM_CNT
     COBOL Name:  FOOD-SRVC-PRTM-CNT


 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 23
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

   Housekeeping - Contract                           7    677   683  NUMBER
     Description: The number of full-time equivalent housekeeping personnel
                  under contract to a facility.
     SAS Name:    HSEKPNG_CNTRCT_CNT
     COBOL Name:  HSEKPNG-CNTRCT-CNT

   Housekeeping - Full-Time                          7    685   691  NUMBER
     Description: The number of full-time equivalent housekeeping personnel
                  employed by a facility on a full time basis.
     SAS Name:    HSEKPNG_FLTM_CNT
     COBOL Name:  HSEKPNG-FLTM-CNT

   Housekeeping - Part-Time                          7    693   699  NUMBER
     Description: The number of full-time equivalent housekeeping personnel
                  employed by a facility on a part-time basis.
     SAS Name:    HSEKPNG_PRTM_CNT
     COBOL Name:  HSEKPNG-PRTM-CNT

   LPN/LVN - Contract                                7    719   725  NUMBER
     Description: The number of full-time equivalent licensed practical/
                  vocational nurses under contract to a facility.
     SAS Name:    LPN_LVN_CNTRCT_CNT
     COBOL Name:  LPN-LVN-CNTRCT-CNT

   LPN/LVN - Full-Time                               7    727   733  NUMBER
     Description: The number of full-time equivalent licensed practical/
                  vocational nurses employed by a facility on a full-time
                  basis.
     SAS Name:    LPN_LVN_FLTM_CNT
     COBOL Name:  LPN-LVN-FLTM-CNT

   LPN/LVN - Part-Time                               7    735   741  NUMBER
     Description: The number of full-time equivalent licensed practical/
                  vocational nurses employed by a facility on a part-time
                  basis.
     SAS Name:    LPN_LVN_PRTM_CNT
     COBOL Name:  LPN-LVN-PRTM-CNT

   Medical Director - Contract                       7    791   797  NUMBER
     Description: The number of full-time equivalent medical directors
                  under contract to a facility.
     SAS Name:    MDCL_DRCTR_CNTRCT_CNT
     COBOL Name:  MDCL-DRCTR-CNTRCT-CNT

   Medical Director - Full-Time                      7    799   805  NUMBER
     Description: The number of full-time equivalent medical directors
                  employed by a facility on a full-time basis.
     SAS Name:    MDCL_DRCTR_FLTM_CNT
     COBOL Name:  MDCL-DRCTR-FLTM-CNT

   Medical Director - Part-Time                      7    807   813  NUMBER
     Description: The number of full-time equivalent medical directors
                  employed by a facility on a part-time basis.
     SAS Name:    MDCL_DRCTR_PRTM_CNT
     COBOL Name:  MDCL-DRCTR-PRTM-CNT

   Medication Aides / Techs - Contract               7    841   847  NUMBER
     Description: The number of full-time equivalent medication aides/
                  technicians under contract to a facility.
     SAS Name:    MDCTN_AIDE_CNTRCT_CNT
     COBOL Name:  MDCTN-AIDE-CNTRCT-CNT

   Medication Aides / Techs - Full-Time              7    849   855  NUMBER
     Description: The number of full-time equivalent medication aides/

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 24
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  technicians employed by a facility on a full-time basis.
     SAS Name:    MDCTN_AIDE_FLTM_CNT
     COBOL Name:  MDCTN-AIDE-FLTM-CNT

   Medication Aides / Techs - Part-Time              7    857   863  NUMBER
     Description: The number of full-time equivalent medication aides/
                  technicians employed by a facility on a part-time basis.
     SAS Name:    MDCTN_AIDE_PRTM_CNT
     COBOL Name:  MDCTN-AIDE-PRTM-CNT

   Mental Health Services - Contract                 7    866   872  NUMBER
     Description: The number of full-time equivalent mental health services
                  personnel under contract to a facility.
     SAS Name:    MENTL_HLTH_SRVC_CNTRCT_CNT
     COBOL Name:  MENTL-HLTH-SRVC-CNTRCT-CNT

   Mental Health Services - Full-Time                7    874   880  NUMBER
     Description: The number of full-time equivalent mental health services
                  personnel employed by a facility on a full-time basis.
     SAS Name:    MENTL_HLTH_SRVC_FLTM_CNT
     COBOL Name:  MENTL-HLTH-SRVC-FLTM-CNT

   Mental Health Services - Part-Time                7    882   888  NUMBER
     Description: The number of full-time equivalent mental health services
                  personnel employed by a facility on a part-time basis.
     SAS Name:    MENTL_HLTH_SRVC_PRTM_CNT
     COBOL Name:  MENTL-HLTH-SRVC-PRTM-CNT

   Multi-Facility Organization Name                  38   890   927  VARCHAR2
     Description: The name of the multi-facility organization that owns the
                  facility.
     SAS Name:    MLT_FAC_ORG_NAME
     COBOL Name:  MLT-FAC-ORG-NAME

   Multi-Facility Organization Owned                 1    928   928  VARCHAR2
     Description: Indicates if a facility is owned by an organization that
                  owns (or leases) two or more nursing facilities.
     SAS Name:    MLT_OWND_FAC_ORG_SW
     COBOL Name:  MLT-OWND-FAC-ORG-SW

   Nurse Aides in Training - Contract                7    940   946  NUMBER
     Description: Number of full-time equivalent nurse aides in training
                  under contract to a facility.
     SAS Name:    NAT_CNTRCT_CNT
     COBOL Name:  NAT-CNTRCT-CNT

   Nurse Aides in Training - Full-Time               7    948   954  NUMBER
     Description: The number of full-time equivalent nurse aides in
                  training employed by a facility on a full-time basis.
     SAS Name:    NAT_FLTM_CNT
     COBOL Name:  NAT-FLTM-CNT

   Nurse Aides in Training - Part-Time               7    956   962  NUMBER
     Description: The number of full-time equivalent nurse aides in
                  training employed by a facility on a part-time basis.
     SAS Name:    NAT_PRTM_CNT
     COBOL Name:  NAT-PRTM-CNT

   Nurses With Administrative Duties - Contract      7    972   978  NUMBER
     Description: The number of full-time equivalent nurses with
                  administrative duties under contract to a facility.
     SAS Name:    NRS_ADMINV_CNTRCT_CNT
     COBOL Name:  NRS-ADMINV-CNTRCT-CNT


 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 25
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

   Nurses With Administrative Duties - Full-Time     7    980   986  NUMBER
     Description: The number of full-time equivalent nurses with
                  administrative duties employed by a facility on a
                  full-time basis.
     SAS Name:    NRS_ADMINV_FLTM_CNT
     COBOL Name:  NRS-ADMINV-FLTM-CNT

   Nurses With Administrative Duties - Part-Time     7    988   994  NUMBER
     Description: Number of full-time equivalent nurses with administrative
                  duties employed by a facility on a part-time basis.
     SAS Name:    NRS_ADMINV_PRTM_CNT
     COBOL Name:  NRS-ADMINV-PRTM-CNT

   Occupational Therapist - Contract                 7    996   1002 NUMBER
     Description: The number of full-time equivalent occupational
                  therapists under contract to a facility.
     SAS Name:    OCPTNL_THRPST_CNTRCT_CNT
     COBOL Name:  OCPTNL-THRPST-CNTRCT-CNT

   Occupational Therapist - Full-Time                7    1004  1010 NUMBER
     Description: The number of full-time equivalent occupational
                  therapists employed by a facility on a full-time basis.
     SAS Name:    OCPTNL_THRPST_FLTM_CNT
     COBOL Name:  OCPTNL-THRPST-FLTM-CNT

   Occupational Therapist - Part-Time                7    1012  1018 NUMBER
     Description: The number of full-time equivalent occupational
                  therapists employed by a facility on a part-time basis.
     SAS Name:    OCPTNL_THRPST_PRTM_CNT
     COBOL Name:  OCPTNL-THRPST-PRTM-CNT

   Occupational Therapy Aide - Contract              7    1028  1034 NUMBER
     Description: The number of full-time equivalent occupational therapy
                  aides under contract to a facility.
     SAS Name:    OT_AIDE_CNTRCT_CNT
     COBOL Name:  OT-AIDE-CNTRCT-CNT

   Occupational Therapy Aide - Full-Time             7    1036  1042 NUMBER
     Description: The number of full-time equivalent occupational therapy
                  aides employed by a facility on a full-time basis.
     SAS Name:    OT_AIDE_FLTM_CNT
     COBOL Name:  OT-AIDE-FLTM-CNT

   Occupational Therapy Aide - Part-Time             7    1044  1050 NUMBER
     Description: The number of full-time equivalent occupational therapy
                  aides employed by a facility on a part-time basis.
     SAS Name:    OT_AIDE_PRTM_CNT
     COBOL Name:  OT-AIDE-PRTM-CNT

   Occupational Therapy Assistant - Contract         7    1052  1058 NUMBER
     Description: The number of full-time equivalent occupational therapy
                  assistants under contract to a facility.
     SAS Name:    OT_ASTNT_AIDE_CNTRCT_CNT
     COBOL Name:  OT-ASTNT-AIDE-CNTRCT-CNT

   Occupational Therapy Assistant - Full-Time        7    1060  1066 NUMBER
     Description: The number of full-time equivalent occupational therapy
                  assistants employed by a facility on a full-time basis.
     SAS Name:    OT_ASTNT_AIDE_FLTM_CNT
     COBOL Name:  OT-ASTNT-AIDE-FLTM-CNT

   Occupational Therapy Assistant - Part-Time        7    1068  1074 NUMBER
     Description: The number of full-time equivalent occupational therapy
                  assistants employed by a facility on a part-time basis.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 26
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    OT_ASTNT_AIDE_PRTM_CNT
     COBOL Name:  OT-ASTNT-AIDE-PRTM-CNT

   Organized Family Group                            1    1078  1078 VARCHAR2
     Description: Indicates if the facility has an organized group of
                  family members of residents.
     SAS Name:    ORGNZ_FMLY_MBR_GRP_SW
     COBOL Name:  ORGNZ-FMLY-MBR-GRP-SW

   Organized Resident Group                          1    1079  1079 VARCHAR2
     Description: Indicates if the facility has an organized residents
                  group.
     SAS Name:    ORGNZ_RSDNT_GRP_SW
     COBOL Name:  ORGNZ-RSDNT-GRP-SW

   Other - Contract                                  7    1081  1087 NUMBER
     Description: The number of full-time equivalent staff not included in
                  any other categories under contract to the facility.
     SAS Name:    STF_OTHR_CNTRCT_CNT
     COBOL Name:  STF-OTHR-CNTRCT-CNT

   Other - Full-Time                                 7    1089  1095 NUMBER
     Description: The number of full-time equivalent persons not included
                  in any other categories employed by the facility on a
                  full-time basis.
     SAS Name:    STF_OTHR_FLTM_CNT
     COBOL Name:  STF-OTHR-FLTM-CNT

   Other - Part-Time                                 7    1097  1103 NUMBER
     Description: The number of full-time equivalent persons not included
                  in any other categories employed by the facility on a
                  part-time basis.
     SAS Name:    STF_OTHR_PRTM_CNT
     COBOL Name:  STF-OTHR-PRTM-CNT

   Other Physician Contract                          7    1113  1119 NUMBER
     Description: The number of full-time equivalent other physicians under
                  contract to a facility.
     SAS Name:    PHYSN_OTHR_CNTRCT_CNT
     COBOL Name:  PHYSN-OTHR-CNTRCT-CNT

   Other Physician Full-Time                         7    1121  1127 NUMBER
     Description: The number of full-time equivalent other physicians
                  employed by a facility on a full-time basis.
     SAS Name:    PHYSN_OTHR_FLTM_CNT
     COBOL Name:  PHYSN-OTHR-FLTM-CNT

   Other Physician Part-Time                         7    1129  1135 NUMBER
     Description: The number of full-time equivalent other physicians
                  employed by a facility on a part-time basis.
     SAS Name:    PHYSN_OTHR_PRTM_CNT
     COBOL Name:  PHYSN-OTHR-PRTM-CNT

   Other Social Service Staff - Contract             7    1137  1143 NUMBER
     Description: Number of contract staff hours provided by other social
                  services staff.
     SAS Name:    SCL_SRVC_OTHR_STF_CNTRCT_CNT
     COBOL Name:  SCL-SRVC-OTHR-STF-CNTRCT-CNT

   Other Social Service Staff - Full-Time            7    1145  1151 NUMBER
     Description: Number of full-time staff hours provided by other social
                  services staff.
     SAS Name:    SCL_SRVC_OTHR_STF_FLTM_CNT
     COBOL Name:  SCL-SRVC-OTHR-STF-FLTM-CNT

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 27
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Other Social Service Staff - Part-Time            7    1153  1159 NUMBER
     Description: Number of part-time staff hours provided by other social
                  services staff.
     SAS Name:    SCL_SRVC_OTHR_STF_PRTM_CNT
     COBOL Name:  SCL-SRVC-OTHR-STF-PRTM-CNT

   Pharmacists - Contract                            7    1172  1178 NUMBER
     Description: The number of full-time equivalent pharmacists under
                  contract to a facility.
     SAS Name:    PHRMCST_CNTRCT_CNT
     COBOL Name:  PHRMCST-CNTRCT-CNT

   Pharmacists - Full-Time                           7    1180  1186 NUMBER
     Description: The number of full-time equivalent pharmacists employed
                  by a facility on a full-time basis.
     SAS Name:    PHRMCST_FLTM_CNT
     COBOL Name:  PHRMCST-FLTM-CNT

   Pharmacists - Part-Time                           7    1188  1194 NUMBER
     Description: The number of full-time equivalent pharmacists employed
                  by a facility on a part-time basis.
     SAS Name:    PHRMCST_PRTM_CNT
     COBOL Name:  PHRMCST-PRTM-CNT

   Physical Therapists - Contract                    7    1212  1218 NUMBER
     Description: The number of full-time equivalent physical therapists
                  under contract to a facility.
     SAS Name:    PHYS_THRPST_CNTRCT_CNT
     COBOL Name:  PHYS-THRPST-CNTRCT-CNT

   Physical Therapists - Full-Time                   7    1220  1226 NUMBER
     Description: The number of full-time equivalent physical therapists
                  employed by a facility on a full-time basis.
     SAS Name:    PHYS_THRPST_FLTM_CNT
     COBOL Name:  PHYS-THRPST-FLTM-CNT

   Physical Therapists - Part-Time                   7    1228  1234 NUMBER
     Description: The number of full-time equivalent physical therapists
                  employed by a facility on a part-time basis.
     SAS Name:    PHYS_THRPST_PRTM_CNT
     COBOL Name:  PHYS-THRPST-PRTM-CNT

   Physical Therapy Aide - Contract                  7    1244  1250 NUMBER
     Description: The number of full-time equivalent physical therapy aides
                  under contract to a facility.
     SAS Name:    PT_AIDE_CNTRCT_CNT
     COBOL Name:  PT-AIDE-CNTRCT-CNT

   Physical Therapy Aide - Full-Time                 7    1252  1258 NUMBER
     Description: The number of full-time equivalent physical therapy aides
                  employed by a facility on a full-time basis.
     SAS Name:    PT_AIDE_FLTM_CNT
     COBOL Name:  PT-AIDE-FLTM-CNT

   Physical Therapy Aide - Part-Time                 7    1260  1266 NUMBER
     Description: The number of full-time equivalent physical therapy aides
                  employed by a facility on a part-time basis.
     SAS Name:    PT_AIDE_PRTM_CNT
     COBOL Name:  PT-AIDE-PRTM-CNT

   Physical Therapy Assistant - Contract             7    1268  1274 NUMBER
     Description: Number of contract staff hours for physical therapy
                  assistants.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 28
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    PT_ASTNT_CNTRCT_CNT
     COBOL Name:  PT-ASTNT-CNTRCT-CNT

   Physical Therapy Assistant - Full-Time            7    1276  1282 NUMBER
     Description: Number of full-time staff hours for physical therapy
                  assistants.
     SAS Name:    PT_ASTNT_FLTM_CNT
     COBOL Name:  PT-ASTNT-FLTM-CNT

   Physical Therapy Assistant - Part-Time            7    1284  1290 NUMBER
     Description: Number of part-time staff hours for physical therapy
                  assistants.
     SAS Name:    PT_ASTNT_PRTM_CNT
     COBOL Name:  PT-ASTNT-PRTM-CNT

   Physician Extender -  Contract                    7    1300  1306 NUMBER
     Description: The number of full-time equivalent physician extenders
                  under contract to the facility.
     SAS Name:    PHYSN_EXT_CNTRCT_CNT
     COBOL Name:  PHYSN-EXT-CNTRCT-CNT

   Physician Extender Full-Time Count (F37B)         7    1308  1314 NUMBER
     Description: The number of full-time equivalent physician extenders
                  employed by the facility on a full-time basis.
     SAS Name:    PHYSN_EXT_FLTM_CNT
     COBOL Name:  PHYSN-EXT-FLTM-CNT

   Physician Extender Part-Time Count (F37C)         7    1316  1322 NUMBER
     Description: The number of full-time equivalent physician extenders
                  employed by the facility on a part-time basis.
     SAS Name:    PHYSN_EXT_PRTM_CNT
     COBOL Name:  PHYSN-EXT-PRTM-CNT

   Physician Extender Service Offsite To Resident Switch1    1324  1324 VARCHAR2
   (F37A3)
     Description: Indicates if physician extender services are provided
                  offsite to residents.
     SAS Name:    PHYSN_EXT_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  PHYSN-EXT-SRVC-OFSITE-RSDNT-SW

   Physician Extender Service Onsite To Non-Resident 1    1325  1325 VARCHAR2
   Switch (F37A2)
     Description: Indicates if physician extender services are provided
                  onsite to non-residents.
     SAS Name:    PHYSN_EXT_SRVC_ONST_NRSDNT_SW
     COBOL Name:  PHYSN-EXT-SRVC-ONST-NRSDNT-SW

   Physician Extender Service Onsite To Resident Switch1    1326  1326 VARCHAR2
   (F37A1)
     Description: Indicates if physician extender services are provided
                  on-site to residents.
     SAS Name:    PHYSN_EXT_SRVC_ONST_RSDNT_SW
     COBOL Name:  PHYSN-EXT-SRVC-ONST-RSDNT-SW

   Podiatrists - Contract                            7    1351  1357 NUMBER
     Description: The number of full-time equivalent podiatrists under
                  contract to a facility.
     SAS Name:    PDTRST_CNTRCT_CNT
     COBOL Name:  PDTRST-CNTRCT-CNT

   Podiatrists - Full-Time                           7    1359  1365 NUMBER
     Description: The number of full-time equivalent podiatrists employed
                  by a facility on a full-time basis.
     SAS Name:    PDTRST_FLTM_CNT

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 29
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  PDTRST-FLTM-CNT

   Podiatrists - Part-Time                           7    1367  1373 NUMBER
     Description: The number of full-time equivalent podiatrists employed
                  by a facility on a part-time basis.
     SAS Name:    PDTRST_PRTM_CNT
     COBOL Name:  PDTRST-PRTM-CNT

   Program Participation                             1    1399  1399 VARCHAR2
     Description: Indicates if the provider participates in Medicare,
                  Medicaid, or both programs.
     SAS Name:    PGM_PRTCPTN_CD
     COBOL Name:  PGM-PRTCPTN-CD
     VALUES:      1=MEDICARE ONLY
                  2=MEDICAID ONLY
                  3=MEDICARE AND MEDICAID

   Provider Based Facility                           1    1400  1400 VARCHAR2
     Description: Indicates if a long term care facility is provider based.
     SAS Name:    PRVDR_BSD_FAC_SW
     COBOL Name:  PRVDR-BSD-FAC-SW

   Regional Override # 1 (Number Beds)               1    1438  1438 VARCHAR2
     Description: This field is set to 'Y' when the regional office has to
                  approve a pending record in the special fields screen.
                  This field only applies to categories in ODIE data entry
                  system.
     SAS Name:    OVRRD_BED_CNT_SW
     COBOL Name:  OVRRD-BED-CNT-SW

   Regional Override # 2 (Staffing)                  1    1439  1439 VARCHAR2
     Description: This field is set to 'Y' when the regional office has to
                  approve a pending record in the special fields screen.
                  This field only applies to categories in ODIE data entry
                  system.
     SAS Name:    OVRRD_STFG_SW
     COBOL Name:  OVRRD-STFG-SW

   Registered Nurse - Contract                       7    1441  1447 NUMBER
     Description: The number of full-time equivalent registered nurses
                  under contract to a facility.
     SAS Name:    RN_CNTRCT_CNT
     COBOL Name:  RN-CNTRCT-CNT

   Registered Nurse - Full-Time                      7    1449  1455 NUMBER
     Description: The number of full-time equivalent registered nurses
                  employed by a facility on a full-time basis.
     SAS Name:    RN_FLTM_CNT
     COBOL Name:  RN-FLTM-CNT

   Registered Nurse - Part-Time                      7    1457  1463 NUMBER
     Description: The number of full-time equivalent registered nurses
                  employed by a facility on a part-time basis.
     SAS Name:    RN_PRTM_CNT
     COBOL Name:  RN-PRTM-CNT

   Related Provider Number                           10   1510  1519 CHAR
     Description: Related provider number
     SAS Name:    RLTD_PRVDR_NUM
     COBOL Name:  RLTD-PRVDR-NUM

   Rescind Suspension Date                           8    1520  1527 DATE
     Description: Date that the suspension of payments for new admissions
                  to a long term care (LTC) facility is rescinded.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 30
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    RSCND_SUSPNSN_DT
     COBOL Name:  RSCND-SUSPNSN-DT

   RN Director of Nursing - Contract                 7    1540  1546 NUMBER
     Description: The number of full-time equivalent registered nurse
                  directors of nursing under contract to a facility.
     SAS Name:    RN_DRCTR_CNTRCT_CNT
     COBOL Name:  RN-DRCTR-CNTRCT-CNT

   RN Director of Nursing - Full-Time                7    1548  1554 NUMBER
     Description: The number of full-time equivalent registered nurse
                  directors of nursing employed by a facility on a
                  full-time basis.
     SAS Name:    RN_DRCTR_FLTM_CNT
     COBOL Name:  RN-DRCTR-FLTM-CNT

   RN Director of Nursing - Part-Time                7    1556  1562 NUMBER
     Description: The number of full-time equivalent registered nurse
                  directors of nursing employed by a facility on a
                  part-time basis.
     SAS Name:    RN_DRCTR_PRTM_CNT
     COBOL Name:  RN-DRCTR-PRTM-CNT

   Service: Activities-Offsite-Residents Switch      1    1564  1564 VARCHAR2
     Description: Indicates if activity services are provided off-site to
                  residents.
     SAS Name:    ACTVTY_OFSITE_RSDNT_SW
     COBOL Name:  ACTVTY-OFSITE-RSDNT-SW

   Service: Activities-Onsite-Nonresidents Switch    1    1565  1565 VARCHAR2
     Description: Indicates if activity services are provided on-site to
                  nonresidents.
     SAS Name:    ACTVTY_ONST_NRSDNT_SW
     COBOL Name:  ACTVTY-ONST-NRSDNT-SW

   Service: Activities-Onsite-Residents Switch       1    1566  1566 VARCHAR2
     Description: Indicates if activity services are provided on-site to
                  residents.
     SAS Name:    ACTVTY_ONST_RSDNT_SW
     COBOL Name:  ACTVTY-ONST-RSDNT-SW

   Service: Blood Administered-Offsite-Resident      1    1568  1568 VARCHAR2
     Description: Indicates if administration and storage of blood services
                  are provided off-site to residents.
     SAS Name:    BLOOD_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  BLOOD-SRVC-OFSITE-RSDNT-SW

   Service: Blood Administered-Onsite-Nonresident    1    1569  1569 VARCHAR2
     Description: Indicates if administration and storage of blood services
                  are provided onsite to nonresidents.
     SAS Name:    BLOOD_SRVC_ONST_NRSDNT_SW
     COBOL Name:  BLOOD-SRVC-ONST-NRSDNT-SW

   Service: Blood Administered-Onsite-Resident       1    1570  1570 VARCHAR2
     Description: Indicates if administration and storage of blood services
                  are provided onsite to residents.
     SAS Name:    BLOOD_SRVC_ONST_RSDNT_SW
     COBOL Name:  BLOOD-SRVC-ONST-RSDNT-SW

   Service: Clinical Laboratory-Offsite-Resident     1    1571  1571 VARCHAR2
     Description: Indicates if clinical laboratory services are provided
                  off-site to residents.
     SAS Name:    CL_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  CL-SRVC-OFSITE-RSDNT-SW

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 31
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Service: Clinical Laboratory-Onsite-Nonresident   1    1572  1572 VARCHAR2
     Description: Indicates if clinical laboratory services are provided
                  onsite to nonresidents.
     SAS Name:    CL_SRVC_ONST_NRSDNT_SW
     COBOL Name:  CL-SRVC-ONST-NRSDNT-SW

   Service: Clinical Laboratory-Onsite-Resident      1    1573  1573 VARCHAR2
     Description: Indicates if clinical laboratory services are provided
                  on-site to residents.
     SAS Name:    CL_SRVC_ONST_RSDNT_SW
     COBOL Name:  CL-SRVC-ONST-RSDNT-SW

   Service: Dental  On-Site Nonresidents             1    1575  1575 VARCHAR2
     Description: Indicates if dental services are provided on-site to
                  nonresidents.
     SAS Name:    DNTL_SRVC_ONST_NRSDNT_SW
     COBOL Name:  DNTL-SRVC-ONST-NRSDNT-SW

   Service: Dental Off-Site Residents                1    1576  1576 VARCHAR2
     Description: Indicates if dental services are provided off-site to
                  residents.
     SAS Name:    DNTL_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  DNTL-SRVC-OFSITE-RSDNT-SW

   Service: Dental On-Site Residents                 1    1577  1577 VARCHAR2
     Description: Indicates if dental services are provided on-site to
                  residents.
     SAS Name:    DNTL_SRVC_ONST_RSDNT_SW
     COBOL Name:  DNTL-SRVC-ONST-RSDNT-SW

   Service: Dietary  On-Site Nonresidents            1    1578  1578 VARCHAR2
     Description: Indicates if dietary services are provided on-site to
                  nonresidents.
     SAS Name:    DTRY_ONST_NRSDNT_SW
     COBOL Name:  DTRY-ONST-NRSDNT-SW

   Service: Dietary Off-Site Residents               1    1579  1579 VARCHAR2
     Description: Indicates if dietary services are provided off-site to
                  residents.
     SAS Name:    DTRY_OFSITE_RSDNT_SW
     COBOL Name:  DTRY-OFSITE-RSDNT-SW

   Service: Dietary On-Site Residents                1    1580  1580 VARCHAR2
     Description: Indicates if dietary services are provided on-site to
                  residents.
     SAS Name:    DTRY_ONST_RSDNT_SW
     COBOL Name:  DTRY-ONST-RSDNT-SW

   Service: Housekeeping  On-Site to Nonresidents    1    1584  1584 VARCHAR2
     Description: Indicates if housekeeping services are provided on-site
                  to nonresidents.
     SAS Name:    HSEKPNG_SRVC_ONST_NRSDNT_SW
     COBOL Name:  HSEKPNG-SRVC-ONST-NRSDNT-SW

   Service: Housekeeping Off-Site to Residents       1    1585  1585 VARCHAR2
     Description: Indicates if housekeeping services are provided off-site
                  to residents.
     SAS Name:    HSEKPNG_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  HSEKPNG-SRVC-OFSITE-RSDNT-SW

   Service: Housekeeping On-Site to Residents        1    1586  1586 VARCHAR2
     Description: Indicates if housekeeping services are provided on-site
                  to residents.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 32
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    HSEKPNG_SRVC_ONST_RSDNT_SW
     COBOL Name:  HSEKPNG-SRVC-ONST-RSDNT-SW

   Service: Mental Health  Off-Site to Residents     1    1591  1591 VARCHAR2
     Description: Indicates if mental health services are provided off-site
                  to residents.
     SAS Name:    MENTL_HLTH_OFSITE_RSDNT_SW
     COBOL Name:  MENTL-HLTH-OFSITE-RSDNT-SW

   Service: Mental Health On-Site  to Residents      1    1592  1592 VARCHAR2
     Description: Indicates if mental health services are provided on-site
                  to residents.
     SAS Name:    MENTL_HLTH_ONST_RSDNT_SW
     COBOL Name:  MENTL-HLTH-ONST-RSDNT-SW

   Service: Mental Health On-site to Nonresidents    1    1593  1593 VARCHAR2
     Description: Indicates if mental health services are provided on-site
                  to nonresidents.
     SAS Name:    MENTL_HLTH_ONST_NRSDNT_SW
     COBOL Name:  MENTL-HLTH-ONST-NRSDNT-SW

   Service: Nursing  On-Site to Nonresidents         1    1595  1595 VARCHAR2
     Description: Indicates if nursing services are provided on-site to
                  nonresidents.
     SAS Name:    NRSNG_SRVC_ONST_NRSDNT_SW
     COBOL Name:  NRSNG-SRVC-ONST-NRSDNT-SW

   Service: Nursing Off-Site to Residents            1    1598  1598 VARCHAR2
     Description: Indicates if nursing services are provided off-site to
                  residents.
     SAS Name:    NRSNG_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  NRSNG-SRVC-OFSITE-RSDNT-SW

   Service: Nursing On-Site to Residents             1    1599  1599 VARCHAR2
     Description: Indicates if nursing services are provided on-site to
                  residents.
     SAS Name:    NRSNG_SRVC_ONST_RSDNT_SW
     COBOL Name:  NRSNG-SRVC-ONST-RSDNT-SW

   Service: Occupational Therapy  On-Site to         1    1601  1601 VARCHAR2
   Nonresidents
     Description: Indicates if occupational therapy services are provided
                  on-site to nonresidents.
     SAS Name:    OT_SRVC_ONST_NRSDNT_SW
     COBOL Name:  OT-SRVC-ONST-NRSDNT-SW

   Service: Occupational Therapy Off-Site to Residents1    1604  1604 VARCHAR2
     Description: Indicates if occupational therapy services are provided
                  off-site to residents.
     SAS Name:    OT_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  OT-SRVC-OFSITE-RSDNT-SW

   Service: Occupational Therapy On-Site to Residents1    1605  1605 VARCHAR2
     Description: Indicates if occupational therapy services are provided
                  on-site to residents.
     SAS Name:    OT_SRVC_ONST_RSDNT_SW
     COBOL Name:  OT-SRVC-ONST-RSDNT-SW

   Service: Other Activities-Offsite-Residents Switch1    1609  1609 VARCHAR2
     Description: Field 3 - indicates other activity services provided by
                  staff off-site to residents.
     SAS Name:    ACTVTY_OTHR_OFSITE_RSDNT_SW
     COBOL Name:  ACTVTY-OTHR-OFSITE-RSDNT-SW


 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 33
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

   Service: Other Activities-Onsite-Nonresidents Switch1    1610  1610 VARCHAR2
     Description: Field 2 - indicates other activity services provided by
                  staff on-site to nonresidents.
     SAS Name:    ACTVTY_OTHR_ONST_NRSDNT_SW
     COBOL Name:  ACTVTY-OTHR-ONST-NRSDNT-SW

   Service: Other Activities-Onsite-Residents Switch 1    1611  1611 VARCHAR2
     Description: Field 1 - indicates other activity services provided by
                  staff on-site to residents.
     SAS Name:    ACTVTY_OTHR_ONST_RSDNT_SW
     COBOL Name:  ACTVTY-OTHR-ONST-RSDNT-SW

   Service: Other Off-Site to Residents              1    1612  1612 VARCHAR2
     Description: Field 3 - indicates services provided by other social
                  services staff off-site to residents.
     SAS Name:    SCL_SRVC_OTHR_OFSITE_RSDNT_SW
     COBOL Name:  SCL-SRVC-OTHR-OFSITE-RSDNT-SW

   Service: Other On-Site to Nonresidents            1    1613  1613 VARCHAR2
     Description: Indicates if other social services are provided on-site
                  to nonresidents.
     SAS Name:    SCL_SRVC_OTHR_ONST_NRSDNT_SW
     COBOL Name:  SCL-SRVC-OTHR-ONST-NRSDNT-SW

   Service: Other On-Site to Residents               1    1614  1614 VARCHAR2
     Description: Field 1 - indicates services provided by social service
                  staff on-site to residents.
     SAS Name:    SCL_SRVC_OTHR_ONST_RSDNT_SW
     COBOL Name:  SCL-SRVC-OTHR-ONST-RSDNT-SW

   Service: Pharmacy Off-Site to Residents           1    1615  1615 VARCHAR2
     Description: Indicates if pharmacy services are provided off-site to
                  residents.
     SAS Name:    PHRMCY_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  PHRMCY-SRVC-OFSITE-RSDNT-SW

   Service: Pharmacy On-Site to Nonresidents         1    1616  1616 VARCHAR2
     Description: Indicates if pharmacy services are provided on-site to
                  non residents.
     SAS Name:    PHRMCY_SRVC_ONST_NRSDNT_SW
     COBOL Name:  PHRMCY-SRVC-ONST-NRSDNT-SW

   Service: Pharmacy On-Site to Residents            1    1617  1617 VARCHAR2
     Description: Indicates if pharmacy services are provided on-site to
                  residents.
     SAS Name:    PHRMCY_SRVC_ONST_RSDNT_SW
     COBOL Name:  PHRMCY-SRVC-ONST-RSDNT-SW

   Service: Physical Therapy Off-Site to Residents   1    1620  1620 VARCHAR2
     Description: Indicates if physical therapy services are provided
                  off-site to residents.
     SAS Name:    PT_OFSITE_RSDNT_SW
     COBOL Name:  PT-OFSITE-RSDNT-SW

   Service: Physical Therapy On-Site to Nonresidents 1    1621  1621 VARCHAR2
     Description: Indicates if physical therapy services are provided
                  on-site to nonresidents.
     SAS Name:    PT_ONST_NRSDNT_SW
     COBOL Name:  PT-ONST-NRSDNT-SW

   Service: Physical Therapy On-Site to Residents    1    1622  1622 VARCHAR2
     Description: Indicates if physical therapy services are provided
                  on-site to residents.
     SAS Name:    PT_ONST_RSDNT_SW

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 34
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  PT-ONST-RSDNT-SW

   Service: Physician Off-Site to Residents          1    1626  1626 VARCHAR2
     Description: Indicates if physician services are provided off-site to
                  residents.
     SAS Name:    PHYSN_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  PHYSN-SRVC-OFSITE-RSDNT-SW

   Service: Physician On-Site to Nonresidents        1    1627  1627 VARCHAR2
     Description: Indicates if physician services are provided on-site to
                  nonresidents.
     SAS Name:    PHYSN_SRVC_ONST_NRSDNT_SW
     COBOL Name:  PHYSN-SRVC-ONST-NRSDNT-SW

   Service: Physician On-Site to Residents           1    1628  1628 VARCHAR2
     Description: Indicates if physician services are provided on-site to
                  residents.
     SAS Name:    PHYSN_SRVC_ONST_RSDNT_SW
     COBOL Name:  PHYSN-SRVC-ONST-RSDNT-SW

   Service: Podiatry Off-Site to Residents           1    1629  1629 VARCHAR2
     Description: Indicates if podiatry services are provided off-site to
                  residents.
     SAS Name:    PDTRY_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  PDTRY-SRVC-OFSITE-RSDNT-SW

   Service: Podiatry On-Site to Nonresidents         1    1630  1630 VARCHAR2
     Description: Indicates if podiatry services are provided on-site to
                  nonresidents.
     SAS Name:    PDTRY_SRVC_ONST_NRSDNT_SW
     COBOL Name:  PDTRY-SRVC-ONST-NRSDNT-SW

   Service: Podiatry On-Site to Residents            1    1631  1631 VARCHAR2
     Description: Indicates if podiatry services are provided on-site to
                  residents.
     SAS Name:    PDTRY_SRVC_ONST_RSDNT_SW
     COBOL Name:  PDTRY-SRVC-ONST-RSDNT-SW

   Service: Social Work Off-Site to Residents        1    1641  1641 VARCHAR2
     Description: Indicates if social work services are provided off-site
                  to residents.
     SAS Name:    SCL_WORK_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  SCL-WORK-SRVC-OFSITE-RSDNT-SW

   Service: Social Work On-Site to Nonresidents      1    1642  1642 VARCHAR2
     Description: Indicates if social work services are provided on-site to
                  nonresidents.
     SAS Name:    SCL_WORK_SRVC_ONST_NRSDNT_SW
     COBOL Name:  SCL-WORK-SRVC-ONST-NRSDNT-SW

   Service: Social Work On-Site to Residents         1    1643  1643 VARCHAR2
     Description: Indicates if social work services are provided on-site to
                  residents.
     SAS Name:    SCL_WORK_SRVC_ONST_RSDNT_SW
     COBOL Name:  SCL-WORK-SRVC-ONST-RSDNT-SW

   Service: Speech Pathology Off-Site to Residents   1    1646  1646 VARCHAR2
     Description: Indicates if speech/language pathology services are
                  provided offsite to residents.
     SAS Name:    SPCH_PTHLGY_OFSITE_RSDNT_SW
     COBOL Name:  SPCH-PTHLGY-OFSITE-RSDNT-SW

   Service: Speech Pathology On-Site to Nonresidents 1    1647  1647 VARCHAR2
     Description: Indicates if speech/language pathology services are

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 35
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  provided on-site to nonresidents.
     SAS Name:    SPCH_PTHLGY_ONST_NRSDNT_SW
     COBOL Name:  SPCH-PTHLGY-ONST-NRSDNT-SW

   Service: Speech Pathology On-Site to Residents    1    1648  1648 VARCHAR2
     Description: Indicates if speech/language pathology services are
                  provided on-site to residents.
     SAS Name:    SPCH_PTHLGY_ONST_RSDNT_SW
     COBOL Name:  SPCH-PTHLGY-ONST-RSDNT-SW

   Service: Therapeutic Recreational Specialty Off-Site1    1650  1650 VARCHAR2
   to Residents
     Description: Indicates if therapeutic recreation specialist services
                  are provided off-site to residents.
     SAS Name:    THRPTC_RCRTNL_OFSITE_RSDNT_SW
     COBOL Name:  THRPTC-RCRTNL-OFSITE-RSDNT-SW

   Service: Therapeutic Recreational Specialty On-Site1    1651  1651 VARCHAR2
   to Non Residents
     Description: Indicates if therapeutic recreation specialist services
                  are provided on-site to nonresidents.
     SAS Name:    THRPTC_RCRTNL_ONST_NRSDNT_SW
     COBOL Name:  THRPTC-RCRTNL-ONST-NRSDNT-SW

   Service: Therapeutic Recreational Specialty On-Site1    1652  1652 VARCHAR2
   to Residents
     Description: Indicates if therapeutic recreation specialist services
                  are provided on-site to residents.
     SAS Name:    THRPTC_RCRTNL_ONST_RSDNT_SW
     COBOL Name:  THRPTC-RCRTNL-ONST-RSDNT-SW

   Service: Vocational Off-Site to Residents         1    1654  1654 VARCHAR2
     Description: Indicates if vocational services are provided off-site to
                  residents.
     SAS Name:    VCTNL_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  VCTNL-SRVC-OFSITE-RSDNT-SW

   Service: Vocational On-Site to Nonresidents       1    1655  1655 VARCHAR2
     Description: Indicates if vocational services are provided on-site to
                  nonresidents.
     SAS Name:    VCTNL_SRVC_ONST_NRSDNT_SW
     COBOL Name:  VCTNL-SRVC-ONST-NRSDNT-SW

   Service: Vocational On-Site to Residents          1    1656  1656 VARCHAR2
     Description: Indicates if vocational services are provided on-site to
                  residents.
     SAS Name:    VCTNL_SRVC_ONST_RSDNT_SW
     COBOL Name:  VCTNL-SRVC-ONST-RSDNT-SW

   Service: X-ray Off-Site Residents                 1    1657  1657 VARCHAR2
     Description: Indicates if diagnostic X-ray services are provided
                  off-site to residents.
     SAS Name:    DGNSTC_XRAY_OFSITE_RSDNT_SW
     COBOL Name:  DGNSTC-XRAY-OFSITE-RSDNT-SW

   Service: X-ray On-Site Nonresidents               1    1658  1658 VARCHAR2
     Description: Indicates if diagnostic X-ray services are provided
                  on-site to nonresidents.
     SAS Name:    DGNSTC_XRAY_ONST_NRSDNT_SW
     COBOL Name:  DGNSTC-XRAY-ONST-NRSDNT-SW

   Service: X-ray On-Site Residents                  1    1659  1659 VARCHAR2
     Description: Indicates if diagnostic X-ray services are provided
                  on-site to residents.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 36
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    DGNSTC_XRAY_ONST_RSDNT_SW
     COBOL Name:  DGNSTC-XRAY-ONST-RSDNT-SW

   Social Worker - Contract                          7    3955  3961 NUMBER
     Description: The number of full-time equivalent social workers under
                  contract to a facility.
     SAS Name:    SCL_WORKR_CNTRCT_CNT
     COBOL Name:  SCL-WORKR-CNTRCT-CNT

   Social Worker - Full-Time                         7    3963  3969 NUMBER
     Description: The number of full-time equivalent social workers
                  employed by a facility on a full-time basis.
     SAS Name:    SCL_WORKR_FLTM_CNT
     COBOL Name:  SCL-WORKR-FLTM-CNT

   Social Worker - Part-Time                         7    3971  3977 NUMBER
     Description: The number of full-time equivalent social workers
                  employed by a facility on a part time basis.
     SAS Name:    SCL_WORKR_PRTM_CNT
     COBOL Name:  SCL-WORKR-PRTM-CNT

   Special Care Bed - Specialized Rehab              3    3987  3989 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for residents with specialized rehab needs.
     SAS Name:    REHAB_BED_CNT
     COBOL Name:  REHAB-BED-CNT

   Special Care Beds - AIDS                          3    3990  3992 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for residents with AIDS.
     SAS Name:    AIDS_BED_CNT
     COBOL Name:  AIDS-BED-CNT

   Special Care Beds - Alzheimers                    3    3993  3995 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for residents with Alzheimer's disease.
     SAS Name:    ALZHMR_BED_CNT
     COBOL Name:  ALZHMR-BED-CNT

   Special Care Beds - Dialysis                      3    3996  3998 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for residents needing dialysis.
     SAS Name:    DLYS_BED_CNT
     COBOL Name:  DLYS-BED-CNT

   Special Care Beds - Disabled Child                3    3999  4001 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for disabled children.
     SAS Name:    DSBL_CHLDRN_BED_CNT
     COBOL Name:  DSBL-CHLDRN-BED-CNT

   Special Care Beds - Head Trauma                   3    4002  4004 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facilty for residents with head trauma.
     SAS Name:    HEAD_TRMA_BED_CNT
     COBOL Name:  HEAD-TRMA-BED-CNT

   Special Care Beds - Hospice                       3    4005  4007 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  a facility for residents needing hospice services.
     SAS Name:    HOSPC_BED_CNT
     COBOL Name:  HOSPC-BED-CNT

   Special Care Beds - Huntingtons                   3    4008  4010 NUMBER

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 37
         Skilled Nursing Facility, CATEGORY = "04" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     Description: The number of beds in a unit identified and dedicated by
                  the facility for residents with Huntington's disease.
     SAS Name:    HNTGTN_DEASE_BED_CNT
     COBOL Name:  HNTGTN-DEASE-BED-CNT

   Special Care Beds - Ventilator                    3    4011  4013 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for residents with ventilator/resipiratory
                  care needs.
     SAS Name:    VNTLTR_BED_CNT
     COBOL Name:  VNTLTR-BED-CNT

   Speech Pathologist - Contract                     7    4026  4032 NUMBER
     Description: The number of full-time equivalent speech pathologists
                  under contract to a facility.
     SAS Name:    SPCH_PTHLGST_CNTRCT_CNT
     COBOL Name:  SPCH-PTHLGST-CNTRCT-CNT

   Speech Pathologist - Full-Time                    7    4034  4040 NUMBER
     Description: The number of full-time equivalent speech pathologists
                  employed by a facility on a full-time basis.
     SAS Name:    SPCH_PTHLGST_FLTM_CNT
     COBOL Name:  SPCH-PTHLGST-FLTM-CNT

   Speech Pathologist - Part-Time                    7    4042  4048 NUMBER
     Description: The number of full-time equivalent speech pathologists
                  employed by a facility on a part-time basis.
     SAS Name:    SPCH_PTHLGST_PRTM_CNT
     COBOL Name:  SPCH-PTHLGST-PRTM-CNT

   Therapeutic Recreational Specialty - Contract     7    4112  4118 NUMBER
     Description: Number of contract staff hours provided by therapeutic
                  recreation specialist.
     SAS Name:    THRPTC_RCRTNL_CNTRCT_CNT
     COBOL Name:  THRPTC-RCRTNL-CNTRCT-CNT

   Therapeutic Recreational Specialty - Full-Time    7    4120  4126 NUMBER
     Description: Number of full-time staff hours provided by therapeutic
                  recreation specialist.
     SAS Name:    THRPTC_RCRTNL_FLTM_CNT
     COBOL Name:  THRPTC-RCRTNL-FLTM-CNT

   Therapeutic Recreational Specialty - Part-Time    7    4128  4134 NUMBER
     Description: Number of part-time staff hours provided by therapeutic
                  recreation specialist.
     SAS Name:    THRPTC_RCRTNL_PRTM_CNT
     COBOL Name:  THRPTC-RCRTNL-PRTM-CNT


















 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 1
            Home Health Agency, CATEGORY = "05" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Provider Category Subtype Code                    2    1     2    VARCHAR2
     Description: This field is used mainly by batch report programs to
                  determine the breakdown of the provider category. This
                  field is mainly used for SNFs and hospitals.
     SAS Name:    PRVDR_CTGRY_SBTYP_CD
     COBOL Name:  PRVDR-CTGRY-SBTYP-CD
     VALUES:      01=HOME HEALTH AGENCY

   Provider Category Code                            2    3     4    VARCHAR2
     Description: This code identifies the category which is most
                  descriptive of the facility identified on the
                  Medicare/Medicaid Certification and Transmittal Form (CMS
                  1539).
     SAS Name:    PRVDR_CTGRY_CD
     COBOL Name:  PRVDR-CTGRY-CD
     VALUES:      05=Home Health Agency

   Change of Ownership Count                         2    5     6    NUMBER
     Description: The number of times a change of ownership (CHOW) has
                  taken place for a particular provider.
     SAS Name:    CHOW_CNT
     COBOL Name:  CHOW-CNT

   Change of Ownership Date                          8    7     14   DATE
     Description: Effective date of a change of ownership.
     SAS Name:    CHOW_DT
     COBOL Name:  CHOW-DT

   City                                              28   15    42   VARCHAR2
     Description: City in which the provider is physically located.
     SAS Name:    CITY_NAME
     COBOL Name:  CITY-NAME

   Compliance: Plan of Correction                    1    43    43   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements based on an acceptable plan for correction
                  of deficiencies.
     SAS Name:    ACPTBL_POC_SW
     COBOL Name:  ACPTBL-POC-SW

   Compliance: Status                                1    44    44   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements.
     SAS Name:    CMPLNC_STUS_CD
     COBOL Name:  CMPLNC-STUS-CD
     VALUES:      A=IN COMPLIANCE
                  B=NOT IN COMPLIANCE

   SSA County Code                                   3    45    47   VARCHAR2
     Description: SSA (State Survey Agency) geographic code indicating the
                  county where the facility is located.
     SAS Name:    SSA_CNTY_CD
     COBOL Name:  SSA-CNTY-CD

   Cross Ref Provider Number                         10   48    57   CHAR
     Description: Cross reference provider number
     SAS Name:    CROSS_RFRNC_PRVDR_NUM
     COBOL Name:  CROSS-RFRNC-PRVDR-NUM

   Certification Date                                8    58    65   DATE
     Description: The Certification date is equal to the exit date of the
                  initial visit of the Health survey or LSC survey,
                  whichever is later.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 2
            Home Health Agency, CATEGORY = "05" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    CRTFCTN_DT
     COBOL Name:  CRTFCTN-DT

   Eligibility Switch                                1    66    66   VARCHAR2
     Description: Indicates if a facility is eligible to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    ELGBLTY_SW
     COBOL Name:  ELGBLTY-SW

   Facility Name                                     50   67    116  VARCHAR2
     Description: The name of a provider certified to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    FAC_NAME
     COBOL Name:  FAC-NAME

   Intermediary Carrier Code                         5    117   121  VARCHAR2
     Description: A number assigned to an intermediary or carrier servicing
                  a provider or supplier. Not all numbers apply to all
                  provider types.
     SAS Name:    INTRMDRY_CARR_CD
     COBOL Name:  INTRMDRY-CARR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 3
            Home Health Agency, CATEGORY = "05" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 4
            Home Health Agency, CATEGORY = "05" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 5
            Home Health Agency, CATEGORY = "05" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 6
            Home Health Agency, CATEGORY = "05" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Medicare or Medicaid Vendor Number                15   122   136  VARCHAR2
     Description: A number which may be assigned to a facility by the state
                  Medicaid agency for external control or billing purposes.
     SAS Name:    MDCD_VNDR_NUM
     COBOL Name:  MDCD-VNDR-NUM

   Participation Date                                8    137   144  DATE
     Description: The date a facility is first approved to provide Medicare
                  and/or Medicaid services.
     SAS Name:    ORGNL_PRTCPTN_DT
     COBOL Name:  ORGNL-PRTCPTN-DT

   Prior Change of Ownership Date                    8    145   152  DATE
     Description: The date of a prior change of ownership.
     SAS Name:    CHOW_PRIOR_DT
     COBOL Name:  CHOW-PRIOR-DT

   Intermediary Carrier Prior Code                   5    153   157  VARCHAR2
     Description: The previous intermediary carrier number.
     SAS Name:    INTRMDRY_CARR_PRIOR_CD
     COBOL Name:  INTRMDRY-CARR-PRIOR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 7
            Home Health Agency, CATEGORY = "05" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 8
            Home Health Agency, CATEGORY = "05" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 9
            Home Health Agency, CATEGORY = "05" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 10
            Home Health Agency, CATEGORY = "05" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Provider Number                                   10   158   167  VARCHAR2
     Description: A six or ten position identification number that is
                  assigned to a certified provider.
     SAS Name:    PRVDR_NUM
     COBOL Name:  PRVDR-NUM

   Record Status Code                                1    168   168  VARCHAR2
     Description: This indicator specifies the current status of the
                  record.
     SAS Name:    REC_STUS_CD
     COBOL Name:  REC-STUS-CD
     VALUES:      A=ACCEPTED RECORD
                  C=COMPLAINT RECORD

   Region Code                                       2    169   170  VARCHAR2
     Description: The regional location of the provider.
     SAS Name:    RGN_CD
     COBOL Name:  RGN-CD
     VALUES:      01=BOSTON
                  02=NEW YORK
                  03=PHILADELPHIA
                  04=ATLANTA
                  05=CHICAGO
                  06=DALLAS
                  07=KANSAS CITY
                  08=DENVER

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 11
            Home Health Agency, CATEGORY = "05" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  09=SAN FRANCISCO
                  10=SEATTLE

   Skeleton Record Switch                            1    171   171  VARCHAR2
     Description: Indicates the record is a skeleton record.  Only a
                  limited set of the provider data is available for this
                  provider.
     SAS Name:    SKLTN_REC_SW
     COBOL Name:  SKLTN-REC-SW

   State Abbreviation                                2    172   173  VARCHAR2
     Description: The two-character state abbreviation.
     SAS Name:    STATE_CD
     COBOL Name:  STATE-CD
     VALUES:      AK=ALASKA
                  AL=ALABAMA
                  AR=ARKANSAS
                  AS=AMERICAN SAMOA
                  AZ=ARIZONA
                  CA=CALIFORNIA
                  CN=CANADA
                  CO=COLORADO
                  CT=CONNECTICUT
                  DC=DISTRICT OF COLUMBIA
                  DE=DELAWARE
                  FL=FLORIDA
                  FN=FOREIGN
                  GA=GEORGIA
                  GU=GUAM
                  HI=HAWAII
                  IA=IOWA
                  ID=IDAHO
                  IL=ILLINOIS
                  IN=INDIANA
                  KS=KANSAS
                  KY=KENTUCKY
                  LA=LOUISIANA
                  MA=MASSACHUSETTS
                  MD=MARYLAND
                  ME=MAINE
                  MI=MICHIGAN
                  MN=MINNESOTA
                  MO=MISSOURI
                  MP=SAIPAN
                  MS=MISSISSIPPI
                  MT=MONTANA
                  MX=MEXICO
                  NC=NORTH CAROLINA
                  ND=NORTH DAKOTA
                  NE=NEBRASKA
                  NH=NEW HAMPSHIRE
                  NJ=NEW JERSEY
                  NM=NEW MEXICO
                  NV=NEVADA
                  NY=NEW YORK
                  OH=OHIO
                  OK=OKLAHOMA
                  OR=OREGON
                  PA=PENNSYLVANIA
                  PR=PUERTO RICO
                  RI=RHODE ISLAND
                  SC=SOUTH CAROLINA
                  SD=SOUTH DAKOTA
                  TN=TENNESSEE

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 12
            Home Health Agency, CATEGORY = "05" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  TX=TEXAS
                  UT=UTAH
                  VA=VIRGINIA
                  VI=VIRGIN ISLANDS
                  VT=VERMONT
                  WA=WASHINGTON
                  WI=WISCONSIN
                  WV=WEST VIRGINIA
                  WY=WYOMING

   SSA State Code                                    2    174   175  VARCHAR2
     Description: SSA (Social Security Administration) geographic code
                  indicating the state of the provider's residence. Must
                  agree with the first two positions of the Provider number
                  (except California: 05 and 55; Texas: 45 and 67; FL: 10
                  and 68; MD: 21 and 80).
     SAS Name:    SSA_STATE_CD
     COBOL Name:  SSA-STATE-CD
     VALUES:      01=ALABAMA
                  02=ALASKA
                  03=ARIZONA
                  04=ARKANSAS
                  05=CALIFORNIA
                  06=COLORADO
                  07=CONNECTICUT
                  08=DELAWARE
                  09=DISTRICT OF COLUMBIA
                  10=FLORIDA
                  11=GEORGIA
                  12=HAWAII
                  13=IDAHO
                  14=ILLINOIS
                  15=INDIANA
                  16=IOWA
                  17=KANSAS
                  18=KENTUCKY
                  19=LOUISIANA
                  20=MAINE
                  21=MARYLAND
                  22=MASSACHUSETTS
                  23=MICHIGAN
                  24=MINNESOTA
                  25=MISSISSIPPI
                  26=MISSOURI
                  27=MONTANA
                  28=NEBRASKA
                  29=NEVADA
                  30=NEW HAMPSHIRE
                  31=NEW JERSEY
                  32=NEW MEXICO
                  33=NEW YORK
                  34=NORTH CAROLINA
                  35=NORTH DAKOTA
                  36=OHIO
                  37=OKLAHOMA
                  38=OREGON
                  39=PENNSYLVANIA
                  40=PUERTO RICO
                  41=RHODE ISLAND
                  42=SOUTH CAROLINA
                  43=SOUTH DAKOTA
                  44=TENNESSEE
                  45=TEXAS
                  46=UTAH

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 13
            Home Health Agency, CATEGORY = "05" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  47=VERMONT
                  48=VIRGIN ISLANDS
                  49=VIRGINIA
                  50=WASHINGTON
                  51=WEST VIRGINIA
                  52=WISCONSIN
                  53=WYOMING
                  54=AFRICA
                  56=CANADA
                  57=WEST INDIES
                  58=EUROPE
                  59=MEXICO
                  60=OCEANIA
                  61=PHILIPPINES
                  62=SOUTH AMERICA
                  63=UNITED STATES POSSESSIONS
                  64=AMERICAN SAMOA
                  65=GUAM
                  66=SAIPAN
                  99=FOREIGN

   State Region Code                                 3    176   178  VARCHAR2
     Description: For selected states, identifies the particular region
                  within the state where the provider is located.
     SAS Name:    STATE_RGN_CD
     COBOL Name:  STATE-RGN-CD
     VALUES:      AK/001=ALASKA
                  AK/LAB=LABORATORIES
                  AK/UNK=UNKNOWN
                  AL/001=ALABAMA
                  AL/LAB=LABORATORIES
                  AL/UNK=UNKNOWN
                  AR/001=ARKANSAS
                  AR/LAB=LABORATORIES
                  AR/UNK=UNKNOWN
                  AS/001=AMERICAN SAMOA
                  AS/LAB=LABORATORY
                  AS/UNK=UNKNOWN
                  AZ/AZ=PHOENIX
                  AZ/LAB=ARIZONA LAB
                  AZ/TUC=TUCSON
                  AZ/UNK=UNKNOWN
                  CA/BAK=BAKERSFIELD
                  CA/BER=SAN BERNARDINO
                  CA/BK=BERKELEY
                  CA/BK1=CONTRA COSTA
                  CA/FR=FRESNO
                  CA/L1=L.A. WEST
                  CA/L2=L.A. NORTH
                  CA/L3=L.A. CENTRAL
                  CA/L4=L.A. EAST
                  CA/L5=SAN GABRIEL
                  CA/LAB=LABORATORIES
                  CA/M1=LAB. SOUTH
                  CA/M2=LAB. NORTH
                  CA/ORG=ORANGE CO
                  CA/RIV=RIVERSIDE
                  CA/RWC=REDWOOD COAST
                  CA/S1=SACRAMENTO
                  CA/S2=SACTO SOUTH
                  CA/S3=CHICO
                  CA/SD=SAN DIEGO
                  CA/SDS=SAN DIEGO SOUTH
                  CA/SF=SAN FRANCISCO

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 14
            Home Health Agency, CATEGORY = "05" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  CA/SJ=SAN JOSE
                  CA/SR=SANTA ROSA
                  CA/UNK=UNKNOWN
                  CA/VEN=VENTURA
                  CN/001=CANADA
                  CN/LAB=LABORATORY
                  CN/UNK=UNKNOWN
                  CO/001=COLORADO
                  CO/LAB=LABORATORIES
                  CO/UNK=UNKNOWN
                  CT/001=CONNECTICUT
                  CT/LAB=LABORATORIES
                  CT/UNK=UNKNOWN
                  DC/001=DISTRICT OF COLUMBIA
                  DC/LAB=LABORATORIES
                  DC/UNK=UNKNOWN
                  DE/001=DELAWARE
                  DE/LAB=LABORATORIES
                  DE/UNK=UNKNOWN
                  FL/FTM=FT. MYERS
                  FL/GAI=GAINESVILLE
                  FL/JAX=JACKSONVILLE
                  FL/LAB=LABORATORIES
                  FL/LAN=LANTANA
                  FL/LAU=LAUDERHILL
                  FL/MIA=MIAMI
                  FL/ORL=ORLANDO
                  FL/PEN=PENSACOLA
                  FL/STP=ST. PETERSBURG
                  FL/TAL=TALLAHASSEE
                  FL/TAM=TAMPA
                  FL/UNK=UNKNOWN
                  FM/001=FEDERATED STATES OF MICRO
                  FN/001=FOREIGN
                  FN/LAB=LABORATORIES
                  FN/UNK=UNKNOWN
                  GA/001=GEORGIA
                  GA/GAA=GEORGIA ALL
                  GA/GAC=GEORGIA CENTRAL
                  GA/GAE=GEORGIA EASTERN
                  GA/GAN=GEORGIA NORTH
                  GA/GAS=GEORGIA SOUTH
                  GA/GAW=GEORGIA WESTERN
                  GA/LAB=LABORATORIES
                  GA/UNK=UNKNOWN
                  GU/001=GUAM
                  GU/LAB=LABORATORIES
                  GU/UNK=UNKNOWN
                  HI/001=HAWAII
                  HI/LAB=LABORATORIES
                  HI/UNK=UNKNOWN
                  IA/001=IOWA
                  IA/LAB=LABORATORIES
                  IA/UNK=UNKNOWN
                  ID/001=IDAHO
                  ID/LAB=LABORATORIES
                  ID/UNK=UNKNOWN
                  IL/001=ILLINOIS
                  IL/LAB=LABORATORIES
                  IL/UNK=UNKNOWN
                  IN/001=INDIANA
                  IN/LAB=LABORATORIES
                  IN/UNK=UNKNOWN
                  KS/LAB=LABORATORIES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 15
            Home Health Agency, CATEGORY = "05" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  KS/LAW=LAWRENCE
                  KS/NC=NORTH CENTRAL KANSAS
                  KS/NE=NORTH EAST KANSAS
                  KS/NW=NORTH WEST KANSAS
                  KS/SC=SOUTH CENTRAL KANSAS
                  KS/SE=SOUTH EAST KANSAS
                  KS/SW=SOUTH WEST KANSAS
                  KS/UNK=UNKNOWN
                  KS/WST=WEST
                  KY/2C1=HOPKINSVILLE
                  KY/2C2=LOUISVILLE
                  KY/2C3=LONDON
                  KY/2C4=LEXINGTON
                  KY/LAB=LABORATORIES
                  KY/UNK=UNKNOWN
                  LA/001=LOUISIANA
                  LA/LA1=NEW ORLEANS
                  LA/LA2=MANDEVILLE
                  LA/LA3=LAFAYETTE
                  LA/LA4=MONROE
                  LA/LA5=SHREVEPORT
                  LA/LA6=ALEXANDRIA
                  LA/LAB=LABORATORIES
                  LA/LB1=CLIA NEW ORLEANS
                  LA/LB5=CLIA SHREVEPORT
                  LA/LB6=CLIA ALEXANDRIA
                  LA/UNK=UNKNOWN
                  MA/001=MASSACHUSETTS
                  MA/LAB=LABORATORIES
                  MA/UNK=UNKNOWN
                  MD/001=MARYLAND
                  MD/LAB=LABORATORIES
                  MD/UNK=UNKNOWN
                  ME/001=MAINE
                  ME/LAB=LABORATORIES
                  ME/UNK=UNKNOWN
                  MH/001=MARSHALL ISLANDS
                  MI/001=MICHIGAN
                  MI/LAB=LABORATORIES
                  MI/UNK=UNKNOWN
                  MN/001=MINNESOTA
                  MN/LAB=LABORATORIES
                  MN/UNK=UNKNOWN
                  MO/01=REGION01
                  MO/02=REGION02
                  MO/03=REGION 03
                  MO/04=REGION 04
                  MO/05=REGION 05
                  MO/06=REGION 06
                  MO/07=REGION 07
                  MO/1NH=REGION 1 NH
                  MO/2NH=REGION 2 NH
                  MO/3NH=REGION 3 NH
                  MO/4NH=REGION 4 NH
                  MO/5NH=REGION 5 NH
                  MO/6NH=REGION 6 NH
                  MO/7NH=REGION 7 NH
                  MO/LAB=LABORATORIES
                  MO/MO=STATEWIDE
                  MO/UNK=UNKNOWN
                  MP/001=NORTHERN MARIANA ISLANDS
                  MP/LAB=LABORATORIES
                  MP/UNK=UNKNOWN
                  MS/001=MISSISSIPPI

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 16
            Home Health Agency, CATEGORY = "05" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  MS/LAB=LABORATORIES
                  MS/UNK=UNKNOWN
                  MT/001=MONTANA
                  MT/LAB=LABORATORIES
                  MT/UNK=UNKNOWN
                  MX/001=MEXICO
                  MX/LAB=LABORATORY
                  MX/UNK=UNKNOWN
                  NC/LAB=LABORATORIES
                  NC/NCC=NORTH CAROLINA CENTRAL
                  NC/NCE=NORTH CAROLINA EAST
                  NC/NCN=NORTH CAROLINA NORTH
                  NC/NCS=NORTH CAROLINA SOUTH
                  NC/NCW=NORTH CAROLINA WEST
                  NC/UNK=UNKNOWN
                  ND/001=NORTH DAKOTA
                  ND/LAB=LABORATORIES
                  ND/UNK=UNKNOWN
                  NE/1=NORTH CENTRAL
                  NE/2=CENTRAL
                  NE/3=NORTHEAST
                  NE/4=SOUTHEAST
                  NE/5=WESTERN
                  NE/LAB=LABORATORIES
                  NE/UNK=UNKNOWN
                  NH/001=NEW HAMPSHIRE
                  NH/LAB=LABORATORIES
                  NH/UNK=UNKNOWN
                  NJ/001=NEW JERSEY
                  NJ/LAB=LABORATORIES
                  NJ/UNK=UNKNOWN
                  NM/001=NEW MEXICO
                  NM/LAB=LABORATORIES
                  NM/UNK=UNKNOWN
                  NV/CC=CARSON CITY
                  NV/LAB=LABORATORIES
                  NV/LV=LAS VEGAS
                  NV/UNK=UNKNOWN
                  NY/001=BUFFALO
                  NY/002=ROCHESTER
                  NY/003=SYRACUSE
                  NY/004=ALBANY
                  NY/005=NEW ROCHELLE
                  NY/006=NEW YORK CITY
                  NY/007=SUFFOLK/NASSAU COUNTY
                  NY/LAB=LABORATORIES
                  NY/UNK=UNKNOWN
                  OH/001=OHIO
                  OH/LAB=LABORATORIES
                  OH/UNK=UNKNOWN
                  OK/001=OKLAHOMA
                  OK/LAB=LABORATORIES
                  OK/UNK=UNKNOWN
                  OR/001=OFFICE #1
                  OR/002=OFFICE #2
                  OR/003=OFFICE #3
                  OR/LAB=LABORATORIES
                  OR/UNK=UNKNOWN
                  PA/001=PENNSYLVANIA
                  PA/LAB=LABORATORIES
                  PA/UNK=UNKNOWN
                  PR/001=PUERTO RICO
                  PR/LAB=LABORATORIES
                  PR/UNK=UNKNOWN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 17
            Home Health Agency, CATEGORY = "05" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  PW/001=PALAU
                  RI/001=RHODE ISLAND
                  RI/LAB=LABORATORIES
                  RI/UNK=UNKNOWN
                  SC/001=SOUTH CAROLINA
                  SC/LAB=LABORATORIES
                  SC/UNK=UNKNOWN
                  SD/001=SOUTH DAKOTA
                  SD/LAB=LABORATORIES
                  SD/UNK=UNKNOWN
                  TN/LAB=LABORATORIES
                  TN/TNC=TENNESSEE COOKEVILLE
                  TN/TNE=TENNESSEE EASTERN
                  TN/TNM=TENNESSEE MIDDLE
                  TN/TNW=TENNESSEE WESTERN
                  TN/UNK=UNKNOWN
                  TX/001=TEXAS
                  TX/L01=AMARILLO-LTC
                  TX/L02=ABILENE-LTC
                  TX/L03=ARLINGTON-LTC
                  TX/L04=TYLER-LTC
                  TX/L05=BEAUMONT-LTC
                  TX/L06=HOUSTON-LTC
                  TX/L07=TEMPLE-LTC
                  TX/L08=SAN ANTONIO-LTC
                  TX/L09=SAN ANGELO-LTC
                  TX/L10=EL PASO-LTC
                  TX/L11=CORPUS CHRISTI-LTC
                  TX/LAB=LABORATORIES
                  TX/TX1=LUBBOCK
                  TX/TX2=ARLINGTON
                  TX/TX3=SAN ANTONIO
                  TX/TX4=HOUSTON
                  TX/TX5=TYLER
                  TX/TX6=AUSTIN
                  TX/UNK=UNKNOWN
                  UT/001=UTAH
                  UT/LAB=LABORATORIES
                  UT/UNK=UNKNOWN
                  VA/001=VIRGINIA
                  VA/LAB=LABORATORIES
                  VA/UNK=UNKNOWN
                  VI/001=VIRGIN ISLANDS
                  VI/LAB=LABORATORIES
                  VI/UNK=UNKNOWN
                  VT/001=VERMONT
                  VT/LAB=LABORATORIES
                  VT/UNK=UNKNOWN
                  WA/001=ALL OTHERS (NON-LTC FAC)
                  WA/D1=SPOKANE & YAKIMA AREAS
                  WA/D1A=District 1, Unit A
                  WA/D1B=District 1, Unit B
                  WA/D1C=District 1, Unit C
                  WA/D1D=District 1, Unit D
                  WA/D2=SPOKANE & SE
                  WA/D2A=District 2, Unit A
                  WA/D2B=District 2, Unit B
                  WA/D2C=District 2, Unit C
                  WA/D2D=District 2, Unit D
                  WA/D2E=District 2, Unit E
                  WA/D2F=District 2, Unit F
                  WA/D2G=District 2, Unit G
                  WA/D3=NW WASHINGTON
                  WA/D3A=District 3, Unit A

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 18
            Home Health Agency, CATEGORY = "05" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  WA/D3B=District 3, Unit B
                  WA/D3C=District 3, Unit C
                  WA/D3D=District 3, Unit D
                  WA/D3E=District 3, Unit E
                  WA/D4A=GREATER SEATTLE AREA
                  WA/D4B=S KING COUNTY
                  WA/D5A=PIERCE CTY & PENINSULA
                  WA/D5B=PIERCE CTY & GRAYS HARBOR
                  WA/D6=OLYMPIA AREA
                  WA/LAB=LABORATORIES
                  WA/UNK=UNKNOWN
                  WI/001=WISCONSIN
                  WI/LAB=LABORATORIES
                  WI/UNK=UNKNOWN
                  WV/001=WEST VIRGINIA
                  WV/LAB=LABORATORIES
                  WV/UNK=UNKNOWN
                  WY/001=WYOMING
                  WY/LAB=LABORATORIES
                  WY/UNK=UNKNOWN

   Street Address                                    50   179   228  VARCHAR2
     Description: Street address of a provider that is certified to provide
                  Medicare and/or Medicaid services.
     SAS Name:    ST_ADR
     COBOL Name:  ST-ADR

   Telephone Number                                  10   229   238  VARCHAR2
     Description: The 10-digit telephone number of the primary contact or
                  the operator of a provider.
     SAS Name:    PHNE_NUM
     COBOL Name:  PHNE-NUM

   Termination Code 1                                2    239   240  VARCHAR2
     Description: Termination code number one: the reason a facility has
                  been terminated from the CLIA, Medicare and/or Medicaid
                  programs.
     SAS Name:    PGM_TRMNTN_CD
     COBOL Name:  PGM-TRMNTN-CD
     VALUES:      00=ACTIVE PROVIDER
                  01=VOLUNTARY-MERGER, CLOSURE
                  02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT
                  03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION
                  04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL
                  05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ
                  06=INVOLUNTARY-FAILURE TO MEET AGREEMENT
                  07=OTHER-PROVIDER STATUS CHANGE
                  08=NONPAYMENT OF FEES - CLIA Only
                  09=REV/UNSUCCESSFUL PARTICIPATION IN PT - CLIA Only
                  10=REV/OTHER REASON - CLIA Only
                  11=INCMPLETE CLIA APPLICATION INFORMATION - CLIA Only
                  12=NO LONGER PERFORMING TESTS - CLIA Only
                  13=MULTIPLE TO SINGLE SITE CERTIFICATE - CLIA Only
                  14=SHARED LABORATORY - CLIA Only
                  15=FAILURE TO RENEW WAIVER PPM CERTIFICATE - CLIA Only
                  16=DUPLICATE CLIA NUMBER - CLIA Only
                  17=MAIL RETURNED NO FORWARD ADDRESS CERT ENDED - CLIA Only
                  20=NOTIFICATION BANKRUPTCY - CLIA Only
                  33=ACCREDITATION NOT CONFIRMED - CLIA Only
                  80=AWAITING STATE APPROVAL
                  99=OIG ACTION - DO NOT ACTIVATE - CLIA Only

   Termination Date / Expiration Date 1              8    241   248  DATE
     Description: The date the laboratory's certificate terminated or the

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 19
            Home Health Agency, CATEGORY = "05" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  expiration date of the current CLIA certificate. For
                  other non-CLIA providers, it is the date the facility was
                  terminated.
     SAS Name:    TRMNTN_EXPRTN_DT
     COBOL Name:  TRMNTN-EXPRTN-DT

   Type of Action                                    1    249   249  VARCHAR2
     Description: Type of action on the 'official' survey record.  This
                  field is copied from type of action on the HCFA-1539,
                  certification and transmittal.
     SAS Name:    SRVY_PRPSE_CD
     COBOL Name:  SRVY-PRPSE-CD
     VALUES:      1=INITIAL
                  2=RECERTIFICATION
                  3=TERMINATION
                  4=CHANGE OF OWNERSHIP
                  5=VALIDATION
                  6=ONSITE SURVEY DUE TO FLEXIBLE SURVEY - CLIA Only
                  8=FULL SURVEY AFTER COMPLAINT - CLIA ONLY

   General Type of Control Code                      2    250   251  VARCHAR2
     Description: Indicates the nature of the organization that operates a
                  provider of services.
     SAS Name:    GNRL_CNTL_TYPE_CD
     COBOL Name:  GNRL-CNTL-TYPE-CD
     VALUES:      01=VOLUNTARY NON PROFIT - RELIGIOUS AFFILIATION
                  02=VOLUNTARY NON-PROFIT - PRIVATE
                  03=VOLUNTARY NON-PROFIT - OTHER
                  04=PROPRIETARY
                  05=GOVERNMENT - STATE/COUNTY
                  06=GOVERNMENT - COMBINATION GOVT & VOLUNTARY
                  07=GOVERNMENT - LOCAL

   ZIP Code                                          5    252   256  VARCHAR2
     Description: The five-digit postal code for the provider.
     SAS Name:    ZIP_CD
     COBOL Name:  ZIP-CD

   FIPS State Code                                   2    257   258  VARCHAR2
     Description: FIPS State Code
     SAS Name:    FIPS_STATE_CD
     COBOL Name:  FIPS-STATE-CD

   FIPS County Code                                  3    259   261  VARCHAR2
     Description: FIPS County Code
     SAS Name:    FIPS_CNTY_CD
     COBOL Name:  FIPS-CNTY-CD

   CBSA Urban Rural Indicator                        1    262   262  VARCHAR2
     Description: CBSA (Core Based Statistical Area) indicates whether the
                  county is defined as Urban or Rural.
     SAS Name:    CBSA_URBN_RRL_IND
     COBOL Name:  CBSA-URBN-RRL-IND

   Accreditation Type Code                           1    279   279  VARCHAR2
     Description: This code indicates the organization that is responsible
                  for the accreditation of the provider.
     SAS Name:    ACRDTN_TYPE_CD
     COBOL Name:  ACRDTN-TYPE-CD
     VALUES:      0=NONE
                  1=TJC
                  2=CHAP
                  3=ACHC


 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 20
            Home Health Agency, CATEGORY = "05" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

   Aide Training / Competency Programs               1    369   369  VARCHAR2
     Description: Indicates how the agency provides home health aide
                  training and competency evaluation programs.
     SAS Name:    HHA_TRNG_PGM_CD
     COBOL Name:  HHA-TRNG-PGM-CD
     VALUES:      1=HOME HEALTH AIDE TRAINING
                  2=HOME HEALTH AIDE COMPETENCY EVALUATION PROG.
                  3=HOME HEALTH AIDE TRAINING/COMPETENCY PROGRAMS
                  4=NEITHER

   Branch Operation Switch                           1    394   394  VARCHAR2
     Description: Indicates if the agency operates any branches.
     SAS Name:    BRNCH_OPRTN_SW
     COBOL Name:  BRNCH-OPRTN-SW

   Branches                                          3    395   397  NUMBER
     Description: The number of branches operated by the agency.
     SAS Name:    BRNCH_CNT
     COBOL Name:  BRNCH-CNT

   Change of Ownership Switch                        1    480   480  VARCHAR2
     Description: Indicates if a Home Health Agency (HHA) has undergone a
                  change of ownership since the last survey.
     SAS Name:    CHOW_SW
     COBOL Name:  CHOW-SW

   Date of Validation Survey                         8    515   522  DATE
     Description: Date a validation survey is performed by the state agency
                  in a JCAHCO (Joint Commission on Accreditation of Health
                  Care Organizations) or AOA (American Osteopathic
                  Association) accredited hospital.
     SAS Name:    VLDTN_SRVY_DT
     COBOL Name:  VLDTN-SRVY-DT

   Dietitians                                        7    547   553  NUMBER
     Description: Number of full-time equivalent dietitians employed by a
                  facility.
     SAS Name:    DIETN_CNT
     COBOL Name:  DIETN-CNT

   Fiscal Year Ending Date                           4    613   616  VARCHAR2
     Description: The ending date (month and day) of a facility's fiscal
                  year.
     SAS Name:    FY_END_MO_DAY_CD
     COBOL Name:  FY-END-MO-DAY-CD

   HHA Qualified For Outpatient Physical Therapy     1    642   642  VARCHAR2
     Description: Indicates if a Home Health Agency is qualified to provide
                  outpatient physical therapy/speech services.
     SAS Name:    HHA_QLFYD_OPT_SPCH_SW
     COBOL Name:  HHA-QLFYD-OPT-SPCH-SW

   Home Health Aides                                 7    643   649  NUMBER
     Description: Number of full-time equivalent home health aides employed
                  by a Home Health Agency or hospice.
     SAS Name:    HH_AIDE_CNT
     COBOL Name:  HH-AIDE-CNT

   Hospice Switch                                    1    675   675  VARCHAR2
     Description: Indicates if the Home Health Agency also participates in
                  the Medicare program as a hospice.
     SAS Name:    MDCR_HOSPC_SW
     COBOL Name:  MDCR-HOSPC-SW


 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 21
            Home Health Agency, CATEGORY = "05" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

   Licensed Practical/Vocational Nurses              7    711   717  NUMBER
     Description: Number of full-time equivalent licensed practical or
                  vocational nurses employed by a facility.
     SAS Name:    LPN_LVN_CNT
     COBOL Name:  LPN-LVN-CNT

   Medical Social Workers                            7    816   822  NUMBER
     Description: Number of full-time equivalent medical social workers
                  employed by a hospital or hospice.
     SAS Name:    MDCL_SCL_WORKR_CNT
     COBOL Name:  MDCL-SCL-WORKR-CNT

   Occupational Therapists                           7    1020  1026 NUMBER
     Description: The number of full-time equivalent occupational
                  therapists employed by a provider.
     SAS Name:    OCPTNL_THRPST_CNT
     COBOL Name:  OCPTNL-THRPST-CNT

   Other Personnel                                   7    1105  1111 NUMBER
     Description: The number of full-time equivalent other salaried
                  personnel employed by a facility.
     SAS Name:    PRSNEL_OTHR_CNT
     COBOL Name:  PRSNEL-OTHR-CNT

   Physical Therapists on Staff                      7    1236  1242 NUMBER
     Description: The number of full-time equivalent physical therapists
                  employed by an outpatient physical therapy provider or a
                  home health agency provider.
     SAS Name:    PHYS_THRPST_STF_CNT
     COBOL Name:  PHYS-THRPST-STF-CNT

   Program Participation                             1    1399  1399 VARCHAR2
     Description: Indicates if the provider participates in Medicare,
                  Medicaid, or both programs.
     SAS Name:    PGM_PRTCPTN_CD
     COBOL Name:  PGM-PRTCPTN-CD
     VALUES:      1=MEDICARE ONLY
                  2=MEDICAID ONLY
                  3=MEDICARE AND MEDICAID

   Regional Override # 2 (Staffing)                  1    1439  1439 VARCHAR2
     Description: This field is set to 'Y' when the regional office has to
                  approve a pending record in the special fields screen.
                  This field only applies to categories in ODIE data entry
                  system.
     SAS Name:    OVRRD_STFG_SW
     COBOL Name:  OVRRD-STFG-SW

   Registered Nurses                                 7    1465  1471 NUMBER
     Description: The number of full-time equivalent registered
                  professional nurses employed by a provider.
     SAS Name:    RN_CNT
     COBOL Name:  RN-CNT

   Registered Pharmacists                            7    1481  1487 NUMBER
     Description: The number of full-time equivalent registered pharmacists
                  employed by a provider.
     SAS Name:    REG_PHRMCST_CNT
     COBOL Name:  REG-PHRMCST-CNT

   Related Provider Number                           10   1510  1519 CHAR
     Description: Related provider number
     SAS Name:    RLTD_PRVDR_NUM
     COBOL Name:  RLTD-PRVDR-NUM

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 22
            Home Health Agency, CATEGORY = "05" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Service: Appliance and Equipment                  1    1567  1567 VARCHAR2
     Description: Indicates how appliance and equipment services are
                  provided by a Home Health Agency (HHA).
     SAS Name:    APLNC_EQUIP_SRVC_CD
     COBOL Name:  APLNC-EQUIP-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Service: Home Health Aide                         1    1582  1582 VARCHAR2
     Description: Indicates how home health aide services are provided.
     SAS Name:    HH_AIDE_SRVC_CD
     COBOL Name:  HH-AIDE-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Service: Interns and Residents                    1    1587  1587 VARCHAR2
     Description: Indicates how intern and resident services are provided
                  by a Home Health Agency.
     SAS Name:    INTRN_RSDNT_SRVC_CD
     COBOL Name:  INTRN-RSDNT-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Service: Laboratory                               1    1588  1588 VARCHAR2
     Description: Indicates how laboratory services are provided.
     SAS Name:    LAB_SRVC_CD
     COBOL Name:  LAB-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Service: Medical Social                           1    1589  1589 VARCHAR2
     Description: Indicates how medical social services are provided.
     SAS Name:    MDCL_SCL_SRVC_CD
     COBOL Name:  MDCL-SCL-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Service: Nursing                                  1    1594  1594 VARCHAR2
     Description: Indicates how nursing services are provided.
     SAS Name:    NRSNG_SRVC_CD
     COBOL Name:  NRSNG-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Service: Nutritional Guidance                     1    1600  1600 VARCHAR2
     Description: Indicates how nutritional guidance services are provided.
     SAS Name:    NTRTNL_GDNC_SRVC_CD
     COBOL Name:  NTRTNL-GDNC-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 23
            Home Health Agency, CATEGORY = "05" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  3=COMBINATION

   Service: Other                                    1    1608  1608 VARCHAR2
     Description: Indicates how other (non-specified) services are
                  provided.
     SAS Name:    OTHR_SRVC_CD
     COBOL Name:  OTHR-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Service: Speech Therapy                           1    1649  1649 VARCHAR2
     Description: Indicates how speech therapy services are provided.
     SAS Name:    SPCH_THRPY_SRVC_CD
     COBOL Name:  SPCH-THRPY-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Service: Vocational Guidance                      1    1653  1653 VARCHAR2
     Description: Indicates how vocational guidance services are provided.
     SAS Name:    VCTNL_GDNC_SRVC_CD
     COBOL Name:  VCTNL-GDNC-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Services Provided: Occupational Therapy           1    2786  2786 VARCHAR2
     Description: Indicates how occupational therapy services are provided.
     SAS Name:    OT_SRVC_CD
     COBOL Name:  OT-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Services Provided: Occupational Therapy Description39   2787  2825 VARCHAR2
     Description: Indicates how occupational therapy services are provided.
     SAS Name:    OT_SRVC_DESC
     COBOL Name:  OT-SRVC-DESC

   Services Provided: Pharmacy                       1    3230  3230 VARCHAR2
     Description: Indicates how pharmacy services are provided.
     SAS Name:    PHRMCY_SRVC_CD
     COBOL Name:  PHRMCY-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Services Provided: Pharmacy Description           39   3231  3269 VARCHAR2
     Description: Indicates how pharmacy services are provided.
     SAS Name:    PHRMCY_SRVC_DESC
     COBOL Name:  PHRMCY-SRVC-DESC

   Services Provided: Physical Therapy               1    3270  3270 VARCHAR2
     Description: Indicates how physical therapy services are provided.
     SAS Name:    PT_SRVC_CD
     COBOL Name:  PT-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 24
            Home Health Agency, CATEGORY = "05" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Services Provided: Physical Therapy Description   39   3271  3309 VARCHAR2
     Description: Indicates how physical therapy services are provided.
     SAS Name:    PT_SRVC_DESC
     COBOL Name:  PT-SRVC-DESC

   Social Workers                                    7    3979  3985 NUMBER
     Description: The number of full-time equivalent social workers
                  employed by the agency.
     SAS Name:    SCL_WORKR_CNT
     COBOL Name:  SCL-WORKR-CNT

   Speech Pathologist or Audiologist                 7    4050  4056 NUMBER
     Description: The number of full-time equivalent speech pathologists or
                  audiologists employed by a provider.
     SAS Name:    SPCH_PTHLGST_AUDLGST_CNT
     COBOL Name:  SPCH-PTHLGST-AUDLGST-CNT

   Subunit Operation Switch                          1    4080  4080 VARCHAR2
     Description: Indicates if the agency operates any subunits.
     SAS Name:    SBUNIT_OPRTN_SW
     COBOL Name:  SBUNIT-OPRTN-SW

   Subunit Switch                                    1    4081  4081 VARCHAR2
     Description: Indicates if the agency is a subunit of another agency.
     SAS Name:    SBUNIT_SW
     COBOL Name:  SBUNIT-SW

   Subunits                                          3    4082  4084 NUMBER
     Description: The number of subunits operated by the agency.
     SAS Name:    SBUNIT_CNT
     COBOL Name:  SBUNIT-CNT

   Surety Bond Indicator                             1    4085  4085 VARCHAR2
     Description: Surety bond indicator. Valid values are 'N' or 'Y' or
                  'W'.
     SAS Name:    SRTY_BOND_CD
     COBOL Name:  SRTY-BOND-CD
     VALUES:      N=NO
                  W=WAIVER
                  Y=YES

   Type of Facility                                  2    4171  4172 VARCHAR2
     Description: Indicates the category which represents the type of
                  facility.
     SAS Name:    GNRL_FAC_TYPE_CD
     COBOL Name:  GNRL-FAC-TYPE-CD
     VALUES:      01=VISITING NURSE ASSOCIATION
                  02=COMBINATION GOVERNMENT VOLUNTARY
                  03=OFFICIAL HEALTH AGENCY
                  04=REHABILITATION FACILITY BASED PROGRAM
                  05=HOSPITAL BASED PROGRAM
                  06=SKILLED NURSING FACILITY BASED PROGRAM
                  07=OTHER









 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 1
Psychiatric Residential Treatment Facility, CATEGORY = "06" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Provider Category Subtype Code                    2    1     2    VARCHAR2
     Description: This field is used mainly by batch report programs to
                  determine the breakdown of the provider category. This
                  field is mainly used for SNFs and hospitals.
     SAS Name:    PRVDR_CTGRY_SBTYP_CD
     COBOL Name:  PRVDR-CTGRY-SBTYP-CD
     VALUES:      01=PSYCHIATRIC RESIDENTIAL TREATMENT

   Provider Category Code                            2    3     4    VARCHAR2
     Description: This code identifies the category which is most
                  descriptive of the facility identified on the
                  Medicare/Medicaid Certification and Transmittal Form (CMS
                  1539).
     SAS Name:    PRVDR_CTGRY_CD
     COBOL Name:  PRVDR-CTGRY-CD
     VALUES:      06=Psychiatric Residential Treatment Facility

   Change of Ownership Count                         2    5     6    NUMBER
     Description: The number of times a change of ownership (CHOW) has
                  taken place for a particular provider.
     SAS Name:    CHOW_CNT
     COBOL Name:  CHOW-CNT

   Change of Ownership Date                          8    7     14   DATE
     Description: Effective date of a change of ownership.
     SAS Name:    CHOW_DT
     COBOL Name:  CHOW-DT

   City                                              28   15    42   VARCHAR2
     Description: City in which the provider is physically located.
     SAS Name:    CITY_NAME
     COBOL Name:  CITY-NAME

   Compliance: Plan of Correction                    1    43    43   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements based on an acceptable plan for correction
                  of deficiencies.
     SAS Name:    ACPTBL_POC_SW
     COBOL Name:  ACPTBL-POC-SW

   Compliance: Status                                1    44    44   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements.
     SAS Name:    CMPLNC_STUS_CD
     COBOL Name:  CMPLNC-STUS-CD
     VALUES:      A=IN COMPLIANCE
                  B=NOT IN COMPLIANCE

   SSA County Code                                   3    45    47   VARCHAR2
     Description: SSA (State Survey Agency) geographic code indicating the
                  county where the facility is located.
     SAS Name:    SSA_CNTY_CD
     COBOL Name:  SSA-CNTY-CD

   Cross Ref Provider Number                         10   48    57   CHAR
     Description: Cross reference provider number
     SAS Name:    CROSS_RFRNC_PRVDR_NUM
     COBOL Name:  CROSS-RFRNC-PRVDR-NUM

   Certification Date                                8    58    65   DATE
     Description: The Certification date is equal to the exit date of the
                  initial visit of the Health survey or LSC survey,
                  whichever is later.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 2
Psychiatric Residential Treatment Facility, CATEGORY = "06" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    CRTFCTN_DT
     COBOL Name:  CRTFCTN-DT

   Eligibility Switch                                1    66    66   VARCHAR2
     Description: Indicates if a facility is eligible to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    ELGBLTY_SW
     COBOL Name:  ELGBLTY-SW

   Facility Name                                     50   67    116  VARCHAR2
     Description: The name of a provider certified to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    FAC_NAME
     COBOL Name:  FAC-NAME

   Intermediary Carrier Code                         5    117   121  VARCHAR2
     Description: A number assigned to an intermediary or carrier servicing
                  a provider or supplier. Not all numbers apply to all
                  provider types.
     SAS Name:    INTRMDRY_CARR_CD
     COBOL Name:  INTRMDRY-CARR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 3
Psychiatric Residential Treatment Facility, CATEGORY = "06" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 4
Psychiatric Residential Treatment Facility, CATEGORY = "06" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 5
Psychiatric Residential Treatment Facility, CATEGORY = "06" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 6
Psychiatric Residential Treatment Facility, CATEGORY = "06" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Medicare or Medicaid Vendor Number                15   122   136  VARCHAR2
     Description: A number which may be assigned to a facility by the state
                  Medicaid agency for external control or billing purposes.
     SAS Name:    MDCD_VNDR_NUM
     COBOL Name:  MDCD-VNDR-NUM

   Participation Date                                8    137   144  DATE
     Description: The date a facility is first approved to provide Medicare
                  and/or Medicaid services.
     SAS Name:    ORGNL_PRTCPTN_DT
     COBOL Name:  ORGNL-PRTCPTN-DT

   Prior Change of Ownership Date                    8    145   152  DATE
     Description: The date of a prior change of ownership.
     SAS Name:    CHOW_PRIOR_DT
     COBOL Name:  CHOW-PRIOR-DT

   Intermediary Carrier Prior Code                   5    153   157  VARCHAR2
     Description: The previous intermediary carrier number.
     SAS Name:    INTRMDRY_CARR_PRIOR_CD
     COBOL Name:  INTRMDRY-CARR-PRIOR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 7
Psychiatric Residential Treatment Facility, CATEGORY = "06" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 8
Psychiatric Residential Treatment Facility, CATEGORY = "06" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 9
Psychiatric Residential Treatment Facility, CATEGORY = "06" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 10
Psychiatric Residential Treatment Facility, CATEGORY = "06" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Provider Number                                   10   158   167  VARCHAR2
     Description: A six or ten position identification number that is
                  assigned to a certified provider.
     SAS Name:    PRVDR_NUM
     COBOL Name:  PRVDR-NUM

   Record Status Code                                1    168   168  VARCHAR2
     Description: This indicator specifies the current status of the
                  record.
     SAS Name:    REC_STUS_CD
     COBOL Name:  REC-STUS-CD
     VALUES:      A=ACCEPTED RECORD
                  C=COMPLAINT RECORD

   Region Code                                       2    169   170  VARCHAR2
     Description: The regional location of the provider.
     SAS Name:    RGN_CD
     COBOL Name:  RGN-CD
     VALUES:      01=BOSTON
                  02=NEW YORK
                  03=PHILADELPHIA
                  04=ATLANTA
                  05=CHICAGO
                  06=DALLAS
                  07=KANSAS CITY
                  08=DENVER

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 11
Psychiatric Residential Treatment Facility, CATEGORY = "06" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  09=SAN FRANCISCO
                  10=SEATTLE

   Skeleton Record Switch                            1    171   171  VARCHAR2
     Description: Indicates the record is a skeleton record.  Only a
                  limited set of the provider data is available for this
                  provider.
     SAS Name:    SKLTN_REC_SW
     COBOL Name:  SKLTN-REC-SW

   State Abbreviation                                2    172   173  VARCHAR2
     Description: The two-character state abbreviation.
     SAS Name:    STATE_CD
     COBOL Name:  STATE-CD
     VALUES:      AK=ALASKA
                  AL=ALABAMA
                  AR=ARKANSAS
                  AS=AMERICAN SAMOA
                  AZ=ARIZONA
                  CA=CALIFORNIA
                  CN=CANADA
                  CO=COLORADO
                  CT=CONNECTICUT
                  DC=DISTRICT OF COLUMBIA
                  DE=DELAWARE
                  FL=FLORIDA
                  FN=FOREIGN
                  GA=GEORGIA
                  GU=GUAM
                  HI=HAWAII
                  IA=IOWA
                  ID=IDAHO
                  IL=ILLINOIS
                  IN=INDIANA
                  KS=KANSAS
                  KY=KENTUCKY
                  LA=LOUISIANA
                  MA=MASSACHUSETTS
                  MD=MARYLAND
                  ME=MAINE
                  MI=MICHIGAN
                  MN=MINNESOTA
                  MO=MISSOURI
                  MP=SAIPAN
                  MS=MISSISSIPPI
                  MT=MONTANA
                  MX=MEXICO
                  NC=NORTH CAROLINA
                  ND=NORTH DAKOTA
                  NE=NEBRASKA
                  NH=NEW HAMPSHIRE
                  NJ=NEW JERSEY
                  NM=NEW MEXICO
                  NV=NEVADA
                  NY=NEW YORK
                  OH=OHIO
                  OK=OKLAHOMA
                  OR=OREGON
                  PA=PENNSYLVANIA
                  PR=PUERTO RICO
                  RI=RHODE ISLAND
                  SC=SOUTH CAROLINA
                  SD=SOUTH DAKOTA
                  TN=TENNESSEE

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 12
Psychiatric Residential Treatment Facility, CATEGORY = "06" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  TX=TEXAS
                  UT=UTAH
                  VA=VIRGINIA
                  VI=VIRGIN ISLANDS
                  VT=VERMONT
                  WA=WASHINGTON
                  WI=WISCONSIN
                  WV=WEST VIRGINIA
                  WY=WYOMING

   SSA State Code                                    2    174   175  VARCHAR2
     Description: SSA (Social Security Administration) geographic code
                  indicating the state of the provider's residence. Must
                  agree with the first two positions of the Provider number
                  (except California: 05 and 55; Texas: 45 and 67; FL: 10
                  and 68; MD: 21 and 80).
     SAS Name:    SSA_STATE_CD
     COBOL Name:  SSA-STATE-CD
     VALUES:      01=ALABAMA
                  02=ALASKA
                  03=ARIZONA
                  04=ARKANSAS
                  05=CALIFORNIA
                  06=COLORADO
                  07=CONNECTICUT
                  08=DELAWARE
                  09=DISTRICT OF COLUMBIA
                  10=FLORIDA
                  11=GEORGIA
                  12=HAWAII
                  13=IDAHO
                  14=ILLINOIS
                  15=INDIANA
                  16=IOWA
                  17=KANSAS
                  18=KENTUCKY
                  19=LOUISIANA
                  20=MAINE
                  21=MARYLAND
                  22=MASSACHUSETTS
                  23=MICHIGAN
                  24=MINNESOTA
                  25=MISSISSIPPI
                  26=MISSOURI
                  27=MONTANA
                  28=NEBRASKA
                  29=NEVADA
                  30=NEW HAMPSHIRE
                  31=NEW JERSEY
                  32=NEW MEXICO
                  33=NEW YORK
                  34=NORTH CAROLINA
                  35=NORTH DAKOTA
                  36=OHIO
                  37=OKLAHOMA
                  38=OREGON
                  39=PENNSYLVANIA
                  40=PUERTO RICO
                  41=RHODE ISLAND
                  42=SOUTH CAROLINA
                  43=SOUTH DAKOTA
                  44=TENNESSEE
                  45=TEXAS
                  46=UTAH

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 13
Psychiatric Residential Treatment Facility, CATEGORY = "06" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  47=VERMONT
                  48=VIRGIN ISLANDS
                  49=VIRGINIA
                  50=WASHINGTON
                  51=WEST VIRGINIA
                  52=WISCONSIN
                  53=WYOMING
                  54=AFRICA
                  56=CANADA
                  57=WEST INDIES
                  58=EUROPE
                  59=MEXICO
                  60=OCEANIA
                  61=PHILIPPINES
                  62=SOUTH AMERICA
                  63=UNITED STATES POSSESSIONS
                  64=AMERICAN SAMOA
                  65=GUAM
                  66=SAIPAN
                  99=FOREIGN

   State Region Code                                 3    176   178  VARCHAR2
     Description: For selected states, identifies the particular region
                  within the state where the provider is located.
     SAS Name:    STATE_RGN_CD
     COBOL Name:  STATE-RGN-CD
     VALUES:      AK/001=ALASKA
                  AK/LAB=LABORATORIES
                  AK/UNK=UNKNOWN
                  AL/001=ALABAMA
                  AL/LAB=LABORATORIES
                  AL/UNK=UNKNOWN
                  AR/001=ARKANSAS
                  AR/LAB=LABORATORIES
                  AR/UNK=UNKNOWN
                  AS/001=AMERICAN SAMOA
                  AS/LAB=LABORATORY
                  AS/UNK=UNKNOWN
                  AZ/AZ=PHOENIX
                  AZ/LAB=ARIZONA LAB
                  AZ/TUC=TUCSON
                  AZ/UNK=UNKNOWN
                  CA/BAK=BAKERSFIELD
                  CA/BER=SAN BERNARDINO
                  CA/BK=BERKELEY
                  CA/BK1=CONTRA COSTA
                  CA/FR=FRESNO
                  CA/L1=L.A. WEST
                  CA/L2=L.A. NORTH
                  CA/L3=L.A. CENTRAL
                  CA/L4=L.A. EAST
                  CA/L5=SAN GABRIEL
                  CA/LAB=LABORATORIES
                  CA/M1=LAB. SOUTH
                  CA/M2=LAB. NORTH
                  CA/ORG=ORANGE CO
                  CA/RIV=RIVERSIDE
                  CA/RWC=REDWOOD COAST
                  CA/S1=SACRAMENTO
                  CA/S2=SACTO SOUTH
                  CA/S3=CHICO
                  CA/SD=SAN DIEGO
                  CA/SDS=SAN DIEGO SOUTH
                  CA/SF=SAN FRANCISCO

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 14
Psychiatric Residential Treatment Facility, CATEGORY = "06" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  CA/SJ=SAN JOSE
                  CA/SR=SANTA ROSA
                  CA/UNK=UNKNOWN
                  CA/VEN=VENTURA
                  CN/001=CANADA
                  CN/LAB=LABORATORY
                  CN/UNK=UNKNOWN
                  CO/001=COLORADO
                  CO/LAB=LABORATORIES
                  CO/UNK=UNKNOWN
                  CT/001=CONNECTICUT
                  CT/LAB=LABORATORIES
                  CT/UNK=UNKNOWN
                  DC/001=DISTRICT OF COLUMBIA
                  DC/LAB=LABORATORIES
                  DC/UNK=UNKNOWN
                  DE/001=DELAWARE
                  DE/LAB=LABORATORIES
                  DE/UNK=UNKNOWN
                  FL/FTM=FT. MYERS
                  FL/GAI=GAINESVILLE
                  FL/JAX=JACKSONVILLE
                  FL/LAB=LABORATORIES
                  FL/LAN=LANTANA
                  FL/LAU=LAUDERHILL
                  FL/MIA=MIAMI
                  FL/ORL=ORLANDO
                  FL/PEN=PENSACOLA
                  FL/STP=ST. PETERSBURG
                  FL/TAL=TALLAHASSEE
                  FL/TAM=TAMPA
                  FL/UNK=UNKNOWN
                  FM/001=FEDERATED STATES OF MICRO
                  FN/001=FOREIGN
                  FN/LAB=LABORATORIES
                  FN/UNK=UNKNOWN
                  GA/001=GEORGIA
                  GA/GAA=GEORGIA ALL
                  GA/GAC=GEORGIA CENTRAL
                  GA/GAE=GEORGIA EASTERN
                  GA/GAN=GEORGIA NORTH
                  GA/GAS=GEORGIA SOUTH
                  GA/GAW=GEORGIA WESTERN
                  GA/LAB=LABORATORIES
                  GA/UNK=UNKNOWN
                  GU/001=GUAM
                  GU/LAB=LABORATORIES
                  GU/UNK=UNKNOWN
                  HI/001=HAWAII
                  HI/LAB=LABORATORIES
                  HI/UNK=UNKNOWN
                  IA/001=IOWA
                  IA/LAB=LABORATORIES
                  IA/UNK=UNKNOWN
                  ID/001=IDAHO
                  ID/LAB=LABORATORIES
                  ID/UNK=UNKNOWN
                  IL/001=ILLINOIS
                  IL/LAB=LABORATORIES
                  IL/UNK=UNKNOWN
                  IN/001=INDIANA
                  IN/LAB=LABORATORIES
                  IN/UNK=UNKNOWN
                  KS/LAB=LABORATORIES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 15
Psychiatric Residential Treatment Facility, CATEGORY = "06" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  KS/LAW=LAWRENCE
                  KS/NC=NORTH CENTRAL KANSAS
                  KS/NE=NORTH EAST KANSAS
                  KS/NW=NORTH WEST KANSAS
                  KS/SC=SOUTH CENTRAL KANSAS
                  KS/SE=SOUTH EAST KANSAS
                  KS/SW=SOUTH WEST KANSAS
                  KS/UNK=UNKNOWN
                  KS/WST=WEST
                  KY/2C1=HOPKINSVILLE
                  KY/2C2=LOUISVILLE
                  KY/2C3=LONDON
                  KY/2C4=LEXINGTON
                  KY/LAB=LABORATORIES
                  KY/UNK=UNKNOWN
                  LA/001=LOUISIANA
                  LA/LA1=NEW ORLEANS
                  LA/LA2=MANDEVILLE
                  LA/LA3=LAFAYETTE
                  LA/LA4=MONROE
                  LA/LA5=SHREVEPORT
                  LA/LA6=ALEXANDRIA
                  LA/LAB=LABORATORIES
                  LA/LB1=CLIA NEW ORLEANS
                  LA/LB5=CLIA SHREVEPORT
                  LA/LB6=CLIA ALEXANDRIA
                  LA/UNK=UNKNOWN
                  MA/001=MASSACHUSETTS
                  MA/LAB=LABORATORIES
                  MA/UNK=UNKNOWN
                  MD/001=MARYLAND
                  MD/LAB=LABORATORIES
                  MD/UNK=UNKNOWN
                  ME/001=MAINE
                  ME/LAB=LABORATORIES
                  ME/UNK=UNKNOWN
                  MH/001=MARSHALL ISLANDS
                  MI/001=MICHIGAN
                  MI/LAB=LABORATORIES
                  MI/UNK=UNKNOWN
                  MN/001=MINNESOTA
                  MN/LAB=LABORATORIES
                  MN/UNK=UNKNOWN
                  MO/01=REGION01
                  MO/02=REGION02
                  MO/03=REGION 03
                  MO/04=REGION 04
                  MO/05=REGION 05
                  MO/06=REGION 06
                  MO/07=REGION 07
                  MO/1NH=REGION 1 NH
                  MO/2NH=REGION 2 NH
                  MO/3NH=REGION 3 NH
                  MO/4NH=REGION 4 NH
                  MO/5NH=REGION 5 NH
                  MO/6NH=REGION 6 NH
                  MO/7NH=REGION 7 NH
                  MO/LAB=LABORATORIES
                  MO/MO=STATEWIDE
                  MO/UNK=UNKNOWN
                  MP/001=NORTHERN MARIANA ISLANDS
                  MP/LAB=LABORATORIES
                  MP/UNK=UNKNOWN
                  MS/001=MISSISSIPPI

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 16
Psychiatric Residential Treatment Facility, CATEGORY = "06" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  MS/LAB=LABORATORIES
                  MS/UNK=UNKNOWN
                  MT/001=MONTANA
                  MT/LAB=LABORATORIES
                  MT/UNK=UNKNOWN
                  MX/001=MEXICO
                  MX/LAB=LABORATORY
                  MX/UNK=UNKNOWN
                  NC/LAB=LABORATORIES
                  NC/NCC=NORTH CAROLINA CENTRAL
                  NC/NCE=NORTH CAROLINA EAST
                  NC/NCN=NORTH CAROLINA NORTH
                  NC/NCS=NORTH CAROLINA SOUTH
                  NC/NCW=NORTH CAROLINA WEST
                  NC/UNK=UNKNOWN
                  ND/001=NORTH DAKOTA
                  ND/LAB=LABORATORIES
                  ND/UNK=UNKNOWN
                  NE/1=NORTH CENTRAL
                  NE/2=CENTRAL
                  NE/3=NORTHEAST
                  NE/4=SOUTHEAST
                  NE/5=WESTERN
                  NE/LAB=LABORATORIES
                  NE/UNK=UNKNOWN
                  NH/001=NEW HAMPSHIRE
                  NH/LAB=LABORATORIES
                  NH/UNK=UNKNOWN
                  NJ/001=NEW JERSEY
                  NJ/LAB=LABORATORIES
                  NJ/UNK=UNKNOWN
                  NM/001=NEW MEXICO
                  NM/LAB=LABORATORIES
                  NM/UNK=UNKNOWN
                  NV/CC=CARSON CITY
                  NV/LAB=LABORATORIES
                  NV/LV=LAS VEGAS
                  NV/UNK=UNKNOWN
                  NY/001=BUFFALO
                  NY/002=ROCHESTER
                  NY/003=SYRACUSE
                  NY/004=ALBANY
                  NY/005=NEW ROCHELLE
                  NY/006=NEW YORK CITY
                  NY/007=SUFFOLK/NASSAU COUNTY
                  NY/LAB=LABORATORIES
                  NY/UNK=UNKNOWN
                  OH/001=OHIO
                  OH/LAB=LABORATORIES
                  OH/UNK=UNKNOWN
                  OK/001=OKLAHOMA
                  OK/LAB=LABORATORIES
                  OK/UNK=UNKNOWN
                  OR/001=OFFICE #1
                  OR/002=OFFICE #2
                  OR/003=OFFICE #3
                  OR/LAB=LABORATORIES
                  OR/UNK=UNKNOWN
                  PA/001=PENNSYLVANIA
                  PA/LAB=LABORATORIES
                  PA/UNK=UNKNOWN
                  PR/001=PUERTO RICO
                  PR/LAB=LABORATORIES
                  PR/UNK=UNKNOWN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 17
Psychiatric Residential Treatment Facility, CATEGORY = "06" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  PW/001=PALAU
                  RI/001=RHODE ISLAND
                  RI/LAB=LABORATORIES
                  RI/UNK=UNKNOWN
                  SC/001=SOUTH CAROLINA
                  SC/LAB=LABORATORIES
                  SC/UNK=UNKNOWN
                  SD/001=SOUTH DAKOTA
                  SD/LAB=LABORATORIES
                  SD/UNK=UNKNOWN
                  TN/LAB=LABORATORIES
                  TN/TNC=TENNESSEE COOKEVILLE
                  TN/TNE=TENNESSEE EASTERN
                  TN/TNM=TENNESSEE MIDDLE
                  TN/TNW=TENNESSEE WESTERN
                  TN/UNK=UNKNOWN
                  TX/001=TEXAS
                  TX/L01=AMARILLO-LTC
                  TX/L02=ABILENE-LTC
                  TX/L03=ARLINGTON-LTC
                  TX/L04=TYLER-LTC
                  TX/L05=BEAUMONT-LTC
                  TX/L06=HOUSTON-LTC
                  TX/L07=TEMPLE-LTC
                  TX/L08=SAN ANTONIO-LTC
                  TX/L09=SAN ANGELO-LTC
                  TX/L10=EL PASO-LTC
                  TX/L11=CORPUS CHRISTI-LTC
                  TX/LAB=LABORATORIES
                  TX/TX1=LUBBOCK
                  TX/TX2=ARLINGTON
                  TX/TX3=SAN ANTONIO
                  TX/TX4=HOUSTON
                  TX/TX5=TYLER
                  TX/TX6=AUSTIN
                  TX/UNK=UNKNOWN
                  UT/001=UTAH
                  UT/LAB=LABORATORIES
                  UT/UNK=UNKNOWN
                  VA/001=VIRGINIA
                  VA/LAB=LABORATORIES
                  VA/UNK=UNKNOWN
                  VI/001=VIRGIN ISLANDS
                  VI/LAB=LABORATORIES
                  VI/UNK=UNKNOWN
                  VT/001=VERMONT
                  VT/LAB=LABORATORIES
                  VT/UNK=UNKNOWN
                  WA/001=ALL OTHERS (NON-LTC FAC)
                  WA/D1=SPOKANE & YAKIMA AREAS
                  WA/D1A=District 1, Unit A
                  WA/D1B=District 1, Unit B
                  WA/D1C=District 1, Unit C
                  WA/D1D=District 1, Unit D
                  WA/D2=SPOKANE & SE
                  WA/D2A=District 2, Unit A
                  WA/D2B=District 2, Unit B
                  WA/D2C=District 2, Unit C
                  WA/D2D=District 2, Unit D
                  WA/D2E=District 2, Unit E
                  WA/D2F=District 2, Unit F
                  WA/D2G=District 2, Unit G
                  WA/D3=NW WASHINGTON
                  WA/D3A=District 3, Unit A

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 18
Psychiatric Residential Treatment Facility, CATEGORY = "06" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  WA/D3B=District 3, Unit B
                  WA/D3C=District 3, Unit C
                  WA/D3D=District 3, Unit D
                  WA/D3E=District 3, Unit E
                  WA/D4A=GREATER SEATTLE AREA
                  WA/D4B=S KING COUNTY
                  WA/D5A=PIERCE CTY & PENINSULA
                  WA/D5B=PIERCE CTY & GRAYS HARBOR
                  WA/D6=OLYMPIA AREA
                  WA/LAB=LABORATORIES
                  WA/UNK=UNKNOWN
                  WI/001=WISCONSIN
                  WI/LAB=LABORATORIES
                  WI/UNK=UNKNOWN
                  WV/001=WEST VIRGINIA
                  WV/LAB=LABORATORIES
                  WV/UNK=UNKNOWN
                  WY/001=WYOMING
                  WY/LAB=LABORATORIES
                  WY/UNK=UNKNOWN

   Street Address                                    50   179   228  VARCHAR2
     Description: Street address of a provider that is certified to provide
                  Medicare and/or Medicaid services.
     SAS Name:    ST_ADR
     COBOL Name:  ST-ADR

   Telephone Number                                  10   229   238  VARCHAR2
     Description: The 10-digit telephone number of the primary contact or
                  the operator of a provider.
     SAS Name:    PHNE_NUM
     COBOL Name:  PHNE-NUM

   Termination Code 1                                2    239   240  VARCHAR2
     Description: Termination code number one: the reason a facility has
                  been terminated from the CLIA, Medicare and/or Medicaid
                  programs.
     SAS Name:    PGM_TRMNTN_CD
     COBOL Name:  PGM-TRMNTN-CD
     VALUES:      00=ACTIVE PROVIDER
                  01=VOLUNTARY-MERGER, CLOSURE
                  02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT
                  03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION
                  04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL
                  05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ
                  06=INVOLUNTARY-FAILURE TO MEET AGREEMENT
                  07=OTHER-PROVIDER STATUS CHANGE
                  08=NONPAYMENT OF FEES - CLIA Only
                  09=REV/UNSUCCESSFUL PARTICIPATION IN PT - CLIA Only
                  10=REV/OTHER REASON - CLIA Only
                  11=INCMPLETE CLIA APPLICATION INFORMATION - CLIA Only
                  12=NO LONGER PERFORMING TESTS - CLIA Only
                  13=MULTIPLE TO SINGLE SITE CERTIFICATE - CLIA Only
                  14=SHARED LABORATORY - CLIA Only
                  15=FAILURE TO RENEW WAIVER PPM CERTIFICATE - CLIA Only
                  16=DUPLICATE CLIA NUMBER - CLIA Only
                  17=MAIL RETURNED NO FORWARD ADDRESS CERT ENDED - CLIA Only
                  20=NOTIFICATION BANKRUPTCY - CLIA Only
                  33=ACCREDITATION NOT CONFIRMED - CLIA Only
                  80=AWAITING STATE APPROVAL
                  99=OIG ACTION - DO NOT ACTIVATE - CLIA Only

   Termination Date / Expiration Date 1              8    241   248  DATE
     Description: The date the laboratory's certificate terminated or the

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 19
Psychiatric Residential Treatment Facility, CATEGORY = "06" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  expiration date of the current CLIA certificate. For
                  other non-CLIA providers, it is the date the facility was
                  terminated.
     SAS Name:    TRMNTN_EXPRTN_DT
     COBOL Name:  TRMNTN-EXPRTN-DT

   Type of Action                                    1    249   249  VARCHAR2
     Description: Type of action on the 'official' survey record.  This
                  field is copied from type of action on the HCFA-1539,
                  certification and transmittal.
     SAS Name:    SRVY_PRPSE_CD
     COBOL Name:  SRVY-PRPSE-CD
     VALUES:      1=INITIAL
                  2=RECERTIFICATION
                  3=TERMINATION
                  4=CHANGE OF OWNERSHIP
                  5=VALIDATION
                  6=ONSITE SURVEY DUE TO FLEXIBLE SURVEY - CLIA Only
                  8=FULL SURVEY AFTER COMPLAINT - CLIA ONLY

   General Type of Control Code                      2    250   251  VARCHAR2
     Description: Indicates the nature of the organization that operates a
                  provider of services.
     SAS Name:    GNRL_CNTL_TYPE_CD
     COBOL Name:  GNRL-CNTL-TYPE-CD
     VALUES:      01=PRIVATE NON PROFIT
                  02=PROPRIETARY
                  03=RELIGIOUS AFFILIATION
                  04=VOL. NON-PROF. - RELIGIOUS AFF.
                  05=FOR PROFIT
                  06=NOT FOR PROFIT
                  07=CORPORATION
                  08=STATE
                  09=LOCAL GOVERNMENT

   ZIP Code                                          5    252   256  VARCHAR2
     Description: The five-digit postal code for the provider.
     SAS Name:    ZIP_CD
     COBOL Name:  ZIP-CD

   FIPS State Code                                   2    257   258  VARCHAR2
     Description: FIPS State Code
     SAS Name:    FIPS_STATE_CD
     COBOL Name:  FIPS-STATE-CD

   FIPS County Code                                  3    259   261  VARCHAR2
     Description: FIPS County Code
     SAS Name:    FIPS_CNTY_CD
     COBOL Name:  FIPS-CNTY-CD

   CBSA Urban Rural Indicator                        1    262   262  VARCHAR2
     Description: CBSA (Core Based Statistical Area) indicates whether the
                  county is defined as Urban or Rural.
     SAS Name:    CBSA_URBN_RRL_IND
     COBOL Name:  CBSA-URBN-RRL-IND










 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 1
          Portable X-Ray Supplier, CATEGORY = "07" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Provider Category Subtype Code                    2    1     2    VARCHAR2
     Description: This field is used mainly by batch report programs to
                  determine the breakdown of the provider category. This
                  field is mainly used for SNFs and hospitals.
     SAS Name:    PRVDR_CTGRY_SBTYP_CD
     COBOL Name:  PRVDR-CTGRY-SBTYP-CD
     VALUES:      01=X-RAY

   Provider Category Code                            2    3     4    VARCHAR2
     Description: This code identifies the category which is most
                  descriptive of the facility identified on the
                  Medicare/Medicaid Certification and Transmittal Form (CMS
                  1539).
     SAS Name:    PRVDR_CTGRY_CD
     COBOL Name:  PRVDR-CTGRY-CD
     VALUES:      07=Portable X-Ray Supplier

   Change of Ownership Count                         2    5     6    NUMBER
     Description: The number of times a change of ownership (CHOW) has
                  taken place for a particular provider.
     SAS Name:    CHOW_CNT
     COBOL Name:  CHOW-CNT

   Change of Ownership Date                          8    7     14   DATE
     Description: Effective date of a change of ownership.
     SAS Name:    CHOW_DT
     COBOL Name:  CHOW-DT

   City                                              28   15    42   VARCHAR2
     Description: City in which the provider is physically located.
     SAS Name:    CITY_NAME
     COBOL Name:  CITY-NAME

   Compliance: Plan of Correction                    1    43    43   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements based on an acceptable plan for correction
                  of deficiencies.
     SAS Name:    ACPTBL_POC_SW
     COBOL Name:  ACPTBL-POC-SW

   Compliance: Status                                1    44    44   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements.
     SAS Name:    CMPLNC_STUS_CD
     COBOL Name:  CMPLNC-STUS-CD
     VALUES:      A=IN COMPLIANCE
                  B=NOT IN COMPLIANCE

   SSA County Code                                   3    45    47   VARCHAR2
     Description: SSA (State Survey Agency) geographic code indicating the
                  county where the facility is located.
     SAS Name:    SSA_CNTY_CD
     COBOL Name:  SSA-CNTY-CD

   Cross Ref Provider Number                         10   48    57   CHAR
     Description: Cross reference provider number
     SAS Name:    CROSS_RFRNC_PRVDR_NUM
     COBOL Name:  CROSS-RFRNC-PRVDR-NUM

   Certification Date                                8    58    65   DATE
     Description: The Certification date is equal to the exit date of the
                  initial visit of the Health survey or LSC survey,
                  whichever is later.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 2
          Portable X-Ray Supplier, CATEGORY = "07" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    CRTFCTN_DT
     COBOL Name:  CRTFCTN-DT

   Eligibility Switch                                1    66    66   VARCHAR2
     Description: Indicates if a facility is eligible to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    ELGBLTY_SW
     COBOL Name:  ELGBLTY-SW

   Facility Name                                     50   67    116  VARCHAR2
     Description: The name of a provider certified to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    FAC_NAME
     COBOL Name:  FAC-NAME

   Intermediary Carrier Code                         5    117   121  VARCHAR2
     Description: A number assigned to an intermediary or carrier servicing
                  a provider or supplier. Not all numbers apply to all
                  provider types.
     SAS Name:    INTRMDRY_CARR_CD
     COBOL Name:  INTRMDRY-CARR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 3
          Portable X-Ray Supplier, CATEGORY = "07" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 4
          Portable X-Ray Supplier, CATEGORY = "07" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 5
          Portable X-Ray Supplier, CATEGORY = "07" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 6
          Portable X-Ray Supplier, CATEGORY = "07" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Medicare or Medicaid Vendor Number                15   122   136  VARCHAR2
     Description: A number which may be assigned to a facility by the state
                  Medicaid agency for external control or billing purposes.
     SAS Name:    MDCD_VNDR_NUM
     COBOL Name:  MDCD-VNDR-NUM

   Participation Date                                8    137   144  DATE
     Description: The date a facility is first approved to provide Medicare
                  and/or Medicaid services.
     SAS Name:    ORGNL_PRTCPTN_DT
     COBOL Name:  ORGNL-PRTCPTN-DT

   Prior Change of Ownership Date                    8    145   152  DATE
     Description: The date of a prior change of ownership.
     SAS Name:    CHOW_PRIOR_DT
     COBOL Name:  CHOW-PRIOR-DT

   Intermediary Carrier Prior Code                   5    153   157  VARCHAR2
     Description: The previous intermediary carrier number.
     SAS Name:    INTRMDRY_CARR_PRIOR_CD
     COBOL Name:  INTRMDRY-CARR-PRIOR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 7
          Portable X-Ray Supplier, CATEGORY = "07" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 8
          Portable X-Ray Supplier, CATEGORY = "07" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 9
          Portable X-Ray Supplier, CATEGORY = "07" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 10
          Portable X-Ray Supplier, CATEGORY = "07" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Provider Number                                   10   158   167  VARCHAR2
     Description: A six or ten position identification number that is
                  assigned to a certified provider.
     SAS Name:    PRVDR_NUM
     COBOL Name:  PRVDR-NUM

   Record Status Code                                1    168   168  VARCHAR2
     Description: This indicator specifies the current status of the
                  record.
     SAS Name:    REC_STUS_CD
     COBOL Name:  REC-STUS-CD
     VALUES:      A=ACCEPTED RECORD
                  C=COMPLAINT RECORD

   Region Code                                       2    169   170  VARCHAR2
     Description: The regional location of the provider.
     SAS Name:    RGN_CD
     COBOL Name:  RGN-CD
     VALUES:      01=BOSTON
                  02=NEW YORK
                  03=PHILADELPHIA
                  04=ATLANTA
                  05=CHICAGO
                  06=DALLAS
                  07=KANSAS CITY
                  08=DENVER

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 11
          Portable X-Ray Supplier, CATEGORY = "07" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  09=SAN FRANCISCO
                  10=SEATTLE

   Skeleton Record Switch                            1    171   171  VARCHAR2
     Description: Indicates the record is a skeleton record.  Only a
                  limited set of the provider data is available for this
                  provider.
     SAS Name:    SKLTN_REC_SW
     COBOL Name:  SKLTN-REC-SW

   State Abbreviation                                2    172   173  VARCHAR2
     Description: The two-character state abbreviation.
     SAS Name:    STATE_CD
     COBOL Name:  STATE-CD
     VALUES:      AK=ALASKA
                  AL=ALABAMA
                  AR=ARKANSAS
                  AS=AMERICAN SAMOA
                  AZ=ARIZONA
                  CA=CALIFORNIA
                  CN=CANADA
                  CO=COLORADO
                  CT=CONNECTICUT
                  DC=DISTRICT OF COLUMBIA
                  DE=DELAWARE
                  FL=FLORIDA
                  FN=FOREIGN
                  GA=GEORGIA
                  GU=GUAM
                  HI=HAWAII
                  IA=IOWA
                  ID=IDAHO
                  IL=ILLINOIS
                  IN=INDIANA
                  KS=KANSAS
                  KY=KENTUCKY
                  LA=LOUISIANA
                  MA=MASSACHUSETTS
                  MD=MARYLAND
                  ME=MAINE
                  MI=MICHIGAN
                  MN=MINNESOTA
                  MO=MISSOURI
                  MP=SAIPAN
                  MS=MISSISSIPPI
                  MT=MONTANA
                  MX=MEXICO
                  NC=NORTH CAROLINA
                  ND=NORTH DAKOTA
                  NE=NEBRASKA
                  NH=NEW HAMPSHIRE
                  NJ=NEW JERSEY
                  NM=NEW MEXICO
                  NV=NEVADA
                  NY=NEW YORK
                  OH=OHIO
                  OK=OKLAHOMA
                  OR=OREGON
                  PA=PENNSYLVANIA
                  PR=PUERTO RICO
                  RI=RHODE ISLAND
                  SC=SOUTH CAROLINA
                  SD=SOUTH DAKOTA
                  TN=TENNESSEE

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 12
          Portable X-Ray Supplier, CATEGORY = "07" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  TX=TEXAS
                  UT=UTAH
                  VA=VIRGINIA
                  VI=VIRGIN ISLANDS
                  VT=VERMONT
                  WA=WASHINGTON
                  WI=WISCONSIN
                  WV=WEST VIRGINIA
                  WY=WYOMING

   SSA State Code                                    2    174   175  VARCHAR2
     Description: SSA (Social Security Administration) geographic code
                  indicating the state of the provider's residence. Must
                  agree with the first two positions of the Provider number
                  (except California: 05 and 55; Texas: 45 and 67; FL: 10
                  and 68; MD: 21 and 80).
     SAS Name:    SSA_STATE_CD
     COBOL Name:  SSA-STATE-CD
     VALUES:      01=ALABAMA
                  02=ALASKA
                  03=ARIZONA
                  04=ARKANSAS
                  05=CALIFORNIA
                  06=COLORADO
                  07=CONNECTICUT
                  08=DELAWARE
                  09=DISTRICT OF COLUMBIA
                  10=FLORIDA
                  11=GEORGIA
                  12=HAWAII
                  13=IDAHO
                  14=ILLINOIS
                  15=INDIANA
                  16=IOWA
                  17=KANSAS
                  18=KENTUCKY
                  19=LOUISIANA
                  20=MAINE
                  21=MARYLAND
                  22=MASSACHUSETTS
                  23=MICHIGAN
                  24=MINNESOTA
                  25=MISSISSIPPI
                  26=MISSOURI
                  27=MONTANA
                  28=NEBRASKA
                  29=NEVADA
                  30=NEW HAMPSHIRE
                  31=NEW JERSEY
                  32=NEW MEXICO
                  33=NEW YORK
                  34=NORTH CAROLINA
                  35=NORTH DAKOTA
                  36=OHIO
                  37=OKLAHOMA
                  38=OREGON
                  39=PENNSYLVANIA
                  40=PUERTO RICO
                  41=RHODE ISLAND
                  42=SOUTH CAROLINA
                  43=SOUTH DAKOTA
                  44=TENNESSEE
                  45=TEXAS
                  46=UTAH

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 13
          Portable X-Ray Supplier, CATEGORY = "07" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  47=VERMONT
                  48=VIRGIN ISLANDS
                  49=VIRGINIA
                  50=WASHINGTON
                  51=WEST VIRGINIA
                  52=WISCONSIN
                  53=WYOMING
                  54=AFRICA
                  56=CANADA
                  57=WEST INDIES
                  58=EUROPE
                  59=MEXICO
                  60=OCEANIA
                  61=PHILIPPINES
                  62=SOUTH AMERICA
                  63=UNITED STATES POSSESSIONS
                  64=AMERICAN SAMOA
                  65=GUAM
                  66=SAIPAN
                  99=FOREIGN

   State Region Code                                 3    176   178  VARCHAR2
     Description: For selected states, identifies the particular region
                  within the state where the provider is located.
     SAS Name:    STATE_RGN_CD
     COBOL Name:  STATE-RGN-CD
     VALUES:      AK/001=ALASKA
                  AK/LAB=LABORATORIES
                  AK/UNK=UNKNOWN
                  AL/001=ALABAMA
                  AL/LAB=LABORATORIES
                  AL/UNK=UNKNOWN
                  AR/001=ARKANSAS
                  AR/LAB=LABORATORIES
                  AR/UNK=UNKNOWN
                  AS/001=AMERICAN SAMOA
                  AS/LAB=LABORATORY
                  AS/UNK=UNKNOWN
                  AZ/AZ=PHOENIX
                  AZ/LAB=ARIZONA LAB
                  AZ/TUC=TUCSON
                  AZ/UNK=UNKNOWN
                  CA/BAK=BAKERSFIELD
                  CA/BER=SAN BERNARDINO
                  CA/BK=BERKELEY
                  CA/BK1=CONTRA COSTA
                  CA/FR=FRESNO
                  CA/L1=L.A. WEST
                  CA/L2=L.A. NORTH
                  CA/L3=L.A. CENTRAL
                  CA/L4=L.A. EAST
                  CA/L5=SAN GABRIEL
                  CA/LAB=LABORATORIES
                  CA/M1=LAB. SOUTH
                  CA/M2=LAB. NORTH
                  CA/ORG=ORANGE CO
                  CA/RIV=RIVERSIDE
                  CA/RWC=REDWOOD COAST
                  CA/S1=SACRAMENTO
                  CA/S2=SACTO SOUTH
                  CA/S3=CHICO
                  CA/SD=SAN DIEGO
                  CA/SDS=SAN DIEGO SOUTH
                  CA/SF=SAN FRANCISCO

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 14
          Portable X-Ray Supplier, CATEGORY = "07" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  CA/SJ=SAN JOSE
                  CA/SR=SANTA ROSA
                  CA/UNK=UNKNOWN
                  CA/VEN=VENTURA
                  CN/001=CANADA
                  CN/LAB=LABORATORY
                  CN/UNK=UNKNOWN
                  CO/001=COLORADO
                  CO/LAB=LABORATORIES
                  CO/UNK=UNKNOWN
                  CT/001=CONNECTICUT
                  CT/LAB=LABORATORIES
                  CT/UNK=UNKNOWN
                  DC/001=DISTRICT OF COLUMBIA
                  DC/LAB=LABORATORIES
                  DC/UNK=UNKNOWN
                  DE/001=DELAWARE
                  DE/LAB=LABORATORIES
                  DE/UNK=UNKNOWN
                  FL/FTM=FT. MYERS
                  FL/GAI=GAINESVILLE
                  FL/JAX=JACKSONVILLE
                  FL/LAB=LABORATORIES
                  FL/LAN=LANTANA
                  FL/LAU=LAUDERHILL
                  FL/MIA=MIAMI
                  FL/ORL=ORLANDO
                  FL/PEN=PENSACOLA
                  FL/STP=ST. PETERSBURG
                  FL/TAL=TALLAHASSEE
                  FL/TAM=TAMPA
                  FL/UNK=UNKNOWN
                  FM/001=FEDERATED STATES OF MICRO
                  FN/001=FOREIGN
                  FN/LAB=LABORATORIES
                  FN/UNK=UNKNOWN
                  GA/001=GEORGIA
                  GA/GAA=GEORGIA ALL
                  GA/GAC=GEORGIA CENTRAL
                  GA/GAE=GEORGIA EASTERN
                  GA/GAN=GEORGIA NORTH
                  GA/GAS=GEORGIA SOUTH
                  GA/GAW=GEORGIA WESTERN
                  GA/LAB=LABORATORIES
                  GA/UNK=UNKNOWN
                  GU/001=GUAM
                  GU/LAB=LABORATORIES
                  GU/UNK=UNKNOWN
                  HI/001=HAWAII
                  HI/LAB=LABORATORIES
                  HI/UNK=UNKNOWN
                  IA/001=IOWA
                  IA/LAB=LABORATORIES
                  IA/UNK=UNKNOWN
                  ID/001=IDAHO
                  ID/LAB=LABORATORIES
                  ID/UNK=UNKNOWN
                  IL/001=ILLINOIS
                  IL/LAB=LABORATORIES
                  IL/UNK=UNKNOWN
                  IN/001=INDIANA
                  IN/LAB=LABORATORIES
                  IN/UNK=UNKNOWN
                  KS/LAB=LABORATORIES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 15
          Portable X-Ray Supplier, CATEGORY = "07" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  KS/LAW=LAWRENCE
                  KS/NC=NORTH CENTRAL KANSAS
                  KS/NE=NORTH EAST KANSAS
                  KS/NW=NORTH WEST KANSAS
                  KS/SC=SOUTH CENTRAL KANSAS
                  KS/SE=SOUTH EAST KANSAS
                  KS/SW=SOUTH WEST KANSAS
                  KS/UNK=UNKNOWN
                  KS/WST=WEST
                  KY/2C1=HOPKINSVILLE
                  KY/2C2=LOUISVILLE
                  KY/2C3=LONDON
                  KY/2C4=LEXINGTON
                  KY/LAB=LABORATORIES
                  KY/UNK=UNKNOWN
                  LA/001=LOUISIANA
                  LA/LA1=NEW ORLEANS
                  LA/LA2=MANDEVILLE
                  LA/LA3=LAFAYETTE
                  LA/LA4=MONROE
                  LA/LA5=SHREVEPORT
                  LA/LA6=ALEXANDRIA
                  LA/LAB=LABORATORIES
                  LA/LB1=CLIA NEW ORLEANS
                  LA/LB5=CLIA SHREVEPORT
                  LA/LB6=CLIA ALEXANDRIA
                  LA/UNK=UNKNOWN
                  MA/001=MASSACHUSETTS
                  MA/LAB=LABORATORIES
                  MA/UNK=UNKNOWN
                  MD/001=MARYLAND
                  MD/LAB=LABORATORIES
                  MD/UNK=UNKNOWN
                  ME/001=MAINE
                  ME/LAB=LABORATORIES
                  ME/UNK=UNKNOWN
                  MH/001=MARSHALL ISLANDS
                  MI/001=MICHIGAN
                  MI/LAB=LABORATORIES
                  MI/UNK=UNKNOWN
                  MN/001=MINNESOTA
                  MN/LAB=LABORATORIES
                  MN/UNK=UNKNOWN
                  MO/01=REGION01
                  MO/02=REGION02
                  MO/03=REGION 03
                  MO/04=REGION 04
                  MO/05=REGION 05
                  MO/06=REGION 06
                  MO/07=REGION 07
                  MO/1NH=REGION 1 NH
                  MO/2NH=REGION 2 NH
                  MO/3NH=REGION 3 NH
                  MO/4NH=REGION 4 NH
                  MO/5NH=REGION 5 NH
                  MO/6NH=REGION 6 NH
                  MO/7NH=REGION 7 NH
                  MO/LAB=LABORATORIES
                  MO/MO=STATEWIDE
                  MO/UNK=UNKNOWN
                  MP/001=NORTHERN MARIANA ISLANDS
                  MP/LAB=LABORATORIES
                  MP/UNK=UNKNOWN
                  MS/001=MISSISSIPPI

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 16
          Portable X-Ray Supplier, CATEGORY = "07" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  MS/LAB=LABORATORIES
                  MS/UNK=UNKNOWN
                  MT/001=MONTANA
                  MT/LAB=LABORATORIES
                  MT/UNK=UNKNOWN
                  MX/001=MEXICO
                  MX/LAB=LABORATORY
                  MX/UNK=UNKNOWN
                  NC/LAB=LABORATORIES
                  NC/NCC=NORTH CAROLINA CENTRAL
                  NC/NCE=NORTH CAROLINA EAST
                  NC/NCN=NORTH CAROLINA NORTH
                  NC/NCS=NORTH CAROLINA SOUTH
                  NC/NCW=NORTH CAROLINA WEST
                  NC/UNK=UNKNOWN
                  ND/001=NORTH DAKOTA
                  ND/LAB=LABORATORIES
                  ND/UNK=UNKNOWN
                  NE/1=NORTH CENTRAL
                  NE/2=CENTRAL
                  NE/3=NORTHEAST
                  NE/4=SOUTHEAST
                  NE/5=WESTERN
                  NE/LAB=LABORATORIES
                  NE/UNK=UNKNOWN
                  NH/001=NEW HAMPSHIRE
                  NH/LAB=LABORATORIES
                  NH/UNK=UNKNOWN
                  NJ/001=NEW JERSEY
                  NJ/LAB=LABORATORIES
                  NJ/UNK=UNKNOWN
                  NM/001=NEW MEXICO
                  NM/LAB=LABORATORIES
                  NM/UNK=UNKNOWN
                  NV/CC=CARSON CITY
                  NV/LAB=LABORATORIES
                  NV/LV=LAS VEGAS
                  NV/UNK=UNKNOWN
                  NY/001=BUFFALO
                  NY/002=ROCHESTER
                  NY/003=SYRACUSE
                  NY/004=ALBANY
                  NY/005=NEW ROCHELLE
                  NY/006=NEW YORK CITY
                  NY/007=SUFFOLK/NASSAU COUNTY
                  NY/LAB=LABORATORIES
                  NY/UNK=UNKNOWN
                  OH/001=OHIO
                  OH/LAB=LABORATORIES
                  OH/UNK=UNKNOWN
                  OK/001=OKLAHOMA
                  OK/LAB=LABORATORIES
                  OK/UNK=UNKNOWN
                  OR/001=OFFICE #1
                  OR/002=OFFICE #2
                  OR/003=OFFICE #3
                  OR/LAB=LABORATORIES
                  OR/UNK=UNKNOWN
                  PA/001=PENNSYLVANIA
                  PA/LAB=LABORATORIES
                  PA/UNK=UNKNOWN
                  PR/001=PUERTO RICO
                  PR/LAB=LABORATORIES
                  PR/UNK=UNKNOWN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 17
          Portable X-Ray Supplier, CATEGORY = "07" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  PW/001=PALAU
                  RI/001=RHODE ISLAND
                  RI/LAB=LABORATORIES
                  RI/UNK=UNKNOWN
                  SC/001=SOUTH CAROLINA
                  SC/LAB=LABORATORIES
                  SC/UNK=UNKNOWN
                  SD/001=SOUTH DAKOTA
                  SD/LAB=LABORATORIES
                  SD/UNK=UNKNOWN
                  TN/LAB=LABORATORIES
                  TN/TNC=TENNESSEE COOKEVILLE
                  TN/TNE=TENNESSEE EASTERN
                  TN/TNM=TENNESSEE MIDDLE
                  TN/TNW=TENNESSEE WESTERN
                  TN/UNK=UNKNOWN
                  TX/001=TEXAS
                  TX/L01=AMARILLO-LTC
                  TX/L02=ABILENE-LTC
                  TX/L03=ARLINGTON-LTC
                  TX/L04=TYLER-LTC
                  TX/L05=BEAUMONT-LTC
                  TX/L06=HOUSTON-LTC
                  TX/L07=TEMPLE-LTC
                  TX/L08=SAN ANTONIO-LTC
                  TX/L09=SAN ANGELO-LTC
                  TX/L10=EL PASO-LTC
                  TX/L11=CORPUS CHRISTI-LTC
                  TX/LAB=LABORATORIES
                  TX/TX1=LUBBOCK
                  TX/TX2=ARLINGTON
                  TX/TX3=SAN ANTONIO
                  TX/TX4=HOUSTON
                  TX/TX5=TYLER
                  TX/TX6=AUSTIN
                  TX/UNK=UNKNOWN
                  UT/001=UTAH
                  UT/LAB=LABORATORIES
                  UT/UNK=UNKNOWN
                  VA/001=VIRGINIA
                  VA/LAB=LABORATORIES
                  VA/UNK=UNKNOWN
                  VI/001=VIRGIN ISLANDS
                  VI/LAB=LABORATORIES
                  VI/UNK=UNKNOWN
                  VT/001=VERMONT
                  VT/LAB=LABORATORIES
                  VT/UNK=UNKNOWN
                  WA/001=ALL OTHERS (NON-LTC FAC)
                  WA/D1=SPOKANE & YAKIMA AREAS
                  WA/D1A=District 1, Unit A
                  WA/D1B=District 1, Unit B
                  WA/D1C=District 1, Unit C
                  WA/D1D=District 1, Unit D
                  WA/D2=SPOKANE & SE
                  WA/D2A=District 2, Unit A
                  WA/D2B=District 2, Unit B
                  WA/D2C=District 2, Unit C
                  WA/D2D=District 2, Unit D
                  WA/D2E=District 2, Unit E
                  WA/D2F=District 2, Unit F
                  WA/D2G=District 2, Unit G
                  WA/D3=NW WASHINGTON
                  WA/D3A=District 3, Unit A

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 18
          Portable X-Ray Supplier, CATEGORY = "07" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  WA/D3B=District 3, Unit B
                  WA/D3C=District 3, Unit C
                  WA/D3D=District 3, Unit D
                  WA/D3E=District 3, Unit E
                  WA/D4A=GREATER SEATTLE AREA
                  WA/D4B=S KING COUNTY
                  WA/D5A=PIERCE CTY & PENINSULA
                  WA/D5B=PIERCE CTY & GRAYS HARBOR
                  WA/D6=OLYMPIA AREA
                  WA/LAB=LABORATORIES
                  WA/UNK=UNKNOWN
                  WI/001=WISCONSIN
                  WI/LAB=LABORATORIES
                  WI/UNK=UNKNOWN
                  WV/001=WEST VIRGINIA
                  WV/LAB=LABORATORIES
                  WV/UNK=UNKNOWN
                  WY/001=WYOMING
                  WY/LAB=LABORATORIES
                  WY/UNK=UNKNOWN

   Street Address                                    50   179   228  VARCHAR2
     Description: Street address of a provider that is certified to provide
                  Medicare and/or Medicaid services.
     SAS Name:    ST_ADR
     COBOL Name:  ST-ADR

   Telephone Number                                  10   229   238  VARCHAR2
     Description: The 10-digit telephone number of the primary contact or
                  the operator of a provider.
     SAS Name:    PHNE_NUM
     COBOL Name:  PHNE-NUM

   Termination Code 1                                2    239   240  VARCHAR2
     Description: Termination code number one: the reason a facility has
                  been terminated from the CLIA, Medicare and/or Medicaid
                  programs.
     SAS Name:    PGM_TRMNTN_CD
     COBOL Name:  PGM-TRMNTN-CD
     VALUES:      00=ACTIVE PROVIDER
                  01=VOLUNTARY-MERGER, CLOSURE
                  02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT
                  03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION
                  04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL
                  05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ
                  06=INVOLUNTARY-FAILURE TO MEET AGREEMENT
                  07=OTHER-PROVIDER STATUS CHANGE
                  08=NONPAYMENT OF FEES - CLIA Only
                  09=REV/UNSUCCESSFUL PARTICIPATION IN PT - CLIA Only
                  10=REV/OTHER REASON - CLIA Only
                  11=INCMPLETE CLIA APPLICATION INFORMATION - CLIA Only
                  12=NO LONGER PERFORMING TESTS - CLIA Only
                  13=MULTIPLE TO SINGLE SITE CERTIFICATE - CLIA Only
                  14=SHARED LABORATORY - CLIA Only
                  15=FAILURE TO RENEW WAIVER PPM CERTIFICATE - CLIA Only
                  16=DUPLICATE CLIA NUMBER - CLIA Only
                  17=MAIL RETURNED NO FORWARD ADDRESS CERT ENDED - CLIA Only
                  20=NOTIFICATION BANKRUPTCY - CLIA Only
                  33=ACCREDITATION NOT CONFIRMED - CLIA Only
                  80=AWAITING STATE APPROVAL
                  99=OIG ACTION - DO NOT ACTIVATE - CLIA Only

   Termination Date / Expiration Date 1              8    241   248  DATE
     Description: The date the laboratory's certificate terminated or the

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 19
          Portable X-Ray Supplier, CATEGORY = "07" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  expiration date of the current CLIA certificate. For
                  other non-CLIA providers, it is the date the facility was
                  terminated.
     SAS Name:    TRMNTN_EXPRTN_DT
     COBOL Name:  TRMNTN-EXPRTN-DT

   Type of Action                                    1    249   249  VARCHAR2
     Description: Type of action on the 'official' survey record.  This
                  field is copied from type of action on the HCFA-1539,
                  certification and transmittal.
     SAS Name:    SRVY_PRPSE_CD
     COBOL Name:  SRVY-PRPSE-CD
     VALUES:      1=INITIAL
                  2=RECERTIFICATION
                  3=TERMINATION
                  4=CHANGE OF OWNERSHIP
                  5=VALIDATION
                  6=ONSITE SURVEY DUE TO FLEXIBLE SURVEY - CLIA Only
                  8=FULL SURVEY AFTER COMPLAINT - CLIA ONLY

   General Type of Control Code                      2    250   251  VARCHAR2
     Description: Indicates the nature of the organization that operates a
                  provider of services.
     SAS Name:    GNRL_CNTL_TYPE_CD
     COBOL Name:  GNRL-CNTL-TYPE-CD
     VALUES:      01=INDIVIDUAL
                  02=PARTNERSHIP
                  03=CORPORATION
                  04=OTHER THAN PRIVATE

   ZIP Code                                          5    252   256  VARCHAR2
     Description: The five-digit postal code for the provider.
     SAS Name:    ZIP_CD
     COBOL Name:  ZIP-CD

   FIPS State Code                                   2    257   258  VARCHAR2
     Description: FIPS State Code
     SAS Name:    FIPS_STATE_CD
     COBOL Name:  FIPS-STATE-CD

   FIPS County Code                                  3    259   261  VARCHAR2
     Description: FIPS County Code
     SAS Name:    FIPS_CNTY_CD
     COBOL Name:  FIPS-CNTY-CD

   CBSA Urban Rural Indicator                        1    262   262  VARCHAR2
     Description: CBSA (Core Based Statistical Area) indicates whether the
                  county is defined as Urban or Rural.
     SAS Name:    CBSA_URBN_RRL_IND
     COBOL Name:  CBSA-URBN-RRL-IND

   Director Qualifications                           1    587   587  VARCHAR2
     Description: Indicates the qualifications of the director of a
                  supplier of portable X-ray services.
     SAS Name:    DRCTR_QUALN_CD
     COBOL Name:  DRCTR-QUALN-CD
     VALUES:      1=PHYSICIAN
                  2=PHD/SCD
                  3=MS/MA
                  4=BS/BA
                  5=OTHER

   Fiscal Year Ending Date                           4    613   616  VARCHAR2
     Description: The ending date (month and day) of a facility's fiscal

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 20
          Portable X-Ray Supplier, CATEGORY = "07" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  year.
     SAS Name:    FY_END_MO_DAY_CD
     COBOL Name:  FY-END-MO-DAY-CD

   Other Personnel                                   7    1105  1111 NUMBER
     Description: The number of full-time equivalent other salaried
                  personnel employed by a facility.
     SAS Name:    PRSNEL_OTHR_CNT
     COBOL Name:  PRSNEL-OTHR-CNT

   Technologists - 2 Year Radiology                  7    4088  4094 NUMBER
     Description: The number of full-time equivalent technologists employed
                  by a portable x-ray provider who are graduates of a
                  two-year approved school of radiologic technology.
     SAS Name:    TCHNLGST_2_YR_RDLGC_CNT
     COBOL Name:  TCHNLGST-2-YR-RDLGC-CNT

   Technologists - Associate Degree                  7    4096  4102 NUMBER
     Description: The number of technologists with associate degrees in
                  radiologic technology.
     SAS Name:    TCHNLGST_ASCT_DGR_CNT
     COBOL Name:  TCHNLGST-ASCT-DGR-CNT

   Technologists - BS/BA Degree                      7    4104  4110 NUMBER
     Description: Number of technologists with Bachelor of Science (BS) or
                  Bachelor of Arts (BA) degrees in radiologic technology.
     SAS Name:    TCHNLGST_BS_BA_DGR_CNT
     COBOL Name:  TCHNLGST-BS-BA-DGR-CNT





































 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 1
  Outpatient Physical Therapy/Speech Pathology, CATEGORY = "08" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Provider Category Subtype Code                    2    1     2    VARCHAR2
     Description: This field is used mainly by batch report programs to
                  determine the breakdown of the provider category. This
                  field is mainly used for SNFs and hospitals.
     SAS Name:    PRVDR_CTGRY_SBTYP_CD
     COBOL Name:  PRVDR-CTGRY-SBTYP-CD
     VALUES:      01=OPT OR SPECH PATHOLOGY

   Provider Category Code                            2    3     4    VARCHAR2
     Description: This code identifies the category which is most
                  descriptive of the facility identified on the
                  Medicare/Medicaid Certification and Transmittal Form (CMS
                  1539).
     SAS Name:    PRVDR_CTGRY_CD
     COBOL Name:  PRVDR-CTGRY-CD
     VALUES:      08=Outpatient Physical Therapy/Speech Pathology

   Change of Ownership Count                         2    5     6    NUMBER
     Description: The number of times a change of ownership (CHOW) has
                  taken place for a particular provider.
     SAS Name:    CHOW_CNT
     COBOL Name:  CHOW-CNT

   Change of Ownership Date                          8    7     14   DATE
     Description: Effective date of a change of ownership.
     SAS Name:    CHOW_DT
     COBOL Name:  CHOW-DT

   City                                              28   15    42   VARCHAR2
     Description: City in which the provider is physically located.
     SAS Name:    CITY_NAME
     COBOL Name:  CITY-NAME

   Compliance: Plan of Correction                    1    43    43   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements based on an acceptable plan for correction
                  of deficiencies.
     SAS Name:    ACPTBL_POC_SW
     COBOL Name:  ACPTBL-POC-SW

   Compliance: Status                                1    44    44   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements.
     SAS Name:    CMPLNC_STUS_CD
     COBOL Name:  CMPLNC-STUS-CD
     VALUES:      A=IN COMPLIANCE
                  B=NOT IN COMPLIANCE

   SSA County Code                                   3    45    47   VARCHAR2
     Description: SSA (State Survey Agency) geographic code indicating the
                  county where the facility is located.
     SAS Name:    SSA_CNTY_CD
     COBOL Name:  SSA-CNTY-CD

   Cross Ref Provider Number                         10   48    57   CHAR
     Description: Cross reference provider number
     SAS Name:    CROSS_RFRNC_PRVDR_NUM
     COBOL Name:  CROSS-RFRNC-PRVDR-NUM

   Certification Date                                8    58    65   DATE
     Description: The Certification date is equal to the exit date of the
                  initial visit of the Health survey or LSC survey,

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 2
  Outpatient Physical Therapy/Speech Pathology, CATEGORY = "08" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  whichever is later.
     SAS Name:    CRTFCTN_DT
     COBOL Name:  CRTFCTN-DT

   Eligibility Switch                                1    66    66   VARCHAR2
     Description: Indicates if a facility is eligible to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    ELGBLTY_SW
     COBOL Name:  ELGBLTY-SW

   Facility Name                                     50   67    116  VARCHAR2
     Description: The name of a provider certified to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    FAC_NAME
     COBOL Name:  FAC-NAME

   Intermediary Carrier Code                         5    117   121  VARCHAR2
     Description: A number assigned to an intermediary or carrier servicing
                  a provider or supplier. Not all numbers apply to all
                  provider types.
     SAS Name:    INTRMDRY_CARR_CD
     COBOL Name:  INTRMDRY-CARR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 3
  Outpatient Physical Therapy/Speech Pathology, CATEGORY = "08" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 4
  Outpatient Physical Therapy/Speech Pathology, CATEGORY = "08" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 5
  Outpatient Physical Therapy/Speech Pathology, CATEGORY = "08" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 6
  Outpatient Physical Therapy/Speech Pathology, CATEGORY = "08" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Medicare or Medicaid Vendor Number                15   122   136  VARCHAR2
     Description: A number which may be assigned to a facility by the state
                  Medicaid agency for external control or billing purposes.
     SAS Name:    MDCD_VNDR_NUM
     COBOL Name:  MDCD-VNDR-NUM

   Participation Date                                8    137   144  DATE
     Description: The date a facility is first approved to provide Medicare
                  and/or Medicaid services.
     SAS Name:    ORGNL_PRTCPTN_DT
     COBOL Name:  ORGNL-PRTCPTN-DT

   Prior Change of Ownership Date                    8    145   152  DATE
     Description: The date of a prior change of ownership.
     SAS Name:    CHOW_PRIOR_DT
     COBOL Name:  CHOW-PRIOR-DT

   Intermediary Carrier Prior Code                   5    153   157  VARCHAR2
     Description: The previous intermediary carrier number.
     SAS Name:    INTRMDRY_CARR_PRIOR_CD
     COBOL Name:  INTRMDRY-CARR-PRIOR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 7
  Outpatient Physical Therapy/Speech Pathology, CATEGORY = "08" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 8
  Outpatient Physical Therapy/Speech Pathology, CATEGORY = "08" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 9
  Outpatient Physical Therapy/Speech Pathology, CATEGORY = "08" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 10
  Outpatient Physical Therapy/Speech Pathology, CATEGORY = "08" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Provider Number                                   10   158   167  VARCHAR2
     Description: A six or ten position identification number that is
                  assigned to a certified provider.
     SAS Name:    PRVDR_NUM
     COBOL Name:  PRVDR-NUM

   Record Status Code                                1    168   168  VARCHAR2
     Description: This indicator specifies the current status of the
                  record.
     SAS Name:    REC_STUS_CD
     COBOL Name:  REC-STUS-CD
     VALUES:      A=ACCEPTED RECORD
                  C=COMPLAINT RECORD

   Region Code                                       2    169   170  VARCHAR2
     Description: The regional location of the provider.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 11
  Outpatient Physical Therapy/Speech Pathology, CATEGORY = "08" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    RGN_CD
     COBOL Name:  RGN-CD
     VALUES:      01=BOSTON
                  02=NEW YORK
                  03=PHILADELPHIA
                  04=ATLANTA
                  05=CHICAGO
                  06=DALLAS
                  07=KANSAS CITY
                  08=DENVER
                  09=SAN FRANCISCO
                  10=SEATTLE

   Skeleton Record Switch                            1    171   171  VARCHAR2
     Description: Indicates the record is a skeleton record.  Only a
                  limited set of the provider data is available for this
                  provider.
     SAS Name:    SKLTN_REC_SW
     COBOL Name:  SKLTN-REC-SW

   State Abbreviation                                2    172   173  VARCHAR2
     Description: The two-character state abbreviation.
     SAS Name:    STATE_CD
     COBOL Name:  STATE-CD
     VALUES:      AK=ALASKA
                  AL=ALABAMA
                  AR=ARKANSAS
                  AS=AMERICAN SAMOA
                  AZ=ARIZONA
                  CA=CALIFORNIA
                  CN=CANADA
                  CO=COLORADO
                  CT=CONNECTICUT
                  DC=DISTRICT OF COLUMBIA
                  DE=DELAWARE
                  FL=FLORIDA
                  FN=FOREIGN
                  GA=GEORGIA
                  GU=GUAM
                  HI=HAWAII
                  IA=IOWA
                  ID=IDAHO
                  IL=ILLINOIS
                  IN=INDIANA
                  KS=KANSAS
                  KY=KENTUCKY
                  LA=LOUISIANA
                  MA=MASSACHUSETTS
                  MD=MARYLAND
                  ME=MAINE
                  MI=MICHIGAN
                  MN=MINNESOTA
                  MO=MISSOURI
                  MP=SAIPAN
                  MS=MISSISSIPPI
                  MT=MONTANA
                  MX=MEXICO
                  NC=NORTH CAROLINA
                  ND=NORTH DAKOTA
                  NE=NEBRASKA
                  NH=NEW HAMPSHIRE
                  NJ=NEW JERSEY
                  NM=NEW MEXICO

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 12
  Outpatient Physical Therapy/Speech Pathology, CATEGORY = "08" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  NV=NEVADA
                  NY=NEW YORK
                  OH=OHIO
                  OK=OKLAHOMA
                  OR=OREGON
                  PA=PENNSYLVANIA
                  PR=PUERTO RICO
                  RI=RHODE ISLAND
                  SC=SOUTH CAROLINA
                  SD=SOUTH DAKOTA
                  TN=TENNESSEE
                  TX=TEXAS
                  UT=UTAH
                  VA=VIRGINIA
                  VI=VIRGIN ISLANDS
                  VT=VERMONT
                  WA=WASHINGTON
                  WI=WISCONSIN
                  WV=WEST VIRGINIA
                  WY=WYOMING

   SSA State Code                                    2    174   175  VARCHAR2
     Description: SSA (Social Security Administration) geographic code
                  indicating the state of the provider's residence. Must
                  agree with the first two positions of the Provider number
                  (except California: 05 and 55; Texas: 45 and 67; FL: 10
                  and 68; MD: 21 and 80).
     SAS Name:    SSA_STATE_CD
     COBOL Name:  SSA-STATE-CD
     VALUES:      01=ALABAMA
                  02=ALASKA
                  03=ARIZONA
                  04=ARKANSAS
                  05=CALIFORNIA
                  06=COLORADO
                  07=CONNECTICUT
                  08=DELAWARE
                  09=DISTRICT OF COLUMBIA
                  10=FLORIDA
                  11=GEORGIA
                  12=HAWAII
                  13=IDAHO
                  14=ILLINOIS
                  15=INDIANA
                  16=IOWA
                  17=KANSAS
                  18=KENTUCKY
                  19=LOUISIANA
                  20=MAINE
                  21=MARYLAND
                  22=MASSACHUSETTS
                  23=MICHIGAN
                  24=MINNESOTA
                  25=MISSISSIPPI
                  26=MISSOURI
                  27=MONTANA
                  28=NEBRASKA
                  29=NEVADA
                  30=NEW HAMPSHIRE
                  31=NEW JERSEY
                  32=NEW MEXICO
                  33=NEW YORK
                  34=NORTH CAROLINA

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 13
  Outpatient Physical Therapy/Speech Pathology, CATEGORY = "08" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  35=NORTH DAKOTA
                  36=OHIO
                  37=OKLAHOMA
                  38=OREGON
                  39=PENNSYLVANIA
                  40=PUERTO RICO
                  41=RHODE ISLAND
                  42=SOUTH CAROLINA
                  43=SOUTH DAKOTA
                  44=TENNESSEE
                  45=TEXAS
                  46=UTAH
                  47=VERMONT
                  48=VIRGIN ISLANDS
                  49=VIRGINIA
                  50=WASHINGTON
                  51=WEST VIRGINIA
                  52=WISCONSIN
                  53=WYOMING
                  54=AFRICA
                  56=CANADA
                  57=WEST INDIES
                  58=EUROPE
                  59=MEXICO
                  60=OCEANIA
                  61=PHILIPPINES
                  62=SOUTH AMERICA
                  63=UNITED STATES POSSESSIONS
                  64=AMERICAN SAMOA
                  65=GUAM
                  66=SAIPAN
                  99=FOREIGN

   State Region Code                                 3    176   178  VARCHAR2
     Description: For selected states, identifies the particular region
                  within the state where the provider is located.
     SAS Name:    STATE_RGN_CD
     COBOL Name:  STATE-RGN-CD
     VALUES:      AK/001=ALASKA
                  AK/LAB=LABORATORIES
                  AK/UNK=UNKNOWN
                  AL/001=ALABAMA
                  AL/LAB=LABORATORIES
                  AL/UNK=UNKNOWN
                  AR/001=ARKANSAS
                  AR/LAB=LABORATORIES
                  AR/UNK=UNKNOWN
                  AS/001=AMERICAN SAMOA
                  AS/LAB=LABORATORY
                  AS/UNK=UNKNOWN
                  AZ/AZ=PHOENIX
                  AZ/LAB=ARIZONA LAB
                  AZ/TUC=TUCSON
                  AZ/UNK=UNKNOWN
                  CA/BAK=BAKERSFIELD
                  CA/BER=SAN BERNARDINO
                  CA/BK=BERKELEY
                  CA/BK1=CONTRA COSTA
                  CA/FR=FRESNO
                  CA/L1=L.A. WEST
                  CA/L2=L.A. NORTH
                  CA/L3=L.A. CENTRAL
                  CA/L4=L.A. EAST

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 14
  Outpatient Physical Therapy/Speech Pathology, CATEGORY = "08" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  CA/L5=SAN GABRIEL
                  CA/LAB=LABORATORIES
                  CA/M1=LAB. SOUTH
                  CA/M2=LAB. NORTH
                  CA/ORG=ORANGE CO
                  CA/RIV=RIVERSIDE
                  CA/RWC=REDWOOD COAST
                  CA/S1=SACRAMENTO
                  CA/S2=SACTO SOUTH
                  CA/S3=CHICO
                  CA/SD=SAN DIEGO
                  CA/SDS=SAN DIEGO SOUTH
                  CA/SF=SAN FRANCISCO
                  CA/SJ=SAN JOSE
                  CA/SR=SANTA ROSA
                  CA/UNK=UNKNOWN
                  CA/VEN=VENTURA
                  CN/001=CANADA
                  CN/LAB=LABORATORY
                  CN/UNK=UNKNOWN
                  CO/001=COLORADO
                  CO/LAB=LABORATORIES
                  CO/UNK=UNKNOWN
                  CT/001=CONNECTICUT
                  CT/LAB=LABORATORIES
                  CT/UNK=UNKNOWN
                  DC/001=DISTRICT OF COLUMBIA
                  DC/LAB=LABORATORIES
                  DC/UNK=UNKNOWN
                  DE/001=DELAWARE
                  DE/LAB=LABORATORIES
                  DE/UNK=UNKNOWN
                  FL/FTM=FT. MYERS
                  FL/GAI=GAINESVILLE
                  FL/JAX=JACKSONVILLE
                  FL/LAB=LABORATORIES
                  FL/LAN=LANTANA
                  FL/LAU=LAUDERHILL
                  FL/MIA=MIAMI
                  FL/ORL=ORLANDO
                  FL/PEN=PENSACOLA
                  FL/STP=ST. PETERSBURG
                  FL/TAL=TALLAHASSEE
                  FL/TAM=TAMPA
                  FL/UNK=UNKNOWN
                  FM/001=FEDERATED STATES OF MICRO
                  FN/001=FOREIGN
                  FN/LAB=LABORATORIES
                  FN/UNK=UNKNOWN
                  GA/001=GEORGIA
                  GA/GAA=GEORGIA ALL
                  GA/GAC=GEORGIA CENTRAL
                  GA/GAE=GEORGIA EASTERN
                  GA/GAN=GEORGIA NORTH
                  GA/GAS=GEORGIA SOUTH
                  GA/GAW=GEORGIA WESTERN
                  GA/LAB=LABORATORIES
                  GA/UNK=UNKNOWN
                  GU/001=GUAM
                  GU/LAB=LABORATORIES
                  GU/UNK=UNKNOWN
                  HI/001=HAWAII
                  HI/LAB=LABORATORIES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 15
  Outpatient Physical Therapy/Speech Pathology, CATEGORY = "08" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  HI/UNK=UNKNOWN
                  IA/001=IOWA
                  IA/LAB=LABORATORIES
                  IA/UNK=UNKNOWN
                  ID/001=IDAHO
                  ID/LAB=LABORATORIES
                  ID/UNK=UNKNOWN
                  IL/001=ILLINOIS
                  IL/LAB=LABORATORIES
                  IL/UNK=UNKNOWN
                  IN/001=INDIANA
                  IN/LAB=LABORATORIES
                  IN/UNK=UNKNOWN
                  KS/LAB=LABORATORIES
                  KS/LAW=LAWRENCE
                  KS/NC=NORTH CENTRAL KANSAS
                  KS/NE=NORTH EAST KANSAS
                  KS/NW=NORTH WEST KANSAS
                  KS/SC=SOUTH CENTRAL KANSAS
                  KS/SE=SOUTH EAST KANSAS
                  KS/SW=SOUTH WEST KANSAS
                  KS/UNK=UNKNOWN
                  KS/WST=WEST
                  KY/2C1=HOPKINSVILLE
                  KY/2C2=LOUISVILLE
                  KY/2C3=LONDON
                  KY/2C4=LEXINGTON
                  KY/LAB=LABORATORIES
                  KY/UNK=UNKNOWN
                  LA/001=LOUISIANA
                  LA/LA1=NEW ORLEANS
                  LA/LA2=MANDEVILLE
                  LA/LA3=LAFAYETTE
                  LA/LA4=MONROE
                  LA/LA5=SHREVEPORT
                  LA/LA6=ALEXANDRIA
                  LA/LAB=LABORATORIES
                  LA/LB1=CLIA NEW ORLEANS
                  LA/LB5=CLIA SHREVEPORT
                  LA/LB6=CLIA ALEXANDRIA
                  LA/UNK=UNKNOWN
                  MA/001=MASSACHUSETTS
                  MA/LAB=LABORATORIES
                  MA/UNK=UNKNOWN
                  MD/001=MARYLAND
                  MD/LAB=LABORATORIES
                  MD/UNK=UNKNOWN
                  ME/001=MAINE
                  ME/LAB=LABORATORIES
                  ME/UNK=UNKNOWN
                  MH/001=MARSHALL ISLANDS
                  MI/001=MICHIGAN
                  MI/LAB=LABORATORIES
                  MI/UNK=UNKNOWN
                  MN/001=MINNESOTA
                  MN/LAB=LABORATORIES
                  MN/UNK=UNKNOWN
                  MO/01=REGION01
                  MO/02=REGION02
                  MO/03=REGION 03
                  MO/04=REGION 04
                  MO/05=REGION 05
                  MO/06=REGION 06

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 16
  Outpatient Physical Therapy/Speech Pathology, CATEGORY = "08" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  MO/07=REGION 07
                  MO/1NH=REGION 1 NH
                  MO/2NH=REGION 2 NH
                  MO/3NH=REGION 3 NH
                  MO/4NH=REGION 4 NH
                  MO/5NH=REGION 5 NH
                  MO/6NH=REGION 6 NH
                  MO/7NH=REGION 7 NH
                  MO/LAB=LABORATORIES
                  MO/MO=STATEWIDE
                  MO/UNK=UNKNOWN
                  MP/001=NORTHERN MARIANA ISLANDS
                  MP/LAB=LABORATORIES
                  MP/UNK=UNKNOWN
                  MS/001=MISSISSIPPI
                  MS/LAB=LABORATORIES
                  MS/UNK=UNKNOWN
                  MT/001=MONTANA
                  MT/LAB=LABORATORIES
                  MT/UNK=UNKNOWN
                  MX/001=MEXICO
                  MX/LAB=LABORATORY
                  MX/UNK=UNKNOWN
                  NC/LAB=LABORATORIES
                  NC/NCC=NORTH CAROLINA CENTRAL
                  NC/NCE=NORTH CAROLINA EAST
                  NC/NCN=NORTH CAROLINA NORTH
                  NC/NCS=NORTH CAROLINA SOUTH
                  NC/NCW=NORTH CAROLINA WEST
                  NC/UNK=UNKNOWN
                  ND/001=NORTH DAKOTA
                  ND/LAB=LABORATORIES
                  ND/UNK=UNKNOWN
                  NE/1=NORTH CENTRAL
                  NE/2=CENTRAL
                  NE/3=NORTHEAST
                  NE/4=SOUTHEAST
                  NE/5=WESTERN
                  NE/LAB=LABORATORIES
                  NE/UNK=UNKNOWN
                  NH/001=NEW HAMPSHIRE
                  NH/LAB=LABORATORIES
                  NH/UNK=UNKNOWN
                  NJ/001=NEW JERSEY
                  NJ/LAB=LABORATORIES
                  NJ/UNK=UNKNOWN
                  NM/001=NEW MEXICO
                  NM/LAB=LABORATORIES
                  NM/UNK=UNKNOWN
                  NV/CC=CARSON CITY
                  NV/LAB=LABORATORIES
                  NV/LV=LAS VEGAS
                  NV/UNK=UNKNOWN
                  NY/001=BUFFALO
                  NY/002=ROCHESTER
                  NY/003=SYRACUSE
                  NY/004=ALBANY
                  NY/005=NEW ROCHELLE
                  NY/006=NEW YORK CITY
                  NY/007=SUFFOLK/NASSAU COUNTY
                  NY/LAB=LABORATORIES
                  NY/UNK=UNKNOWN
                  OH/001=OHIO

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 17
  Outpatient Physical Therapy/Speech Pathology, CATEGORY = "08" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  OH/LAB=LABORATORIES
                  OH/UNK=UNKNOWN
                  OK/001=OKLAHOMA
                  OK/LAB=LABORATORIES
                  OK/UNK=UNKNOWN
                  OR/001=OFFICE #1
                  OR/002=OFFICE #2
                  OR/003=OFFICE #3
                  OR/LAB=LABORATORIES
                  OR/UNK=UNKNOWN
                  PA/001=PENNSYLVANIA
                  PA/LAB=LABORATORIES
                  PA/UNK=UNKNOWN
                  PR/001=PUERTO RICO
                  PR/LAB=LABORATORIES
                  PR/UNK=UNKNOWN
                  PW/001=PALAU
                  RI/001=RHODE ISLAND
                  RI/LAB=LABORATORIES
                  RI/UNK=UNKNOWN
                  SC/001=SOUTH CAROLINA
                  SC/LAB=LABORATORIES
                  SC/UNK=UNKNOWN
                  SD/001=SOUTH DAKOTA
                  SD/LAB=LABORATORIES
                  SD/UNK=UNKNOWN
                  TN/LAB=LABORATORIES
                  TN/TNC=TENNESSEE COOKEVILLE
                  TN/TNE=TENNESSEE EASTERN
                  TN/TNM=TENNESSEE MIDDLE
                  TN/TNW=TENNESSEE WESTERN
                  TN/UNK=UNKNOWN
                  TX/001=TEXAS
                  TX/L01=AMARILLO-LTC
                  TX/L02=ABILENE-LTC
                  TX/L03=ARLINGTON-LTC
                  TX/L04=TYLER-LTC
                  TX/L05=BEAUMONT-LTC
                  TX/L06=HOUSTON-LTC
                  TX/L07=TEMPLE-LTC
                  TX/L08=SAN ANTONIO-LTC
                  TX/L09=SAN ANGELO-LTC
                  TX/L10=EL PASO-LTC
                  TX/L11=CORPUS CHRISTI-LTC
                  TX/LAB=LABORATORIES
                  TX/TX1=LUBBOCK
                  TX/TX2=ARLINGTON
                  TX/TX3=SAN ANTONIO
                  TX/TX4=HOUSTON
                  TX/TX5=TYLER
                  TX/TX6=AUSTIN
                  TX/UNK=UNKNOWN
                  UT/001=UTAH
                  UT/LAB=LABORATORIES
                  UT/UNK=UNKNOWN
                  VA/001=VIRGINIA
                  VA/LAB=LABORATORIES
                  VA/UNK=UNKNOWN
                  VI/001=VIRGIN ISLANDS
                  VI/LAB=LABORATORIES
                  VI/UNK=UNKNOWN
                  VT/001=VERMONT
                  VT/LAB=LABORATORIES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 18
  Outpatient Physical Therapy/Speech Pathology, CATEGORY = "08" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  VT/UNK=UNKNOWN
                  WA/001=ALL OTHERS (NON-LTC FAC)
                  WA/D1=SPOKANE & YAKIMA AREAS
                  WA/D1A=District 1, Unit A
                  WA/D1B=District 1, Unit B
                  WA/D1C=District 1, Unit C
                  WA/D1D=District 1, Unit D
                  WA/D2=SPOKANE & SE
                  WA/D2A=District 2, Unit A
                  WA/D2B=District 2, Unit B
                  WA/D2C=District 2, Unit C
                  WA/D2D=District 2, Unit D
                  WA/D2E=District 2, Unit E
                  WA/D2F=District 2, Unit F
                  WA/D2G=District 2, Unit G
                  WA/D3=NW WASHINGTON
                  WA/D3A=District 3, Unit A
                  WA/D3B=District 3, Unit B
                  WA/D3C=District 3, Unit C
                  WA/D3D=District 3, Unit D
                  WA/D3E=District 3, Unit E
                  WA/D4A=GREATER SEATTLE AREA
                  WA/D4B=S KING COUNTY
                  WA/D5A=PIERCE CTY & PENINSULA
                  WA/D5B=PIERCE CTY & GRAYS HARBOR
                  WA/D6=OLYMPIA AREA
                  WA/LAB=LABORATORIES
                  WA/UNK=UNKNOWN
                  WI/001=WISCONSIN
                  WI/LAB=LABORATORIES
                  WI/UNK=UNKNOWN
                  WV/001=WEST VIRGINIA
                  WV/LAB=LABORATORIES
                  WV/UNK=UNKNOWN
                  WY/001=WYOMING
                  WY/LAB=LABORATORIES
                  WY/UNK=UNKNOWN

   Street Address                                    50   179   228  VARCHAR2
     Description: Street address of a provider that is certified to provide
                  Medicare and/or Medicaid services.
     SAS Name:    ST_ADR
     COBOL Name:  ST-ADR

   Telephone Number                                  10   229   238  VARCHAR2
     Description: The 10-digit telephone number of the primary contact or
                  the operator of a provider.
     SAS Name:    PHNE_NUM
     COBOL Name:  PHNE-NUM

   Termination Code 1                                2    239   240  VARCHAR2
     Description: Termination code number one: the reason a facility has
                  been terminated from the CLIA, Medicare and/or Medicaid
                  programs.
     SAS Name:    PGM_TRMNTN_CD
     COBOL Name:  PGM-TRMNTN-CD
     VALUES:      00=ACTIVE PROVIDER
                  01=VOLUNTARY-MERGER, CLOSURE
                  02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT
                  03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION
                  04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL
                  05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ
                  06=INVOLUNTARY-FAILURE TO MEET AGREEMENT

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 19
  Outpatient Physical Therapy/Speech Pathology, CATEGORY = "08" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  07=OTHER-PROVIDER STATUS CHANGE
                  08=NONPAYMENT OF FEES - CLIA Only
                  09=REV/UNSUCCESSFUL PARTICIPATION IN PT - CLIA Only
                  10=REV/OTHER REASON - CLIA Only
                  11=INCMPLETE CLIA APPLICATION INFORMATION - CLIA Only
                  12=NO LONGER PERFORMING TESTS - CLIA Only
                  13=MULTIPLE TO SINGLE SITE CERTIFICATE - CLIA Only
                  14=SHARED LABORATORY - CLIA Only
                  15=FAILURE TO RENEW WAIVER PPM CERTIFICATE - CLIA Only
                  16=DUPLICATE CLIA NUMBER - CLIA Only
                  17=MAIL RETURNED NO FORWARD ADDRESS CERT ENDED - CLIA Only
                  20=NOTIFICATION BANKRUPTCY - CLIA Only
                  33=ACCREDITATION NOT CONFIRMED - CLIA Only
                  80=AWAITING STATE APPROVAL
                  99=OIG ACTION - DO NOT ACTIVATE - CLIA Only

   Termination Date / Expiration Date 1              8    241   248  DATE
     Description: The date the laboratory's certificate terminated or the
                  expiration date of the current CLIA certificate. For
                  other non-CLIA providers, it is the date the facility was
                  terminated.
     SAS Name:    TRMNTN_EXPRTN_DT
     COBOL Name:  TRMNTN-EXPRTN-DT

   Type of Action                                    1    249   249  VARCHAR2
     Description: Type of action on the 'official' survey record.  This
                  field is copied from type of action on the HCFA-1539,
                  certification and transmittal.
     SAS Name:    SRVY_PRPSE_CD
     COBOL Name:  SRVY-PRPSE-CD
     VALUES:      1=INITIAL
                  2=RECERTIFICATION
                  3=TERMINATION
                  4=CHANGE OF OWNERSHIP
                  5=VALIDATION
                  6=ONSITE SURVEY DUE TO FLEXIBLE SURVEY - CLIA Only
                  8=FULL SURVEY AFTER COMPLAINT - CLIA ONLY

   General Type of Control Code                      2    250   251  VARCHAR2
     Description: Indicates the nature of the organization that operates a
                  provider of services.
     SAS Name:    GNRL_CNTL_TYPE_CD
     COBOL Name:  GNRL-CNTL-TYPE-CD
     VALUES:      01=VOLUNTARY NON PROFIT OTHER THAN CHURCH
                  02=VOLUNTARY NON PROFIT CHURCH
                  03=STATE GOVERNMENT
                  04=LOCAL GOVERNMENT
                  05=COMBINATION GOVERNMENT & VOLUNTARY
                  06=PROPRIETARY

   ZIP Code                                          5    252   256  VARCHAR2
     Description: The five-digit postal code for the provider.
     SAS Name:    ZIP_CD
     COBOL Name:  ZIP-CD

   FIPS State Code                                   2    257   258  VARCHAR2
     Description: FIPS State Code
     SAS Name:    FIPS_STATE_CD
     COBOL Name:  FIPS-STATE-CD

   FIPS County Code                                  3    259   261  VARCHAR2
     Description: FIPS County Code
     SAS Name:    FIPS_CNTY_CD

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 20
  Outpatient Physical Therapy/Speech Pathology, CATEGORY = "08" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  FIPS-CNTY-CD

   CBSA Urban Rural Indicator                        1    262   262  VARCHAR2
     Description: CBSA (Core Based Statistical Area) indicates whether the
                  county is defined as Urban or Rural.
     SAS Name:    CBSA_URBN_RRL_IND
     COBOL Name:  CBSA-URBN-RRL-IND

   Fiscal Year Ending Date                           4    613   616  VARCHAR2
     Description: The ending date (month and day) of a facility's fiscal
                  year.
     SAS Name:    FY_END_MO_DAY_CD
     COBOL Name:  FY-END-MO-DAY-CD

   Occupational Therapist - Full-Time                7    1004  1010 NUMBER
     Description: The number of full-time equivalent occupational
                  therapists employed by a facility on a full-time basis.
     SAS Name:    OCPTNL_THRPST_FLTM_CNT
     COBOL Name:  OCPTNL-THRPST-FLTM-CNT

   Occupational Therapists                           7    1020  1026 NUMBER
     Description: The number of full-time equivalent occupational
                  therapists employed by a provider.
     SAS Name:    OCPTNL_THRPST_CNT
     COBOL Name:  OCPTNL-THRPST-CNT

   Physical Therapist - Arrangement                  7    1196  1202 NUMBER
     Description: The number of full-time equivalent physical therapists
                  employed by arrangement in an outpatient physical therapy
                  facility.
     SAS Name:    PHYS_THRPST_ARNGMT_CNT
     COBOL Name:  PHYS-THRPST-ARNGMT-CNT

   Physical Therapists                               7    1204  1210 NUMBER
     Description: The number of full-time equivalent physical therapists
                  employed by an outpatient physical therapy provider or a
                  home health agency provider.
     SAS Name:    PHYS_THRPST_CNT
     COBOL Name:  PHYS-THRPST-CNT

   Physical Therapists on Staff                      7    1236  1242 NUMBER
     Description: The number of full-time equivalent physical therapists
                  employed by an outpatient physical therapy provider or a
                  home health agency provider.
     SAS Name:    PHYS_THRPST_STF_CNT
     COBOL Name:  PHYS-THRPST-STF-CNT

   Related Provider Number                           10   1510  1519 CHAR
     Description: Related provider number
     SAS Name:    RLTD_PRVDR_NUM
     COBOL Name:  RLTD-PRVDR-NUM

   Services Provided: Speech Pathology               1    3756  3756 VARCHAR2
     Description: Indicates how speech pathology services are provided.
     SAS Name:    SPCH_PTHLGY_SRVC_CD
     COBOL Name:  SPCH-PTHLGY-SRVC-CD
     VALUES:      0=Not Provided
                  1=Provided

   Services Provided: Speech Pathology Description   39   3757  3795 VARCHAR2
     Description: Indicates how speech pathology services are provided.
     SAS Name:    SPCH_PTHLGY_SRVC_DESC
     COBOL Name:  SPCH-PTHLGY-SRVC-DESC

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 21
  Outpatient Physical Therapy/Speech Pathology, CATEGORY = "08" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Speech Pathologist or Audiologist                 7    4050  4056 NUMBER
     Description: The number of full-time equivalent speech pathologists or
                  audiologists employed by a provider.
     SAS Name:    SPCH_PTHLGST_AUDLGST_CNT
     COBOL Name:  SPCH-PTHLGST-AUDLGST-CNT

   Speech Pathologists - Arrangement                 7    4058  4064 NUMBER
     Description: The number of full-time equivalent speech pathologists
                  employed by arrangement in an outpatient physical therapy
                  facility.
     SAS Name:    SPCH_PTHLGST_ARNGMT_CNT
     COBOL Name:  SPCH-PTHLGST-ARNGMT-CNT

   Speech Pathologists - Total                       7    4066  4072 NUMBER
     Description: The total number of full-time equivalent speech
                  pathologists on staff and by arrangement in an outpatient
                  physical therapy facility.
     SAS Name:    SPCH_PTHLGST_CNT
     COBOL Name:  SPCH-PTHLGST-CNT

   Type of Facility                                  2    4171  4172 VARCHAR2
     Description: Indicates the category which represents the type of
                  facility.
     SAS Name:    GNRL_FAC_TYPE_CD
     COBOL Name:  GNRL-FAC-TYPE-CD
     VALUES:      01=HOSPITAL
                  02=SKILLED NURSING FACILITY
                  03=HOME HEALTH AGENCY
                  04=REHABILITATION AGENCY
                  05=PUBLIC CLINIC
                  06=PRIVATE CLINIC
                  07=PUBLIC HEALTH AGENCY































 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 1
     End Stage Renal Disease Facility, CATEGORY = "09" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Provider Category Subtype Code                    2    1     2    VARCHAR2
     Description: This field is used mainly by batch report programs to
                  determine the breakdown of the provider category. This
                  field is mainly used for SNFs and hospitals.
     SAS Name:    PRVDR_CTGRY_SBTYP_CD
     COBOL Name:  PRVDR-CTGRY-SBTYP-CD
     VALUES:      01=END STAGE RENAL DISEASE

   Provider Category Code                            2    3     4    VARCHAR2
     Description: This code identifies the category which is most
                  descriptive of the facility identified on the
                  Medicare/Medicaid Certification and Transmittal Form (CMS
                  1539).
     SAS Name:    PRVDR_CTGRY_CD
     COBOL Name:  PRVDR-CTGRY-CD
     VALUES:      09=End Stage Renal Disease Facility

   Change of Ownership Count                         2    5     6    NUMBER
     Description: The number of times a change of ownership (CHOW) has
                  taken place for a particular provider.
     SAS Name:    CHOW_CNT
     COBOL Name:  CHOW-CNT

   Change of Ownership Date                          8    7     14   DATE
     Description: Effective date of a change of ownership.
     SAS Name:    CHOW_DT
     COBOL Name:  CHOW-DT

   City                                              28   15    42   VARCHAR2
     Description: City in which the provider is physically located.
     SAS Name:    CITY_NAME
     COBOL Name:  CITY-NAME

   Compliance: Plan of Correction                    1    43    43   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements based on an acceptable plan for correction
                  of deficiencies.
     SAS Name:    ACPTBL_POC_SW
     COBOL Name:  ACPTBL-POC-SW

   Compliance: Status                                1    44    44   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements.
     SAS Name:    CMPLNC_STUS_CD
     COBOL Name:  CMPLNC-STUS-CD
     VALUES:      A=IN COMPLIANCE
                  B=NOT IN COMPLIANCE

   SSA County Code                                   3    45    47   VARCHAR2
     Description: SSA (State Survey Agency) geographic code indicating the
                  county where the facility is located.
     SAS Name:    SSA_CNTY_CD
     COBOL Name:  SSA-CNTY-CD

   Cross Ref Provider Number                         10   48    57   CHAR
     Description: Cross reference provider number
     SAS Name:    CROSS_RFRNC_PRVDR_NUM
     COBOL Name:  CROSS-RFRNC-PRVDR-NUM

   Certification Date                                8    58    65   DATE
     Description: The Certification date is equal to the exit date of the
                  initial visit of the Health survey or LSC survey,
                  whichever is later.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 2
     End Stage Renal Disease Facility, CATEGORY = "09" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    CRTFCTN_DT
     COBOL Name:  CRTFCTN-DT

   Eligibility Switch                                1    66    66   VARCHAR2
     Description: Indicates if a facility is eligible to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    ELGBLTY_SW
     COBOL Name:  ELGBLTY-SW

   Facility Name                                     50   67    116  VARCHAR2
     Description: The name of a provider certified to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    FAC_NAME
     COBOL Name:  FAC-NAME

   Intermediary Carrier Code                         5    117   121  VARCHAR2
     Description: A number assigned to an intermediary or carrier servicing
                  a provider or supplier. Not all numbers apply to all
                  provider types.
     SAS Name:    INTRMDRY_CARR_CD
     COBOL Name:  INTRMDRY-CARR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 3
     End Stage Renal Disease Facility, CATEGORY = "09" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 4
     End Stage Renal Disease Facility, CATEGORY = "09" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 5
     End Stage Renal Disease Facility, CATEGORY = "09" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 6
     End Stage Renal Disease Facility, CATEGORY = "09" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Medicare or Medicaid Vendor Number                15   122   136  VARCHAR2
     Description: A number which may be assigned to a facility by the state
                  Medicaid agency for external control or billing purposes.
     SAS Name:    MDCD_VNDR_NUM
     COBOL Name:  MDCD-VNDR-NUM

   Participation Date                                8    137   144  DATE
     Description: The date a facility is first approved to provide Medicare
                  and/or Medicaid services.
     SAS Name:    ORGNL_PRTCPTN_DT
     COBOL Name:  ORGNL-PRTCPTN-DT

   Prior Change of Ownership Date                    8    145   152  DATE
     Description: The date of a prior change of ownership.
     SAS Name:    CHOW_PRIOR_DT
     COBOL Name:  CHOW-PRIOR-DT

   Intermediary Carrier Prior Code                   5    153   157  VARCHAR2
     Description: The previous intermediary carrier number.
     SAS Name:    INTRMDRY_CARR_PRIOR_CD
     COBOL Name:  INTRMDRY-CARR-PRIOR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 7
     End Stage Renal Disease Facility, CATEGORY = "09" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 8
     End Stage Renal Disease Facility, CATEGORY = "09" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 9
     End Stage Renal Disease Facility, CATEGORY = "09" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 10
     End Stage Renal Disease Facility, CATEGORY = "09" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Provider Number                                   10   158   167  VARCHAR2
     Description: A six or ten position identification number that is
                  assigned to a certified provider.
     SAS Name:    PRVDR_NUM
     COBOL Name:  PRVDR-NUM

   Record Status Code                                1    168   168  VARCHAR2
     Description: This indicator specifies the current status of the
                  record.
     SAS Name:    REC_STUS_CD
     COBOL Name:  REC-STUS-CD
     VALUES:      A=ACCEPTED RECORD
                  C=COMPLAINT RECORD

   Region Code                                       2    169   170  VARCHAR2
     Description: The regional location of the provider.
     SAS Name:    RGN_CD
     COBOL Name:  RGN-CD
     VALUES:      01=BOSTON
                  02=NEW YORK
                  03=PHILADELPHIA
                  04=ATLANTA
                  05=CHICAGO
                  06=DALLAS
                  07=KANSAS CITY
                  08=DENVER

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 11
     End Stage Renal Disease Facility, CATEGORY = "09" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  09=SAN FRANCISCO
                  10=SEATTLE

   Skeleton Record Switch                            1    171   171  VARCHAR2
     Description: Indicates the record is a skeleton record.  Only a
                  limited set of the provider data is available for this
                  provider.
     SAS Name:    SKLTN_REC_SW
     COBOL Name:  SKLTN-REC-SW

   State Abbreviation                                2    172   173  VARCHAR2
     Description: The two-character state abbreviation.
     SAS Name:    STATE_CD
     COBOL Name:  STATE-CD
     VALUES:      AK=ALASKA
                  AL=ALABAMA
                  AR=ARKANSAS
                  AS=AMERICAN SAMOA
                  AZ=ARIZONA
                  CA=CALIFORNIA
                  CN=CANADA
                  CO=COLORADO
                  CT=CONNECTICUT
                  DC=DISTRICT OF COLUMBIA
                  DE=DELAWARE
                  FL=FLORIDA
                  FN=FOREIGN
                  GA=GEORGIA
                  GU=GUAM
                  HI=HAWAII
                  IA=IOWA
                  ID=IDAHO
                  IL=ILLINOIS
                  IN=INDIANA
                  KS=KANSAS
                  KY=KENTUCKY
                  LA=LOUISIANA
                  MA=MASSACHUSETTS
                  MD=MARYLAND
                  ME=MAINE
                  MI=MICHIGAN
                  MN=MINNESOTA
                  MO=MISSOURI
                  MP=SAIPAN
                  MS=MISSISSIPPI
                  MT=MONTANA
                  MX=MEXICO
                  NC=NORTH CAROLINA
                  ND=NORTH DAKOTA
                  NE=NEBRASKA
                  NH=NEW HAMPSHIRE
                  NJ=NEW JERSEY
                  NM=NEW MEXICO
                  NV=NEVADA
                  NY=NEW YORK
                  OH=OHIO
                  OK=OKLAHOMA
                  OR=OREGON
                  PA=PENNSYLVANIA
                  PR=PUERTO RICO
                  RI=RHODE ISLAND
                  SC=SOUTH CAROLINA
                  SD=SOUTH DAKOTA
                  TN=TENNESSEE

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 12
     End Stage Renal Disease Facility, CATEGORY = "09" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  TX=TEXAS
                  UT=UTAH
                  VA=VIRGINIA
                  VI=VIRGIN ISLANDS
                  VT=VERMONT
                  WA=WASHINGTON
                  WI=WISCONSIN
                  WV=WEST VIRGINIA
                  WY=WYOMING

   SSA State Code                                    2    174   175  VARCHAR2
     Description: SSA (Social Security Administration) geographic code
                  indicating the state of the provider's residence. Must
                  agree with the first two positions of the Provider number
                  (except California: 05 and 55; Texas: 45 and 67; FL: 10
                  and 68; MD: 21 and 80).
     SAS Name:    SSA_STATE_CD
     COBOL Name:  SSA-STATE-CD
     VALUES:      01=ALABAMA
                  02=ALASKA
                  03=ARIZONA
                  04=ARKANSAS
                  05=CALIFORNIA
                  06=COLORADO
                  07=CONNECTICUT
                  08=DELAWARE
                  09=DISTRICT OF COLUMBIA
                  10=FLORIDA
                  11=GEORGIA
                  12=HAWAII
                  13=IDAHO
                  14=ILLINOIS
                  15=INDIANA
                  16=IOWA
                  17=KANSAS
                  18=KENTUCKY
                  19=LOUISIANA
                  20=MAINE
                  21=MARYLAND
                  22=MASSACHUSETTS
                  23=MICHIGAN
                  24=MINNESOTA
                  25=MISSISSIPPI
                  26=MISSOURI
                  27=MONTANA
                  28=NEBRASKA
                  29=NEVADA
                  30=NEW HAMPSHIRE
                  31=NEW JERSEY
                  32=NEW MEXICO
                  33=NEW YORK
                  34=NORTH CAROLINA
                  35=NORTH DAKOTA
                  36=OHIO
                  37=OKLAHOMA
                  38=OREGON
                  39=PENNSYLVANIA
                  40=PUERTO RICO
                  41=RHODE ISLAND
                  42=SOUTH CAROLINA
                  43=SOUTH DAKOTA
                  44=TENNESSEE
                  45=TEXAS
                  46=UTAH

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 13
     End Stage Renal Disease Facility, CATEGORY = "09" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  47=VERMONT
                  48=VIRGIN ISLANDS
                  49=VIRGINIA
                  50=WASHINGTON
                  51=WEST VIRGINIA
                  52=WISCONSIN
                  53=WYOMING
                  54=AFRICA
                  56=CANADA
                  57=WEST INDIES
                  58=EUROPE
                  59=MEXICO
                  60=OCEANIA
                  61=PHILIPPINES
                  62=SOUTH AMERICA
                  63=UNITED STATES POSSESSIONS
                  64=AMERICAN SAMOA
                  65=GUAM
                  66=SAIPAN
                  99=FOREIGN

   State Region Code                                 3    176   178  VARCHAR2
     Description: For selected states, identifies the particular region
                  within the state where the provider is located.
     SAS Name:    STATE_RGN_CD
     COBOL Name:  STATE-RGN-CD
     VALUES:      AK/001=ALASKA
                  AK/LAB=LABORATORIES
                  AK/UNK=UNKNOWN
                  AL/001=ALABAMA
                  AL/LAB=LABORATORIES
                  AL/UNK=UNKNOWN
                  AR/001=ARKANSAS
                  AR/LAB=LABORATORIES
                  AR/UNK=UNKNOWN
                  AS/001=AMERICAN SAMOA
                  AS/LAB=LABORATORY
                  AS/UNK=UNKNOWN
                  AZ/AZ=PHOENIX
                  AZ/LAB=ARIZONA LAB
                  AZ/TUC=TUCSON
                  AZ/UNK=UNKNOWN
                  CA/BAK=BAKERSFIELD
                  CA/BER=SAN BERNARDINO
                  CA/BK=BERKELEY
                  CA/BK1=CONTRA COSTA
                  CA/FR=FRESNO
                  CA/L1=L.A. WEST
                  CA/L2=L.A. NORTH
                  CA/L3=L.A. CENTRAL
                  CA/L4=L.A. EAST
                  CA/L5=SAN GABRIEL
                  CA/LAB=LABORATORIES
                  CA/M1=LAB. SOUTH
                  CA/M2=LAB. NORTH
                  CA/ORG=ORANGE CO
                  CA/RIV=RIVERSIDE
                  CA/RWC=REDWOOD COAST
                  CA/S1=SACRAMENTO
                  CA/S2=SACTO SOUTH
                  CA/S3=CHICO
                  CA/SD=SAN DIEGO
                  CA/SDS=SAN DIEGO SOUTH
                  CA/SF=SAN FRANCISCO

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 14
     End Stage Renal Disease Facility, CATEGORY = "09" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  CA/SJ=SAN JOSE
                  CA/SR=SANTA ROSA
                  CA/UNK=UNKNOWN
                  CA/VEN=VENTURA
                  CN/001=CANADA
                  CN/LAB=LABORATORY
                  CN/UNK=UNKNOWN
                  CO/001=COLORADO
                  CO/LAB=LABORATORIES
                  CO/UNK=UNKNOWN
                  CT/001=CONNECTICUT
                  CT/LAB=LABORATORIES
                  CT/UNK=UNKNOWN
                  DC/001=DISTRICT OF COLUMBIA
                  DC/LAB=LABORATORIES
                  DC/UNK=UNKNOWN
                  DE/001=DELAWARE
                  DE/LAB=LABORATORIES
                  DE/UNK=UNKNOWN
                  FL/FTM=FT. MYERS
                  FL/GAI=GAINESVILLE
                  FL/JAX=JACKSONVILLE
                  FL/LAB=LABORATORIES
                  FL/LAN=LANTANA
                  FL/LAU=LAUDERHILL
                  FL/MIA=MIAMI
                  FL/ORL=ORLANDO
                  FL/PEN=PENSACOLA
                  FL/STP=ST. PETERSBURG
                  FL/TAL=TALLAHASSEE
                  FL/TAM=TAMPA
                  FL/UNK=UNKNOWN
                  FM/001=FEDERATED STATES OF MICRO
                  FN/001=FOREIGN
                  FN/LAB=LABORATORIES
                  FN/UNK=UNKNOWN
                  GA/001=GEORGIA
                  GA/GAA=GEORGIA ALL
                  GA/GAC=GEORGIA CENTRAL
                  GA/GAE=GEORGIA EASTERN
                  GA/GAN=GEORGIA NORTH
                  GA/GAS=GEORGIA SOUTH
                  GA/GAW=GEORGIA WESTERN
                  GA/LAB=LABORATORIES
                  GA/UNK=UNKNOWN
                  GU/001=GUAM
                  GU/LAB=LABORATORIES
                  GU/UNK=UNKNOWN
                  HI/001=HAWAII
                  HI/LAB=LABORATORIES
                  HI/UNK=UNKNOWN
                  IA/001=IOWA
                  IA/LAB=LABORATORIES
                  IA/UNK=UNKNOWN
                  ID/001=IDAHO
                  ID/LAB=LABORATORIES
                  ID/UNK=UNKNOWN
                  IL/001=ILLINOIS
                  IL/LAB=LABORATORIES
                  IL/UNK=UNKNOWN
                  IN/001=INDIANA
                  IN/LAB=LABORATORIES
                  IN/UNK=UNKNOWN
                  KS/LAB=LABORATORIES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 15
     End Stage Renal Disease Facility, CATEGORY = "09" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  KS/LAW=LAWRENCE
                  KS/NC=NORTH CENTRAL KANSAS
                  KS/NE=NORTH EAST KANSAS
                  KS/NW=NORTH WEST KANSAS
                  KS/SC=SOUTH CENTRAL KANSAS
                  KS/SE=SOUTH EAST KANSAS
                  KS/SW=SOUTH WEST KANSAS
                  KS/UNK=UNKNOWN
                  KS/WST=WEST
                  KY/2C1=HOPKINSVILLE
                  KY/2C2=LOUISVILLE
                  KY/2C3=LONDON
                  KY/2C4=LEXINGTON
                  KY/LAB=LABORATORIES
                  KY/UNK=UNKNOWN
                  LA/001=LOUISIANA
                  LA/LA1=NEW ORLEANS
                  LA/LA2=MANDEVILLE
                  LA/LA3=LAFAYETTE
                  LA/LA4=MONROE
                  LA/LA5=SHREVEPORT
                  LA/LA6=ALEXANDRIA
                  LA/LAB=LABORATORIES
                  LA/LB1=CLIA NEW ORLEANS
                  LA/LB5=CLIA SHREVEPORT
                  LA/LB6=CLIA ALEXANDRIA
                  LA/UNK=UNKNOWN
                  MA/001=MASSACHUSETTS
                  MA/LAB=LABORATORIES
                  MA/UNK=UNKNOWN
                  MD/001=MARYLAND
                  MD/LAB=LABORATORIES
                  MD/UNK=UNKNOWN
                  ME/001=MAINE
                  ME/LAB=LABORATORIES
                  ME/UNK=UNKNOWN
                  MH/001=MARSHALL ISLANDS
                  MI/001=MICHIGAN
                  MI/LAB=LABORATORIES
                  MI/UNK=UNKNOWN
                  MN/001=MINNESOTA
                  MN/LAB=LABORATORIES
                  MN/UNK=UNKNOWN
                  MO/01=REGION01
                  MO/02=REGION02
                  MO/03=REGION 03
                  MO/04=REGION 04
                  MO/05=REGION 05
                  MO/06=REGION 06
                  MO/07=REGION 07
                  MO/1NH=REGION 1 NH
                  MO/2NH=REGION 2 NH
                  MO/3NH=REGION 3 NH
                  MO/4NH=REGION 4 NH
                  MO/5NH=REGION 5 NH
                  MO/6NH=REGION 6 NH
                  MO/7NH=REGION 7 NH
                  MO/LAB=LABORATORIES
                  MO/MO=STATEWIDE
                  MO/UNK=UNKNOWN
                  MP/001=NORTHERN MARIANA ISLANDS
                  MP/LAB=LABORATORIES
                  MP/UNK=UNKNOWN
                  MS/001=MISSISSIPPI

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 16
     End Stage Renal Disease Facility, CATEGORY = "09" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  MS/LAB=LABORATORIES
                  MS/UNK=UNKNOWN
                  MT/001=MONTANA
                  MT/LAB=LABORATORIES
                  MT/UNK=UNKNOWN
                  MX/001=MEXICO
                  MX/LAB=LABORATORY
                  MX/UNK=UNKNOWN
                  NC/LAB=LABORATORIES
                  NC/NCC=NORTH CAROLINA CENTRAL
                  NC/NCE=NORTH CAROLINA EAST
                  NC/NCN=NORTH CAROLINA NORTH
                  NC/NCS=NORTH CAROLINA SOUTH
                  NC/NCW=NORTH CAROLINA WEST
                  NC/UNK=UNKNOWN
                  ND/001=NORTH DAKOTA
                  ND/LAB=LABORATORIES
                  ND/UNK=UNKNOWN
                  NE/1=NORTH CENTRAL
                  NE/2=CENTRAL
                  NE/3=NORTHEAST
                  NE/4=SOUTHEAST
                  NE/5=WESTERN
                  NE/LAB=LABORATORIES
                  NE/UNK=UNKNOWN
                  NH/001=NEW HAMPSHIRE
                  NH/LAB=LABORATORIES
                  NH/UNK=UNKNOWN
                  NJ/001=NEW JERSEY
                  NJ/LAB=LABORATORIES
                  NJ/UNK=UNKNOWN
                  NM/001=NEW MEXICO
                  NM/LAB=LABORATORIES
                  NM/UNK=UNKNOWN
                  NV/CC=CARSON CITY
                  NV/LAB=LABORATORIES
                  NV/LV=LAS VEGAS
                  NV/UNK=UNKNOWN
                  NY/001=BUFFALO
                  NY/002=ROCHESTER
                  NY/003=SYRACUSE
                  NY/004=ALBANY
                  NY/005=NEW ROCHELLE
                  NY/006=NEW YORK CITY
                  NY/007=SUFFOLK/NASSAU COUNTY
                  NY/LAB=LABORATORIES
                  NY/UNK=UNKNOWN
                  OH/001=OHIO
                  OH/LAB=LABORATORIES
                  OH/UNK=UNKNOWN
                  OK/001=OKLAHOMA
                  OK/LAB=LABORATORIES
                  OK/UNK=UNKNOWN
                  OR/001=OFFICE #1
                  OR/002=OFFICE #2
                  OR/003=OFFICE #3
                  OR/LAB=LABORATORIES
                  OR/UNK=UNKNOWN
                  PA/001=PENNSYLVANIA
                  PA/LAB=LABORATORIES
                  PA/UNK=UNKNOWN
                  PR/001=PUERTO RICO
                  PR/LAB=LABORATORIES
                  PR/UNK=UNKNOWN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 17
     End Stage Renal Disease Facility, CATEGORY = "09" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  PW/001=PALAU
                  RI/001=RHODE ISLAND
                  RI/LAB=LABORATORIES
                  RI/UNK=UNKNOWN
                  SC/001=SOUTH CAROLINA
                  SC/LAB=LABORATORIES
                  SC/UNK=UNKNOWN
                  SD/001=SOUTH DAKOTA
                  SD/LAB=LABORATORIES
                  SD/UNK=UNKNOWN
                  TN/LAB=LABORATORIES
                  TN/TNC=TENNESSEE COOKEVILLE
                  TN/TNE=TENNESSEE EASTERN
                  TN/TNM=TENNESSEE MIDDLE
                  TN/TNW=TENNESSEE WESTERN
                  TN/UNK=UNKNOWN
                  TX/001=TEXAS
                  TX/L01=AMARILLO-LTC
                  TX/L02=ABILENE-LTC
                  TX/L03=ARLINGTON-LTC
                  TX/L04=TYLER-LTC
                  TX/L05=BEAUMONT-LTC
                  TX/L06=HOUSTON-LTC
                  TX/L07=TEMPLE-LTC
                  TX/L08=SAN ANTONIO-LTC
                  TX/L09=SAN ANGELO-LTC
                  TX/L10=EL PASO-LTC
                  TX/L11=CORPUS CHRISTI-LTC
                  TX/LAB=LABORATORIES
                  TX/TX1=LUBBOCK
                  TX/TX2=ARLINGTON
                  TX/TX3=SAN ANTONIO
                  TX/TX4=HOUSTON
                  TX/TX5=TYLER
                  TX/TX6=AUSTIN
                  TX/UNK=UNKNOWN
                  UT/001=UTAH
                  UT/LAB=LABORATORIES
                  UT/UNK=UNKNOWN
                  VA/001=VIRGINIA
                  VA/LAB=LABORATORIES
                  VA/UNK=UNKNOWN
                  VI/001=VIRGIN ISLANDS
                  VI/LAB=LABORATORIES
                  VI/UNK=UNKNOWN
                  VT/001=VERMONT
                  VT/LAB=LABORATORIES
                  VT/UNK=UNKNOWN
                  WA/001=ALL OTHERS (NON-LTC FAC)
                  WA/D1=SPOKANE & YAKIMA AREAS
                  WA/D1A=District 1, Unit A
                  WA/D1B=District 1, Unit B
                  WA/D1C=District 1, Unit C
                  WA/D1D=District 1, Unit D
                  WA/D2=SPOKANE & SE
                  WA/D2A=District 2, Unit A
                  WA/D2B=District 2, Unit B
                  WA/D2C=District 2, Unit C
                  WA/D2D=District 2, Unit D
                  WA/D2E=District 2, Unit E
                  WA/D2F=District 2, Unit F
                  WA/D2G=District 2, Unit G
                  WA/D3=NW WASHINGTON
                  WA/D3A=District 3, Unit A

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 18
     End Stage Renal Disease Facility, CATEGORY = "09" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  WA/D3B=District 3, Unit B
                  WA/D3C=District 3, Unit C
                  WA/D3D=District 3, Unit D
                  WA/D3E=District 3, Unit E
                  WA/D4A=GREATER SEATTLE AREA
                  WA/D4B=S KING COUNTY
                  WA/D5A=PIERCE CTY & PENINSULA
                  WA/D5B=PIERCE CTY & GRAYS HARBOR
                  WA/D6=OLYMPIA AREA
                  WA/LAB=LABORATORIES
                  WA/UNK=UNKNOWN
                  WI/001=WISCONSIN
                  WI/LAB=LABORATORIES
                  WI/UNK=UNKNOWN
                  WV/001=WEST VIRGINIA
                  WV/LAB=LABORATORIES
                  WV/UNK=UNKNOWN
                  WY/001=WYOMING
                  WY/LAB=LABORATORIES
                  WY/UNK=UNKNOWN

   Street Address                                    50   179   228  VARCHAR2
     Description: Street address of a provider that is certified to provide
                  Medicare and/or Medicaid services.
     SAS Name:    ST_ADR
     COBOL Name:  ST-ADR

   Telephone Number                                  10   229   238  VARCHAR2
     Description: The 10-digit telephone number of the primary contact or
                  the operator of a provider.
     SAS Name:    PHNE_NUM
     COBOL Name:  PHNE-NUM

   Termination Code 1                                2    239   240  VARCHAR2
     Description: Termination code number one: the reason a facility has
                  been terminated from the CLIA, Medicare and/or Medicaid
                  programs.
     SAS Name:    PGM_TRMNTN_CD
     COBOL Name:  PGM-TRMNTN-CD
     VALUES:      00=ACTIVE PROVIDER
                  01=VOLUNTARY-MERGER, CLOSURE
                  02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT
                  03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION
                  04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL
                  05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ
                  06=INVOLUNTARY-FAILURE TO MEET AGREEMENT
                  07=OTHER-PROVIDER STATUS CHANGE
                  08=NONPAYMENT OF FEES - CLIA Only
                  09=REV/UNSUCCESSFUL PARTICIPATION IN PT - CLIA Only
                  10=REV/OTHER REASON - CLIA Only
                  11=INCMPLETE CLIA APPLICATION INFORMATION - CLIA Only
                  12=NO LONGER PERFORMING TESTS - CLIA Only
                  13=MULTIPLE TO SINGLE SITE CERTIFICATE - CLIA Only
                  14=SHARED LABORATORY - CLIA Only
                  15=FAILURE TO RENEW WAIVER PPM CERTIFICATE - CLIA Only
                  16=DUPLICATE CLIA NUMBER - CLIA Only
                  17=MAIL RETURNED NO FORWARD ADDRESS CERT ENDED - CLIA Only
                  20=NOTIFICATION BANKRUPTCY - CLIA Only
                  33=ACCREDITATION NOT CONFIRMED - CLIA Only
                  80=AWAITING STATE APPROVAL
                  99=OIG ACTION - DO NOT ACTIVATE - CLIA Only

   Termination Date / Expiration Date 1              8    241   248  DATE
     Description: The date the laboratory's certificate terminated or the

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 19
     End Stage Renal Disease Facility, CATEGORY = "09" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  expiration date of the current CLIA certificate. For
                  other non-CLIA providers, it is the date the facility was
                  terminated.
     SAS Name:    TRMNTN_EXPRTN_DT
     COBOL Name:  TRMNTN-EXPRTN-DT

   Type of Action                                    1    249   249  VARCHAR2
     Description: Type of action on the 'official' survey record.  This
                  field is copied from type of action on the HCFA-1539,
                  certification and transmittal.
     SAS Name:    SRVY_PRPSE_CD
     COBOL Name:  SRVY-PRPSE-CD
     VALUES:      1=INITIAL
                  2=RECERTIFICATION
                  3=TERMINATION
                  4=CHANGE OF OWNERSHIP
                  5=VALIDATION
                  6=ONSITE SURVEY DUE TO FLEXIBLE SURVEY - CLIA Only
                  8=FULL SURVEY AFTER COMPLAINT - CLIA ONLY

   General Type of Control Code                      2    250   251  VARCHAR2
     Description: Indicates the nature of the organization that operates a
                  provider of services.
     SAS Name:    GNRL_CNTL_TYPE_CD
     COBOL Name:  GNRL-CNTL-TYPE-CD
     VALUES:      01=FOR PROFIT
                  02=NOT FOR PROFIT
                  03=PUBLIC

   ZIP Code                                          5    252   256  VARCHAR2
     Description: The five-digit postal code for the provider.
     SAS Name:    ZIP_CD
     COBOL Name:  ZIP-CD

   FIPS State Code                                   2    257   258  VARCHAR2
     Description: FIPS State Code
     SAS Name:    FIPS_STATE_CD
     COBOL Name:  FIPS-STATE-CD

   FIPS County Code                                  3    259   261  VARCHAR2
     Description: FIPS County Code
     SAS Name:    FIPS_CNTY_CD
     COBOL Name:  FIPS-CNTY-CD

   CBSA Urban Rural Indicator                        1    262   262  VARCHAR2
     Description: CBSA (Core Based Statistical Area) indicates whether the
                  county is defined as Urban or Rural.
     SAS Name:    CBSA_URBN_RRL_IND
     COBOL Name:  CBSA-URBN-RRL-IND

   Dietitians                                        7    547   553  NUMBER
     Description: Number of full-time equivalent dietitians employed by a
                  facility.
     SAS Name:    DIETN_CNT
     COBOL Name:  DIETN-CNT

   ESRD Network Number                               2    588   589  VARCHAR2
     Description: The number of the network to which the end-stage renal
                  dialysis facility is assigned.
     SAS Name:    ESRD_NTWRK_NUM
     COBOL Name:  ESRD-NTWRK-NUM
     VALUES:      01=CONN-MAINE-MASS-NEW HAMP-RHODE ISLAND-VERMONT
                  02=NEW YORK
                  03=NEW JERSEY, PUERTO RICO AND VIRGIN ISLAND

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 20
     End Stage Renal Disease Facility, CATEGORY = "09" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  04=DELAWARE AND PENNSYLVANIA
                  05=DIST OF COLUM-MARYLAND-VIRGINIA-WEST VIRGINIA
                  06=GEORGIA, SOUTH CAROLINA AND NORTH CAROLINA
                  07=FLORIDA
                  08=ALABAMA, MISSISSIPPI AND TENNESSEE
                  09=INDIANA, KENTUCKY AND OHIO
                  10=ILLINOIS
                  11=MICH-MINN-NORTH DAKOTA-SOUTH DAKOTA-WISCONSIN
                  12=IOWA, KANSAS, MISSOURI AND NEBRASKA
                  13=ARKANSAS, LOUISIANA AND OKLAHOMA
                  14=TEXAS
                  15=ARIZONA-COLO-NEVADA-NEW MEXI-UTAH AND WYOMING
                  16=ALASKA, IDAHO, MONTANA, OREGON AND WASHINGTON
                  17=COUNTIES IN NORTHERN CALIF, HAWAII, AS, GUAM
                  18=COUNTIES IN SOUTHERN CALIFORNIA

   Fiscal Year Ending Date                           4    613   616  VARCHAR2
     Description: The ending date (month and day) of a facility's fiscal
                  year.
     SAS Name:    FY_END_MO_DAY_CD
     COBOL Name:  FY-END-MO-DAY-CD

   Hospital Based Switch                             1    676   676  VARCHAR2
     Description: Hospital based indicator.
     SAS Name:    HOSP_BSD_SW
     COBOL Name:  HOSP-BSD-SW

   Multi-Facility Organization Name                  38   890   927  VARCHAR2
     Description: The name of the multi-facility organization that owns the
                  facility.
     SAS Name:    MLT_FAC_ORG_NAME
     COBOL Name:  MLT-FAC-ORG-NAME

   Multi-Facility Organization Owned                 1    928   928  VARCHAR2
     Description: Indicates if a facility is owned by an organization that
                  owns (or leases) two or more nursing facilities.
     SAS Name:    MLT_OWND_FAC_ORG_SW
     COBOL Name:  MLT-OWND-FAC-ORG-SW

   Number of Patients Tuesday 4th Shift              3    937   939  NUMBER
     Description: Number of patients Tuesday, fourth shift.
     SAS Name:    SHIFT_4_TUE_PTNT_CNT
     COBOL Name:  SHIFT-4-TUE-PTNT-CNT

   Other Personnel                                   7    1105  1111 NUMBER
     Description: The number of full-time equivalent other salaried
                  personnel employed by a facility.
     SAS Name:    PRSNEL_OTHR_CNT
     COBOL Name:  PRSNEL-OTHR-CNT

   Registered Nurses                                 7    1465  1471 NUMBER
     Description: The number of full-time equivalent registered
                  professional nurses employed by a provider.
     SAS Name:    RN_CNT
     COBOL Name:  RN-CNT

   Related Provider Number                           10   1510  1519 CHAR
     Description: Related provider number
     SAS Name:    RLTD_PRVDR_NUM
     COBOL Name:  RLTD-PRVDR-NUM

   Social Workers                                    7    3979  3985 NUMBER
     Description: The number of full-time equivalent social workers
                  employed by the agency.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 21
     End Stage Renal Disease Facility, CATEGORY = "09" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    SCL_WORKR_CNT
     COBOL Name:  SCL-WORKR-CNT

   Stations - Hemodialysis                           3    4074  4076 NUMBER
     Description: The total number of hemodialysis stations in an End Stage
                  Renal Disease (ESRD) facility.
     SAS Name:    HMDLYS_STN_ESRD_CNT
     COBOL Name:  HMDLYS-STN-ESRD-CNT

   Stations - Total                                  3    4077  4079 NUMBER
     Description: The total number of approved dialysis stations in an
                  end-stage renal dialysis facility.
     SAS Name:    DLYS_STN_CNT
     COBOL Name:  DLYS-STN-CNT



















































 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 1
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Provider Category Subtype Code                    2    1     2    VARCHAR2
     Description: This field is used mainly by batch report programs to
                  determine the breakdown of the provider category. This
                  field is mainly used for SNFs and hospitals.
     SAS Name:    PRVDR_CTGRY_SBTYP_CD
     COBOL Name:  PRVDR-CTGRY-SBTYP-CD
     VALUES:      02=TITLE 19 ONLY

   Provider Category Code                            2    3     4    VARCHAR2
     Description: This code identifies the category which is most
                  descriptive of the facility identified on the
                  Medicare/Medicaid Certification and Transmittal Form (CMS
                  1539).
     SAS Name:    PRVDR_CTGRY_CD
     COBOL Name:  PRVDR-CTGRY-CD
     VALUES:      10=Nursing Facility

   Change of Ownership Count                         2    5     6    NUMBER
     Description: The number of times a change of ownership (CHOW) has
                  taken place for a particular provider.
     SAS Name:    CHOW_CNT
     COBOL Name:  CHOW-CNT

   Change of Ownership Date                          8    7     14   DATE
     Description: Effective date of a change of ownership.
     SAS Name:    CHOW_DT
     COBOL Name:  CHOW-DT

   City                                              28   15    42   VARCHAR2
     Description: City in which the provider is physically located.
     SAS Name:    CITY_NAME
     COBOL Name:  CITY-NAME

   Compliance: Plan of Correction                    1    43    43   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements based on an acceptable plan for correction
                  of deficiencies.
     SAS Name:    ACPTBL_POC_SW
     COBOL Name:  ACPTBL-POC-SW

   Compliance: Status                                1    44    44   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements.
     SAS Name:    CMPLNC_STUS_CD
     COBOL Name:  CMPLNC-STUS-CD
     VALUES:      A=IN COMPLIANCE
                  B=NOT IN COMPLIANCE

   SSA County Code                                   3    45    47   VARCHAR2
     Description: SSA (State Survey Agency) geographic code indicating the
                  county where the facility is located.
     SAS Name:    SSA_CNTY_CD
     COBOL Name:  SSA-CNTY-CD

   Cross Ref Provider Number                         10   48    57   CHAR
     Description: Cross reference provider number
     SAS Name:    CROSS_RFRNC_PRVDR_NUM
     COBOL Name:  CROSS-RFRNC-PRVDR-NUM

   Certification Date                                8    58    65   DATE
     Description: The Certification date is equal to the exit date of the
                  initial visit of the Health survey or LSC survey,
                  whichever is later.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 2
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    CRTFCTN_DT
     COBOL Name:  CRTFCTN-DT

   Eligibility Switch                                1    66    66   VARCHAR2
     Description: Indicates if a facility is eligible to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    ELGBLTY_SW
     COBOL Name:  ELGBLTY-SW

   Facility Name                                     50   67    116  VARCHAR2
     Description: The name of a provider certified to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    FAC_NAME
     COBOL Name:  FAC-NAME

   Intermediary Carrier Code                         5    117   121  VARCHAR2
     Description: A number assigned to an intermediary or carrier servicing
                  a provider or supplier. Not all numbers apply to all
                  provider types.
     SAS Name:    INTRMDRY_CARR_CD
     COBOL Name:  INTRMDRY-CARR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 3
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 4
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 5
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 6
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Medicare or Medicaid Vendor Number                15   122   136  VARCHAR2
     Description: A number which may be assigned to a facility by the state
                  Medicaid agency for external control or billing purposes.
     SAS Name:    MDCD_VNDR_NUM
     COBOL Name:  MDCD-VNDR-NUM

   Participation Date                                8    137   144  DATE
     Description: The date a facility is first approved to provide Medicare
                  and/or Medicaid services.
     SAS Name:    ORGNL_PRTCPTN_DT
     COBOL Name:  ORGNL-PRTCPTN-DT

   Prior Change of Ownership Date                    8    145   152  DATE
     Description: The date of a prior change of ownership.
     SAS Name:    CHOW_PRIOR_DT
     COBOL Name:  CHOW-PRIOR-DT

   Intermediary Carrier Prior Code                   5    153   157  VARCHAR2
     Description: The previous intermediary carrier number.
     SAS Name:    INTRMDRY_CARR_PRIOR_CD
     COBOL Name:  INTRMDRY-CARR-PRIOR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 7
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 8
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 9
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 10
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Provider Number                                   10   158   167  VARCHAR2
     Description: A six or ten position identification number that is
                  assigned to a certified provider.
     SAS Name:    PRVDR_NUM
     COBOL Name:  PRVDR-NUM

   Record Status Code                                1    168   168  VARCHAR2
     Description: This indicator specifies the current status of the
                  record.
     SAS Name:    REC_STUS_CD
     COBOL Name:  REC-STUS-CD
     VALUES:      A=ACCEPTED RECORD
                  C=COMPLAINT RECORD

   Region Code                                       2    169   170  VARCHAR2
     Description: The regional location of the provider.
     SAS Name:    RGN_CD
     COBOL Name:  RGN-CD
     VALUES:      01=BOSTON
                  02=NEW YORK
                  03=PHILADELPHIA
                  04=ATLANTA
                  05=CHICAGO
                  06=DALLAS
                  07=KANSAS CITY
                  08=DENVER

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 11
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  09=SAN FRANCISCO
                  10=SEATTLE

   Skeleton Record Switch                            1    171   171  VARCHAR2
     Description: Indicates the record is a skeleton record.  Only a
                  limited set of the provider data is available for this
                  provider.
     SAS Name:    SKLTN_REC_SW
     COBOL Name:  SKLTN-REC-SW

   State Abbreviation                                2    172   173  VARCHAR2
     Description: The two-character state abbreviation.
     SAS Name:    STATE_CD
     COBOL Name:  STATE-CD
     VALUES:      AK=ALASKA
                  AL=ALABAMA
                  AR=ARKANSAS
                  AS=AMERICAN SAMOA
                  AZ=ARIZONA
                  CA=CALIFORNIA
                  CN=CANADA
                  CO=COLORADO
                  CT=CONNECTICUT
                  DC=DISTRICT OF COLUMBIA
                  DE=DELAWARE
                  FL=FLORIDA
                  FN=FOREIGN
                  GA=GEORGIA
                  GU=GUAM
                  HI=HAWAII
                  IA=IOWA
                  ID=IDAHO
                  IL=ILLINOIS
                  IN=INDIANA
                  KS=KANSAS
                  KY=KENTUCKY
                  LA=LOUISIANA
                  MA=MASSACHUSETTS
                  MD=MARYLAND
                  ME=MAINE
                  MI=MICHIGAN
                  MN=MINNESOTA
                  MO=MISSOURI
                  MP=SAIPAN
                  MS=MISSISSIPPI
                  MT=MONTANA
                  MX=MEXICO
                  NC=NORTH CAROLINA
                  ND=NORTH DAKOTA
                  NE=NEBRASKA
                  NH=NEW HAMPSHIRE
                  NJ=NEW JERSEY
                  NM=NEW MEXICO
                  NV=NEVADA
                  NY=NEW YORK
                  OH=OHIO
                  OK=OKLAHOMA
                  OR=OREGON
                  PA=PENNSYLVANIA
                  PR=PUERTO RICO
                  RI=RHODE ISLAND
                  SC=SOUTH CAROLINA
                  SD=SOUTH DAKOTA
                  TN=TENNESSEE

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 12
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  TX=TEXAS
                  UT=UTAH
                  VA=VIRGINIA
                  VI=VIRGIN ISLANDS
                  VT=VERMONT
                  WA=WASHINGTON
                  WI=WISCONSIN
                  WV=WEST VIRGINIA
                  WY=WYOMING

   SSA State Code                                    2    174   175  VARCHAR2
     Description: SSA (Social Security Administration) geographic code
                  indicating the state of the provider's residence. Must
                  agree with the first two positions of the Provider number
                  (except California: 05 and 55; Texas: 45 and 67; FL: 10
                  and 68; MD: 21 and 80).
     SAS Name:    SSA_STATE_CD
     COBOL Name:  SSA-STATE-CD
     VALUES:      01=ALABAMA
                  02=ALASKA
                  03=ARIZONA
                  04=ARKANSAS
                  05=CALIFORNIA
                  06=COLORADO
                  07=CONNECTICUT
                  08=DELAWARE
                  09=DISTRICT OF COLUMBIA
                  10=FLORIDA
                  11=GEORGIA
                  12=HAWAII
                  13=IDAHO
                  14=ILLINOIS
                  15=INDIANA
                  16=IOWA
                  17=KANSAS
                  18=KENTUCKY
                  19=LOUISIANA
                  20=MAINE
                  21=MARYLAND
                  22=MASSACHUSETTS
                  23=MICHIGAN
                  24=MINNESOTA
                  25=MISSISSIPPI
                  26=MISSOURI
                  27=MONTANA
                  28=NEBRASKA
                  29=NEVADA
                  30=NEW HAMPSHIRE
                  31=NEW JERSEY
                  32=NEW MEXICO
                  33=NEW YORK
                  34=NORTH CAROLINA
                  35=NORTH DAKOTA
                  36=OHIO
                  37=OKLAHOMA
                  38=OREGON
                  39=PENNSYLVANIA
                  40=PUERTO RICO
                  41=RHODE ISLAND
                  42=SOUTH CAROLINA
                  43=SOUTH DAKOTA
                  44=TENNESSEE
                  45=TEXAS
                  46=UTAH

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 13
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  47=VERMONT
                  48=VIRGIN ISLANDS
                  49=VIRGINIA
                  50=WASHINGTON
                  51=WEST VIRGINIA
                  52=WISCONSIN
                  53=WYOMING
                  54=AFRICA
                  56=CANADA
                  57=WEST INDIES
                  58=EUROPE
                  59=MEXICO
                  60=OCEANIA
                  61=PHILIPPINES
                  62=SOUTH AMERICA
                  63=UNITED STATES POSSESSIONS
                  64=AMERICAN SAMOA
                  65=GUAM
                  66=SAIPAN
                  99=FOREIGN

   State Region Code                                 3    176   178  VARCHAR2
     Description: For selected states, identifies the particular region
                  within the state where the provider is located.
     SAS Name:    STATE_RGN_CD
     COBOL Name:  STATE-RGN-CD
     VALUES:      AK/001=ALASKA
                  AK/LAB=LABORATORIES
                  AK/UNK=UNKNOWN
                  AL/001=ALABAMA
                  AL/LAB=LABORATORIES
                  AL/UNK=UNKNOWN
                  AR/001=ARKANSAS
                  AR/LAB=LABORATORIES
                  AR/UNK=UNKNOWN
                  AS/001=AMERICAN SAMOA
                  AS/LAB=LABORATORY
                  AS/UNK=UNKNOWN
                  AZ/AZ=PHOENIX
                  AZ/LAB=ARIZONA LAB
                  AZ/TUC=TUCSON
                  AZ/UNK=UNKNOWN
                  CA/BAK=BAKERSFIELD
                  CA/BER=SAN BERNARDINO
                  CA/BK=BERKELEY
                  CA/BK1=CONTRA COSTA
                  CA/FR=FRESNO
                  CA/L1=L.A. WEST
                  CA/L2=L.A. NORTH
                  CA/L3=L.A. CENTRAL
                  CA/L4=L.A. EAST
                  CA/L5=SAN GABRIEL
                  CA/LAB=LABORATORIES
                  CA/M1=LAB. SOUTH
                  CA/M2=LAB. NORTH
                  CA/ORG=ORANGE CO
                  CA/RIV=RIVERSIDE
                  CA/RWC=REDWOOD COAST
                  CA/S1=SACRAMENTO
                  CA/S2=SACTO SOUTH
                  CA/S3=CHICO
                  CA/SD=SAN DIEGO
                  CA/SDS=SAN DIEGO SOUTH
                  CA/SF=SAN FRANCISCO

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 14
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  CA/SJ=SAN JOSE
                  CA/SR=SANTA ROSA
                  CA/UNK=UNKNOWN
                  CA/VEN=VENTURA
                  CN/001=CANADA
                  CN/LAB=LABORATORY
                  CN/UNK=UNKNOWN
                  CO/001=COLORADO
                  CO/LAB=LABORATORIES
                  CO/UNK=UNKNOWN
                  CT/001=CONNECTICUT
                  CT/LAB=LABORATORIES
                  CT/UNK=UNKNOWN
                  DC/001=DISTRICT OF COLUMBIA
                  DC/LAB=LABORATORIES
                  DC/UNK=UNKNOWN
                  DE/001=DELAWARE
                  DE/LAB=LABORATORIES
                  DE/UNK=UNKNOWN
                  FL/FTM=FT. MYERS
                  FL/GAI=GAINESVILLE
                  FL/JAX=JACKSONVILLE
                  FL/LAB=LABORATORIES
                  FL/LAN=LANTANA
                  FL/LAU=LAUDERHILL
                  FL/MIA=MIAMI
                  FL/ORL=ORLANDO
                  FL/PEN=PENSACOLA
                  FL/STP=ST. PETERSBURG
                  FL/TAL=TALLAHASSEE
                  FL/TAM=TAMPA
                  FL/UNK=UNKNOWN
                  FM/001=FEDERATED STATES OF MICRO
                  FN/001=FOREIGN
                  FN/LAB=LABORATORIES
                  FN/UNK=UNKNOWN
                  GA/001=GEORGIA
                  GA/GAA=GEORGIA ALL
                  GA/GAC=GEORGIA CENTRAL
                  GA/GAE=GEORGIA EASTERN
                  GA/GAN=GEORGIA NORTH
                  GA/GAS=GEORGIA SOUTH
                  GA/GAW=GEORGIA WESTERN
                  GA/LAB=LABORATORIES
                  GA/UNK=UNKNOWN
                  GU/001=GUAM
                  GU/LAB=LABORATORIES
                  GU/UNK=UNKNOWN
                  HI/001=HAWAII
                  HI/LAB=LABORATORIES
                  HI/UNK=UNKNOWN
                  IA/001=IOWA
                  IA/LAB=LABORATORIES
                  IA/UNK=UNKNOWN
                  ID/001=IDAHO
                  ID/LAB=LABORATORIES
                  ID/UNK=UNKNOWN
                  IL/001=ILLINOIS
                  IL/LAB=LABORATORIES
                  IL/UNK=UNKNOWN
                  IN/001=INDIANA
                  IN/LAB=LABORATORIES
                  IN/UNK=UNKNOWN
                  KS/LAB=LABORATORIES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 15
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  KS/LAW=LAWRENCE
                  KS/NC=NORTH CENTRAL KANSAS
                  KS/NE=NORTH EAST KANSAS
                  KS/NW=NORTH WEST KANSAS
                  KS/SC=SOUTH CENTRAL KANSAS
                  KS/SE=SOUTH EAST KANSAS
                  KS/SW=SOUTH WEST KANSAS
                  KS/UNK=UNKNOWN
                  KS/WST=WEST
                  KY/2C1=HOPKINSVILLE
                  KY/2C2=LOUISVILLE
                  KY/2C3=LONDON
                  KY/2C4=LEXINGTON
                  KY/LAB=LABORATORIES
                  KY/UNK=UNKNOWN
                  LA/001=LOUISIANA
                  LA/LA1=NEW ORLEANS
                  LA/LA2=MANDEVILLE
                  LA/LA3=LAFAYETTE
                  LA/LA4=MONROE
                  LA/LA5=SHREVEPORT
                  LA/LA6=ALEXANDRIA
                  LA/LAB=LABORATORIES
                  LA/LB1=CLIA NEW ORLEANS
                  LA/LB5=CLIA SHREVEPORT
                  LA/LB6=CLIA ALEXANDRIA
                  LA/UNK=UNKNOWN
                  MA/001=MASSACHUSETTS
                  MA/LAB=LABORATORIES
                  MA/UNK=UNKNOWN
                  MD/001=MARYLAND
                  MD/LAB=LABORATORIES
                  MD/UNK=UNKNOWN
                  ME/001=MAINE
                  ME/LAB=LABORATORIES
                  ME/UNK=UNKNOWN
                  MH/001=MARSHALL ISLANDS
                  MI/001=MICHIGAN
                  MI/LAB=LABORATORIES
                  MI/UNK=UNKNOWN
                  MN/001=MINNESOTA
                  MN/LAB=LABORATORIES
                  MN/UNK=UNKNOWN
                  MO/01=REGION01
                  MO/02=REGION02
                  MO/03=REGION 03
                  MO/04=REGION 04
                  MO/05=REGION 05
                  MO/06=REGION 06
                  MO/07=REGION 07
                  MO/1NH=REGION 1 NH
                  MO/2NH=REGION 2 NH
                  MO/3NH=REGION 3 NH
                  MO/4NH=REGION 4 NH
                  MO/5NH=REGION 5 NH
                  MO/6NH=REGION 6 NH
                  MO/7NH=REGION 7 NH
                  MO/LAB=LABORATORIES
                  MO/MO=STATEWIDE
                  MO/UNK=UNKNOWN
                  MP/001=NORTHERN MARIANA ISLANDS
                  MP/LAB=LABORATORIES
                  MP/UNK=UNKNOWN
                  MS/001=MISSISSIPPI

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 16
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  MS/LAB=LABORATORIES
                  MS/UNK=UNKNOWN
                  MT/001=MONTANA
                  MT/LAB=LABORATORIES
                  MT/UNK=UNKNOWN
                  MX/001=MEXICO
                  MX/LAB=LABORATORY
                  MX/UNK=UNKNOWN
                  NC/LAB=LABORATORIES
                  NC/NCC=NORTH CAROLINA CENTRAL
                  NC/NCE=NORTH CAROLINA EAST
                  NC/NCN=NORTH CAROLINA NORTH
                  NC/NCS=NORTH CAROLINA SOUTH
                  NC/NCW=NORTH CAROLINA WEST
                  NC/UNK=UNKNOWN
                  ND/001=NORTH DAKOTA
                  ND/LAB=LABORATORIES
                  ND/UNK=UNKNOWN
                  NE/1=NORTH CENTRAL
                  NE/2=CENTRAL
                  NE/3=NORTHEAST
                  NE/4=SOUTHEAST
                  NE/5=WESTERN
                  NE/LAB=LABORATORIES
                  NE/UNK=UNKNOWN
                  NH/001=NEW HAMPSHIRE
                  NH/LAB=LABORATORIES
                  NH/UNK=UNKNOWN
                  NJ/001=NEW JERSEY
                  NJ/LAB=LABORATORIES
                  NJ/UNK=UNKNOWN
                  NM/001=NEW MEXICO
                  NM/LAB=LABORATORIES
                  NM/UNK=UNKNOWN
                  NV/CC=CARSON CITY
                  NV/LAB=LABORATORIES
                  NV/LV=LAS VEGAS
                  NV/UNK=UNKNOWN
                  NY/001=BUFFALO
                  NY/002=ROCHESTER
                  NY/003=SYRACUSE
                  NY/004=ALBANY
                  NY/005=NEW ROCHELLE
                  NY/006=NEW YORK CITY
                  NY/007=SUFFOLK/NASSAU COUNTY
                  NY/LAB=LABORATORIES
                  NY/UNK=UNKNOWN
                  OH/001=OHIO
                  OH/LAB=LABORATORIES
                  OH/UNK=UNKNOWN
                  OK/001=OKLAHOMA
                  OK/LAB=LABORATORIES
                  OK/UNK=UNKNOWN
                  OR/001=OFFICE #1
                  OR/002=OFFICE #2
                  OR/003=OFFICE #3
                  OR/LAB=LABORATORIES
                  OR/UNK=UNKNOWN
                  PA/001=PENNSYLVANIA
                  PA/LAB=LABORATORIES
                  PA/UNK=UNKNOWN
                  PR/001=PUERTO RICO
                  PR/LAB=LABORATORIES
                  PR/UNK=UNKNOWN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 17
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  PW/001=PALAU
                  RI/001=RHODE ISLAND
                  RI/LAB=LABORATORIES
                  RI/UNK=UNKNOWN
                  SC/001=SOUTH CAROLINA
                  SC/LAB=LABORATORIES
                  SC/UNK=UNKNOWN
                  SD/001=SOUTH DAKOTA
                  SD/LAB=LABORATORIES
                  SD/UNK=UNKNOWN
                  TN/LAB=LABORATORIES
                  TN/TNC=TENNESSEE COOKEVILLE
                  TN/TNE=TENNESSEE EASTERN
                  TN/TNM=TENNESSEE MIDDLE
                  TN/TNW=TENNESSEE WESTERN
                  TN/UNK=UNKNOWN
                  TX/001=TEXAS
                  TX/L01=AMARILLO-LTC
                  TX/L02=ABILENE-LTC
                  TX/L03=ARLINGTON-LTC
                  TX/L04=TYLER-LTC
                  TX/L05=BEAUMONT-LTC
                  TX/L06=HOUSTON-LTC
                  TX/L07=TEMPLE-LTC
                  TX/L08=SAN ANTONIO-LTC
                  TX/L09=SAN ANGELO-LTC
                  TX/L10=EL PASO-LTC
                  TX/L11=CORPUS CHRISTI-LTC
                  TX/LAB=LABORATORIES
                  TX/TX1=LUBBOCK
                  TX/TX2=ARLINGTON
                  TX/TX3=SAN ANTONIO
                  TX/TX4=HOUSTON
                  TX/TX5=TYLER
                  TX/TX6=AUSTIN
                  TX/UNK=UNKNOWN
                  UT/001=UTAH
                  UT/LAB=LABORATORIES
                  UT/UNK=UNKNOWN
                  VA/001=VIRGINIA
                  VA/LAB=LABORATORIES
                  VA/UNK=UNKNOWN
                  VI/001=VIRGIN ISLANDS
                  VI/LAB=LABORATORIES
                  VI/UNK=UNKNOWN
                  VT/001=VERMONT
                  VT/LAB=LABORATORIES
                  VT/UNK=UNKNOWN
                  WA/001=ALL OTHERS (NON-LTC FAC)
                  WA/D1=SPOKANE & YAKIMA AREAS
                  WA/D1A=District 1, Unit A
                  WA/D1B=District 1, Unit B
                  WA/D1C=District 1, Unit C
                  WA/D1D=District 1, Unit D
                  WA/D2=SPOKANE & SE
                  WA/D2A=District 2, Unit A
                  WA/D2B=District 2, Unit B
                  WA/D2C=District 2, Unit C
                  WA/D2D=District 2, Unit D
                  WA/D2E=District 2, Unit E
                  WA/D2F=District 2, Unit F
                  WA/D2G=District 2, Unit G
                  WA/D3=NW WASHINGTON
                  WA/D3A=District 3, Unit A

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 18
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  WA/D3B=District 3, Unit B
                  WA/D3C=District 3, Unit C
                  WA/D3D=District 3, Unit D
                  WA/D3E=District 3, Unit E
                  WA/D4A=GREATER SEATTLE AREA
                  WA/D4B=S KING COUNTY
                  WA/D5A=PIERCE CTY & PENINSULA
                  WA/D5B=PIERCE CTY & GRAYS HARBOR
                  WA/D6=OLYMPIA AREA
                  WA/LAB=LABORATORIES
                  WA/UNK=UNKNOWN
                  WI/001=WISCONSIN
                  WI/LAB=LABORATORIES
                  WI/UNK=UNKNOWN
                  WV/001=WEST VIRGINIA
                  WV/LAB=LABORATORIES
                  WV/UNK=UNKNOWN
                  WY/001=WYOMING
                  WY/LAB=LABORATORIES
                  WY/UNK=UNKNOWN

   Street Address                                    50   179   228  VARCHAR2
     Description: Street address of a provider that is certified to provide
                  Medicare and/or Medicaid services.
     SAS Name:    ST_ADR
     COBOL Name:  ST-ADR

   Telephone Number                                  10   229   238  VARCHAR2
     Description: The 10-digit telephone number of the primary contact or
                  the operator of a provider.
     SAS Name:    PHNE_NUM
     COBOL Name:  PHNE-NUM

   Termination Code 1                                2    239   240  VARCHAR2
     Description: Termination code number one: the reason a facility has
                  been terminated from the CLIA, Medicare and/or Medicaid
                  programs.
     SAS Name:    PGM_TRMNTN_CD
     COBOL Name:  PGM-TRMNTN-CD
     VALUES:      00=ACTIVE PROVIDER
                  01=VOLUNTARY-MERGER, CLOSURE
                  02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT
                  03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION
                  04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL
                  05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ
                  06=INVOLUNTARY-FAILURE TO MEET AGREEMENT
                  07=OTHER-PROVIDER STATUS CHANGE
                  08=NONPAYMENT OF FEES - CLIA Only
                  09=REV/UNSUCCESSFUL PARTICIPATION IN PT - CLIA Only
                  10=REV/OTHER REASON - CLIA Only
                  11=INCMPLETE CLIA APPLICATION INFORMATION - CLIA Only
                  12=NO LONGER PERFORMING TESTS - CLIA Only
                  13=MULTIPLE TO SINGLE SITE CERTIFICATE - CLIA Only
                  14=SHARED LABORATORY - CLIA Only
                  15=FAILURE TO RENEW WAIVER PPM CERTIFICATE - CLIA Only
                  16=DUPLICATE CLIA NUMBER - CLIA Only
                  17=MAIL RETURNED NO FORWARD ADDRESS CERT ENDED - CLIA Only
                  20=NOTIFICATION BANKRUPTCY - CLIA Only
                  33=ACCREDITATION NOT CONFIRMED - CLIA Only
                  80=AWAITING STATE APPROVAL
                  99=OIG ACTION - DO NOT ACTIVATE - CLIA Only

   Termination Date / Expiration Date 1              8    241   248  DATE
     Description: The date the laboratory's certificate terminated or the

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 19
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  expiration date of the current CLIA certificate. For
                  other non-CLIA providers, it is the date the facility was
                  terminated.
     SAS Name:    TRMNTN_EXPRTN_DT
     COBOL Name:  TRMNTN-EXPRTN-DT

   Type of Action                                    1    249   249  VARCHAR2
     Description: Type of action on the 'official' survey record.  This
                  field is copied from type of action on the HCFA-1539,
                  certification and transmittal.
     SAS Name:    SRVY_PRPSE_CD
     COBOL Name:  SRVY-PRPSE-CD
     VALUES:      1=INITIAL
                  2=RECERTIFICATION
                  3=TERMINATION
                  4=CHANGE OF OWNERSHIP
                  5=VALIDATION
                  6=ONSITE SURVEY DUE TO FLEXIBLE SURVEY - CLIA Only
                  8=FULL SURVEY AFTER COMPLAINT - CLIA ONLY

   General Type of Control Code                      2    250   251  VARCHAR2
     Description: Indicates the nature of the organization that operates a
                  provider of services.
     SAS Name:    GNRL_CNTL_TYPE_CD
     COBOL Name:  GNRL-CNTL-TYPE-CD
     VALUES:      01=FOR PROFIT - INDIVIDUAL
                  02=FOR PROFIT - PARTNERSHIP
                  03=FOR PROFIT - CORPORATION
                  04=NONPROFIT - CHURCH RELATED
                  05=NONPROFIT - CORPORATION
                  06=NONPROFIT - OTHER
                  07=GOVERNMENT - STATE
                  08=GOVERNMENT - COUNTY
                  09=GOVERNMENT - CITY
                  10=GOVERNMENT - CITY/COUNTY
                  11=GOVERNMENT - HOSPITAL DISTRICT
                  12=GOVERNMENT - FEDERAL
                  13=FOR PROFIT - LIMITED LIABILITY CORPORATION

   ZIP Code                                          5    252   256  VARCHAR2
     Description: The five-digit postal code for the provider.
     SAS Name:    ZIP_CD
     COBOL Name:  ZIP-CD

   FIPS State Code                                   2    257   258  VARCHAR2
     Description: FIPS State Code
     SAS Name:    FIPS_STATE_CD
     COBOL Name:  FIPS-STATE-CD

   FIPS County Code                                  3    259   261  VARCHAR2
     Description: FIPS County Code
     SAS Name:    FIPS_CNTY_CD
     COBOL Name:  FIPS-CNTY-CD

   CBSA Urban Rural Indicator                        1    262   262  VARCHAR2
     Description: CBSA (Core Based Statistical Area) indicates whether the
                  county is defined as Urban or Rural.
     SAS Name:    CBSA_URBN_RRL_IND
     COBOL Name:  CBSA-URBN-RRL-IND

   Activity Professional Contract Count              7    280   286  NUMBER
     Description: The number of full-time equivalent activity professionals
                  under contract to a facility.
     SAS Name:    ACTVTY_PROFNL_CNTRCT_CNT

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 20
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  ACTVTY-PROFNL-CNTRCT-CNT

   Activity Professional Full-Time Count             7    288   294  NUMBER
     Description: The number of full-time equivalent activity professionals
                  employed full-time by a facility.
     SAS Name:    ACTVTY_PROFNL_FLTM_CNT
     COBOL Name:  ACTVTY-PROFNL-FLTM-CNT

   Activity Professional Part-Time Count             7    296   302  NUMBER
     Description: The number of full-time equivalent activity professionals
                  employed part-time by a facility.
     SAS Name:    ACTVTY_PROFNL_PRTM_CNT
     COBOL Name:  ACTVTY-PROFNL-PRTM-CNT

   Activity Staff Other Contract Count               7    304   310  NUMBER
     Description: Number of contract staff hours for other activities.
     SAS Name:    ACTVTY_STF_OTHR_CNTRCT_CNT
     COBOL Name:  ACTVTY-STF-OTHR-CNTRCT-CNT

   Activity Staff Other Full-Time Count              7    312   318  NUMBER
     Description: Number of full-time staff hours for other activities.
     SAS Name:    ACTVTY_STF_OTHR_FLTM_CNT
     COBOL Name:  ACTVTY-STF-OTHR-FLTM-CNT

   Activity Staff Other Part-Time Count              7    320   326  NUMBER
     Description: Number of part-time staff hours provided by other
                  activity staff.
     SAS Name:    ACTVTY_STF_OTHR_PRTM_CNT
     COBOL Name:  ACTVTY-STF-OTHR-PRTM-CNT

   Administrator - Contract                          7    329   335  NUMBER
     Description: The number of full-time equivalent administrative staff
                  under contract to a facility.
     SAS Name:    PROFNL_ADMIN_CNTRCT_CNT
     COBOL Name:  PROFNL-ADMIN-CNTRCT-CNT

   Administrator - Full-Time                         7    337   343  NUMBER
     Description: The number of full-time equivalent administrative staff
                  employed on a full-time basis by a facility.
     SAS Name:    PROFNL_ADMIN_FLTM_CNT
     COBOL Name:  PROFNL-ADMIN-FLTM-CNT

   Administrator - Part-Time                         7    345   351  NUMBER
     Description: The number of full-time equivalent administrative staff
                  employed on a part-time basis by a facility.
     SAS Name:    PROFNL_ADMIN_PRTM_CNT
     COBOL Name:  PROFNL-ADMIN-PRTM-CNT

   Beds - Nursing Facility                           4    378   381  NUMBER
     Description: Number of medicaid certified nursing facility beds in a
                  facility.
     SAS Name:    MDCD_SNF_BED_CNT
     COBOL Name:  MDCD-SNF-BED-CNT

   Beds - Total Certified                            4    386   389  NUMBER
     Description: Number of beds in Medicare and/or Medicaid certified
                  areas within a facility.
     SAS Name:    CRTFD_BED_CNT
     COBOL Name:  CRTFD-BED-CNT

   Beds-Total                                        4    390   393  NUMBER
     Description: Total number of beds in a facility, including those in
                  non-participating or non-licensed areas.
     SAS Name:    BED_CNT

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 21
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  BED-CNT

   Certification Nurse Aides - Contract              7    448   454  NUMBER
     Description: The number of full-time equivalent certified nurse aides
                  under contract to a facility.
     SAS Name:    NRS_AIDE_CNTRCT_CNT
     COBOL Name:  NRS-AIDE-CNTRCT-CNT

   Certification Nurse Aides - Full-Time             7    456   462  NUMBER
     Description: The number of full-time equivalent certified nurse aides
                  employed by a facility on a full-time basis.
     SAS Name:    NRS_AIDE_FLTM_CNT
     COBOL Name:  NRS-AIDE-FLTM-CNT

   Certification Nurse Aides - Part-Time             7    464   470  NUMBER
     Description: The number of full-time equivalent certified nurse aides
                  employed by a facility on a part-time basis.
     SAS Name:    NRS_AIDE_PRTM_CNT
     COBOL Name:  NRS-AIDE-PRTM-CNT

   Compliance: 24 Hour Registered Nurse              1    481   481  VARCHAR2
     Description: Indicates if a waiver of the 24-hour registered nurse
                  requirement has been recommended for a facility.
     SAS Name:    RN_24_HR_WVR_SW
     COBOL Name:  RN-24-HR-WVR-SW

   Compliance: 7 Day Registered Nurse                1    482   482  VARCHAR2
     Description: Indicates if a waiver of the 7-day registered nurse
                  requirements has been recommended for a SNF or NF.
     SAS Name:    RN_7_DAY_WVR_SW
     COBOL Name:  RN-7-DAY-WVR-SW

   Compliance: Beds Per Room Waiver                  1    483   483  VARCHAR2
     Description: Indicates if a waiver of the beds per room requirement
                  has been recommended for a facility.
     SAS Name:    BED_PER_ROOM_WVR_SW
     COBOL Name:  BED-PER-ROOM-WVR-SW

   Compliance: Life Safety Code                      1    484   484  VARCHAR2
     Description: INDICATES IF A WAIVER OF ANY LIFE SAFETY CODE (LSC)
                  PROVISIONS HAS BEEN RECOMMENDED FOR A PROVIDER.
     SAS Name:    LSC_WVR_SW
     COBOL Name:  LSC-WVR-SW

   Compliance: Patient Room Size                     1    485   485  VARCHAR2
     Description: Indicates if a waiver of patient room size has been
                  recommended for a facility.
     SAS Name:    ROOM_SIZE_WVR_SW
     COBOL Name:  ROOM-SIZE-WVR-SW

   Dentists - Contract                               7    523   529  NUMBER
     Description: The number of full-time equivalent dentists under
                  contract to a facility.
     SAS Name:    DNTST_CNTRCT_CNT
     COBOL Name:  DNTST-CNTRCT-CNT

   Dentists - Full-Time                              7    531   537  NUMBER
     Description: The number of full-time equivalent dentists employed by a
                  facility on a full-time basis.
     SAS Name:    DNTST_FLTM_CNT
     COBOL Name:  DNTST-FLTM-CNT

   Dentists - Part-Time                              7    539   545  NUMBER
     Description: The number of full-time equivalent dentists employed by a

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 22
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  facility on a part-time basis.
     SAS Name:    DNTST_PRTM_CNT
     COBOL Name:  DNTST-PRTM-CNT

   Dietitians - Contract                             7    555   561  NUMBER
     Description: The number of full-time equivalent dietitians under
                  contract to a facility.
     SAS Name:    DIETN_CNTRCT_CNT
     COBOL Name:  DIETN-CNTRCT-CNT

   Dietitians - Full-Time                            7    563   569  NUMBER
     Description: The number of full-time equivalent dietitians employed by
                  a facility on a full-time basis.
     SAS Name:    DIETN_FLTM_CNT
     COBOL Name:  DIETN-FLTM-CNT

   Dietitians - Part-Time                            7    571   577  NUMBER
     Description: The number of full-time equivalent dietitians employed by
                  a facility on a part-time basis.
     SAS Name:    DIETN_PRTM_CNT
     COBOL Name:  DIETN-PRTM-CNT

   Experimental Research Conducted                   1    590   590  VARCHAR2
     Description: Indicates if a facility uses residents to develop and
                  test clinical treatments.
     SAS Name:    EXPRMT_RSRCH_CNDCTD_SW
     COBOL Name:  EXPRMT-RSRCH-CNDCTD-SW

   Fiscal Year Ending Date                           4    613   616  VARCHAR2
     Description: The ending date (month and day) of a facility's fiscal
                  year.
     SAS Name:    FY_END_MO_DAY_CD
     COBOL Name:  FY-END-MO-DAY-CD

   Food Service - Contract                           7    617   623  NUMBER
     Description: The number of full-time equivalent food service personnel
                  under contract to a facility.
     SAS Name:    FOOD_SRVC_CNTRCT_CNT
     COBOL Name:  FOOD-SRVC-CNTRCT-CNT

   Food Service - Full-Time                          7    625   631  NUMBER
     Description: The number of full-time equivalent food service personnel
                  employed by a facility on a full-time basis.
     SAS Name:    FOOD_SRVC_FLTM_CNT
     COBOL Name:  FOOD-SRVC-FLTM-CNT

   Food Service - Part-Time                          7    633   639  NUMBER
     Description: The number of full-time equivalent food service personnel
                  employed by a facility on a part-time basis.
     SAS Name:    FOOD_SRVC_PRTM_CNT
     COBOL Name:  FOOD-SRVC-PRTM-CNT

   Housekeeping - Contract                           7    677   683  NUMBER
     Description: The number of full-time equivalent housekeeping personnel
                  under contract to a facility.
     SAS Name:    HSEKPNG_CNTRCT_CNT
     COBOL Name:  HSEKPNG-CNTRCT-CNT

   Housekeeping - Full-Time                          7    685   691  NUMBER
     Description: The number of full-time equivalent housekeeping personnel
                  employed by a facility on a full time basis.
     SAS Name:    HSEKPNG_FLTM_CNT
     COBOL Name:  HSEKPNG-FLTM-CNT


 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 23
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

   Housekeeping - Part-Time                          7    693   699  NUMBER
     Description: The number of full-time equivalent housekeeping personnel
                  employed by a facility on a part-time basis.
     SAS Name:    HSEKPNG_PRTM_CNT
     COBOL Name:  HSEKPNG-PRTM-CNT

   LPN/LVN - Contract                                7    719   725  NUMBER
     Description: The number of full-time equivalent licensed practical/
                  vocational nurses under contract to a facility.
     SAS Name:    LPN_LVN_CNTRCT_CNT
     COBOL Name:  LPN-LVN-CNTRCT-CNT

   LPN/LVN - Full-Time                               7    727   733  NUMBER
     Description: The number of full-time equivalent licensed practical/
                  vocational nurses employed by a facility on a full-time
                  basis.
     SAS Name:    LPN_LVN_FLTM_CNT
     COBOL Name:  LPN-LVN-FLTM-CNT

   LPN/LVN - Part-Time                               7    735   741  NUMBER
     Description: The number of full-time equivalent licensed practical/
                  vocational nurses employed by a facility on a part-time
                  basis.
     SAS Name:    LPN_LVN_PRTM_CNT
     COBOL Name:  LPN-LVN-PRTM-CNT

   Medical Director - Contract                       7    791   797  NUMBER
     Description: The number of full-time equivalent medical directors
                  under contract to a facility.
     SAS Name:    MDCL_DRCTR_CNTRCT_CNT
     COBOL Name:  MDCL-DRCTR-CNTRCT-CNT

   Medical Director - Full-Time                      7    799   805  NUMBER
     Description: The number of full-time equivalent medical directors
                  employed by a facility on a full-time basis.
     SAS Name:    MDCL_DRCTR_FLTM_CNT
     COBOL Name:  MDCL-DRCTR-FLTM-CNT

   Medical Director - Part-Time                      7    807   813  NUMBER
     Description: The number of full-time equivalent medical directors
                  employed by a facility on a part-time basis.
     SAS Name:    MDCL_DRCTR_PRTM_CNT
     COBOL Name:  MDCL-DRCTR-PRTM-CNT

   Medication Aides / Techs - Contract               7    841   847  NUMBER
     Description: The number of full-time equivalent medication aides/
                  technicians under contract to a facility.
     SAS Name:    MDCTN_AIDE_CNTRCT_CNT
     COBOL Name:  MDCTN-AIDE-CNTRCT-CNT

   Medication Aides / Techs - Full-Time              7    849   855  NUMBER
     Description: The number of full-time equivalent medication aides/
                  technicians employed by a facility on a full-time basis.
     SAS Name:    MDCTN_AIDE_FLTM_CNT
     COBOL Name:  MDCTN-AIDE-FLTM-CNT

   Medication Aides / Techs - Part-Time              7    857   863  NUMBER
     Description: The number of full-time equivalent medication aides/
                  technicians employed by a facility on a part-time basis.
     SAS Name:    MDCTN_AIDE_PRTM_CNT
     COBOL Name:  MDCTN-AIDE-PRTM-CNT

   Mental Health Services - Contract                 7    866   872  NUMBER
     Description: The number of full-time equivalent mental health services

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 24
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  personnel under contract to a facility.
     SAS Name:    MENTL_HLTH_SRVC_CNTRCT_CNT
     COBOL Name:  MENTL-HLTH-SRVC-CNTRCT-CNT

   Mental Health Services - Full-Time                7    874   880  NUMBER
     Description: The number of full-time equivalent mental health services
                  personnel employed by a facility on a full-time basis.
     SAS Name:    MENTL_HLTH_SRVC_FLTM_CNT
     COBOL Name:  MENTL-HLTH-SRVC-FLTM-CNT

   Mental Health Services - Part-Time                7    882   888  NUMBER
     Description: The number of full-time equivalent mental health services
                  personnel employed by a facility on a part-time basis.
     SAS Name:    MENTL_HLTH_SRVC_PRTM_CNT
     COBOL Name:  MENTL-HLTH-SRVC-PRTM-CNT

   Multi-Facility Organization Name                  38   890   927  VARCHAR2
     Description: The name of the multi-facility organization that owns the
                  facility.
     SAS Name:    MLT_FAC_ORG_NAME
     COBOL Name:  MLT-FAC-ORG-NAME

   Multi-Facility Organization Owned                 1    928   928  VARCHAR2
     Description: Indicates if a facility is owned by an organization that
                  owns (or leases) two or more nursing facilities.
     SAS Name:    MLT_OWND_FAC_ORG_SW
     COBOL Name:  MLT-OWND-FAC-ORG-SW

   Nurse Aides in Training - Contract                7    940   946  NUMBER
     Description: Number of full-time equivalent nurse aides in training
                  under contract to a facility.
     SAS Name:    NAT_CNTRCT_CNT
     COBOL Name:  NAT-CNTRCT-CNT

   Nurse Aides in Training - Full-Time               7    948   954  NUMBER
     Description: The number of full-time equivalent nurse aides in
                  training employed by a facility on a full-time basis.
     SAS Name:    NAT_FLTM_CNT
     COBOL Name:  NAT-FLTM-CNT

   Nurse Aides in Training - Part-Time               7    956   962  NUMBER
     Description: The number of full-time equivalent nurse aides in
                  training employed by a facility on a part-time basis.
     SAS Name:    NAT_PRTM_CNT
     COBOL Name:  NAT-PRTM-CNT

   Nurses With Administrative Duties - Contract      7    972   978  NUMBER
     Description: The number of full-time equivalent nurses with
                  administrative duties under contract to a facility.
     SAS Name:    NRS_ADMINV_CNTRCT_CNT
     COBOL Name:  NRS-ADMINV-CNTRCT-CNT

   Nurses With Administrative Duties - Full-Time     7    980   986  NUMBER
     Description: The number of full-time equivalent nurses with
                  administrative duties employed by a facility on a
                  full-time basis.
     SAS Name:    NRS_ADMINV_FLTM_CNT
     COBOL Name:  NRS-ADMINV-FLTM-CNT

   Nurses With Administrative Duties - Part-Time     7    988   994  NUMBER
     Description: Number of full-time equivalent nurses with administrative
                  duties employed by a facility on a part-time basis.
     SAS Name:    NRS_ADMINV_PRTM_CNT
     COBOL Name:  NRS-ADMINV-PRTM-CNT

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 25
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Occupational Therapist - Contract                 7    996   1002 NUMBER
     Description: The number of full-time equivalent occupational
                  therapists under contract to a facility.
     SAS Name:    OCPTNL_THRPST_CNTRCT_CNT
     COBOL Name:  OCPTNL-THRPST-CNTRCT-CNT

   Occupational Therapist - Full-Time                7    1004  1010 NUMBER
     Description: The number of full-time equivalent occupational
                  therapists employed by a facility on a full-time basis.
     SAS Name:    OCPTNL_THRPST_FLTM_CNT
     COBOL Name:  OCPTNL-THRPST-FLTM-CNT

   Occupational Therapist - Part-Time                7    1012  1018 NUMBER
     Description: The number of full-time equivalent occupational
                  therapists employed by a facility on a part-time basis.
     SAS Name:    OCPTNL_THRPST_PRTM_CNT
     COBOL Name:  OCPTNL-THRPST-PRTM-CNT

   Occupational Therapy Aide - Contract              7    1028  1034 NUMBER
     Description: The number of full-time equivalent occupational therapy
                  aides under contract to a facility.
     SAS Name:    OT_AIDE_CNTRCT_CNT
     COBOL Name:  OT-AIDE-CNTRCT-CNT

   Occupational Therapy Aide - Full-Time             7    1036  1042 NUMBER
     Description: The number of full-time equivalent occupational therapy
                  aides employed by a facility on a full-time basis.
     SAS Name:    OT_AIDE_FLTM_CNT
     COBOL Name:  OT-AIDE-FLTM-CNT

   Occupational Therapy Aide - Part-Time             7    1044  1050 NUMBER
     Description: The number of full-time equivalent occupational therapy
                  aides employed by a facility on a part-time basis.
     SAS Name:    OT_AIDE_PRTM_CNT
     COBOL Name:  OT-AIDE-PRTM-CNT

   Occupational Therapy Assistant - Contract         7    1052  1058 NUMBER
     Description: The number of full-time equivalent occupational therapy
                  assistants under contract to a facility.
     SAS Name:    OT_ASTNT_AIDE_CNTRCT_CNT
     COBOL Name:  OT-ASTNT-AIDE-CNTRCT-CNT

   Occupational Therapy Assistant - Full-Time        7    1060  1066 NUMBER
     Description: The number of full-time equivalent occupational therapy
                  assistants employed by a facility on a full-time basis.
     SAS Name:    OT_ASTNT_AIDE_FLTM_CNT
     COBOL Name:  OT-ASTNT-AIDE-FLTM-CNT

   Occupational Therapy Assistant - Part-Time        7    1068  1074 NUMBER
     Description: The number of full-time equivalent occupational therapy
                  assistants employed by a facility on a part-time basis.
     SAS Name:    OT_ASTNT_AIDE_PRTM_CNT
     COBOL Name:  OT-ASTNT-AIDE-PRTM-CNT

   Organized Family Group                            1    1078  1078 VARCHAR2
     Description: Indicates if the facility has an organized group of
                  family members of residents.
     SAS Name:    ORGNZ_FMLY_MBR_GRP_SW
     COBOL Name:  ORGNZ-FMLY-MBR-GRP-SW

   Organized Resident Group                          1    1079  1079 VARCHAR2
     Description: Indicates if the facility has an organized residents
                  group.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 26
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    ORGNZ_RSDNT_GRP_SW
     COBOL Name:  ORGNZ-RSDNT-GRP-SW

   Other - Contract                                  7    1081  1087 NUMBER
     Description: The number of full-time equivalent staff not included in
                  any other categories under contract to the facility.
     SAS Name:    STF_OTHR_CNTRCT_CNT
     COBOL Name:  STF-OTHR-CNTRCT-CNT

   Other - Full-Time                                 7    1089  1095 NUMBER
     Description: The number of full-time equivalent persons not included
                  in any other categories employed by the facility on a
                  full-time basis.
     SAS Name:    STF_OTHR_FLTM_CNT
     COBOL Name:  STF-OTHR-FLTM-CNT

   Other - Part-Time                                 7    1097  1103 NUMBER
     Description: The number of full-time equivalent persons not included
                  in any other categories employed by the facility on a
                  part-time basis.
     SAS Name:    STF_OTHR_PRTM_CNT
     COBOL Name:  STF-OTHR-PRTM-CNT

   Other Physician Contract                          7    1113  1119 NUMBER
     Description: The number of full-time equivalent other physicians under
                  contract to a facility.
     SAS Name:    PHYSN_OTHR_CNTRCT_CNT
     COBOL Name:  PHYSN-OTHR-CNTRCT-CNT

   Other Physician Full-Time                         7    1121  1127 NUMBER
     Description: The number of full-time equivalent other physicians
                  employed by a facility on a full-time basis.
     SAS Name:    PHYSN_OTHR_FLTM_CNT
     COBOL Name:  PHYSN-OTHR-FLTM-CNT

   Other Physician Part-Time                         7    1129  1135 NUMBER
     Description: The number of full-time equivalent other physicians
                  employed by a facility on a part-time basis.
     SAS Name:    PHYSN_OTHR_PRTM_CNT
     COBOL Name:  PHYSN-OTHR-PRTM-CNT

   Other Social Service Staff - Contract             7    1137  1143 NUMBER
     Description: Number of contract staff hours provided by other social
                  services staff.
     SAS Name:    SCL_SRVC_OTHR_STF_CNTRCT_CNT
     COBOL Name:  SCL-SRVC-OTHR-STF-CNTRCT-CNT

   Other Social Service Staff - Full-Time            7    1145  1151 NUMBER
     Description: Number of full-time staff hours provided by other social
                  services staff.
     SAS Name:    SCL_SRVC_OTHR_STF_FLTM_CNT
     COBOL Name:  SCL-SRVC-OTHR-STF-FLTM-CNT

   Other Social Service Staff - Part-Time            7    1153  1159 NUMBER
     Description: Number of part-time staff hours provided by other social
                  services staff.
     SAS Name:    SCL_SRVC_OTHR_STF_PRTM_CNT
     COBOL Name:  SCL-SRVC-OTHR-STF-PRTM-CNT

   Pharmacists - Contract                            7    1172  1178 NUMBER
     Description: The number of full-time equivalent pharmacists under
                  contract to a facility.
     SAS Name:    PHRMCST_CNTRCT_CNT
     COBOL Name:  PHRMCST-CNTRCT-CNT

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 27
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Pharmacists - Full-Time                           7    1180  1186 NUMBER
     Description: The number of full-time equivalent pharmacists employed
                  by a facility on a full-time basis.
     SAS Name:    PHRMCST_FLTM_CNT
     COBOL Name:  PHRMCST-FLTM-CNT

   Pharmacists - Part-Time                           7    1188  1194 NUMBER
     Description: The number of full-time equivalent pharmacists employed
                  by a facility on a part-time basis.
     SAS Name:    PHRMCST_PRTM_CNT
     COBOL Name:  PHRMCST-PRTM-CNT

   Physical Therapists - Contract                    7    1212  1218 NUMBER
     Description: The number of full-time equivalent physical therapists
                  under contract to a facility.
     SAS Name:    PHYS_THRPST_CNTRCT_CNT
     COBOL Name:  PHYS-THRPST-CNTRCT-CNT

   Physical Therapists - Full-Time                   7    1220  1226 NUMBER
     Description: The number of full-time equivalent physical therapists
                  employed by a facility on a full-time basis.
     SAS Name:    PHYS_THRPST_FLTM_CNT
     COBOL Name:  PHYS-THRPST-FLTM-CNT

   Physical Therapists - Part-Time                   7    1228  1234 NUMBER
     Description: The number of full-time equivalent physical therapists
                  employed by a facility on a part-time basis.
     SAS Name:    PHYS_THRPST_PRTM_CNT
     COBOL Name:  PHYS-THRPST-PRTM-CNT

   Physical Therapy Aide - Contract                  7    1244  1250 NUMBER
     Description: The number of full-time equivalent physical therapy aides
                  under contract to a facility.
     SAS Name:    PT_AIDE_CNTRCT_CNT
     COBOL Name:  PT-AIDE-CNTRCT-CNT

   Physical Therapy Aide - Full-Time                 7    1252  1258 NUMBER
     Description: The number of full-time equivalent physical therapy aides
                  employed by a facility on a full-time basis.
     SAS Name:    PT_AIDE_FLTM_CNT
     COBOL Name:  PT-AIDE-FLTM-CNT

   Physical Therapy Aide - Part-Time                 7    1260  1266 NUMBER
     Description: The number of full-time equivalent physical therapy aides
                  employed by a facility on a part-time basis.
     SAS Name:    PT_AIDE_PRTM_CNT
     COBOL Name:  PT-AIDE-PRTM-CNT

   Physical Therapy Assistant - Contract             7    1268  1274 NUMBER
     Description: Number of contract staff hours for physical therapy
                  assistants.
     SAS Name:    PT_ASTNT_CNTRCT_CNT
     COBOL Name:  PT-ASTNT-CNTRCT-CNT

   Physical Therapy Assistant - Full-Time            7    1276  1282 NUMBER
     Description: Number of full-time staff hours for physical therapy
                  assistants.
     SAS Name:    PT_ASTNT_FLTM_CNT
     COBOL Name:  PT-ASTNT-FLTM-CNT

   Physical Therapy Assistant - Part-Time            7    1284  1290 NUMBER
     Description: Number of part-time staff hours for physical therapy
                  assistants.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 28
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    PT_ASTNT_PRTM_CNT
     COBOL Name:  PT-ASTNT-PRTM-CNT

   Physician Extender -  Contract                    7    1300  1306 NUMBER
     Description: The number of full-time equivalent physician extenders
                  under contract to the facility.
     SAS Name:    PHYSN_EXT_CNTRCT_CNT
     COBOL Name:  PHYSN-EXT-CNTRCT-CNT

   Physician Extender Full-Time Count (F37B)         7    1308  1314 NUMBER
     Description: The number of full-time equivalent physician extenders
                  employed by the facility on a full-time basis.
     SAS Name:    PHYSN_EXT_FLTM_CNT
     COBOL Name:  PHYSN-EXT-FLTM-CNT

   Physician Extender Part-Time Count (F37C)         7    1316  1322 NUMBER
     Description: The number of full-time equivalent physician extenders
                  employed by the facility on a part-time basis.
     SAS Name:    PHYSN_EXT_PRTM_CNT
     COBOL Name:  PHYSN-EXT-PRTM-CNT

   Physician Extender Service Offsite To Resident Switch1    1324  1324 VARCHAR2
   (F37A3)
     Description: Indicates if physician extender services are provided
                  offsite to residents.
     SAS Name:    PHYSN_EXT_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  PHYSN-EXT-SRVC-OFSITE-RSDNT-SW

   Physician Extender Service Onsite To Non-Resident 1    1325  1325 VARCHAR2
   Switch (F37A2)
     Description: Indicates if physician extender services are provided
                  onsite to non-residents.
     SAS Name:    PHYSN_EXT_SRVC_ONST_NRSDNT_SW
     COBOL Name:  PHYSN-EXT-SRVC-ONST-NRSDNT-SW

   Physician Extender Service Onsite To Resident Switch1    1326  1326 VARCHAR2
   (F37A1)
     Description: Indicates if physician extender services are provided
                  on-site to residents.
     SAS Name:    PHYSN_EXT_SRVC_ONST_RSDNT_SW
     COBOL Name:  PHYSN-EXT-SRVC-ONST-RSDNT-SW

   Podiatrists - Contract                            7    1351  1357 NUMBER
     Description: The number of full-time equivalent podiatrists under
                  contract to a facility.
     SAS Name:    PDTRST_CNTRCT_CNT
     COBOL Name:  PDTRST-CNTRCT-CNT

   Podiatrists - Full-Time                           7    1359  1365 NUMBER
     Description: The number of full-time equivalent podiatrists employed
                  by a facility on a full-time basis.
     SAS Name:    PDTRST_FLTM_CNT
     COBOL Name:  PDTRST-FLTM-CNT

   Podiatrists - Part-Time                           7    1367  1373 NUMBER
     Description: The number of full-time equivalent podiatrists employed
                  by a facility on a part-time basis.
     SAS Name:    PDTRST_PRTM_CNT
     COBOL Name:  PDTRST-PRTM-CNT

   Program Participation                             1    1399  1399 VARCHAR2
     Description: Indicates if the provider participates in Medicare,
                  Medicaid, or both programs.
     SAS Name:    PGM_PRTCPTN_CD

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 29
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  PGM-PRTCPTN-CD
     VALUES:      1=MEDICARE ONLY
                  2=MEDICAID ONLY
                  3=MEDICARE AND MEDICAID

   Provider Based Facility                           1    1400  1400 VARCHAR2
     Description: Indicates if a long term care facility is provider based.
     SAS Name:    PRVDR_BSD_FAC_SW
     COBOL Name:  PRVDR-BSD-FAC-SW

   Regional Override # 1 (Number Beds)               1    1438  1438 VARCHAR2
     Description: This field is set to 'Y' when the regional office has to
                  approve a pending record in the special fields screen.
                  This field only applies to categories in ODIE data entry
                  system.
     SAS Name:    OVRRD_BED_CNT_SW
     COBOL Name:  OVRRD-BED-CNT-SW

   Regional Override # 2 (Staffing)                  1    1439  1439 VARCHAR2
     Description: This field is set to 'Y' when the regional office has to
                  approve a pending record in the special fields screen.
                  This field only applies to categories in ODIE data entry
                  system.
     SAS Name:    OVRRD_STFG_SW
     COBOL Name:  OVRRD-STFG-SW

   Registered Nurse - Contract                       7    1441  1447 NUMBER
     Description: The number of full-time equivalent registered nurses
                  under contract to a facility.
     SAS Name:    RN_CNTRCT_CNT
     COBOL Name:  RN-CNTRCT-CNT

   Registered Nurse - Full-Time                      7    1449  1455 NUMBER
     Description: The number of full-time equivalent registered nurses
                  employed by a facility on a full-time basis.
     SAS Name:    RN_FLTM_CNT
     COBOL Name:  RN-FLTM-CNT

   Registered Nurse - Part-Time                      7    1457  1463 NUMBER
     Description: The number of full-time equivalent registered nurses
                  employed by a facility on a part-time basis.
     SAS Name:    RN_PRTM_CNT
     COBOL Name:  RN-PRTM-CNT

   Related Provider Number                           10   1510  1519 CHAR
     Description: Related provider number
     SAS Name:    RLTD_PRVDR_NUM
     COBOL Name:  RLTD-PRVDR-NUM

   Rescind Suspension Date                           8    1520  1527 DATE
     Description: Date that the suspension of payments for new admissions
                  to a long term care (LTC) facility is rescinded.
     SAS Name:    RSCND_SUSPNSN_DT
     COBOL Name:  RSCND-SUSPNSN-DT

   RN Director of Nursing - Contract                 7    1540  1546 NUMBER
     Description: The number of full-time equivalent registered nurse
                  directors of nursing under contract to a facility.
     SAS Name:    RN_DRCTR_CNTRCT_CNT
     COBOL Name:  RN-DRCTR-CNTRCT-CNT

   RN Director of Nursing - Full-Time                7    1548  1554 NUMBER
     Description: The number of full-time equivalent registered nurse
                  directors of nursing employed by a facility on a

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 30
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  full-time basis.
     SAS Name:    RN_DRCTR_FLTM_CNT
     COBOL Name:  RN-DRCTR-FLTM-CNT

   RN Director of Nursing - Part-Time                7    1556  1562 NUMBER
     Description: The number of full-time equivalent registered nurse
                  directors of nursing employed by a facility on a
                  part-time basis.
     SAS Name:    RN_DRCTR_PRTM_CNT
     COBOL Name:  RN-DRCTR-PRTM-CNT

   Service: Activities-Offsite-Residents Switch      1    1564  1564 VARCHAR2
     Description: Indicates if activity services are provided off-site to
                  residents.
     SAS Name:    ACTVTY_OFSITE_RSDNT_SW
     COBOL Name:  ACTVTY-OFSITE-RSDNT-SW

   Service: Activities-Onsite-Nonresidents Switch    1    1565  1565 VARCHAR2
     Description: Indicates if activity services are provided on-site to
                  nonresidents.
     SAS Name:    ACTVTY_ONST_NRSDNT_SW
     COBOL Name:  ACTVTY-ONST-NRSDNT-SW

   Service: Activities-Onsite-Residents Switch       1    1566  1566 VARCHAR2
     Description: Indicates if activity services are provided on-site to
                  residents.
     SAS Name:    ACTVTY_ONST_RSDNT_SW
     COBOL Name:  ACTVTY-ONST-RSDNT-SW

   Service: Blood Administered-Offsite-Resident      1    1568  1568 VARCHAR2
     Description: Indicates if administration and storage of blood services
                  are provided off-site to residents.
     SAS Name:    BLOOD_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  BLOOD-SRVC-OFSITE-RSDNT-SW

   Service: Blood Administered-Onsite-Nonresident    1    1569  1569 VARCHAR2
     Description: Indicates if administration and storage of blood services
                  are provided onsite to nonresidents.
     SAS Name:    BLOOD_SRVC_ONST_NRSDNT_SW
     COBOL Name:  BLOOD-SRVC-ONST-NRSDNT-SW

   Service: Blood Administered-Onsite-Resident       1    1570  1570 VARCHAR2
     Description: Indicates if administration and storage of blood services
                  are provided onsite to residents.
     SAS Name:    BLOOD_SRVC_ONST_RSDNT_SW
     COBOL Name:  BLOOD-SRVC-ONST-RSDNT-SW

   Service: Clinical Laboratory-Offsite-Resident     1    1571  1571 VARCHAR2
     Description: Indicates if clinical laboratory services are provided
                  off-site to residents.
     SAS Name:    CL_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  CL-SRVC-OFSITE-RSDNT-SW

   Service: Clinical Laboratory-Onsite-Nonresident   1    1572  1572 VARCHAR2
     Description: Indicates if clinical laboratory services are provided
                  onsite to nonresidents.
     SAS Name:    CL_SRVC_ONST_NRSDNT_SW
     COBOL Name:  CL-SRVC-ONST-NRSDNT-SW

   Service: Clinical Laboratory-Onsite-Resident      1    1573  1573 VARCHAR2
     Description: Indicates if clinical laboratory services are provided
                  on-site to residents.
     SAS Name:    CL_SRVC_ONST_RSDNT_SW
     COBOL Name:  CL-SRVC-ONST-RSDNT-SW

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 31
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Service: Dental  On-Site Nonresidents             1    1575  1575 VARCHAR2
     Description: Indicates if dental services are provided on-site to
                  nonresidents.
     SAS Name:    DNTL_SRVC_ONST_NRSDNT_SW
     COBOL Name:  DNTL-SRVC-ONST-NRSDNT-SW

   Service: Dental Off-Site Residents                1    1576  1576 VARCHAR2
     Description: Indicates if dental services are provided off-site to
                  residents.
     SAS Name:    DNTL_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  DNTL-SRVC-OFSITE-RSDNT-SW

   Service: Dental On-Site Residents                 1    1577  1577 VARCHAR2
     Description: Indicates if dental services are provided on-site to
                  residents.
     SAS Name:    DNTL_SRVC_ONST_RSDNT_SW
     COBOL Name:  DNTL-SRVC-ONST-RSDNT-SW

   Service: Dietary  On-Site Nonresidents            1    1578  1578 VARCHAR2
     Description: Indicates if dietary services are provided on-site to
                  nonresidents.
     SAS Name:    DTRY_ONST_NRSDNT_SW
     COBOL Name:  DTRY-ONST-NRSDNT-SW

   Service: Dietary Off-Site Residents               1    1579  1579 VARCHAR2
     Description: Indicates if dietary services are provided off-site to
                  residents.
     SAS Name:    DTRY_OFSITE_RSDNT_SW
     COBOL Name:  DTRY-OFSITE-RSDNT-SW

   Service: Dietary On-Site Residents                1    1580  1580 VARCHAR2
     Description: Indicates if dietary services are provided on-site to
                  residents.
     SAS Name:    DTRY_ONST_RSDNT_SW
     COBOL Name:  DTRY-ONST-RSDNT-SW

   Service: Housekeeping  On-Site to Nonresidents    1    1584  1584 VARCHAR2
     Description: Indicates if housekeeping services are provided on-site
                  to nonresidents.
     SAS Name:    HSEKPNG_SRVC_ONST_NRSDNT_SW
     COBOL Name:  HSEKPNG-SRVC-ONST-NRSDNT-SW

   Service: Housekeeping Off-Site to Residents       1    1585  1585 VARCHAR2
     Description: Indicates if housekeeping services are provided off-site
                  to residents.
     SAS Name:    HSEKPNG_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  HSEKPNG-SRVC-OFSITE-RSDNT-SW

   Service: Housekeeping On-Site to Residents        1    1586  1586 VARCHAR2
     Description: Indicates if housekeeping services are provided on-site
                  to residents.
     SAS Name:    HSEKPNG_SRVC_ONST_RSDNT_SW
     COBOL Name:  HSEKPNG-SRVC-ONST-RSDNT-SW

   Service: Mental Health  Off-Site to Residents     1    1591  1591 VARCHAR2
     Description: Indicates if mental health services are provided off-site
                  to residents.
     SAS Name:    MENTL_HLTH_OFSITE_RSDNT_SW
     COBOL Name:  MENTL-HLTH-OFSITE-RSDNT-SW

   Service: Mental Health On-Site  to Residents      1    1592  1592 VARCHAR2
     Description: Indicates if mental health services are provided on-site
                  to residents.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 32
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    MENTL_HLTH_ONST_RSDNT_SW
     COBOL Name:  MENTL-HLTH-ONST-RSDNT-SW

   Service: Mental Health On-site to Nonresidents    1    1593  1593 VARCHAR2
     Description: Indicates if mental health services are provided on-site
                  to nonresidents.
     SAS Name:    MENTL_HLTH_ONST_NRSDNT_SW
     COBOL Name:  MENTL-HLTH-ONST-NRSDNT-SW

   Service: Nursing  On-Site to Nonresidents         1    1595  1595 VARCHAR2
     Description: Indicates if nursing services are provided on-site to
                  nonresidents.
     SAS Name:    NRSNG_SRVC_ONST_NRSDNT_SW
     COBOL Name:  NRSNG-SRVC-ONST-NRSDNT-SW

   Service: Nursing Off-Site to Residents            1    1598  1598 VARCHAR2
     Description: Indicates if nursing services are provided off-site to
                  residents.
     SAS Name:    NRSNG_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  NRSNG-SRVC-OFSITE-RSDNT-SW

   Service: Nursing On-Site to Residents             1    1599  1599 VARCHAR2
     Description: Indicates if nursing services are provided on-site to
                  residents.
     SAS Name:    NRSNG_SRVC_ONST_RSDNT_SW
     COBOL Name:  NRSNG-SRVC-ONST-RSDNT-SW

   Service: Occupational Therapy  On-Site to         1    1601  1601 VARCHAR2
   Nonresidents
     Description: Indicates if occupational therapy services are provided
                  on-site to nonresidents.
     SAS Name:    OT_SRVC_ONST_NRSDNT_SW
     COBOL Name:  OT-SRVC-ONST-NRSDNT-SW

   Service: Occupational Therapy Off-Site to Residents1    1604  1604 VARCHAR2
     Description: Indicates if occupational therapy services are provided
                  off-site to residents.
     SAS Name:    OT_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  OT-SRVC-OFSITE-RSDNT-SW

   Service: Occupational Therapy On-Site to Residents1    1605  1605 VARCHAR2
     Description: Indicates if occupational therapy services are provided
                  on-site to residents.
     SAS Name:    OT_SRVC_ONST_RSDNT_SW
     COBOL Name:  OT-SRVC-ONST-RSDNT-SW

   Service: Other Activities-Offsite-Residents Switch1    1609  1609 VARCHAR2
     Description: Field 3 - indicates other activity services provided by
                  staff off-site to residents.
     SAS Name:    ACTVTY_OTHR_OFSITE_RSDNT_SW
     COBOL Name:  ACTVTY-OTHR-OFSITE-RSDNT-SW

   Service: Other Activities-Onsite-Nonresidents Switch1    1610  1610 VARCHAR2
     Description: Field 2 - indicates other activity services provided by
                  staff on-site to nonresidents.
     SAS Name:    ACTVTY_OTHR_ONST_NRSDNT_SW
     COBOL Name:  ACTVTY-OTHR-ONST-NRSDNT-SW

   Service: Other Activities-Onsite-Residents Switch 1    1611  1611 VARCHAR2
     Description: Field 1 - indicates other activity services provided by
                  staff on-site to residents.
     SAS Name:    ACTVTY_OTHR_ONST_RSDNT_SW
     COBOL Name:  ACTVTY-OTHR-ONST-RSDNT-SW


 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 33
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

   Service: Other Off-Site to Residents              1    1612  1612 VARCHAR2
     Description: Field 3 - indicates services provided by other social
                  services staff off-site to residents.
     SAS Name:    SCL_SRVC_OTHR_OFSITE_RSDNT_SW
     COBOL Name:  SCL-SRVC-OTHR-OFSITE-RSDNT-SW

   Service: Other On-Site to Nonresidents            1    1613  1613 VARCHAR2
     Description: Indicates if other social services are provided on-site
                  to nonresidents.
     SAS Name:    SCL_SRVC_OTHR_ONST_NRSDNT_SW
     COBOL Name:  SCL-SRVC-OTHR-ONST-NRSDNT-SW

   Service: Other On-Site to Residents               1    1614  1614 VARCHAR2
     Description: Field 1 - indicates services provided by social service
                  staff on-site to residents.
     SAS Name:    SCL_SRVC_OTHR_ONST_RSDNT_SW
     COBOL Name:  SCL-SRVC-OTHR-ONST-RSDNT-SW

   Service: Pharmacy Off-Site to Residents           1    1615  1615 VARCHAR2
     Description: Indicates if pharmacy services are provided off-site to
                  residents.
     SAS Name:    PHRMCY_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  PHRMCY-SRVC-OFSITE-RSDNT-SW

   Service: Pharmacy On-Site to Nonresidents         1    1616  1616 VARCHAR2
     Description: Indicates if pharmacy services are provided on-site to
                  non residents.
     SAS Name:    PHRMCY_SRVC_ONST_NRSDNT_SW
     COBOL Name:  PHRMCY-SRVC-ONST-NRSDNT-SW

   Service: Pharmacy On-Site to Residents            1    1617  1617 VARCHAR2
     Description: Indicates if pharmacy services are provided on-site to
                  residents.
     SAS Name:    PHRMCY_SRVC_ONST_RSDNT_SW
     COBOL Name:  PHRMCY-SRVC-ONST-RSDNT-SW

   Service: Physical Therapy Off-Site to Residents   1    1620  1620 VARCHAR2
     Description: Indicates if physical therapy services are provided
                  off-site to residents.
     SAS Name:    PT_OFSITE_RSDNT_SW
     COBOL Name:  PT-OFSITE-RSDNT-SW

   Service: Physical Therapy On-Site to Nonresidents 1    1621  1621 VARCHAR2
     Description: Indicates if physical therapy services are provided
                  on-site to nonresidents.
     SAS Name:    PT_ONST_NRSDNT_SW
     COBOL Name:  PT-ONST-NRSDNT-SW

   Service: Physical Therapy On-Site to Residents    1    1622  1622 VARCHAR2
     Description: Indicates if physical therapy services are provided
                  on-site to residents.
     SAS Name:    PT_ONST_RSDNT_SW
     COBOL Name:  PT-ONST-RSDNT-SW

   Service: Physician Off-Site to Residents          1    1626  1626 VARCHAR2
     Description: Indicates if physician services are provided off-site to
                  residents.
     SAS Name:    PHYSN_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  PHYSN-SRVC-OFSITE-RSDNT-SW

   Service: Physician On-Site to Nonresidents        1    1627  1627 VARCHAR2
     Description: Indicates if physician services are provided on-site to
                  nonresidents.
     SAS Name:    PHYSN_SRVC_ONST_NRSDNT_SW

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 34
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  PHYSN-SRVC-ONST-NRSDNT-SW

   Service: Physician On-Site to Residents           1    1628  1628 VARCHAR2
     Description: Indicates if physician services are provided on-site to
                  residents.
     SAS Name:    PHYSN_SRVC_ONST_RSDNT_SW
     COBOL Name:  PHYSN-SRVC-ONST-RSDNT-SW

   Service: Podiatry Off-Site to Residents           1    1629  1629 VARCHAR2
     Description: Indicates if podiatry services are provided off-site to
                  residents.
     SAS Name:    PDTRY_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  PDTRY-SRVC-OFSITE-RSDNT-SW

   Service: Podiatry On-Site to Nonresidents         1    1630  1630 VARCHAR2
     Description: Indicates if podiatry services are provided on-site to
                  nonresidents.
     SAS Name:    PDTRY_SRVC_ONST_NRSDNT_SW
     COBOL Name:  PDTRY-SRVC-ONST-NRSDNT-SW

   Service: Podiatry On-Site to Residents            1    1631  1631 VARCHAR2
     Description: Indicates if podiatry services are provided on-site to
                  residents.
     SAS Name:    PDTRY_SRVC_ONST_RSDNT_SW
     COBOL Name:  PDTRY-SRVC-ONST-RSDNT-SW

   Service: Social Work Off-Site to Residents        1    1641  1641 VARCHAR2
     Description: Indicates if social work services are provided off-site
                  to residents.
     SAS Name:    SCL_WORK_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  SCL-WORK-SRVC-OFSITE-RSDNT-SW

   Service: Social Work On-Site to Nonresidents      1    1642  1642 VARCHAR2
     Description: Indicates if social work services are provided on-site to
                  nonresidents.
     SAS Name:    SCL_WORK_SRVC_ONST_NRSDNT_SW
     COBOL Name:  SCL-WORK-SRVC-ONST-NRSDNT-SW

   Service: Social Work On-Site to Residents         1    1643  1643 VARCHAR2
     Description: Indicates if social work services are provided on-site to
                  residents.
     SAS Name:    SCL_WORK_SRVC_ONST_RSDNT_SW
     COBOL Name:  SCL-WORK-SRVC-ONST-RSDNT-SW

   Service: Speech Pathology Off-Site to Residents   1    1646  1646 VARCHAR2
     Description: Indicates if speech/language pathology services are
                  provided offsite to residents.
     SAS Name:    SPCH_PTHLGY_OFSITE_RSDNT_SW
     COBOL Name:  SPCH-PTHLGY-OFSITE-RSDNT-SW

   Service: Speech Pathology On-Site to Nonresidents 1    1647  1647 VARCHAR2
     Description: Indicates if speech/language pathology services are
                  provided on-site to nonresidents.
     SAS Name:    SPCH_PTHLGY_ONST_NRSDNT_SW
     COBOL Name:  SPCH-PTHLGY-ONST-NRSDNT-SW

   Service: Speech Pathology On-Site to Residents    1    1648  1648 VARCHAR2
     Description: Indicates if speech/language pathology services are
                  provided on-site to residents.
     SAS Name:    SPCH_PTHLGY_ONST_RSDNT_SW
     COBOL Name:  SPCH-PTHLGY-ONST-RSDNT-SW

   Service: Therapeutic Recreational Specialty Off-Site1    1650  1650 VARCHAR2
   to Residents

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 35
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     Description: Indicates if therapeutic recreation specialist services
                  are provided off-site to residents.
     SAS Name:    THRPTC_RCRTNL_OFSITE_RSDNT_SW
     COBOL Name:  THRPTC-RCRTNL-OFSITE-RSDNT-SW

   Service: Therapeutic Recreational Specialty On-Site1    1651  1651 VARCHAR2
   to Non Residents
     Description: Indicates if therapeutic recreation specialist services
                  are provided on-site to nonresidents.
     SAS Name:    THRPTC_RCRTNL_ONST_NRSDNT_SW
     COBOL Name:  THRPTC-RCRTNL-ONST-NRSDNT-SW

   Service: Therapeutic Recreational Specialty On-Site1    1652  1652 VARCHAR2
   to Residents
     Description: Indicates if therapeutic recreation specialist services
                  are provided on-site to residents.
     SAS Name:    THRPTC_RCRTNL_ONST_RSDNT_SW
     COBOL Name:  THRPTC-RCRTNL-ONST-RSDNT-SW

   Service: Vocational Off-Site to Residents         1    1654  1654 VARCHAR2
     Description: Indicates if vocational services are provided off-site to
                  residents.
     SAS Name:    VCTNL_SRVC_OFSITE_RSDNT_SW
     COBOL Name:  VCTNL-SRVC-OFSITE-RSDNT-SW

   Service: Vocational On-Site to Nonresidents       1    1655  1655 VARCHAR2
     Description: Indicates if vocational services are provided on-site to
                  nonresidents.
     SAS Name:    VCTNL_SRVC_ONST_NRSDNT_SW
     COBOL Name:  VCTNL-SRVC-ONST-NRSDNT-SW

   Service: Vocational On-Site to Residents          1    1656  1656 VARCHAR2
     Description: Indicates if vocational services are provided on-site to
                  residents.
     SAS Name:    VCTNL_SRVC_ONST_RSDNT_SW
     COBOL Name:  VCTNL-SRVC-ONST-RSDNT-SW

   Service: X-ray Off-Site Residents                 1    1657  1657 VARCHAR2
     Description: Indicates if diagnostic X-ray services are provided
                  off-site to residents.
     SAS Name:    DGNSTC_XRAY_OFSITE_RSDNT_SW
     COBOL Name:  DGNSTC-XRAY-OFSITE-RSDNT-SW

   Service: X-ray On-Site Nonresidents               1    1658  1658 VARCHAR2
     Description: Indicates if diagnostic X-ray services are provided
                  on-site to nonresidents.
     SAS Name:    DGNSTC_XRAY_ONST_NRSDNT_SW
     COBOL Name:  DGNSTC-XRAY-ONST-NRSDNT-SW

   Service: X-ray On-Site Residents                  1    1659  1659 VARCHAR2
     Description: Indicates if diagnostic X-ray services are provided
                  on-site to residents.
     SAS Name:    DGNSTC_XRAY_ONST_RSDNT_SW
     COBOL Name:  DGNSTC-XRAY-ONST-RSDNT-SW

   Social Worker - Contract                          7    3955  3961 NUMBER
     Description: The number of full-time equivalent social workers under
                  contract to a facility.
     SAS Name:    SCL_WORKR_CNTRCT_CNT
     COBOL Name:  SCL-WORKR-CNTRCT-CNT

   Social Worker - Full-Time                         7    3963  3969 NUMBER
     Description: The number of full-time equivalent social workers
                  employed by a facility on a full-time basis.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 36
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    SCL_WORKR_FLTM_CNT
     COBOL Name:  SCL-WORKR-FLTM-CNT

   Social Worker - Part-Time                         7    3971  3977 NUMBER
     Description: The number of full-time equivalent social workers
                  employed by a facility on a part time basis.
     SAS Name:    SCL_WORKR_PRTM_CNT
     COBOL Name:  SCL-WORKR-PRTM-CNT

   Special Care Bed - Specialized Rehab              3    3987  3989 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for residents with specialized rehab needs.
     SAS Name:    REHAB_BED_CNT
     COBOL Name:  REHAB-BED-CNT

   Special Care Beds - AIDS                          3    3990  3992 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for residents with AIDS.
     SAS Name:    AIDS_BED_CNT
     COBOL Name:  AIDS-BED-CNT

   Special Care Beds - Alzheimers                    3    3993  3995 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for residents with Alzheimer's disease.
     SAS Name:    ALZHMR_BED_CNT
     COBOL Name:  ALZHMR-BED-CNT

   Special Care Beds - Dialysis                      3    3996  3998 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for residents needing dialysis.
     SAS Name:    DLYS_BED_CNT
     COBOL Name:  DLYS-BED-CNT

   Special Care Beds - Disabled Child                3    3999  4001 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for disabled children.
     SAS Name:    DSBL_CHLDRN_BED_CNT
     COBOL Name:  DSBL-CHLDRN-BED-CNT

   Special Care Beds - Head Trauma                   3    4002  4004 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facilty for residents with head trauma.
     SAS Name:    HEAD_TRMA_BED_CNT
     COBOL Name:  HEAD-TRMA-BED-CNT

   Special Care Beds - Hospice                       3    4005  4007 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  a facility for residents needing hospice services.
     SAS Name:    HOSPC_BED_CNT
     COBOL Name:  HOSPC-BED-CNT

   Special Care Beds - Huntingtons                   3    4008  4010 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for residents with Huntington's disease.
     SAS Name:    HNTGTN_DEASE_BED_CNT
     COBOL Name:  HNTGTN-DEASE-BED-CNT

   Special Care Beds - Ventilator                    3    4011  4013 NUMBER
     Description: The number of beds in a unit identified and dedicated by
                  the facility for residents with ventilator/resipiratory
                  care needs.
     SAS Name:    VNTLTR_BED_CNT
     COBOL Name:  VNTLTR-BED-CNT


 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 37
             Nursing Facility, CATEGORY = "10" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

   Speech Pathologist - Contract                     7    4026  4032 NUMBER
     Description: The number of full-time equivalent speech pathologists
                  under contract to a facility.
     SAS Name:    SPCH_PTHLGST_CNTRCT_CNT
     COBOL Name:  SPCH-PTHLGST-CNTRCT-CNT

   Speech Pathologist - Full-Time                    7    4034  4040 NUMBER
     Description: The number of full-time equivalent speech pathologists
                  employed by a facility on a full-time basis.
     SAS Name:    SPCH_PTHLGST_FLTM_CNT
     COBOL Name:  SPCH-PTHLGST-FLTM-CNT

   Speech Pathologist - Part-Time                    7    4042  4048 NUMBER
     Description: The number of full-time equivalent speech pathologists
                  employed by a facility on a part-time basis.
     SAS Name:    SPCH_PTHLGST_PRTM_CNT
     COBOL Name:  SPCH-PTHLGST-PRTM-CNT

   Therapeutic Recreational Specialty - Contract     7    4112  4118 NUMBER
     Description: Number of contract staff hours provided by therapeutic
                  recreation specialist.
     SAS Name:    THRPTC_RCRTNL_CNTRCT_CNT
     COBOL Name:  THRPTC-RCRTNL-CNTRCT-CNT

   Therapeutic Recreational Specialty - Full-Time    7    4120  4126 NUMBER
     Description: Number of full-time staff hours provided by therapeutic
                  recreation specialist.
     SAS Name:    THRPTC_RCRTNL_FLTM_CNT
     COBOL Name:  THRPTC-RCRTNL-FLTM-CNT

   Therapeutic Recreational Specialty - Part-Time    7    4128  4134 NUMBER
     Description: Number of part-time staff hours provided by therapeutic
                  recreation specialist.
     SAS Name:    THRPTC_RCRTNL_PRTM_CNT
     COBOL Name:  THRPTC-RCRTNL-PRTM-CNT






























 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 1
  Intermediate Care Facility-Mentally Retarded, CATEGORY = "11" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Provider Category Subtype Code                    2    1     2    VARCHAR2
     Description: This field is used mainly by batch report programs to
                  determine the breakdown of the provider category. This
                  field is mainly used for SNFs and hospitals.
     SAS Name:    PRVDR_CTGRY_SBTYP_CD
     COBOL Name:  PRVDR-CTGRY-SBTYP-CD
     VALUES:      02=TITLE 19 ONLY

   Provider Category Code                            2    3     4    VARCHAR2
     Description: This code identifies the category which is most
                  descriptive of the facility identified on the
                  Medicare/Medicaid Certification and Transmittal Form (CMS
                  1539).
     SAS Name:    PRVDR_CTGRY_CD
     COBOL Name:  PRVDR-CTGRY-CD
     VALUES:      11=Intermediate Care Facility-Mentally Retarded

   Change of Ownership Count                         2    5     6    NUMBER
     Description: The number of times a change of ownership (CHOW) has
                  taken place for a particular provider.
     SAS Name:    CHOW_CNT
     COBOL Name:  CHOW-CNT

   Change of Ownership Date                          8    7     14   DATE
     Description: Effective date of a change of ownership.
     SAS Name:    CHOW_DT
     COBOL Name:  CHOW-DT

   City                                              28   15    42   VARCHAR2
     Description: City in which the provider is physically located.
     SAS Name:    CITY_NAME
     COBOL Name:  CITY-NAME

   Compliance: Plan of Correction                    1    43    43   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements based on an acceptable plan for correction
                  of deficiencies.
     SAS Name:    ACPTBL_POC_SW
     COBOL Name:  ACPTBL-POC-SW

   Compliance: Status                                1    44    44   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements.
     SAS Name:    CMPLNC_STUS_CD
     COBOL Name:  CMPLNC-STUS-CD
     VALUES:      A=IN COMPLIANCE
                  B=NOT IN COMPLIANCE

   SSA County Code                                   3    45    47   VARCHAR2
     Description: SSA (State Survey Agency) geographic code indicating the
                  county where the facility is located.
     SAS Name:    SSA_CNTY_CD
     COBOL Name:  SSA-CNTY-CD

   Cross Ref Provider Number                         10   48    57   CHAR
     Description: Cross reference provider number
     SAS Name:    CROSS_RFRNC_PRVDR_NUM
     COBOL Name:  CROSS-RFRNC-PRVDR-NUM

   Certification Date                                8    58    65   DATE
     Description: The Certification date is equal to the exit date of the
                  initial visit of the Health survey or LSC survey,

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 2
  Intermediate Care Facility-Mentally Retarded, CATEGORY = "11" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  whichever is later.
     SAS Name:    CRTFCTN_DT
     COBOL Name:  CRTFCTN-DT

   Eligibility Switch                                1    66    66   VARCHAR2
     Description: Indicates if a facility is eligible to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    ELGBLTY_SW
     COBOL Name:  ELGBLTY-SW

   Facility Name                                     50   67    116  VARCHAR2
     Description: The name of a provider certified to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    FAC_NAME
     COBOL Name:  FAC-NAME

   Intermediary Carrier Code                         5    117   121  VARCHAR2
     Description: A number assigned to an intermediary or carrier servicing
                  a provider or supplier. Not all numbers apply to all
                  provider types.
     SAS Name:    INTRMDRY_CARR_CD
     COBOL Name:  INTRMDRY-CARR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 3
  Intermediate Care Facility-Mentally Retarded, CATEGORY = "11" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 4
  Intermediate Care Facility-Mentally Retarded, CATEGORY = "11" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 5
  Intermediate Care Facility-Mentally Retarded, CATEGORY = "11" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 6
  Intermediate Care Facility-Mentally Retarded, CATEGORY = "11" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Medicare or Medicaid Vendor Number                15   122   136  VARCHAR2
     Description: A number which may be assigned to a facility by the state
                  Medicaid agency for external control or billing purposes.
     SAS Name:    MDCD_VNDR_NUM
     COBOL Name:  MDCD-VNDR-NUM

   Participation Date                                8    137   144  DATE
     Description: The date a facility is first approved to provide Medicare
                  and/or Medicaid services.
     SAS Name:    ORGNL_PRTCPTN_DT
     COBOL Name:  ORGNL-PRTCPTN-DT

   Prior Change of Ownership Date                    8    145   152  DATE
     Description: The date of a prior change of ownership.
     SAS Name:    CHOW_PRIOR_DT
     COBOL Name:  CHOW-PRIOR-DT

   Intermediary Carrier Prior Code                   5    153   157  VARCHAR2
     Description: The previous intermediary carrier number.
     SAS Name:    INTRMDRY_CARR_PRIOR_CD
     COBOL Name:  INTRMDRY-CARR-PRIOR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 7
  Intermediate Care Facility-Mentally Retarded, CATEGORY = "11" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 8
  Intermediate Care Facility-Mentally Retarded, CATEGORY = "11" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 9
  Intermediate Care Facility-Mentally Retarded, CATEGORY = "11" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 10
  Intermediate Care Facility-Mentally Retarded, CATEGORY = "11" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Provider Number                                   10   158   167  VARCHAR2
     Description: A six or ten position identification number that is
                  assigned to a certified provider.
     SAS Name:    PRVDR_NUM
     COBOL Name:  PRVDR-NUM

   Record Status Code                                1    168   168  VARCHAR2
     Description: This indicator specifies the current status of the
                  record.
     SAS Name:    REC_STUS_CD
     COBOL Name:  REC-STUS-CD
     VALUES:      A=ACCEPTED RECORD
                  C=COMPLAINT RECORD

   Region Code                                       2    169   170  VARCHAR2
     Description: The regional location of the provider.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 11
  Intermediate Care Facility-Mentally Retarded, CATEGORY = "11" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    RGN_CD
     COBOL Name:  RGN-CD
     VALUES:      01=BOSTON
                  02=NEW YORK
                  03=PHILADELPHIA
                  04=ATLANTA
                  05=CHICAGO
                  06=DALLAS
                  07=KANSAS CITY
                  08=DENVER
                  09=SAN FRANCISCO
                  10=SEATTLE

   Skeleton Record Switch                            1    171   171  VARCHAR2
     Description: Indicates the record is a skeleton record.  Only a
                  limited set of the provider data is available for this
                  provider.
     SAS Name:    SKLTN_REC_SW
     COBOL Name:  SKLTN-REC-SW

   State Abbreviation                                2    172   173  VARCHAR2
     Description: The two-character state abbreviation.
     SAS Name:    STATE_CD
     COBOL Name:  STATE-CD
     VALUES:      AK=ALASKA
                  AL=ALABAMA
                  AR=ARKANSAS
                  AS=AMERICAN SAMOA
                  AZ=ARIZONA
                  CA=CALIFORNIA
                  CN=CANADA
                  CO=COLORADO
                  CT=CONNECTICUT
                  DC=DISTRICT OF COLUMBIA
                  DE=DELAWARE
                  FL=FLORIDA
                  FN=FOREIGN
                  GA=GEORGIA
                  GU=GUAM
                  HI=HAWAII
                  IA=IOWA
                  ID=IDAHO
                  IL=ILLINOIS
                  IN=INDIANA
                  KS=KANSAS
                  KY=KENTUCKY
                  LA=LOUISIANA
                  MA=MASSACHUSETTS
                  MD=MARYLAND
                  ME=MAINE
                  MI=MICHIGAN
                  MN=MINNESOTA
                  MO=MISSOURI
                  MP=SAIPAN
                  MS=MISSISSIPPI
                  MT=MONTANA
                  MX=MEXICO
                  NC=NORTH CAROLINA
                  ND=NORTH DAKOTA
                  NE=NEBRASKA
                  NH=NEW HAMPSHIRE
                  NJ=NEW JERSEY
                  NM=NEW MEXICO

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 12
  Intermediate Care Facility-Mentally Retarded, CATEGORY = "11" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  NV=NEVADA
                  NY=NEW YORK
                  OH=OHIO
                  OK=OKLAHOMA
                  OR=OREGON
                  PA=PENNSYLVANIA
                  PR=PUERTO RICO
                  RI=RHODE ISLAND
                  SC=SOUTH CAROLINA
                  SD=SOUTH DAKOTA
                  TN=TENNESSEE
                  TX=TEXAS
                  UT=UTAH
                  VA=VIRGINIA
                  VI=VIRGIN ISLANDS
                  VT=VERMONT
                  WA=WASHINGTON
                  WI=WISCONSIN
                  WV=WEST VIRGINIA
                  WY=WYOMING

   SSA State Code                                    2    174   175  VARCHAR2
     Description: SSA (Social Security Administration) geographic code
                  indicating the state of the provider's residence. Must
                  agree with the first two positions of the Provider number
                  (except California: 05 and 55; Texas: 45 and 67; FL: 10
                  and 68; MD: 21 and 80).
     SAS Name:    SSA_STATE_CD
     COBOL Name:  SSA-STATE-CD
     VALUES:      01=ALABAMA
                  02=ALASKA
                  03=ARIZONA
                  04=ARKANSAS
                  05=CALIFORNIA
                  06=COLORADO
                  07=CONNECTICUT
                  08=DELAWARE
                  09=DISTRICT OF COLUMBIA
                  10=FLORIDA
                  11=GEORGIA
                  12=HAWAII
                  13=IDAHO
                  14=ILLINOIS
                  15=INDIANA
                  16=IOWA
                  17=KANSAS
                  18=KENTUCKY
                  19=LOUISIANA
                  20=MAINE
                  21=MARYLAND
                  22=MASSACHUSETTS
                  23=MICHIGAN
                  24=MINNESOTA
                  25=MISSISSIPPI
                  26=MISSOURI
                  27=MONTANA
                  28=NEBRASKA
                  29=NEVADA
                  30=NEW HAMPSHIRE
                  31=NEW JERSEY
                  32=NEW MEXICO
                  33=NEW YORK
                  34=NORTH CAROLINA

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 13
  Intermediate Care Facility-Mentally Retarded, CATEGORY = "11" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  35=NORTH DAKOTA
                  36=OHIO
                  37=OKLAHOMA
                  38=OREGON
                  39=PENNSYLVANIA
                  40=PUERTO RICO
                  41=RHODE ISLAND
                  42=SOUTH CAROLINA
                  43=SOUTH DAKOTA
                  44=TENNESSEE
                  45=TEXAS
                  46=UTAH
                  47=VERMONT
                  48=VIRGIN ISLANDS
                  49=VIRGINIA
                  50=WASHINGTON
                  51=WEST VIRGINIA
                  52=WISCONSIN
                  53=WYOMING
                  54=AFRICA
                  56=CANADA
                  57=WEST INDIES
                  58=EUROPE
                  59=MEXICO
                  60=OCEANIA
                  61=PHILIPPINES
                  62=SOUTH AMERICA
                  63=UNITED STATES POSSESSIONS
                  64=AMERICAN SAMOA
                  65=GUAM
                  66=SAIPAN
                  99=FOREIGN

   State Region Code                                 3    176   178  VARCHAR2
     Description: For selected states, identifies the particular region
                  within the state where the provider is located.
     SAS Name:    STATE_RGN_CD
     COBOL Name:  STATE-RGN-CD
     VALUES:      AK/001=ALASKA
                  AK/LAB=LABORATORIES
                  AK/UNK=UNKNOWN
                  AL/001=ALABAMA
                  AL/LAB=LABORATORIES
                  AL/UNK=UNKNOWN
                  AR/001=ARKANSAS
                  AR/LAB=LABORATORIES
                  AR/UNK=UNKNOWN
                  AS/001=AMERICAN SAMOA
                  AS/LAB=LABORATORY
                  AS/UNK=UNKNOWN
                  AZ/AZ=PHOENIX
                  AZ/LAB=ARIZONA LAB
                  AZ/TUC=TUCSON
                  AZ/UNK=UNKNOWN
                  CA/BAK=BAKERSFIELD
                  CA/BER=SAN BERNARDINO
                  CA/BK=BERKELEY
                  CA/BK1=CONTRA COSTA
                  CA/FR=FRESNO
                  CA/L1=L.A. WEST
                  CA/L2=L.A. NORTH
                  CA/L3=L.A. CENTRAL
                  CA/L4=L.A. EAST

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 14
  Intermediate Care Facility-Mentally Retarded, CATEGORY = "11" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  CA/L5=SAN GABRIEL
                  CA/LAB=LABORATORIES
                  CA/M1=LAB. SOUTH
                  CA/M2=LAB. NORTH
                  CA/ORG=ORANGE CO
                  CA/RIV=RIVERSIDE
                  CA/RWC=REDWOOD COAST
                  CA/S1=SACRAMENTO
                  CA/S2=SACTO SOUTH
                  CA/S3=CHICO
                  CA/SD=SAN DIEGO
                  CA/SDS=SAN DIEGO SOUTH
                  CA/SF=SAN FRANCISCO
                  CA/SJ=SAN JOSE
                  CA/SR=SANTA ROSA
                  CA/UNK=UNKNOWN
                  CA/VEN=VENTURA
                  CN/001=CANADA
                  CN/LAB=LABORATORY
                  CN/UNK=UNKNOWN
                  CO/001=COLORADO
                  CO/LAB=LABORATORIES
                  CO/UNK=UNKNOWN
                  CT/001=CONNECTICUT
                  CT/LAB=LABORATORIES
                  CT/UNK=UNKNOWN
                  DC/001=DISTRICT OF COLUMBIA
                  DC/LAB=LABORATORIES
                  DC/UNK=UNKNOWN
                  DE/001=DELAWARE
                  DE/LAB=LABORATORIES
                  DE/UNK=UNKNOWN
                  FL/FTM=FT. MYERS
                  FL/GAI=GAINESVILLE
                  FL/JAX=JACKSONVILLE
                  FL/LAB=LABORATORIES
                  FL/LAN=LANTANA
                  FL/LAU=LAUDERHILL
                  FL/MIA=MIAMI
                  FL/ORL=ORLANDO
                  FL/PEN=PENSACOLA
                  FL/STP=ST. PETERSBURG
                  FL/TAL=TALLAHASSEE
                  FL/TAM=TAMPA
                  FL/UNK=UNKNOWN
                  FM/001=FEDERATED STATES OF MICRO
                  FN/001=FOREIGN
                  FN/LAB=LABORATORIES
                  FN/UNK=UNKNOWN
                  GA/001=GEORGIA
                  GA/GAA=GEORGIA ALL
                  GA/GAC=GEORGIA CENTRAL
                  GA/GAE=GEORGIA EASTERN
                  GA/GAN=GEORGIA NORTH
                  GA/GAS=GEORGIA SOUTH
                  GA/GAW=GEORGIA WESTERN
                  GA/LAB=LABORATORIES
                  GA/UNK=UNKNOWN
                  GU/001=GUAM
                  GU/LAB=LABORATORIES
                  GU/UNK=UNKNOWN
                  HI/001=HAWAII
                  HI/LAB=LABORATORIES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 15
  Intermediate Care Facility-Mentally Retarded, CATEGORY = "11" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  HI/UNK=UNKNOWN
                  IA/001=IOWA
                  IA/LAB=LABORATORIES
                  IA/UNK=UNKNOWN
                  ID/001=IDAHO
                  ID/LAB=LABORATORIES
                  ID/UNK=UNKNOWN
                  IL/001=ILLINOIS
                  IL/LAB=LABORATORIES
                  IL/UNK=UNKNOWN
                  IN/001=INDIANA
                  IN/LAB=LABORATORIES
                  IN/UNK=UNKNOWN
                  KS/LAB=LABORATORIES
                  KS/LAW=LAWRENCE
                  KS/NC=NORTH CENTRAL KANSAS
                  KS/NE=NORTH EAST KANSAS
                  KS/NW=NORTH WEST KANSAS
                  KS/SC=SOUTH CENTRAL KANSAS
                  KS/SE=SOUTH EAST KANSAS
                  KS/SW=SOUTH WEST KANSAS
                  KS/UNK=UNKNOWN
                  KS/WST=WEST
                  KY/2C1=HOPKINSVILLE
                  KY/2C2=LOUISVILLE
                  KY/2C3=LONDON
                  KY/2C4=LEXINGTON
                  KY/LAB=LABORATORIES
                  KY/UNK=UNKNOWN
                  LA/001=LOUISIANA
                  LA/LA1=NEW ORLEANS
                  LA/LA2=MANDEVILLE
                  LA/LA3=LAFAYETTE
                  LA/LA4=MONROE
                  LA/LA5=SHREVEPORT
                  LA/LA6=ALEXANDRIA
                  LA/LAB=LABORATORIES
                  LA/LB1=CLIA NEW ORLEANS
                  LA/LB5=CLIA SHREVEPORT
                  LA/LB6=CLIA ALEXANDRIA
                  LA/UNK=UNKNOWN
                  MA/001=MASSACHUSETTS
                  MA/LAB=LABORATORIES
                  MA/UNK=UNKNOWN
                  MD/001=MARYLAND
                  MD/LAB=LABORATORIES
                  MD/UNK=UNKNOWN
                  ME/001=MAINE
                  ME/LAB=LABORATORIES
                  ME/UNK=UNKNOWN
                  MH/001=MARSHALL ISLANDS
                  MI/001=MICHIGAN
                  MI/LAB=LABORATORIES
                  MI/UNK=UNKNOWN
                  MN/001=MINNESOTA
                  MN/LAB=LABORATORIES
                  MN/UNK=UNKNOWN
                  MO/01=REGION01
                  MO/02=REGION02
                  MO/03=REGION 03
                  MO/04=REGION 04
                  MO/05=REGION 05
                  MO/06=REGION 06

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 16
  Intermediate Care Facility-Mentally Retarded, CATEGORY = "11" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  MO/07=REGION 07
                  MO/1NH=REGION 1 NH
                  MO/2NH=REGION 2 NH
                  MO/3NH=REGION 3 NH
                  MO/4NH=REGION 4 NH
                  MO/5NH=REGION 5 NH
                  MO/6NH=REGION 6 NH
                  MO/7NH=REGION 7 NH
                  MO/LAB=LABORATORIES
                  MO/MO=STATEWIDE
                  MO/UNK=UNKNOWN
                  MP/001=NORTHERN MARIANA ISLANDS
                  MP/LAB=LABORATORIES
                  MP/UNK=UNKNOWN
                  MS/001=MISSISSIPPI
                  MS/LAB=LABORATORIES
                  MS/UNK=UNKNOWN
                  MT/001=MONTANA
                  MT/LAB=LABORATORIES
                  MT/UNK=UNKNOWN
                  MX/001=MEXICO
                  MX/LAB=LABORATORY
                  MX/UNK=UNKNOWN
                  NC/LAB=LABORATORIES
                  NC/NCC=NORTH CAROLINA CENTRAL
                  NC/NCE=NORTH CAROLINA EAST
                  NC/NCN=NORTH CAROLINA NORTH
                  NC/NCS=NORTH CAROLINA SOUTH
                  NC/NCW=NORTH CAROLINA WEST
                  NC/UNK=UNKNOWN
                  ND/001=NORTH DAKOTA
                  ND/LAB=LABORATORIES
                  ND/UNK=UNKNOWN
                  NE/1=NORTH CENTRAL
                  NE/2=CENTRAL
                  NE/3=NORTHEAST
                  NE/4=SOUTHEAST
                  NE/5=WESTERN
                  NE/LAB=LABORATORIES
                  NE/UNK=UNKNOWN
                  NH/001=NEW HAMPSHIRE
                  NH/LAB=LABORATORIES
                  NH/UNK=UNKNOWN
                  NJ/001=NEW JERSEY
                  NJ/LAB=LABORATORIES
                  NJ/UNK=UNKNOWN
                  NM/001=NEW MEXICO
                  NM/LAB=LABORATORIES
                  NM/UNK=UNKNOWN
                  NV/CC=CARSON CITY
                  NV/LAB=LABORATORIES
                  NV/LV=LAS VEGAS
                  NV/UNK=UNKNOWN
                  NY/001=BUFFALO
                  NY/002=ROCHESTER
                  NY/003=SYRACUSE
                  NY/004=ALBANY
                  NY/005=NEW ROCHELLE
                  NY/006=NEW YORK CITY
                  NY/007=SUFFOLK/NASSAU COUNTY
                  NY/LAB=LABORATORIES
                  NY/UNK=UNKNOWN
                  OH/001=OHIO

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 17
  Intermediate Care Facility-Mentally Retarded, CATEGORY = "11" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  OH/LAB=LABORATORIES
                  OH/UNK=UNKNOWN
                  OK/001=OKLAHOMA
                  OK/LAB=LABORATORIES
                  OK/UNK=UNKNOWN
                  OR/001=OFFICE #1
                  OR/002=OFFICE #2
                  OR/003=OFFICE #3
                  OR/LAB=LABORATORIES
                  OR/UNK=UNKNOWN
                  PA/001=PENNSYLVANIA
                  PA/LAB=LABORATORIES
                  PA/UNK=UNKNOWN
                  PR/001=PUERTO RICO
                  PR/LAB=LABORATORIES
                  PR/UNK=UNKNOWN
                  PW/001=PALAU
                  RI/001=RHODE ISLAND
                  RI/LAB=LABORATORIES
                  RI/UNK=UNKNOWN
                  SC/001=SOUTH CAROLINA
                  SC/LAB=LABORATORIES
                  SC/UNK=UNKNOWN
                  SD/001=SOUTH DAKOTA
                  SD/LAB=LABORATORIES
                  SD/UNK=UNKNOWN
                  TN/LAB=LABORATORIES
                  TN/TNC=TENNESSEE COOKEVILLE
                  TN/TNE=TENNESSEE EASTERN
                  TN/TNM=TENNESSEE MIDDLE
                  TN/TNW=TENNESSEE WESTERN
                  TN/UNK=UNKNOWN
                  TX/001=TEXAS
                  TX/L01=AMARILLO-LTC
                  TX/L02=ABILENE-LTC
                  TX/L03=ARLINGTON-LTC
                  TX/L04=TYLER-LTC
                  TX/L05=BEAUMONT-LTC
                  TX/L06=HOUSTON-LTC
                  TX/L07=TEMPLE-LTC
                  TX/L08=SAN ANTONIO-LTC
                  TX/L09=SAN ANGELO-LTC
                  TX/L10=EL PASO-LTC
                  TX/L11=CORPUS CHRISTI-LTC
                  TX/LAB=LABORATORIES
                  TX/TX1=LUBBOCK
                  TX/TX2=ARLINGTON
                  TX/TX3=SAN ANTONIO
                  TX/TX4=HOUSTON
                  TX/TX5=TYLER
                  TX/TX6=AUSTIN
                  TX/UNK=UNKNOWN
                  UT/001=UTAH
                  UT/LAB=LABORATORIES
                  UT/UNK=UNKNOWN
                  VA/001=VIRGINIA
                  VA/LAB=LABORATORIES
                  VA/UNK=UNKNOWN
                  VI/001=VIRGIN ISLANDS
                  VI/LAB=LABORATORIES
                  VI/UNK=UNKNOWN
                  VT/001=VERMONT
                  VT/LAB=LABORATORIES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 18
  Intermediate Care Facility-Mentally Retarded, CATEGORY = "11" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  VT/UNK=UNKNOWN
                  WA/001=ALL OTHERS (NON-LTC FAC)
                  WA/D1=SPOKANE & YAKIMA AREAS
                  WA/D1A=District 1, Unit A
                  WA/D1B=District 1, Unit B
                  WA/D1C=District 1, Unit C
                  WA/D1D=District 1, Unit D
                  WA/D2=SPOKANE & SE
                  WA/D2A=District 2, Unit A
                  WA/D2B=District 2, Unit B
                  WA/D2C=District 2, Unit C
                  WA/D2D=District 2, Unit D
                  WA/D2E=District 2, Unit E
                  WA/D2F=District 2, Unit F
                  WA/D2G=District 2, Unit G
                  WA/D3=NW WASHINGTON
                  WA/D3A=District 3, Unit A
                  WA/D3B=District 3, Unit B
                  WA/D3C=District 3, Unit C
                  WA/D3D=District 3, Unit D
                  WA/D3E=District 3, Unit E
                  WA/D4A=GREATER SEATTLE AREA
                  WA/D4B=S KING COUNTY
                  WA/D5A=PIERCE CTY & PENINSULA
                  WA/D5B=PIERCE CTY & GRAYS HARBOR
                  WA/D6=OLYMPIA AREA
                  WA/LAB=LABORATORIES
                  WA/UNK=UNKNOWN
                  WI/001=WISCONSIN
                  WI/LAB=LABORATORIES
                  WI/UNK=UNKNOWN
                  WV/001=WEST VIRGINIA
                  WV/LAB=LABORATORIES
                  WV/UNK=UNKNOWN
                  WY/001=WYOMING
                  WY/LAB=LABORATORIES
                  WY/UNK=UNKNOWN

   Street Address                                    50   179   228  VARCHAR2
     Description: Street address of a provider that is certified to provide
                  Medicare and/or Medicaid services.
     SAS Name:    ST_ADR
     COBOL Name:  ST-ADR

   Telephone Number                                  10   229   238  VARCHAR2
     Description: The 10-digit telephone number of the primary contact or
                  the operator of a provider.
     SAS Name:    PHNE_NUM
     COBOL Name:  PHNE-NUM

   Termination Code 1                                2    239   240  VARCHAR2
     Description: Termination code number one: the reason a facility has
                  been terminated from the CLIA, Medicare and/or Medicaid
                  programs.
     SAS Name:    PGM_TRMNTN_CD
     COBOL Name:  PGM-TRMNTN-CD
     VALUES:      00=ACTIVE PROVIDER
                  01=VOLUNTARY-MERGER, CLOSURE
                  02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT
                  03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION
                  04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL
                  05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ
                  06=INVOLUNTARY-FAILURE TO MEET AGREEMENT

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 19
  Intermediate Care Facility-Mentally Retarded, CATEGORY = "11" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  07=OTHER-PROVIDER STATUS CHANGE
                  08=NONPAYMENT OF FEES - CLIA Only
                  09=REV/UNSUCCESSFUL PARTICIPATION IN PT - CLIA Only
                  10=REV/OTHER REASON - CLIA Only
                  11=INCMPLETE CLIA APPLICATION INFORMATION - CLIA Only
                  12=NO LONGER PERFORMING TESTS - CLIA Only
                  13=MULTIPLE TO SINGLE SITE CERTIFICATE - CLIA Only
                  14=SHARED LABORATORY - CLIA Only
                  15=FAILURE TO RENEW WAIVER PPM CERTIFICATE - CLIA Only
                  16=DUPLICATE CLIA NUMBER - CLIA Only
                  17=MAIL RETURNED NO FORWARD ADDRESS CERT ENDED - CLIA Only
                  20=NOTIFICATION BANKRUPTCY - CLIA Only
                  33=ACCREDITATION NOT CONFIRMED - CLIA Only
                  80=AWAITING STATE APPROVAL
                  99=OIG ACTION - DO NOT ACTIVATE - CLIA Only

   Termination Date / Expiration Date 1              8    241   248  DATE
     Description: The date the laboratory's certificate terminated or the
                  expiration date of the current CLIA certificate. For
                  other non-CLIA providers, it is the date the facility was
                  terminated.
     SAS Name:    TRMNTN_EXPRTN_DT
     COBOL Name:  TRMNTN-EXPRTN-DT

   Type of Action                                    1    249   249  VARCHAR2
     Description: Type of action on the 'official' survey record.  This
                  field is copied from type of action on the HCFA-1539,
                  certification and transmittal.
     SAS Name:    SRVY_PRPSE_CD
     COBOL Name:  SRVY-PRPSE-CD
     VALUES:      1=INITIAL
                  2=RECERTIFICATION
                  3=TERMINATION
                  4=CHANGE OF OWNERSHIP
                  5=VALIDATION
                  6=ONSITE SURVEY DUE TO FLEXIBLE SURVEY - CLIA Only
                  8=FULL SURVEY AFTER COMPLAINT - CLIA ONLY

   General Type of Control Code                      2    250   251  VARCHAR2
     Description: Indicates the nature of the organization that operates a
                  provider of services.
     SAS Name:    GNRL_CNTL_TYPE_CD
     COBOL Name:  GNRL-CNTL-TYPE-CD
     VALUES:      01=PRIVATE NON PROFIT
                  02=PRIVATE PROPRIETARY
                  03=STATE
                  04=CITY/TOWN
                  05=COUNTY
                  06=CITY/COUNTY
                  07=OTHER

   ZIP Code                                          5    252   256  VARCHAR2
     Description: The five-digit postal code for the provider.
     SAS Name:    ZIP_CD
     COBOL Name:  ZIP-CD

   FIPS State Code                                   2    257   258  VARCHAR2
     Description: FIPS State Code
     SAS Name:    FIPS_STATE_CD
     COBOL Name:  FIPS-STATE-CD

   FIPS County Code                                  3    259   261  VARCHAR2
     Description: FIPS County Code

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 20
  Intermediate Care Facility-Mentally Retarded, CATEGORY = "11" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    FIPS_CNTY_CD
     COBOL Name:  FIPS-CNTY-CD

   CBSA Urban Rural Indicator                        1    262   262  VARCHAR2
     Description: CBSA (Core Based Statistical Area) indicates whether the
                  county is defined as Urban or Rural.
     SAS Name:    CBSA_URBN_RRL_IND
     COBOL Name:  CBSA-URBN-RRL-IND

   Admission Suspension Date                         8    353   360  DATE
     Description: The date that payments for new admissions in a long-term
                  care facility will be denied if an intermediate sanction
                  is taken against the facility.
     SAS Name:    ADMSN_SUSPNSN_DT
     COBOL Name:  ADMSN-SUSPNSN-DT

   Admission Suspension Prior Date                   8    361   368  DATE
     Description: Previous date a suspension of admissions was invoked for
                  a provider.
     SAS Name:    ADMSN_SUSPNSN_PRIOR_DT
     COBOL Name:  ADMSN-SUSPNSN-PRIOR-DT

   Beds - ICF / MR                                   4    370   373  NUMBER
     Description: Number of certified beds in an intermediate care facility
                  for the mentally retarded.
     SAS Name:    MR_BED_CNT
     COBOL Name:  MR-BED-CNT

   Beds - Total Certified                            4    386   389  NUMBER
     Description: Number of beds in Medicare and/or Medicaid certified
                  areas within a facility.
     SAS Name:    CRTFD_BED_CNT
     COBOL Name:  CRTFD-BED-CNT

   Beds-Total                                        4    390   393  NUMBER
     Description: Total number of beds in a facility, including those in
                  non-participating or non-licensed areas.
     SAS Name:    BED_CNT
     COBOL Name:  BED-CNT

   Compliance: Beds Per Room Waiver                  1    483   483  VARCHAR2
     Description: Indicates if a waiver of the beds per room requirement
                  has been recommended for a facility.
     SAS Name:    BED_PER_ROOM_WVR_SW
     COBOL Name:  BED-PER-ROOM-WVR-SW

   Compliance: Life Safety Code                      1    484   484  VARCHAR2
     Description: INDICATES IF A WAIVER OF ANY LIFE SAFETY CODE (LSC)
                  PROVISIONS HAS BEEN RECOMMENDED FOR A PROVIDER.
     SAS Name:    LSC_WVR_SW
     COBOL Name:  LSC-WVR-SW

   Compliance: Patient Room Size                     1    485   485  VARCHAR2
     Description: Indicates if a waiver of patient room size has been
                  recommended for a facility.
     SAS Name:    ROOM_SIZE_WVR_SW
     COBOL Name:  ROOM-SIZE-WVR-SW

   Direct Care Personnel                             7    579   585  NUMBER
     Description: Number of full-time equivalent direct care personnel
                  employed by an intermediate care facility for the
                  mentally retarded.
     SAS Name:    DRCT_CARE_PRSNEL_CNT

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 21
  Intermediate Care Facility-Mentally Retarded, CATEGORY = "11" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  DRCT-CARE-PRSNEL-CNT

   Fiscal Year Ending Date                           4    613   616  VARCHAR2
     Description: The ending date (month and day) of a facility's fiscal
                  year.
     SAS Name:    FY_END_MO_DAY_CD
     COBOL Name:  FY-END-MO-DAY-CD

   Licensed Practical/Vocational Nurses              7    711   717  NUMBER
     Description: Number of full-time equivalent licensed practical or
                  vocational nurses employed by a facility.
     SAS Name:    LPN_LVN_CNT
     COBOL Name:  LPN-LVN-CNT

   LTC Agreement Beginning Date                      8    751   758  DATE
     Description: The beginning date of a certified long term care
                  facility's time-limited agreement.
     SAS Name:    AGRMT_BGN_DT
     COBOL Name:  AGRMT-BGN-DT

   LTC Agreement Ending Date                         8    759   766  DATE
     Description: The ending date of a certified long term care facility's
                  time-limited agreement.
     SAS Name:    AGRMT_END_DT
     COBOL Name:  AGRMT-END-DT

   LTC Agreement Extension Date                      8    767   774  DATE
     Description: The last date of an extension of a certified long term
                  care facility's time-limited agreement.
     SAS Name:    AGRMT_EXTNSN_DT
     COBOL Name:  AGRMT-EXTNSN-DT

   Prior LTC Agreement Ending Date                   8    1375  1382 DATE
     Description: The last date of a certified long term care facility's
                  time-limited agreement for a prior survey.
     SAS Name:    AGRMT_END_PRIOR_DT
     COBOL Name:  AGRMT-END-PRIOR-DT

   Prior LTC Agreement Extension Date                8    1383  1390 DATE
     Description: The last date of an extension of a certified long term
                  care facility's time-limited agreement for a prior
                  survey.
     SAS Name:    AGRMT_EXTNSN_PRIOR_DT
     COBOL Name:  AGRMT-EXTNSN-PRIOR-DT

   Prior Rescind Suspension Date                     8    1391  1398 DATE
     Description: The effective date of a previous suspension of admissions
                  to a long term care (LTC) facility.
     SAS Name:    RSCND_SUSPNSN_PRIOR_DT
     COBOL Name:  RSCND-SUSPNSN-PRIOR-DT

   Program Participation                             1    1399  1399 VARCHAR2
     Description: Indicates if the provider participates in Medicare,
                  Medicaid, or both programs.
     SAS Name:    PGM_PRTCPTN_CD
     COBOL Name:  PGM-PRTCPTN-CD
     VALUES:      1=MEDICARE ONLY
                  2=MEDICAID ONLY
                  3=MEDICARE AND MEDICAID

   Provider Based Facility                           1    1400  1400 VARCHAR2
     Description: Indicates if a long term care facility is provider based.
     SAS Name:    PRVDR_BSD_FAC_SW

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 22
  Intermediate Care Facility-Mentally Retarded, CATEGORY = "11" (SEE POSITIONS
                                      3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  PRVDR-BSD-FAC-SW

   Regional Override # 1 (Number Beds)               1    1438  1438 VARCHAR2
     Description: This field is set to 'Y' when the regional office has to
                  approve a pending record in the special fields screen.
                  This field only applies to categories in ODIE data entry
                  system.
     SAS Name:    OVRRD_BED_CNT_SW
     COBOL Name:  OVRRD-BED-CNT-SW

   Registered Nurses                                 7    1465  1471 NUMBER
     Description: The number of full-time equivalent registered
                  professional nurses employed by a provider.
     SAS Name:    RN_CNT
     COBOL Name:  RN-CNT

   Related Provider Number                           10   1510  1519 CHAR
     Description: Related provider number
     SAS Name:    RLTD_PRVDR_NUM
     COBOL Name:  RLTD-PRVDR-NUM

   Rescind Suspension Date                           8    1520  1527 DATE
     Description: Date that the suspension of payments for new admissions
                  to a long term care (LTC) facility is rescinded.
     SAS Name:    RSCND_SUSPNSN_DT
     COBOL Name:  RSCND-SUSPNSN-DT

   Total Number of Employees                         8    4162  4169 NUMBER
     Description: The total number of full-time employees in a hospice or
                  an intermediate care facility/mental retardation
                  facility.
     SAS Name:    EMPLEE_CNT
     COBOL Name:  EMPLEE-CNT































 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 1
            Rural Health Clinic, CATEGORY = "12" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Provider Category Subtype Code                    2    1     2    VARCHAR2
     Description: This field is used mainly by batch report programs to
                  determine the breakdown of the provider category. This
                  field is mainly used for SNFs and hospitals.
     SAS Name:    PRVDR_CTGRY_SBTYP_CD
     COBOL Name:  PRVDR-CTGRY-SBTYP-CD
     VALUES:      01=RURAL HEALTH CLINICS

   Provider Category Code                            2    3     4    VARCHAR2
     Description: This code identifies the category which is most
                  descriptive of the facility identified on the
                  Medicare/Medicaid Certification and Transmittal Form (CMS
                  1539).
     SAS Name:    PRVDR_CTGRY_CD
     COBOL Name:  PRVDR-CTGRY-CD
     VALUES:      12=Rural Health Clinic

   Change of Ownership Count                         2    5     6    NUMBER
     Description: The number of times a change of ownership (CHOW) has
                  taken place for a particular provider.
     SAS Name:    CHOW_CNT
     COBOL Name:  CHOW-CNT

   Change of Ownership Date                          8    7     14   DATE
     Description: Effective date of a change of ownership.
     SAS Name:    CHOW_DT
     COBOL Name:  CHOW-DT

   City                                              28   15    42   VARCHAR2
     Description: City in which the provider is physically located.
     SAS Name:    CITY_NAME
     COBOL Name:  CITY-NAME

   Compliance: Plan of Correction                    1    43    43   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements based on an acceptable plan for correction
                  of deficiencies.
     SAS Name:    ACPTBL_POC_SW
     COBOL Name:  ACPTBL-POC-SW

   Compliance: Status                                1    44    44   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements.
     SAS Name:    CMPLNC_STUS_CD
     COBOL Name:  CMPLNC-STUS-CD
     VALUES:      A=IN COMPLIANCE
                  B=NOT IN COMPLIANCE

   SSA County Code                                   3    45    47   VARCHAR2
     Description: SSA (State Survey Agency) geographic code indicating the
                  county where the facility is located.
     SAS Name:    SSA_CNTY_CD
     COBOL Name:  SSA-CNTY-CD

   Cross Ref Provider Number                         10   48    57   CHAR
     Description: Cross reference provider number
     SAS Name:    CROSS_RFRNC_PRVDR_NUM
     COBOL Name:  CROSS-RFRNC-PRVDR-NUM

   Certification Date                                8    58    65   DATE
     Description: The Certification date is equal to the exit date of the
                  initial visit of the Health survey or LSC survey,
                  whichever is later.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 2
            Rural Health Clinic, CATEGORY = "12" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    CRTFCTN_DT
     COBOL Name:  CRTFCTN-DT

   Eligibility Switch                                1    66    66   VARCHAR2
     Description: Indicates if a facility is eligible to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    ELGBLTY_SW
     COBOL Name:  ELGBLTY-SW

   Facility Name                                     50   67    116  VARCHAR2
     Description: The name of a provider certified to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    FAC_NAME
     COBOL Name:  FAC-NAME

   Intermediary Carrier Code                         5    117   121  VARCHAR2
     Description: A number assigned to an intermediary or carrier servicing
                  a provider or supplier. Not all numbers apply to all
                  provider types.
     SAS Name:    INTRMDRY_CARR_CD
     COBOL Name:  INTRMDRY-CARR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 3
            Rural Health Clinic, CATEGORY = "12" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 4
            Rural Health Clinic, CATEGORY = "12" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 5
            Rural Health Clinic, CATEGORY = "12" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 6
            Rural Health Clinic, CATEGORY = "12" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Medicare or Medicaid Vendor Number                15   122   136  VARCHAR2
     Description: A number which may be assigned to a facility by the state
                  Medicaid agency for external control or billing purposes.
     SAS Name:    MDCD_VNDR_NUM
     COBOL Name:  MDCD-VNDR-NUM

   Participation Date                                8    137   144  DATE
     Description: The date a facility is first approved to provide Medicare
                  and/or Medicaid services.
     SAS Name:    ORGNL_PRTCPTN_DT
     COBOL Name:  ORGNL-PRTCPTN-DT

   Prior Change of Ownership Date                    8    145   152  DATE
     Description: The date of a prior change of ownership.
     SAS Name:    CHOW_PRIOR_DT
     COBOL Name:  CHOW-PRIOR-DT

   Intermediary Carrier Prior Code                   5    153   157  VARCHAR2
     Description: The previous intermediary carrier number.
     SAS Name:    INTRMDRY_CARR_PRIOR_CD
     COBOL Name:  INTRMDRY-CARR-PRIOR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 7
            Rural Health Clinic, CATEGORY = "12" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 8
            Rural Health Clinic, CATEGORY = "12" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 9
            Rural Health Clinic, CATEGORY = "12" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 10
            Rural Health Clinic, CATEGORY = "12" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Provider Number                                   10   158   167  VARCHAR2
     Description: A six or ten position identification number that is
                  assigned to a certified provider.
     SAS Name:    PRVDR_NUM
     COBOL Name:  PRVDR-NUM

   Record Status Code                                1    168   168  VARCHAR2
     Description: This indicator specifies the current status of the
                  record.
     SAS Name:    REC_STUS_CD
     COBOL Name:  REC-STUS-CD
     VALUES:      A=ACCEPTED RECORD
                  C=COMPLAINT RECORD

   Region Code                                       2    169   170  VARCHAR2
     Description: The regional location of the provider.
     SAS Name:    RGN_CD
     COBOL Name:  RGN-CD
     VALUES:      01=BOSTON
                  02=NEW YORK
                  03=PHILADELPHIA
                  04=ATLANTA
                  05=CHICAGO
                  06=DALLAS
                  07=KANSAS CITY
                  08=DENVER

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 11
            Rural Health Clinic, CATEGORY = "12" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  09=SAN FRANCISCO
                  10=SEATTLE

   Skeleton Record Switch                            1    171   171  VARCHAR2
     Description: Indicates the record is a skeleton record.  Only a
                  limited set of the provider data is available for this
                  provider.
     SAS Name:    SKLTN_REC_SW
     COBOL Name:  SKLTN-REC-SW

   State Abbreviation                                2    172   173  VARCHAR2
     Description: The two-character state abbreviation.
     SAS Name:    STATE_CD
     COBOL Name:  STATE-CD
     VALUES:      AK=ALASKA
                  AL=ALABAMA
                  AR=ARKANSAS
                  AS=AMERICAN SAMOA
                  AZ=ARIZONA
                  CA=CALIFORNIA
                  CN=CANADA
                  CO=COLORADO
                  CT=CONNECTICUT
                  DC=DISTRICT OF COLUMBIA
                  DE=DELAWARE
                  FL=FLORIDA
                  FN=FOREIGN
                  GA=GEORGIA
                  GU=GUAM
                  HI=HAWAII
                  IA=IOWA
                  ID=IDAHO
                  IL=ILLINOIS
                  IN=INDIANA
                  KS=KANSAS
                  KY=KENTUCKY
                  LA=LOUISIANA
                  MA=MASSACHUSETTS
                  MD=MARYLAND
                  ME=MAINE
                  MI=MICHIGAN
                  MN=MINNESOTA
                  MO=MISSOURI
                  MP=SAIPAN
                  MS=MISSISSIPPI
                  MT=MONTANA
                  MX=MEXICO
                  NC=NORTH CAROLINA
                  ND=NORTH DAKOTA
                  NE=NEBRASKA
                  NH=NEW HAMPSHIRE
                  NJ=NEW JERSEY
                  NM=NEW MEXICO
                  NV=NEVADA
                  NY=NEW YORK
                  OH=OHIO
                  OK=OKLAHOMA
                  OR=OREGON
                  PA=PENNSYLVANIA
                  PR=PUERTO RICO
                  RI=RHODE ISLAND
                  SC=SOUTH CAROLINA
                  SD=SOUTH DAKOTA
                  TN=TENNESSEE

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 12
            Rural Health Clinic, CATEGORY = "12" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  TX=TEXAS
                  UT=UTAH
                  VA=VIRGINIA
                  VI=VIRGIN ISLANDS
                  VT=VERMONT
                  WA=WASHINGTON
                  WI=WISCONSIN
                  WV=WEST VIRGINIA
                  WY=WYOMING

   SSA State Code                                    2    174   175  VARCHAR2
     Description: SSA (Social Security Administration) geographic code
                  indicating the state of the provider's residence. Must
                  agree with the first two positions of the Provider number
                  (except California: 05 and 55; Texas: 45 and 67; FL: 10
                  and 68; MD: 21 and 80).
     SAS Name:    SSA_STATE_CD
     COBOL Name:  SSA-STATE-CD
     VALUES:      01=ALABAMA
                  02=ALASKA
                  03=ARIZONA
                  04=ARKANSAS
                  05=CALIFORNIA
                  06=COLORADO
                  07=CONNECTICUT
                  08=DELAWARE
                  09=DISTRICT OF COLUMBIA
                  10=FLORIDA
                  11=GEORGIA
                  12=HAWAII
                  13=IDAHO
                  14=ILLINOIS
                  15=INDIANA
                  16=IOWA
                  17=KANSAS
                  18=KENTUCKY
                  19=LOUISIANA
                  20=MAINE
                  21=MARYLAND
                  22=MASSACHUSETTS
                  23=MICHIGAN
                  24=MINNESOTA
                  25=MISSISSIPPI
                  26=MISSOURI
                  27=MONTANA
                  28=NEBRASKA
                  29=NEVADA
                  30=NEW HAMPSHIRE
                  31=NEW JERSEY
                  32=NEW MEXICO
                  33=NEW YORK
                  34=NORTH CAROLINA
                  35=NORTH DAKOTA
                  36=OHIO
                  37=OKLAHOMA
                  38=OREGON
                  39=PENNSYLVANIA
                  40=PUERTO RICO
                  41=RHODE ISLAND
                  42=SOUTH CAROLINA
                  43=SOUTH DAKOTA
                  44=TENNESSEE
                  45=TEXAS
                  46=UTAH

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 13
            Rural Health Clinic, CATEGORY = "12" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  47=VERMONT
                  48=VIRGIN ISLANDS
                  49=VIRGINIA
                  50=WASHINGTON
                  51=WEST VIRGINIA
                  52=WISCONSIN
                  53=WYOMING
                  54=AFRICA
                  56=CANADA
                  57=WEST INDIES
                  58=EUROPE
                  59=MEXICO
                  60=OCEANIA
                  61=PHILIPPINES
                  62=SOUTH AMERICA
                  63=UNITED STATES POSSESSIONS
                  64=AMERICAN SAMOA
                  65=GUAM
                  66=SAIPAN
                  99=FOREIGN

   State Region Code                                 3    176   178  VARCHAR2
     Description: For selected states, identifies the particular region
                  within the state where the provider is located.
     SAS Name:    STATE_RGN_CD
     COBOL Name:  STATE-RGN-CD
     VALUES:      AK/001=ALASKA
                  AK/LAB=LABORATORIES
                  AK/UNK=UNKNOWN
                  AL/001=ALABAMA
                  AL/LAB=LABORATORIES
                  AL/UNK=UNKNOWN
                  AR/001=ARKANSAS
                  AR/LAB=LABORATORIES
                  AR/UNK=UNKNOWN
                  AS/001=AMERICAN SAMOA
                  AS/LAB=LABORATORY
                  AS/UNK=UNKNOWN
                  AZ/AZ=PHOENIX
                  AZ/LAB=ARIZONA LAB
                  AZ/TUC=TUCSON
                  AZ/UNK=UNKNOWN
                  CA/BAK=BAKERSFIELD
                  CA/BER=SAN BERNARDINO
                  CA/BK=BERKELEY
                  CA/BK1=CONTRA COSTA
                  CA/FR=FRESNO
                  CA/L1=L.A. WEST
                  CA/L2=L.A. NORTH
                  CA/L3=L.A. CENTRAL
                  CA/L4=L.A. EAST
                  CA/L5=SAN GABRIEL
                  CA/LAB=LABORATORIES
                  CA/M1=LAB. SOUTH
                  CA/M2=LAB. NORTH
                  CA/ORG=ORANGE CO
                  CA/RIV=RIVERSIDE
                  CA/RWC=REDWOOD COAST
                  CA/S1=SACRAMENTO
                  CA/S2=SACTO SOUTH
                  CA/S3=CHICO
                  CA/SD=SAN DIEGO
                  CA/SDS=SAN DIEGO SOUTH
                  CA/SF=SAN FRANCISCO

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 14
            Rural Health Clinic, CATEGORY = "12" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  CA/SJ=SAN JOSE
                  CA/SR=SANTA ROSA
                  CA/UNK=UNKNOWN
                  CA/VEN=VENTURA
                  CN/001=CANADA
                  CN/LAB=LABORATORY
                  CN/UNK=UNKNOWN
                  CO/001=COLORADO
                  CO/LAB=LABORATORIES
                  CO/UNK=UNKNOWN
                  CT/001=CONNECTICUT
                  CT/LAB=LABORATORIES
                  CT/UNK=UNKNOWN
                  DC/001=DISTRICT OF COLUMBIA
                  DC/LAB=LABORATORIES
                  DC/UNK=UNKNOWN
                  DE/001=DELAWARE
                  DE/LAB=LABORATORIES
                  DE/UNK=UNKNOWN
                  FL/FTM=FT. MYERS
                  FL/GAI=GAINESVILLE
                  FL/JAX=JACKSONVILLE
                  FL/LAB=LABORATORIES
                  FL/LAN=LANTANA
                  FL/LAU=LAUDERHILL
                  FL/MIA=MIAMI
                  FL/ORL=ORLANDO
                  FL/PEN=PENSACOLA
                  FL/STP=ST. PETERSBURG
                  FL/TAL=TALLAHASSEE
                  FL/TAM=TAMPA
                  FL/UNK=UNKNOWN
                  FM/001=FEDERATED STATES OF MICRO
                  FN/001=FOREIGN
                  FN/LAB=LABORATORIES
                  FN/UNK=UNKNOWN
                  GA/001=GEORGIA
                  GA/GAA=GEORGIA ALL
                  GA/GAC=GEORGIA CENTRAL
                  GA/GAE=GEORGIA EASTERN
                  GA/GAN=GEORGIA NORTH
                  GA/GAS=GEORGIA SOUTH
                  GA/GAW=GEORGIA WESTERN
                  GA/LAB=LABORATORIES
                  GA/UNK=UNKNOWN
                  GU/001=GUAM
                  GU/LAB=LABORATORIES
                  GU/UNK=UNKNOWN
                  HI/001=HAWAII
                  HI/LAB=LABORATORIES
                  HI/UNK=UNKNOWN
                  IA/001=IOWA
                  IA/LAB=LABORATORIES
                  IA/UNK=UNKNOWN
                  ID/001=IDAHO
                  ID/LAB=LABORATORIES
                  ID/UNK=UNKNOWN
                  IL/001=ILLINOIS
                  IL/LAB=LABORATORIES
                  IL/UNK=UNKNOWN
                  IN/001=INDIANA
                  IN/LAB=LABORATORIES
                  IN/UNK=UNKNOWN
                  KS/LAB=LABORATORIES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 15
            Rural Health Clinic, CATEGORY = "12" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  KS/LAW=LAWRENCE
                  KS/NC=NORTH CENTRAL KANSAS
                  KS/NE=NORTH EAST KANSAS
                  KS/NW=NORTH WEST KANSAS
                  KS/SC=SOUTH CENTRAL KANSAS
                  KS/SE=SOUTH EAST KANSAS
                  KS/SW=SOUTH WEST KANSAS
                  KS/UNK=UNKNOWN
                  KS/WST=WEST
                  KY/2C1=HOPKINSVILLE
                  KY/2C2=LOUISVILLE
                  KY/2C3=LONDON
                  KY/2C4=LEXINGTON
                  KY/LAB=LABORATORIES
                  KY/UNK=UNKNOWN
                  LA/001=LOUISIANA
                  LA/LA1=NEW ORLEANS
                  LA/LA2=MANDEVILLE
                  LA/LA3=LAFAYETTE
                  LA/LA4=MONROE
                  LA/LA5=SHREVEPORT
                  LA/LA6=ALEXANDRIA
                  LA/LAB=LABORATORIES
                  LA/LB1=CLIA NEW ORLEANS
                  LA/LB5=CLIA SHREVEPORT
                  LA/LB6=CLIA ALEXANDRIA
                  LA/UNK=UNKNOWN
                  MA/001=MASSACHUSETTS
                  MA/LAB=LABORATORIES
                  MA/UNK=UNKNOWN
                  MD/001=MARYLAND
                  MD/LAB=LABORATORIES
                  MD/UNK=UNKNOWN
                  ME/001=MAINE
                  ME/LAB=LABORATORIES
                  ME/UNK=UNKNOWN
                  MH/001=MARSHALL ISLANDS
                  MI/001=MICHIGAN
                  MI/LAB=LABORATORIES
                  MI/UNK=UNKNOWN
                  MN/001=MINNESOTA
                  MN/LAB=LABORATORIES
                  MN/UNK=UNKNOWN
                  MO/01=REGION01
                  MO/02=REGION02
                  MO/03=REGION 03
                  MO/04=REGION 04
                  MO/05=REGION 05
                  MO/06=REGION 06
                  MO/07=REGION 07
                  MO/1NH=REGION 1 NH
                  MO/2NH=REGION 2 NH
                  MO/3NH=REGION 3 NH
                  MO/4NH=REGION 4 NH
                  MO/5NH=REGION 5 NH
                  MO/6NH=REGION 6 NH
                  MO/7NH=REGION 7 NH
                  MO/LAB=LABORATORIES
                  MO/MO=STATEWIDE
                  MO/UNK=UNKNOWN
                  MP/001=NORTHERN MARIANA ISLANDS
                  MP/LAB=LABORATORIES
                  MP/UNK=UNKNOWN
                  MS/001=MISSISSIPPI

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 16
            Rural Health Clinic, CATEGORY = "12" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  MS/LAB=LABORATORIES
                  MS/UNK=UNKNOWN
                  MT/001=MONTANA
                  MT/LAB=LABORATORIES
                  MT/UNK=UNKNOWN
                  MX/001=MEXICO
                  MX/LAB=LABORATORY
                  MX/UNK=UNKNOWN
                  NC/LAB=LABORATORIES
                  NC/NCC=NORTH CAROLINA CENTRAL
                  NC/NCE=NORTH CAROLINA EAST
                  NC/NCN=NORTH CAROLINA NORTH
                  NC/NCS=NORTH CAROLINA SOUTH
                  NC/NCW=NORTH CAROLINA WEST
                  NC/UNK=UNKNOWN
                  ND/001=NORTH DAKOTA
                  ND/LAB=LABORATORIES
                  ND/UNK=UNKNOWN
                  NE/1=NORTH CENTRAL
                  NE/2=CENTRAL
                  NE/3=NORTHEAST
                  NE/4=SOUTHEAST
                  NE/5=WESTERN
                  NE/LAB=LABORATORIES
                  NE/UNK=UNKNOWN
                  NH/001=NEW HAMPSHIRE
                  NH/LAB=LABORATORIES
                  NH/UNK=UNKNOWN
                  NJ/001=NEW JERSEY
                  NJ/LAB=LABORATORIES
                  NJ/UNK=UNKNOWN
                  NM/001=NEW MEXICO
                  NM/LAB=LABORATORIES
                  NM/UNK=UNKNOWN
                  NV/CC=CARSON CITY
                  NV/LAB=LABORATORIES
                  NV/LV=LAS VEGAS
                  NV/UNK=UNKNOWN
                  NY/001=BUFFALO
                  NY/002=ROCHESTER
                  NY/003=SYRACUSE
                  NY/004=ALBANY
                  NY/005=NEW ROCHELLE
                  NY/006=NEW YORK CITY
                  NY/007=SUFFOLK/NASSAU COUNTY
                  NY/LAB=LABORATORIES
                  NY/UNK=UNKNOWN
                  OH/001=OHIO
                  OH/LAB=LABORATORIES
                  OH/UNK=UNKNOWN
                  OK/001=OKLAHOMA
                  OK/LAB=LABORATORIES
                  OK/UNK=UNKNOWN
                  OR/001=OFFICE #1
                  OR/002=OFFICE #2
                  OR/003=OFFICE #3
                  OR/LAB=LABORATORIES
                  OR/UNK=UNKNOWN
                  PA/001=PENNSYLVANIA
                  PA/LAB=LABORATORIES
                  PA/UNK=UNKNOWN
                  PR/001=PUERTO RICO
                  PR/LAB=LABORATORIES
                  PR/UNK=UNKNOWN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 17
            Rural Health Clinic, CATEGORY = "12" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  PW/001=PALAU
                  RI/001=RHODE ISLAND
                  RI/LAB=LABORATORIES
                  RI/UNK=UNKNOWN
                  SC/001=SOUTH CAROLINA
                  SC/LAB=LABORATORIES
                  SC/UNK=UNKNOWN
                  SD/001=SOUTH DAKOTA
                  SD/LAB=LABORATORIES
                  SD/UNK=UNKNOWN
                  TN/LAB=LABORATORIES
                  TN/TNC=TENNESSEE COOKEVILLE
                  TN/TNE=TENNESSEE EASTERN
                  TN/TNM=TENNESSEE MIDDLE
                  TN/TNW=TENNESSEE WESTERN
                  TN/UNK=UNKNOWN
                  TX/001=TEXAS
                  TX/L01=AMARILLO-LTC
                  TX/L02=ABILENE-LTC
                  TX/L03=ARLINGTON-LTC
                  TX/L04=TYLER-LTC
                  TX/L05=BEAUMONT-LTC
                  TX/L06=HOUSTON-LTC
                  TX/L07=TEMPLE-LTC
                  TX/L08=SAN ANTONIO-LTC
                  TX/L09=SAN ANGELO-LTC
                  TX/L10=EL PASO-LTC
                  TX/L11=CORPUS CHRISTI-LTC
                  TX/LAB=LABORATORIES
                  TX/TX1=LUBBOCK
                  TX/TX2=ARLINGTON
                  TX/TX3=SAN ANTONIO
                  TX/TX4=HOUSTON
                  TX/TX5=TYLER
                  TX/TX6=AUSTIN
                  TX/UNK=UNKNOWN
                  UT/001=UTAH
                  UT/LAB=LABORATORIES
                  UT/UNK=UNKNOWN
                  VA/001=VIRGINIA
                  VA/LAB=LABORATORIES
                  VA/UNK=UNKNOWN
                  VI/001=VIRGIN ISLANDS
                  VI/LAB=LABORATORIES
                  VI/UNK=UNKNOWN
                  VT/001=VERMONT
                  VT/LAB=LABORATORIES
                  VT/UNK=UNKNOWN
                  WA/001=ALL OTHERS (NON-LTC FAC)
                  WA/D1=SPOKANE & YAKIMA AREAS
                  WA/D1A=District 1, Unit A
                  WA/D1B=District 1, Unit B
                  WA/D1C=District 1, Unit C
                  WA/D1D=District 1, Unit D
                  WA/D2=SPOKANE & SE
                  WA/D2A=District 2, Unit A
                  WA/D2B=District 2, Unit B
                  WA/D2C=District 2, Unit C
                  WA/D2D=District 2, Unit D
                  WA/D2E=District 2, Unit E
                  WA/D2F=District 2, Unit F
                  WA/D2G=District 2, Unit G
                  WA/D3=NW WASHINGTON
                  WA/D3A=District 3, Unit A

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 18
            Rural Health Clinic, CATEGORY = "12" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  WA/D3B=District 3, Unit B
                  WA/D3C=District 3, Unit C
                  WA/D3D=District 3, Unit D
                  WA/D3E=District 3, Unit E
                  WA/D4A=GREATER SEATTLE AREA
                  WA/D4B=S KING COUNTY
                  WA/D5A=PIERCE CTY & PENINSULA
                  WA/D5B=PIERCE CTY & GRAYS HARBOR
                  WA/D6=OLYMPIA AREA
                  WA/LAB=LABORATORIES
                  WA/UNK=UNKNOWN
                  WI/001=WISCONSIN
                  WI/LAB=LABORATORIES
                  WI/UNK=UNKNOWN
                  WV/001=WEST VIRGINIA
                  WV/LAB=LABORATORIES
                  WV/UNK=UNKNOWN
                  WY/001=WYOMING
                  WY/LAB=LABORATORIES
                  WY/UNK=UNKNOWN

   Street Address                                    50   179   228  VARCHAR2
     Description: Street address of a provider that is certified to provide
                  Medicare and/or Medicaid services.
     SAS Name:    ST_ADR
     COBOL Name:  ST-ADR

   Telephone Number                                  10   229   238  VARCHAR2
     Description: The 10-digit telephone number of the primary contact or
                  the operator of a provider.
     SAS Name:    PHNE_NUM
     COBOL Name:  PHNE-NUM

   Termination Code 1                                2    239   240  VARCHAR2
     Description: Termination code number one: the reason a facility has
                  been terminated from the CLIA, Medicare and/or Medicaid
                  programs.
     SAS Name:    PGM_TRMNTN_CD
     COBOL Name:  PGM-TRMNTN-CD
     VALUES:      00=ACTIVE PROVIDER
                  01=VOLUNTARY-MERGER, CLOSURE
                  02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT
                  03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION
                  04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL
                  05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ
                  06=INVOLUNTARY-FAILURE TO MEET AGREEMENT
                  07=OTHER-PROVIDER STATUS CHANGE
                  08=NONPAYMENT OF FEES - CLIA Only
                  09=REV/UNSUCCESSFUL PARTICIPATION IN PT - CLIA Only
                  10=REV/OTHER REASON - CLIA Only
                  11=INCMPLETE CLIA APPLICATION INFORMATION - CLIA Only
                  12=NO LONGER PERFORMING TESTS - CLIA Only
                  13=MULTIPLE TO SINGLE SITE CERTIFICATE - CLIA Only
                  14=SHARED LABORATORY - CLIA Only
                  15=FAILURE TO RENEW WAIVER PPM CERTIFICATE - CLIA Only
                  16=DUPLICATE CLIA NUMBER - CLIA Only
                  17=MAIL RETURNED NO FORWARD ADDRESS CERT ENDED - CLIA Only
                  20=NOTIFICATION BANKRUPTCY - CLIA Only
                  33=ACCREDITATION NOT CONFIRMED - CLIA Only
                  80=AWAITING STATE APPROVAL
                  99=OIG ACTION - DO NOT ACTIVATE - CLIA Only

   Termination Date / Expiration Date 1              8    241   248  DATE
     Description: The date the laboratory's certificate terminated or the

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 19
            Rural Health Clinic, CATEGORY = "12" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  expiration date of the current CLIA certificate. For
                  other non-CLIA providers, it is the date the facility was
                  terminated.
     SAS Name:    TRMNTN_EXPRTN_DT
     COBOL Name:  TRMNTN-EXPRTN-DT

   Type of Action                                    1    249   249  VARCHAR2
     Description: Type of action on the 'official' survey record.  This
                  field is copied from type of action on the HCFA-1539,
                  certification and transmittal.
     SAS Name:    SRVY_PRPSE_CD
     COBOL Name:  SRVY-PRPSE-CD
     VALUES:      1=INITIAL
                  2=RECERTIFICATION
                  3=TERMINATION
                  4=CHANGE OF OWNERSHIP
                  5=VALIDATION
                  6=ONSITE SURVEY DUE TO FLEXIBLE SURVEY - CLIA Only
                  8=FULL SURVEY AFTER COMPLAINT - CLIA ONLY

   General Type of Control Code                      2    250   251  VARCHAR2
     Description: Indicates the nature of the organization that operates a
                  provider of services.
     SAS Name:    GNRL_CNTL_TYPE_CD
     COBOL Name:  GNRL-CNTL-TYPE-CD
     VALUES:      03=STATE GOVERNMENT
                  04=LOCAL GOVERNMENT
                  05=FEDERAL GOVERNMENT
                  1A=FOR PROFIT INDIVIDUAL
                  1B=FOR PROFIT CORPORATION
                  1C=FOR PROFIT PARTNERSHIP
                  2A=NON PROFIT INDIVIDUAL
                  2B=NON PROFIT CORPORATION
                  2C=NON PROFIT PARTNERSHIP

   ZIP Code                                          5    252   256  VARCHAR2
     Description: The five-digit postal code for the provider.
     SAS Name:    ZIP_CD
     COBOL Name:  ZIP-CD

   FIPS State Code                                   2    257   258  VARCHAR2
     Description: FIPS State Code
     SAS Name:    FIPS_STATE_CD
     COBOL Name:  FIPS-STATE-CD

   FIPS County Code                                  3    259   261  VARCHAR2
     Description: FIPS County Code
     SAS Name:    FIPS_CNTY_CD
     COBOL Name:  FIPS-CNTY-CD

   CBSA Urban Rural Indicator                        1    262   262  VARCHAR2
     Description: CBSA (Core Based Statistical Area) indicates whether the
                  county is defined as Urban or Rural.
     SAS Name:    CBSA_URBN_RRL_IND
     COBOL Name:  CBSA-URBN-RRL-IND

   Federal Program Support                           1    611   611  VARCHAR2
     Description: Indicates if a clinic is receiving support from a federal
                  program to provide health services in a medically
                  underserved area or in an area with a shortage of primary
                  care health manpower.
     SAS Name:    FED_PGM_SPRT_SW
     COBOL Name:  FED-PGM-SPRT-SW


 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 20
            Rural Health Clinic, CATEGORY = "12" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

   Fiscal Year Ending Date                           4    613   616  VARCHAR2
     Description: The ending date (month and day) of a facility's fiscal
                  year.
     SAS Name:    FY_END_MO_DAY_CD
     COBOL Name:  FY-END-MO-DAY-CD

   Nurse Practitioners                               7    964   970  NUMBER
     Description: Number of full-time equivalent nurse practitioners in a
                  rural health clinic.
     SAS Name:    NRS_PRCTNR_CNT
     COBOL Name:  NRS-PRCTNR-CNT

   Other Personnel                                   7    1105  1111 NUMBER
     Description: The number of full-time equivalent other salaried
                  personnel employed by a facility.
     SAS Name:    PRSNEL_OTHR_CNT
     COBOL Name:  PRSNEL-OTHR-CNT

   Physician Assistants (PA)                         7    1292  1298 NUMBER
     Description: The number of full-time equivalent physician assistants
                  (PA) employed by a hospital or rural health clinic.
     SAS Name:    PHYSN_ASTNT_CNT
     COBOL Name:  PHYSN-ASTNT-CNT

   Physicians                                        7    1327  1333 NUMBER
     Description: The number of full-time equivalent physicians employed by
                  a provider.
     SAS Name:    PHYSN_CNT
     COBOL Name:  PHYSN-CNT

   Related Provider Number                           10   1510  1519 CHAR
     Description: Related provider number
     SAS Name:    RLTD_PRVDR_NUM
     COBOL Name:  RLTD-PRVDR-NUM

   Title of Federal Program                          26   4136  4161 VARCHAR2
     Description: The name of a federal program which provides support to a
                  rural health clinic to provide services in a medically
                  underserved area or an area with a shortage of primary
                  care health manpower.
     SAS Name:    FED_PGM_NAME
     COBOL Name:  FED-PGM-NAME
     VALUES:      COMM HLTH PRG  (330)=COMMUNITY HEALTH PROGRAM (330)
                  INDIAN HEALTH SERV=INDIAN HEALTH SERVICE
                  MIGRT HLTH PRG (329)=MIGRANT HEALTH PROGRAM (329)
                  NATNL HEALTH SRV DEL=NATIONAL HEALTH SERVICE DELIVERY PROGRAM
                  RURAL OUTREACH  DEMO=RURAL OUTREACH DEMO GRANT PROGRAM


















 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 1
  Comprehensive Outpatient Rehab Facility, CATEGORY = "14" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Provider Category Subtype Code                    2    1     2    VARCHAR2
     Description: This field is used mainly by batch report programs to
                  determine the breakdown of the provider category. This
                  field is mainly used for SNFs and hospitals.
     SAS Name:    PRVDR_CTGRY_SBTYP_CD
     COBOL Name:  PRVDR-CTGRY-SBTYP-CD
     VALUES:      01=COMPREHENSIVE OUTPATIENT

   Provider Category Code                            2    3     4    VARCHAR2
     Description: This code identifies the category which is most
                  descriptive of the facility identified on the
                  Medicare/Medicaid Certification and Transmittal Form (CMS
                  1539).
     SAS Name:    PRVDR_CTGRY_CD
     COBOL Name:  PRVDR-CTGRY-CD
     VALUES:      14=Comprehensive Outpatient Rehab Facility

   Change of Ownership Count                         2    5     6    NUMBER
     Description: The number of times a change of ownership (CHOW) has
                  taken place for a particular provider.
     SAS Name:    CHOW_CNT
     COBOL Name:  CHOW-CNT

   Change of Ownership Date                          8    7     14   DATE
     Description: Effective date of a change of ownership.
     SAS Name:    CHOW_DT
     COBOL Name:  CHOW-DT

   City                                              28   15    42   VARCHAR2
     Description: City in which the provider is physically located.
     SAS Name:    CITY_NAME
     COBOL Name:  CITY-NAME

   Compliance: Plan of Correction                    1    43    43   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements based on an acceptable plan for correction
                  of deficiencies.
     SAS Name:    ACPTBL_POC_SW
     COBOL Name:  ACPTBL-POC-SW

   Compliance: Status                                1    44    44   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements.
     SAS Name:    CMPLNC_STUS_CD
     COBOL Name:  CMPLNC-STUS-CD
     VALUES:      A=IN COMPLIANCE
                  B=NOT IN COMPLIANCE

   SSA County Code                                   3    45    47   VARCHAR2
     Description: SSA (State Survey Agency) geographic code indicating the
                  county where the facility is located.
     SAS Name:    SSA_CNTY_CD
     COBOL Name:  SSA-CNTY-CD

   Cross Ref Provider Number                         10   48    57   CHAR
     Description: Cross reference provider number
     SAS Name:    CROSS_RFRNC_PRVDR_NUM
     COBOL Name:  CROSS-RFRNC-PRVDR-NUM

   Certification Date                                8    58    65   DATE
     Description: The Certification date is equal to the exit date of the
                  initial visit of the Health survey or LSC survey,
                  whichever is later.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 2
  Comprehensive Outpatient Rehab Facility, CATEGORY = "14" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    CRTFCTN_DT
     COBOL Name:  CRTFCTN-DT

   Eligibility Switch                                1    66    66   VARCHAR2
     Description: Indicates if a facility is eligible to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    ELGBLTY_SW
     COBOL Name:  ELGBLTY-SW

   Facility Name                                     50   67    116  VARCHAR2
     Description: The name of a provider certified to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    FAC_NAME
     COBOL Name:  FAC-NAME

   Intermediary Carrier Code                         5    117   121  VARCHAR2
     Description: A number assigned to an intermediary or carrier servicing
                  a provider or supplier. Not all numbers apply to all
                  provider types.
     SAS Name:    INTRMDRY_CARR_CD
     COBOL Name:  INTRMDRY-CARR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 3
  Comprehensive Outpatient Rehab Facility, CATEGORY = "14" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 4
  Comprehensive Outpatient Rehab Facility, CATEGORY = "14" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 5
  Comprehensive Outpatient Rehab Facility, CATEGORY = "14" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 6
  Comprehensive Outpatient Rehab Facility, CATEGORY = "14" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Medicare or Medicaid Vendor Number                15   122   136  VARCHAR2
     Description: A number which may be assigned to a facility by the state
                  Medicaid agency for external control or billing purposes.
     SAS Name:    MDCD_VNDR_NUM
     COBOL Name:  MDCD-VNDR-NUM

   Participation Date                                8    137   144  DATE
     Description: The date a facility is first approved to provide Medicare
                  and/or Medicaid services.
     SAS Name:    ORGNL_PRTCPTN_DT
     COBOL Name:  ORGNL-PRTCPTN-DT

   Prior Change of Ownership Date                    8    145   152  DATE
     Description: The date of a prior change of ownership.
     SAS Name:    CHOW_PRIOR_DT
     COBOL Name:  CHOW-PRIOR-DT

   Intermediary Carrier Prior Code                   5    153   157  VARCHAR2
     Description: The previous intermediary carrier number.
     SAS Name:    INTRMDRY_CARR_PRIOR_CD
     COBOL Name:  INTRMDRY-CARR-PRIOR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 7
  Comprehensive Outpatient Rehab Facility, CATEGORY = "14" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 8
  Comprehensive Outpatient Rehab Facility, CATEGORY = "14" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 9
  Comprehensive Outpatient Rehab Facility, CATEGORY = "14" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 10
  Comprehensive Outpatient Rehab Facility, CATEGORY = "14" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Provider Number                                   10   158   167  VARCHAR2
     Description: A six or ten position identification number that is
                  assigned to a certified provider.
     SAS Name:    PRVDR_NUM
     COBOL Name:  PRVDR-NUM

   Record Status Code                                1    168   168  VARCHAR2
     Description: This indicator specifies the current status of the
                  record.
     SAS Name:    REC_STUS_CD
     COBOL Name:  REC-STUS-CD
     VALUES:      A=ACCEPTED RECORD
                  C=COMPLAINT RECORD

   Region Code                                       2    169   170  VARCHAR2
     Description: The regional location of the provider.
     SAS Name:    RGN_CD
     COBOL Name:  RGN-CD
     VALUES:      01=BOSTON
                  02=NEW YORK
                  03=PHILADELPHIA
                  04=ATLANTA
                  05=CHICAGO
                  06=DALLAS
                  07=KANSAS CITY
                  08=DENVER

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 11
  Comprehensive Outpatient Rehab Facility, CATEGORY = "14" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  09=SAN FRANCISCO
                  10=SEATTLE

   Skeleton Record Switch                            1    171   171  VARCHAR2
     Description: Indicates the record is a skeleton record.  Only a
                  limited set of the provider data is available for this
                  provider.
     SAS Name:    SKLTN_REC_SW
     COBOL Name:  SKLTN-REC-SW

   State Abbreviation                                2    172   173  VARCHAR2
     Description: The two-character state abbreviation.
     SAS Name:    STATE_CD
     COBOL Name:  STATE-CD
     VALUES:      AK=ALASKA
                  AL=ALABAMA
                  AR=ARKANSAS
                  AS=AMERICAN SAMOA
                  AZ=ARIZONA
                  CA=CALIFORNIA
                  CN=CANADA
                  CO=COLORADO
                  CT=CONNECTICUT
                  DC=DISTRICT OF COLUMBIA
                  DE=DELAWARE
                  FL=FLORIDA
                  FN=FOREIGN
                  GA=GEORGIA
                  GU=GUAM
                  HI=HAWAII
                  IA=IOWA
                  ID=IDAHO
                  IL=ILLINOIS
                  IN=INDIANA
                  KS=KANSAS
                  KY=KENTUCKY
                  LA=LOUISIANA
                  MA=MASSACHUSETTS
                  MD=MARYLAND
                  ME=MAINE
                  MI=MICHIGAN
                  MN=MINNESOTA
                  MO=MISSOURI
                  MP=SAIPAN
                  MS=MISSISSIPPI
                  MT=MONTANA
                  MX=MEXICO
                  NC=NORTH CAROLINA
                  ND=NORTH DAKOTA
                  NE=NEBRASKA
                  NH=NEW HAMPSHIRE
                  NJ=NEW JERSEY
                  NM=NEW MEXICO
                  NV=NEVADA
                  NY=NEW YORK
                  OH=OHIO
                  OK=OKLAHOMA
                  OR=OREGON
                  PA=PENNSYLVANIA
                  PR=PUERTO RICO
                  RI=RHODE ISLAND
                  SC=SOUTH CAROLINA
                  SD=SOUTH DAKOTA
                  TN=TENNESSEE

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 12
  Comprehensive Outpatient Rehab Facility, CATEGORY = "14" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  TX=TEXAS
                  UT=UTAH
                  VA=VIRGINIA
                  VI=VIRGIN ISLANDS
                  VT=VERMONT
                  WA=WASHINGTON
                  WI=WISCONSIN
                  WV=WEST VIRGINIA
                  WY=WYOMING

   SSA State Code                                    2    174   175  VARCHAR2
     Description: SSA (Social Security Administration) geographic code
                  indicating the state of the provider's residence. Must
                  agree with the first two positions of the Provider number
                  (except California: 05 and 55; Texas: 45 and 67; FL: 10
                  and 68; MD: 21 and 80).
     SAS Name:    SSA_STATE_CD
     COBOL Name:  SSA-STATE-CD
     VALUES:      01=ALABAMA
                  02=ALASKA
                  03=ARIZONA
                  04=ARKANSAS
                  05=CALIFORNIA
                  06=COLORADO
                  07=CONNECTICUT
                  08=DELAWARE
                  09=DISTRICT OF COLUMBIA
                  10=FLORIDA
                  11=GEORGIA
                  12=HAWAII
                  13=IDAHO
                  14=ILLINOIS
                  15=INDIANA
                  16=IOWA
                  17=KANSAS
                  18=KENTUCKY
                  19=LOUISIANA
                  20=MAINE
                  21=MARYLAND
                  22=MASSACHUSETTS
                  23=MICHIGAN
                  24=MINNESOTA
                  25=MISSISSIPPI
                  26=MISSOURI
                  27=MONTANA
                  28=NEBRASKA
                  29=NEVADA
                  30=NEW HAMPSHIRE
                  31=NEW JERSEY
                  32=NEW MEXICO
                  33=NEW YORK
                  34=NORTH CAROLINA
                  35=NORTH DAKOTA
                  36=OHIO
                  37=OKLAHOMA
                  38=OREGON
                  39=PENNSYLVANIA
                  40=PUERTO RICO
                  41=RHODE ISLAND
                  42=SOUTH CAROLINA
                  43=SOUTH DAKOTA
                  44=TENNESSEE
                  45=TEXAS
                  46=UTAH

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 13
  Comprehensive Outpatient Rehab Facility, CATEGORY = "14" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  47=VERMONT
                  48=VIRGIN ISLANDS
                  49=VIRGINIA
                  50=WASHINGTON
                  51=WEST VIRGINIA
                  52=WISCONSIN
                  53=WYOMING
                  54=AFRICA
                  56=CANADA
                  57=WEST INDIES
                  58=EUROPE
                  59=MEXICO
                  60=OCEANIA
                  61=PHILIPPINES
                  62=SOUTH AMERICA
                  63=UNITED STATES POSSESSIONS
                  64=AMERICAN SAMOA
                  65=GUAM
                  66=SAIPAN
                  99=FOREIGN

   State Region Code                                 3    176   178  VARCHAR2
     Description: For selected states, identifies the particular region
                  within the state where the provider is located.
     SAS Name:    STATE_RGN_CD
     COBOL Name:  STATE-RGN-CD
     VALUES:      AK/001=ALASKA
                  AK/LAB=LABORATORIES
                  AK/UNK=UNKNOWN
                  AL/001=ALABAMA
                  AL/LAB=LABORATORIES
                  AL/UNK=UNKNOWN
                  AR/001=ARKANSAS
                  AR/LAB=LABORATORIES
                  AR/UNK=UNKNOWN
                  AS/001=AMERICAN SAMOA
                  AS/LAB=LABORATORY
                  AS/UNK=UNKNOWN
                  AZ/AZ=PHOENIX
                  AZ/LAB=ARIZONA LAB
                  AZ/TUC=TUCSON
                  AZ/UNK=UNKNOWN
                  CA/BAK=BAKERSFIELD
                  CA/BER=SAN BERNARDINO
                  CA/BK=BERKELEY
                  CA/BK1=CONTRA COSTA
                  CA/FR=FRESNO
                  CA/L1=L.A. WEST
                  CA/L2=L.A. NORTH
                  CA/L3=L.A. CENTRAL
                  CA/L4=L.A. EAST
                  CA/L5=SAN GABRIEL
                  CA/LAB=LABORATORIES
                  CA/M1=LAB. SOUTH
                  CA/M2=LAB. NORTH
                  CA/ORG=ORANGE CO
                  CA/RIV=RIVERSIDE
                  CA/RWC=REDWOOD COAST
                  CA/S1=SACRAMENTO
                  CA/S2=SACTO SOUTH
                  CA/S3=CHICO
                  CA/SD=SAN DIEGO
                  CA/SDS=SAN DIEGO SOUTH
                  CA/SF=SAN FRANCISCO

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 14
  Comprehensive Outpatient Rehab Facility, CATEGORY = "14" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  CA/SJ=SAN JOSE
                  CA/SR=SANTA ROSA
                  CA/UNK=UNKNOWN
                  CA/VEN=VENTURA
                  CN/001=CANADA
                  CN/LAB=LABORATORY
                  CN/UNK=UNKNOWN
                  CO/001=COLORADO
                  CO/LAB=LABORATORIES
                  CO/UNK=UNKNOWN
                  CT/001=CONNECTICUT
                  CT/LAB=LABORATORIES
                  CT/UNK=UNKNOWN
                  DC/001=DISTRICT OF COLUMBIA
                  DC/LAB=LABORATORIES
                  DC/UNK=UNKNOWN
                  DE/001=DELAWARE
                  DE/LAB=LABORATORIES
                  DE/UNK=UNKNOWN
                  FL/FTM=FT. MYERS
                  FL/GAI=GAINESVILLE
                  FL/JAX=JACKSONVILLE
                  FL/LAB=LABORATORIES
                  FL/LAN=LANTANA
                  FL/LAU=LAUDERHILL
                  FL/MIA=MIAMI
                  FL/ORL=ORLANDO
                  FL/PEN=PENSACOLA
                  FL/STP=ST. PETERSBURG
                  FL/TAL=TALLAHASSEE
                  FL/TAM=TAMPA
                  FL/UNK=UNKNOWN
                  FM/001=FEDERATED STATES OF MICRO
                  FN/001=FOREIGN
                  FN/LAB=LABORATORIES
                  FN/UNK=UNKNOWN
                  GA/001=GEORGIA
                  GA/GAA=GEORGIA ALL
                  GA/GAC=GEORGIA CENTRAL
                  GA/GAE=GEORGIA EASTERN
                  GA/GAN=GEORGIA NORTH
                  GA/GAS=GEORGIA SOUTH
                  GA/GAW=GEORGIA WESTERN
                  GA/LAB=LABORATORIES
                  GA/UNK=UNKNOWN
                  GU/001=GUAM
                  GU/LAB=LABORATORIES
                  GU/UNK=UNKNOWN
                  HI/001=HAWAII
                  HI/LAB=LABORATORIES
                  HI/UNK=UNKNOWN
                  IA/001=IOWA
                  IA/LAB=LABORATORIES
                  IA/UNK=UNKNOWN
                  ID/001=IDAHO
                  ID/LAB=LABORATORIES
                  ID/UNK=UNKNOWN
                  IL/001=ILLINOIS
                  IL/LAB=LABORATORIES
                  IL/UNK=UNKNOWN
                  IN/001=INDIANA
                  IN/LAB=LABORATORIES
                  IN/UNK=UNKNOWN
                  KS/LAB=LABORATORIES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 15
  Comprehensive Outpatient Rehab Facility, CATEGORY = "14" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  KS/LAW=LAWRENCE
                  KS/NC=NORTH CENTRAL KANSAS
                  KS/NE=NORTH EAST KANSAS
                  KS/NW=NORTH WEST KANSAS
                  KS/SC=SOUTH CENTRAL KANSAS
                  KS/SE=SOUTH EAST KANSAS
                  KS/SW=SOUTH WEST KANSAS
                  KS/UNK=UNKNOWN
                  KS/WST=WEST
                  KY/2C1=HOPKINSVILLE
                  KY/2C2=LOUISVILLE
                  KY/2C3=LONDON
                  KY/2C4=LEXINGTON
                  KY/LAB=LABORATORIES
                  KY/UNK=UNKNOWN
                  LA/001=LOUISIANA
                  LA/LA1=NEW ORLEANS
                  LA/LA2=MANDEVILLE
                  LA/LA3=LAFAYETTE
                  LA/LA4=MONROE
                  LA/LA5=SHREVEPORT
                  LA/LA6=ALEXANDRIA
                  LA/LAB=LABORATORIES
                  LA/LB1=CLIA NEW ORLEANS
                  LA/LB5=CLIA SHREVEPORT
                  LA/LB6=CLIA ALEXANDRIA
                  LA/UNK=UNKNOWN
                  MA/001=MASSACHUSETTS
                  MA/LAB=LABORATORIES
                  MA/UNK=UNKNOWN
                  MD/001=MARYLAND
                  MD/LAB=LABORATORIES
                  MD/UNK=UNKNOWN
                  ME/001=MAINE
                  ME/LAB=LABORATORIES
                  ME/UNK=UNKNOWN
                  MH/001=MARSHALL ISLANDS
                  MI/001=MICHIGAN
                  MI/LAB=LABORATORIES
                  MI/UNK=UNKNOWN
                  MN/001=MINNESOTA
                  MN/LAB=LABORATORIES
                  MN/UNK=UNKNOWN
                  MO/01=REGION01
                  MO/02=REGION02
                  MO/03=REGION 03
                  MO/04=REGION 04
                  MO/05=REGION 05
                  MO/06=REGION 06
                  MO/07=REGION 07
                  MO/1NH=REGION 1 NH
                  MO/2NH=REGION 2 NH
                  MO/3NH=REGION 3 NH
                  MO/4NH=REGION 4 NH
                  MO/5NH=REGION 5 NH
                  MO/6NH=REGION 6 NH
                  MO/7NH=REGION 7 NH
                  MO/LAB=LABORATORIES
                  MO/MO=STATEWIDE
                  MO/UNK=UNKNOWN
                  MP/001=NORTHERN MARIANA ISLANDS
                  MP/LAB=LABORATORIES
                  MP/UNK=UNKNOWN
                  MS/001=MISSISSIPPI

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 16
  Comprehensive Outpatient Rehab Facility, CATEGORY = "14" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  MS/LAB=LABORATORIES
                  MS/UNK=UNKNOWN
                  MT/001=MONTANA
                  MT/LAB=LABORATORIES
                  MT/UNK=UNKNOWN
                  MX/001=MEXICO
                  MX/LAB=LABORATORY
                  MX/UNK=UNKNOWN
                  NC/LAB=LABORATORIES
                  NC/NCC=NORTH CAROLINA CENTRAL
                  NC/NCE=NORTH CAROLINA EAST
                  NC/NCN=NORTH CAROLINA NORTH
                  NC/NCS=NORTH CAROLINA SOUTH
                  NC/NCW=NORTH CAROLINA WEST
                  NC/UNK=UNKNOWN
                  ND/001=NORTH DAKOTA
                  ND/LAB=LABORATORIES
                  ND/UNK=UNKNOWN
                  NE/1=NORTH CENTRAL
                  NE/2=CENTRAL
                  NE/3=NORTHEAST
                  NE/4=SOUTHEAST
                  NE/5=WESTERN
                  NE/LAB=LABORATORIES
                  NE/UNK=UNKNOWN
                  NH/001=NEW HAMPSHIRE
                  NH/LAB=LABORATORIES
                  NH/UNK=UNKNOWN
                  NJ/001=NEW JERSEY
                  NJ/LAB=LABORATORIES
                  NJ/UNK=UNKNOWN
                  NM/001=NEW MEXICO
                  NM/LAB=LABORATORIES
                  NM/UNK=UNKNOWN
                  NV/CC=CARSON CITY
                  NV/LAB=LABORATORIES
                  NV/LV=LAS VEGAS
                  NV/UNK=UNKNOWN
                  NY/001=BUFFALO
                  NY/002=ROCHESTER
                  NY/003=SYRACUSE
                  NY/004=ALBANY
                  NY/005=NEW ROCHELLE
                  NY/006=NEW YORK CITY
                  NY/007=SUFFOLK/NASSAU COUNTY
                  NY/LAB=LABORATORIES
                  NY/UNK=UNKNOWN
                  OH/001=OHIO
                  OH/LAB=LABORATORIES
                  OH/UNK=UNKNOWN
                  OK/001=OKLAHOMA
                  OK/LAB=LABORATORIES
                  OK/UNK=UNKNOWN
                  OR/001=OFFICE #1
                  OR/002=OFFICE #2
                  OR/003=OFFICE #3
                  OR/LAB=LABORATORIES
                  OR/UNK=UNKNOWN
                  PA/001=PENNSYLVANIA
                  PA/LAB=LABORATORIES
                  PA/UNK=UNKNOWN
                  PR/001=PUERTO RICO
                  PR/LAB=LABORATORIES
                  PR/UNK=UNKNOWN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 17
  Comprehensive Outpatient Rehab Facility, CATEGORY = "14" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  PW/001=PALAU
                  RI/001=RHODE ISLAND
                  RI/LAB=LABORATORIES
                  RI/UNK=UNKNOWN
                  SC/001=SOUTH CAROLINA
                  SC/LAB=LABORATORIES
                  SC/UNK=UNKNOWN
                  SD/001=SOUTH DAKOTA
                  SD/LAB=LABORATORIES
                  SD/UNK=UNKNOWN
                  TN/LAB=LABORATORIES
                  TN/TNC=TENNESSEE COOKEVILLE
                  TN/TNE=TENNESSEE EASTERN
                  TN/TNM=TENNESSEE MIDDLE
                  TN/TNW=TENNESSEE WESTERN
                  TN/UNK=UNKNOWN
                  TX/001=TEXAS
                  TX/L01=AMARILLO-LTC
                  TX/L02=ABILENE-LTC
                  TX/L03=ARLINGTON-LTC
                  TX/L04=TYLER-LTC
                  TX/L05=BEAUMONT-LTC
                  TX/L06=HOUSTON-LTC
                  TX/L07=TEMPLE-LTC
                  TX/L08=SAN ANTONIO-LTC
                  TX/L09=SAN ANGELO-LTC
                  TX/L10=EL PASO-LTC
                  TX/L11=CORPUS CHRISTI-LTC
                  TX/LAB=LABORATORIES
                  TX/TX1=LUBBOCK
                  TX/TX2=ARLINGTON
                  TX/TX3=SAN ANTONIO
                  TX/TX4=HOUSTON
                  TX/TX5=TYLER
                  TX/TX6=AUSTIN
                  TX/UNK=UNKNOWN
                  UT/001=UTAH
                  UT/LAB=LABORATORIES
                  UT/UNK=UNKNOWN
                  VA/001=VIRGINIA
                  VA/LAB=LABORATORIES
                  VA/UNK=UNKNOWN
                  VI/001=VIRGIN ISLANDS
                  VI/LAB=LABORATORIES
                  VI/UNK=UNKNOWN
                  VT/001=VERMONT
                  VT/LAB=LABORATORIES
                  VT/UNK=UNKNOWN
                  WA/001=ALL OTHERS (NON-LTC FAC)
                  WA/D1=SPOKANE & YAKIMA AREAS
                  WA/D1A=District 1, Unit A
                  WA/D1B=District 1, Unit B
                  WA/D1C=District 1, Unit C
                  WA/D1D=District 1, Unit D
                  WA/D2=SPOKANE & SE
                  WA/D2A=District 2, Unit A
                  WA/D2B=District 2, Unit B
                  WA/D2C=District 2, Unit C
                  WA/D2D=District 2, Unit D
                  WA/D2E=District 2, Unit E
                  WA/D2F=District 2, Unit F
                  WA/D2G=District 2, Unit G
                  WA/D3=NW WASHINGTON
                  WA/D3A=District 3, Unit A

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 18
  Comprehensive Outpatient Rehab Facility, CATEGORY = "14" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  WA/D3B=District 3, Unit B
                  WA/D3C=District 3, Unit C
                  WA/D3D=District 3, Unit D
                  WA/D3E=District 3, Unit E
                  WA/D4A=GREATER SEATTLE AREA
                  WA/D4B=S KING COUNTY
                  WA/D5A=PIERCE CTY & PENINSULA
                  WA/D5B=PIERCE CTY & GRAYS HARBOR
                  WA/D6=OLYMPIA AREA
                  WA/LAB=LABORATORIES
                  WA/UNK=UNKNOWN
                  WI/001=WISCONSIN
                  WI/LAB=LABORATORIES
                  WI/UNK=UNKNOWN
                  WV/001=WEST VIRGINIA
                  WV/LAB=LABORATORIES
                  WV/UNK=UNKNOWN
                  WY/001=WYOMING
                  WY/LAB=LABORATORIES
                  WY/UNK=UNKNOWN

   Street Address                                    50   179   228  VARCHAR2
     Description: Street address of a provider that is certified to provide
                  Medicare and/or Medicaid services.
     SAS Name:    ST_ADR
     COBOL Name:  ST-ADR

   Telephone Number                                  10   229   238  VARCHAR2
     Description: The 10-digit telephone number of the primary contact or
                  the operator of a provider.
     SAS Name:    PHNE_NUM
     COBOL Name:  PHNE-NUM

   Termination Code 1                                2    239   240  VARCHAR2
     Description: Termination code number one: the reason a facility has
                  been terminated from the CLIA, Medicare and/or Medicaid
                  programs.
     SAS Name:    PGM_TRMNTN_CD
     COBOL Name:  PGM-TRMNTN-CD
     VALUES:      00=ACTIVE PROVIDER
                  01=VOLUNTARY-MERGER, CLOSURE
                  02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT
                  03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION
                  04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL
                  05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ
                  06=INVOLUNTARY-FAILURE TO MEET AGREEMENT
                  07=OTHER-PROVIDER STATUS CHANGE
                  08=NONPAYMENT OF FEES - CLIA Only
                  09=REV/UNSUCCESSFUL PARTICIPATION IN PT - CLIA Only
                  10=REV/OTHER REASON - CLIA Only
                  11=INCMPLETE CLIA APPLICATION INFORMATION - CLIA Only
                  12=NO LONGER PERFORMING TESTS - CLIA Only
                  13=MULTIPLE TO SINGLE SITE CERTIFICATE - CLIA Only
                  14=SHARED LABORATORY - CLIA Only
                  15=FAILURE TO RENEW WAIVER PPM CERTIFICATE - CLIA Only
                  16=DUPLICATE CLIA NUMBER - CLIA Only
                  17=MAIL RETURNED NO FORWARD ADDRESS CERT ENDED - CLIA Only
                  20=NOTIFICATION BANKRUPTCY - CLIA Only
                  33=ACCREDITATION NOT CONFIRMED - CLIA Only
                  80=AWAITING STATE APPROVAL
                  99=OIG ACTION - DO NOT ACTIVATE - CLIA Only

   Termination Date / Expiration Date 1              8    241   248  DATE
     Description: The date the laboratory's certificate terminated or the

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 19
  Comprehensive Outpatient Rehab Facility, CATEGORY = "14" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  expiration date of the current CLIA certificate. For
                  other non-CLIA providers, it is the date the facility was
                  terminated.
     SAS Name:    TRMNTN_EXPRTN_DT
     COBOL Name:  TRMNTN-EXPRTN-DT

   Type of Action                                    1    249   249  VARCHAR2
     Description: Type of action on the 'official' survey record.  This
                  field is copied from type of action on the HCFA-1539,
                  certification and transmittal.
     SAS Name:    SRVY_PRPSE_CD
     COBOL Name:  SRVY-PRPSE-CD
     VALUES:      1=INITIAL
                  2=RECERTIFICATION
                  3=TERMINATION
                  4=CHANGE OF OWNERSHIP
                  5=VALIDATION
                  6=ONSITE SURVEY DUE TO FLEXIBLE SURVEY - CLIA Only
                  8=FULL SURVEY AFTER COMPLAINT - CLIA ONLY

   General Type of Control Code                      2    250   251  VARCHAR2
     Description: Indicates the nature of the organization that operates a
                  provider of services.
     SAS Name:    GNRL_CNTL_TYPE_CD
     COBOL Name:  GNRL-CNTL-TYPE-CD
     VALUES:      01=PROPRIETARY
                  02=NON PROFIT CHURCH
                  03=NON PROFIT OTHER
                  04=GOVERNMENT

   ZIP Code                                          5    252   256  VARCHAR2
     Description: The five-digit postal code for the provider.
     SAS Name:    ZIP_CD
     COBOL Name:  ZIP-CD

   FIPS State Code                                   2    257   258  VARCHAR2
     Description: FIPS State Code
     SAS Name:    FIPS_STATE_CD
     COBOL Name:  FIPS-STATE-CD

   FIPS County Code                                  3    259   261  VARCHAR2
     Description: FIPS County Code
     SAS Name:    FIPS_CNTY_CD
     COBOL Name:  FIPS-CNTY-CD

   CBSA Urban Rural Indicator                        1    262   262  VARCHAR2
     Description: CBSA (Core Based Statistical Area) indicates whether the
                  county is defined as Urban or Rural.
     SAS Name:    CBSA_URBN_RRL_IND
     COBOL Name:  CBSA-URBN-RRL-IND

   Fiscal Year Ending Date                           4    613   616  VARCHAR2
     Description: The ending date (month and day) of a facility's fiscal
                  year.
     SAS Name:    FY_END_MO_DAY_CD
     COBOL Name:  FY-END-MO-DAY-CD

   Orthotic/Prosthetic Service Code                  1    1080  1080 VARCHAR2
     Description: Indicates how orthotic/prosthetic services are provided
                  by a comprehensive outpatient rehabilitation facility.
     SAS Name:    ORTHTC_PRSTHTC_SRVC_CD
     COBOL Name:  ORTHTC-PRSTHTC-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 20
  Comprehensive Outpatient Rehab Facility, CATEGORY = "14" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Participation Medicare OPT / SP                   1    1171  1171 VARCHAR2
     Description: Indicates if a comprehensive outpatient rehabilitation
                  facility also participates in Medicare as a provider of
                  outpatient physical therapy and/or speech pathology.
     SAS Name:    MDCR_PRTCPTN_OP_PT_SPCH_SW
     COBOL Name:  MDCR-PRTCPTN-OP-PT-SPCH-SW

   Related Provider Number                           10   1510  1519 CHAR
     Description: Related provider number
     SAS Name:    RLTD_PRVDR_NUM
     COBOL Name:  RLTD-PRVDR-NUM

   Service: Nursing                                  1    1594  1594 VARCHAR2
     Description: Indicates how nursing services are provided.
     SAS Name:    NRSNG_SRVC_CD
     COBOL Name:  NRSNG-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Service: Nursing #2                               1    1596  1596 VARCHAR2
     Description: Indicates how nursing service is provided.
     SAS Name:    NRSNG_2_SRVC_CD
     COBOL Name:  NRSNG-2-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Service: Nursing #3                               1    1597  1597 VARCHAR2
     Description: Indicates how nursing service is provided.
     SAS Name:    NRSNG_3_SRVC_CD
     COBOL Name:  NRSNG-3-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Service: Occupational Therapy #2                  1    1602  1602 VARCHAR2
     Description: Indicates how occupational therapy service is provided by
                  a Comprehensive Outpatient Rehab Facility.
     SAS Name:    OT_2_SRVC_CD
     COBOL Name:  OT-2-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Service: Occupational Therapy #3                  1    1603  1603 VARCHAR2
     Description: Indicates how occupational therapy service is provided by
                  a Comprehensive Outpatient Rehab Facility.
     SAS Name:    OT_3_SRVC_CD
     COBOL Name:  OT-3-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Service: Orthotic Prosthetic #2                   1    1606  1606 VARCHAR2
     Description: Indicates how orthotic prosthetic service is provided by

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 21
  Comprehensive Outpatient Rehab Facility, CATEGORY = "14" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  a Comprehensive Outpatient Rehab Facility.
     SAS Name:    ORTHTC_PRSTHTC_2_SRVC_CD
     COBOL Name:  ORTHTC-PRSTHTC-2-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Service: Orthotic/Prosthetic #3                   1    1607  1607 VARCHAR2
     Description: Indicates how orthotic prosthetic service is provided by
                  a Comprehensive Outpatient Rehab Facility.
     SAS Name:    ORTHTC_PRSTHTC_3_SRVC_CD
     COBOL Name:  ORTHTC-PRSTHTC-3-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Service: Physical Therapy #2                      1    1618  1618 VARCHAR2
     Description: Indicates how physical therapy service is provided.
     SAS Name:    PT_2_SRVC_CD
     COBOL Name:  PT-2-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Service: Physical Therapy #3                      1    1619  1619 VARCHAR2
     Description: Indicates how physical therapy service is provided.
     SAS Name:    PT_3_SRVC_CD
     COBOL Name:  PT-3-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Service: Physician                                1    1623  1623 VARCHAR2
     Description: Indicates how physician services are provided.
     SAS Name:    PHYSN_SRVC_CD
     COBOL Name:  PHYSN-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Service: Physician #2                             1    1624  1624 VARCHAR2
     Description: Indicates how physician service is provided by a CORF.
     SAS Name:    PHYSN_2_SRVC_CD
     COBOL Name:  PHYSN-2-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Service: Physician #3                             1    1625  1625 VARCHAR2
     Description: Indicates how physician service is provided by a CORF.
     SAS Name:    PHYSN_3_SRVC_CD
     COBOL Name:  PHYSN-3-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Service: Psychological                            1    1632  1632 VARCHAR2

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 22
  Comprehensive Outpatient Rehab Facility, CATEGORY = "14" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     Description: Indicates how psychological services are provided.
     SAS Name:    PSYCHLGCL_SRVC_CD
     COBOL Name:  PSYCHLGCL-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Service: Psychological #2                         1    1633  1633 VARCHAR2
     Description: Indicates how psychological service is provided.
     SAS Name:    PSYCHLGCL_2_SRVC_CD
     COBOL Name:  PSYCHLGCL-2-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Service: Psychological #3                         1    1634  1634 VARCHAR2
     Description: Indicates how psychological service is provided.
     SAS Name:    PSYCHLGCL_3_SRVC_CD
     COBOL Name:  PSYCHLGCL-3-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Service: Respiratory Care #2                      1    1636  1636 VARCHAR2
     Description: Indicates how respiratory care service is provided.
     SAS Name:    RSPRTRY_CARE_2_SRVC_CD
     COBOL Name:  RSPRTRY-CARE-2-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Service: Respiratory Care #3                      1    1637  1637 VARCHAR2
     Description: Indicates how respiratory care service is provided.
     SAS Name:    RSPRTRY_CARE_3_SRVC_CD
     COBOL Name:  RSPRTRY-CARE-3-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Service: Social #2                                1    1639  1639 VARCHAR2
     Description: Indicates how social service is provided.
     SAS Name:    SCL_2_SRVC_CD
     COBOL Name:  SCL-2-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Service: Social #3                                1    1640  1640 VARCHAR2
     Description: Indicates how social service is provided.
     SAS Name:    SCL_3_SRVC_CD
     COBOL Name:  SCL-3-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Service: Speech Pathology #2                      1    1644  1644 VARCHAR2
     Description: Indicates how speech pathology service is provided.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 23
  Comprehensive Outpatient Rehab Facility, CATEGORY = "14" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    SPCH_PTHLGY_2_SRVC_CD
     COBOL Name:  SPCH-PTHLGY-2-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Service: Speech Pathology #3                      1    1645  1645 VARCHAR2
     Description: Indicates how speech pathology service is provided.
     SAS Name:    SPCH_PTHLGY_3_SRVC_CD
     COBOL Name:  SPCH-PTHLGY-3-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Services Provided: Respiratory Care               1    3671  3671 VARCHAR2
     Description: Indicates how respiratory care services are provided.
     SAS Name:    RSPRTRY_CARE_SRVC_CD
     COBOL Name:  RSPRTRY-CARE-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Services Provided: Respiratory Care Description   44   3672  3715 VARCHAR2
     Description: Indicates how respiratory care services are provided.
     SAS Name:    RSPRTRY_CARE_SRVC_DESC
     COBOL Name:  RSPRTRY-CARE-SRVC-DESC

   Services Provided: Social                         1    3716  3716 VARCHAR2
     Description: Indicates how social services are provided.
     SAS Name:    SCL_SRVC_CD
     COBOL Name:  SCL-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Services Provided: Social Description             39   3717  3755 VARCHAR2
     Description: Indicates how social services are provided.
     SAS Name:    SCL_SRVC_DESC
     COBOL Name:  SCL-SRVC-DESC

   Services Provided: Speech Pathology               1    3756  3756 VARCHAR2
     Description: Indicates how speech pathology services are provided.
     SAS Name:    SPCH_PTHLGY_SRVC_CD
     COBOL Name:  SPCH-PTHLGY-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY EMPLOYEES
                  2=PROVIDED UNDER ARRANGEMENT
                  3=PROVIDED BY INDEPENDENT CONTRACTOR

   Services Provided: Speech Pathology Description   39   3757  3795 VARCHAR2
     Description: Indicates how speech pathology services are provided.
     SAS Name:    SPCH_PTHLGY_SRVC_DESC
     COBOL Name:  SPCH-PTHLGY-SRVC-DESC








 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 1
        Ambulatory Surgical Center, CATEGORY = "15" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Provider Category Subtype Code                    2    1     2    VARCHAR2
     Description: This field is used mainly by batch report programs to
                  determine the breakdown of the provider category. This
                  field is mainly used for SNFs and hospitals.
     SAS Name:    PRVDR_CTGRY_SBTYP_CD
     COBOL Name:  PRVDR-CTGRY-SBTYP-CD
     VALUES:      01=AMBULATORY SURGICAL CENTER

   Provider Category Code                            2    3     4    VARCHAR2
     Description: This code identifies the category which is most
                  descriptive of the facility identified on the
                  Medicare/Medicaid Certification and Transmittal Form (CMS
                  1539).
     SAS Name:    PRVDR_CTGRY_CD
     COBOL Name:  PRVDR-CTGRY-CD
     VALUES:      15=Ambulatory Surgical Center

   Change of Ownership Count                         2    5     6    NUMBER
     Description: The number of times a change of ownership (CHOW) has
                  taken place for a particular provider.
     SAS Name:    CHOW_CNT
     COBOL Name:  CHOW-CNT

   Change of Ownership Date                          8    7     14   DATE
     Description: Effective date of a change of ownership.
     SAS Name:    CHOW_DT
     COBOL Name:  CHOW-DT

   City                                              28   15    42   VARCHAR2
     Description: City in which the provider is physically located.
     SAS Name:    CITY_NAME
     COBOL Name:  CITY-NAME

   Compliance: Plan of Correction                    1    43    43   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements based on an acceptable plan for correction
                  of deficiencies.
     SAS Name:    ACPTBL_POC_SW
     COBOL Name:  ACPTBL-POC-SW

   Compliance: Status                                1    44    44   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements.
     SAS Name:    CMPLNC_STUS_CD
     COBOL Name:  CMPLNC-STUS-CD
     VALUES:      A=IN COMPLIANCE
                  B=NOT IN COMPLIANCE

   SSA County Code                                   3    45    47   VARCHAR2
     Description: SSA (State Survey Agency) geographic code indicating the
                  county where the facility is located.
     SAS Name:    SSA_CNTY_CD
     COBOL Name:  SSA-CNTY-CD

   Cross Ref Provider Number                         10   48    57   CHAR
     Description: Cross reference provider number
     SAS Name:    CROSS_RFRNC_PRVDR_NUM
     COBOL Name:  CROSS-RFRNC-PRVDR-NUM

   Certification Date                                8    58    65   DATE
     Description: The Certification date is equal to the exit date of the
                  initial visit of the Health survey or LSC survey,
                  whichever is later.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 2
        Ambulatory Surgical Center, CATEGORY = "15" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    CRTFCTN_DT
     COBOL Name:  CRTFCTN-DT

   Eligibility Switch                                1    66    66   VARCHAR2
     Description: Indicates if a facility is eligible to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    ELGBLTY_SW
     COBOL Name:  ELGBLTY-SW

   Facility Name                                     50   67    116  VARCHAR2
     Description: The name of a provider certified to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    FAC_NAME
     COBOL Name:  FAC-NAME

   Intermediary Carrier Code                         5    117   121  VARCHAR2
     Description: A number assigned to an intermediary or carrier servicing
                  a provider or supplier. Not all numbers apply to all
                  provider types.
     SAS Name:    INTRMDRY_CARR_CD
     COBOL Name:  INTRMDRY-CARR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 3
        Ambulatory Surgical Center, CATEGORY = "15" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 4
        Ambulatory Surgical Center, CATEGORY = "15" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 5
        Ambulatory Surgical Center, CATEGORY = "15" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 6
        Ambulatory Surgical Center, CATEGORY = "15" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Medicare or Medicaid Vendor Number                15   122   136  VARCHAR2
     Description: A number which may be assigned to a facility by the state
                  Medicaid agency for external control or billing purposes.
     SAS Name:    MDCD_VNDR_NUM
     COBOL Name:  MDCD-VNDR-NUM

   Participation Date                                8    137   144  DATE
     Description: The date a facility is first approved to provide Medicare
                  and/or Medicaid services.
     SAS Name:    ORGNL_PRTCPTN_DT
     COBOL Name:  ORGNL-PRTCPTN-DT

   Prior Change of Ownership Date                    8    145   152  DATE
     Description: The date of a prior change of ownership.
     SAS Name:    CHOW_PRIOR_DT
     COBOL Name:  CHOW-PRIOR-DT

   Intermediary Carrier Prior Code                   5    153   157  VARCHAR2
     Description: The previous intermediary carrier number.
     SAS Name:    INTRMDRY_CARR_PRIOR_CD
     COBOL Name:  INTRMDRY-CARR-PRIOR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 7
        Ambulatory Surgical Center, CATEGORY = "15" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 8
        Ambulatory Surgical Center, CATEGORY = "15" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 9
        Ambulatory Surgical Center, CATEGORY = "15" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 10
        Ambulatory Surgical Center, CATEGORY = "15" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Provider Number                                   10   158   167  VARCHAR2
     Description: A six or ten position identification number that is
                  assigned to a certified provider.
     SAS Name:    PRVDR_NUM
     COBOL Name:  PRVDR-NUM

   Record Status Code                                1    168   168  VARCHAR2
     Description: This indicator specifies the current status of the
                  record.
     SAS Name:    REC_STUS_CD
     COBOL Name:  REC-STUS-CD
     VALUES:      A=ACCEPTED RECORD
                  C=COMPLAINT RECORD

   Region Code                                       2    169   170  VARCHAR2
     Description: The regional location of the provider.
     SAS Name:    RGN_CD
     COBOL Name:  RGN-CD
     VALUES:      01=BOSTON
                  02=NEW YORK
                  03=PHILADELPHIA
                  04=ATLANTA
                  05=CHICAGO
                  06=DALLAS
                  07=KANSAS CITY
                  08=DENVER

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 11
        Ambulatory Surgical Center, CATEGORY = "15" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  09=SAN FRANCISCO
                  10=SEATTLE

   Skeleton Record Switch                            1    171   171  VARCHAR2
     Description: Indicates the record is a skeleton record.  Only a
                  limited set of the provider data is available for this
                  provider.
     SAS Name:    SKLTN_REC_SW
     COBOL Name:  SKLTN-REC-SW

   State Abbreviation                                2    172   173  VARCHAR2
     Description: The two-character state abbreviation.
     SAS Name:    STATE_CD
     COBOL Name:  STATE-CD
     VALUES:      AK=ALASKA
                  AL=ALABAMA
                  AR=ARKANSAS
                  AS=AMERICAN SAMOA
                  AZ=ARIZONA
                  CA=CALIFORNIA
                  CN=CANADA
                  CO=COLORADO
                  CT=CONNECTICUT
                  DC=DISTRICT OF COLUMBIA
                  DE=DELAWARE
                  FL=FLORIDA
                  FN=FOREIGN
                  GA=GEORGIA
                  GU=GUAM
                  HI=HAWAII
                  IA=IOWA
                  ID=IDAHO
                  IL=ILLINOIS
                  IN=INDIANA
                  KS=KANSAS
                  KY=KENTUCKY
                  LA=LOUISIANA
                  MA=MASSACHUSETTS
                  MD=MARYLAND
                  ME=MAINE
                  MI=MICHIGAN
                  MN=MINNESOTA
                  MO=MISSOURI
                  MP=SAIPAN
                  MS=MISSISSIPPI
                  MT=MONTANA
                  MX=MEXICO
                  NC=NORTH CAROLINA
                  ND=NORTH DAKOTA
                  NE=NEBRASKA
                  NH=NEW HAMPSHIRE
                  NJ=NEW JERSEY
                  NM=NEW MEXICO
                  NV=NEVADA
                  NY=NEW YORK
                  OH=OHIO
                  OK=OKLAHOMA
                  OR=OREGON
                  PA=PENNSYLVANIA
                  PR=PUERTO RICO
                  RI=RHODE ISLAND
                  SC=SOUTH CAROLINA
                  SD=SOUTH DAKOTA
                  TN=TENNESSEE

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 12
        Ambulatory Surgical Center, CATEGORY = "15" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  TX=TEXAS
                  UT=UTAH
                  VA=VIRGINIA
                  VI=VIRGIN ISLANDS
                  VT=VERMONT
                  WA=WASHINGTON
                  WI=WISCONSIN
                  WV=WEST VIRGINIA
                  WY=WYOMING

   SSA State Code                                    2    174   175  VARCHAR2
     Description: SSA (Social Security Administration) geographic code
                  indicating the state of the provider's residence. Must
                  agree with the first two positions of the Provider number
                  (except California: 05 and 55; Texas: 45 and 67; FL: 10
                  and 68; MD: 21 and 80).
     SAS Name:    SSA_STATE_CD
     COBOL Name:  SSA-STATE-CD
     VALUES:      01=ALABAMA
                  02=ALASKA
                  03=ARIZONA
                  04=ARKANSAS
                  05=CALIFORNIA
                  06=COLORADO
                  07=CONNECTICUT
                  08=DELAWARE
                  09=DISTRICT OF COLUMBIA
                  10=FLORIDA
                  11=GEORGIA
                  12=HAWAII
                  13=IDAHO
                  14=ILLINOIS
                  15=INDIANA
                  16=IOWA
                  17=KANSAS
                  18=KENTUCKY
                  19=LOUISIANA
                  20=MAINE
                  21=MARYLAND
                  22=MASSACHUSETTS
                  23=MICHIGAN
                  24=MINNESOTA
                  25=MISSISSIPPI
                  26=MISSOURI
                  27=MONTANA
                  28=NEBRASKA
                  29=NEVADA
                  30=NEW HAMPSHIRE
                  31=NEW JERSEY
                  32=NEW MEXICO
                  33=NEW YORK
                  34=NORTH CAROLINA
                  35=NORTH DAKOTA
                  36=OHIO
                  37=OKLAHOMA
                  38=OREGON
                  39=PENNSYLVANIA
                  40=PUERTO RICO
                  41=RHODE ISLAND
                  42=SOUTH CAROLINA
                  43=SOUTH DAKOTA
                  44=TENNESSEE
                  45=TEXAS
                  46=UTAH

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 13
        Ambulatory Surgical Center, CATEGORY = "15" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  47=VERMONT
                  48=VIRGIN ISLANDS
                  49=VIRGINIA
                  50=WASHINGTON
                  51=WEST VIRGINIA
                  52=WISCONSIN
                  53=WYOMING
                  54=AFRICA
                  56=CANADA
                  57=WEST INDIES
                  58=EUROPE
                  59=MEXICO
                  60=OCEANIA
                  61=PHILIPPINES
                  62=SOUTH AMERICA
                  63=UNITED STATES POSSESSIONS
                  64=AMERICAN SAMOA
                  65=GUAM
                  66=SAIPAN
                  99=FOREIGN

   State Region Code                                 3    176   178  VARCHAR2
     Description: For selected states, identifies the particular region
                  within the state where the provider is located.
     SAS Name:    STATE_RGN_CD
     COBOL Name:  STATE-RGN-CD
     VALUES:      AK/001=ALASKA
                  AK/LAB=LABORATORIES
                  AK/UNK=UNKNOWN
                  AL/001=ALABAMA
                  AL/LAB=LABORATORIES
                  AL/UNK=UNKNOWN
                  AR/001=ARKANSAS
                  AR/LAB=LABORATORIES
                  AR/UNK=UNKNOWN
                  AS/001=AMERICAN SAMOA
                  AS/LAB=LABORATORY
                  AS/UNK=UNKNOWN
                  AZ/AZ=PHOENIX
                  AZ/LAB=ARIZONA LAB
                  AZ/TUC=TUCSON
                  AZ/UNK=UNKNOWN
                  CA/BAK=BAKERSFIELD
                  CA/BER=SAN BERNARDINO
                  CA/BK=BERKELEY
                  CA/BK1=CONTRA COSTA
                  CA/FR=FRESNO
                  CA/L1=L.A. WEST
                  CA/L2=L.A. NORTH
                  CA/L3=L.A. CENTRAL
                  CA/L4=L.A. EAST
                  CA/L5=SAN GABRIEL
                  CA/LAB=LABORATORIES
                  CA/M1=LAB. SOUTH
                  CA/M2=LAB. NORTH
                  CA/ORG=ORANGE CO
                  CA/RIV=RIVERSIDE
                  CA/RWC=REDWOOD COAST
                  CA/S1=SACRAMENTO
                  CA/S2=SACTO SOUTH
                  CA/S3=CHICO
                  CA/SD=SAN DIEGO
                  CA/SDS=SAN DIEGO SOUTH
                  CA/SF=SAN FRANCISCO

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 14
        Ambulatory Surgical Center, CATEGORY = "15" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  CA/SJ=SAN JOSE
                  CA/SR=SANTA ROSA
                  CA/UNK=UNKNOWN
                  CA/VEN=VENTURA
                  CN/001=CANADA
                  CN/LAB=LABORATORY
                  CN/UNK=UNKNOWN
                  CO/001=COLORADO
                  CO/LAB=LABORATORIES
                  CO/UNK=UNKNOWN
                  CT/001=CONNECTICUT
                  CT/LAB=LABORATORIES
                  CT/UNK=UNKNOWN
                  DC/001=DISTRICT OF COLUMBIA
                  DC/LAB=LABORATORIES
                  DC/UNK=UNKNOWN
                  DE/001=DELAWARE
                  DE/LAB=LABORATORIES
                  DE/UNK=UNKNOWN
                  FL/FTM=FT. MYERS
                  FL/GAI=GAINESVILLE
                  FL/JAX=JACKSONVILLE
                  FL/LAB=LABORATORIES
                  FL/LAN=LANTANA
                  FL/LAU=LAUDERHILL
                  FL/MIA=MIAMI
                  FL/ORL=ORLANDO
                  FL/PEN=PENSACOLA
                  FL/STP=ST. PETERSBURG
                  FL/TAL=TALLAHASSEE
                  FL/TAM=TAMPA
                  FL/UNK=UNKNOWN
                  FM/001=FEDERATED STATES OF MICRO
                  FN/001=FOREIGN
                  FN/LAB=LABORATORIES
                  FN/UNK=UNKNOWN
                  GA/001=GEORGIA
                  GA/GAA=GEORGIA ALL
                  GA/GAC=GEORGIA CENTRAL
                  GA/GAE=GEORGIA EASTERN
                  GA/GAN=GEORGIA NORTH
                  GA/GAS=GEORGIA SOUTH
                  GA/GAW=GEORGIA WESTERN
                  GA/LAB=LABORATORIES
                  GA/UNK=UNKNOWN
                  GU/001=GUAM
                  GU/LAB=LABORATORIES
                  GU/UNK=UNKNOWN
                  HI/001=HAWAII
                  HI/LAB=LABORATORIES
                  HI/UNK=UNKNOWN
                  IA/001=IOWA
                  IA/LAB=LABORATORIES
                  IA/UNK=UNKNOWN
                  ID/001=IDAHO
                  ID/LAB=LABORATORIES
                  ID/UNK=UNKNOWN
                  IL/001=ILLINOIS
                  IL/LAB=LABORATORIES
                  IL/UNK=UNKNOWN
                  IN/001=INDIANA
                  IN/LAB=LABORATORIES
                  IN/UNK=UNKNOWN
                  KS/LAB=LABORATORIES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 15
        Ambulatory Surgical Center, CATEGORY = "15" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  KS/LAW=LAWRENCE
                  KS/NC=NORTH CENTRAL KANSAS
                  KS/NE=NORTH EAST KANSAS
                  KS/NW=NORTH WEST KANSAS
                  KS/SC=SOUTH CENTRAL KANSAS
                  KS/SE=SOUTH EAST KANSAS
                  KS/SW=SOUTH WEST KANSAS
                  KS/UNK=UNKNOWN
                  KS/WST=WEST
                  KY/2C1=HOPKINSVILLE
                  KY/2C2=LOUISVILLE
                  KY/2C3=LONDON
                  KY/2C4=LEXINGTON
                  KY/LAB=LABORATORIES
                  KY/UNK=UNKNOWN
                  LA/001=LOUISIANA
                  LA/LA1=NEW ORLEANS
                  LA/LA2=MANDEVILLE
                  LA/LA3=LAFAYETTE
                  LA/LA4=MONROE
                  LA/LA5=SHREVEPORT
                  LA/LA6=ALEXANDRIA
                  LA/LAB=LABORATORIES
                  LA/LB1=CLIA NEW ORLEANS
                  LA/LB5=CLIA SHREVEPORT
                  LA/LB6=CLIA ALEXANDRIA
                  LA/UNK=UNKNOWN
                  MA/001=MASSACHUSETTS
                  MA/LAB=LABORATORIES
                  MA/UNK=UNKNOWN
                  MD/001=MARYLAND
                  MD/LAB=LABORATORIES
                  MD/UNK=UNKNOWN
                  ME/001=MAINE
                  ME/LAB=LABORATORIES
                  ME/UNK=UNKNOWN
                  MH/001=MARSHALL ISLANDS
                  MI/001=MICHIGAN
                  MI/LAB=LABORATORIES
                  MI/UNK=UNKNOWN
                  MN/001=MINNESOTA
                  MN/LAB=LABORATORIES
                  MN/UNK=UNKNOWN
                  MO/01=REGION01
                  MO/02=REGION02
                  MO/03=REGION 03
                  MO/04=REGION 04
                  MO/05=REGION 05
                  MO/06=REGION 06
                  MO/07=REGION 07
                  MO/1NH=REGION 1 NH
                  MO/2NH=REGION 2 NH
                  MO/3NH=REGION 3 NH
                  MO/4NH=REGION 4 NH
                  MO/5NH=REGION 5 NH
                  MO/6NH=REGION 6 NH
                  MO/7NH=REGION 7 NH
                  MO/LAB=LABORATORIES
                  MO/MO=STATEWIDE
                  MO/UNK=UNKNOWN
                  MP/001=NORTHERN MARIANA ISLANDS
                  MP/LAB=LABORATORIES
                  MP/UNK=UNKNOWN
                  MS/001=MISSISSIPPI

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 16
        Ambulatory Surgical Center, CATEGORY = "15" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  MS/LAB=LABORATORIES
                  MS/UNK=UNKNOWN
                  MT/001=MONTANA
                  MT/LAB=LABORATORIES
                  MT/UNK=UNKNOWN
                  MX/001=MEXICO
                  MX/LAB=LABORATORY
                  MX/UNK=UNKNOWN
                  NC/LAB=LABORATORIES
                  NC/NCC=NORTH CAROLINA CENTRAL
                  NC/NCE=NORTH CAROLINA EAST
                  NC/NCN=NORTH CAROLINA NORTH
                  NC/NCS=NORTH CAROLINA SOUTH
                  NC/NCW=NORTH CAROLINA WEST
                  NC/UNK=UNKNOWN
                  ND/001=NORTH DAKOTA
                  ND/LAB=LABORATORIES
                  ND/UNK=UNKNOWN
                  NE/1=NORTH CENTRAL
                  NE/2=CENTRAL
                  NE/3=NORTHEAST
                  NE/4=SOUTHEAST
                  NE/5=WESTERN
                  NE/LAB=LABORATORIES
                  NE/UNK=UNKNOWN
                  NH/001=NEW HAMPSHIRE
                  NH/LAB=LABORATORIES
                  NH/UNK=UNKNOWN
                  NJ/001=NEW JERSEY
                  NJ/LAB=LABORATORIES
                  NJ/UNK=UNKNOWN
                  NM/001=NEW MEXICO
                  NM/LAB=LABORATORIES
                  NM/UNK=UNKNOWN
                  NV/CC=CARSON CITY
                  NV/LAB=LABORATORIES
                  NV/LV=LAS VEGAS
                  NV/UNK=UNKNOWN
                  NY/001=BUFFALO
                  NY/002=ROCHESTER
                  NY/003=SYRACUSE
                  NY/004=ALBANY
                  NY/005=NEW ROCHELLE
                  NY/006=NEW YORK CITY
                  NY/007=SUFFOLK/NASSAU COUNTY
                  NY/LAB=LABORATORIES
                  NY/UNK=UNKNOWN
                  OH/001=OHIO
                  OH/LAB=LABORATORIES
                  OH/UNK=UNKNOWN
                  OK/001=OKLAHOMA
                  OK/LAB=LABORATORIES
                  OK/UNK=UNKNOWN
                  OR/001=OFFICE #1
                  OR/002=OFFICE #2
                  OR/003=OFFICE #3
                  OR/LAB=LABORATORIES
                  OR/UNK=UNKNOWN
                  PA/001=PENNSYLVANIA
                  PA/LAB=LABORATORIES
                  PA/UNK=UNKNOWN
                  PR/001=PUERTO RICO
                  PR/LAB=LABORATORIES
                  PR/UNK=UNKNOWN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 17
        Ambulatory Surgical Center, CATEGORY = "15" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  PW/001=PALAU
                  RI/001=RHODE ISLAND
                  RI/LAB=LABORATORIES
                  RI/UNK=UNKNOWN
                  SC/001=SOUTH CAROLINA
                  SC/LAB=LABORATORIES
                  SC/UNK=UNKNOWN
                  SD/001=SOUTH DAKOTA
                  SD/LAB=LABORATORIES
                  SD/UNK=UNKNOWN
                  TN/LAB=LABORATORIES
                  TN/TNC=TENNESSEE COOKEVILLE
                  TN/TNE=TENNESSEE EASTERN
                  TN/TNM=TENNESSEE MIDDLE
                  TN/TNW=TENNESSEE WESTERN
                  TN/UNK=UNKNOWN
                  TX/001=TEXAS
                  TX/L01=AMARILLO-LTC
                  TX/L02=ABILENE-LTC
                  TX/L03=ARLINGTON-LTC
                  TX/L04=TYLER-LTC
                  TX/L05=BEAUMONT-LTC
                  TX/L06=HOUSTON-LTC
                  TX/L07=TEMPLE-LTC
                  TX/L08=SAN ANTONIO-LTC
                  TX/L09=SAN ANGELO-LTC
                  TX/L10=EL PASO-LTC
                  TX/L11=CORPUS CHRISTI-LTC
                  TX/LAB=LABORATORIES
                  TX/TX1=LUBBOCK
                  TX/TX2=ARLINGTON
                  TX/TX3=SAN ANTONIO
                  TX/TX4=HOUSTON
                  TX/TX5=TYLER
                  TX/TX6=AUSTIN
                  TX/UNK=UNKNOWN
                  UT/001=UTAH
                  UT/LAB=LABORATORIES
                  UT/UNK=UNKNOWN
                  VA/001=VIRGINIA
                  VA/LAB=LABORATORIES
                  VA/UNK=UNKNOWN
                  VI/001=VIRGIN ISLANDS
                  VI/LAB=LABORATORIES
                  VI/UNK=UNKNOWN
                  VT/001=VERMONT
                  VT/LAB=LABORATORIES
                  VT/UNK=UNKNOWN
                  WA/001=ALL OTHERS (NON-LTC FAC)
                  WA/D1=SPOKANE & YAKIMA AREAS
                  WA/D1A=District 1, Unit A
                  WA/D1B=District 1, Unit B
                  WA/D1C=District 1, Unit C
                  WA/D1D=District 1, Unit D
                  WA/D2=SPOKANE & SE
                  WA/D2A=District 2, Unit A
                  WA/D2B=District 2, Unit B
                  WA/D2C=District 2, Unit C
                  WA/D2D=District 2, Unit D
                  WA/D2E=District 2, Unit E
                  WA/D2F=District 2, Unit F
                  WA/D2G=District 2, Unit G
                  WA/D3=NW WASHINGTON
                  WA/D3A=District 3, Unit A

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 18
        Ambulatory Surgical Center, CATEGORY = "15" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  WA/D3B=District 3, Unit B
                  WA/D3C=District 3, Unit C
                  WA/D3D=District 3, Unit D
                  WA/D3E=District 3, Unit E
                  WA/D4A=GREATER SEATTLE AREA
                  WA/D4B=S KING COUNTY
                  WA/D5A=PIERCE CTY & PENINSULA
                  WA/D5B=PIERCE CTY & GRAYS HARBOR
                  WA/D6=OLYMPIA AREA
                  WA/LAB=LABORATORIES
                  WA/UNK=UNKNOWN
                  WI/001=WISCONSIN
                  WI/LAB=LABORATORIES
                  WI/UNK=UNKNOWN
                  WV/001=WEST VIRGINIA
                  WV/LAB=LABORATORIES
                  WV/UNK=UNKNOWN
                  WY/001=WYOMING
                  WY/LAB=LABORATORIES
                  WY/UNK=UNKNOWN

   Street Address                                    50   179   228  VARCHAR2
     Description: Street address of a provider that is certified to provide
                  Medicare and/or Medicaid services.
     SAS Name:    ST_ADR
     COBOL Name:  ST-ADR

   Telephone Number                                  10   229   238  VARCHAR2
     Description: The 10-digit telephone number of the primary contact or
                  the operator of a provider.
     SAS Name:    PHNE_NUM
     COBOL Name:  PHNE-NUM

   Termination Code 1                                2    239   240  VARCHAR2
     Description: Termination code number one: the reason a facility has
                  been terminated from the CLIA, Medicare and/or Medicaid
                  programs.
     SAS Name:    PGM_TRMNTN_CD
     COBOL Name:  PGM-TRMNTN-CD
     VALUES:      00=ACTIVE PROVIDER
                  01=VOLUNTARY-MERGER, CLOSURE
                  02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT
                  03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION
                  04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL
                  05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ
                  06=INVOLUNTARY-FAILURE TO MEET AGREEMENT
                  07=OTHER-PROVIDER STATUS CHANGE
                  08=NONPAYMENT OF FEES - CLIA Only
                  09=REV/UNSUCCESSFUL PARTICIPATION IN PT - CLIA Only
                  10=REV/OTHER REASON - CLIA Only
                  11=INCMPLETE CLIA APPLICATION INFORMATION - CLIA Only
                  12=NO LONGER PERFORMING TESTS - CLIA Only
                  13=MULTIPLE TO SINGLE SITE CERTIFICATE - CLIA Only
                  14=SHARED LABORATORY - CLIA Only
                  15=FAILURE TO RENEW WAIVER PPM CERTIFICATE - CLIA Only
                  16=DUPLICATE CLIA NUMBER - CLIA Only
                  17=MAIL RETURNED NO FORWARD ADDRESS CERT ENDED - CLIA Only
                  20=NOTIFICATION BANKRUPTCY - CLIA Only
                  33=ACCREDITATION NOT CONFIRMED - CLIA Only
                  80=AWAITING STATE APPROVAL
                  99=OIG ACTION - DO NOT ACTIVATE - CLIA Only

   Termination Date / Expiration Date 1              8    241   248  DATE
     Description: The date the laboratory's certificate terminated or the

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 19
        Ambulatory Surgical Center, CATEGORY = "15" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  expiration date of the current CLIA certificate. For
                  other non-CLIA providers, it is the date the facility was
                  terminated.
     SAS Name:    TRMNTN_EXPRTN_DT
     COBOL Name:  TRMNTN-EXPRTN-DT

   Type of Action                                    1    249   249  VARCHAR2
     Description: Type of action on the 'official' survey record.  This
                  field is copied from type of action on the HCFA-1539,
                  certification and transmittal.
     SAS Name:    SRVY_PRPSE_CD
     COBOL Name:  SRVY-PRPSE-CD
     VALUES:      1=INITIAL
                  2=RECERTIFICATION
                  3=TERMINATION
                  4=CHANGE OF OWNERSHIP
                  5=VALIDATION
                  6=ONSITE SURVEY DUE TO FLEXIBLE SURVEY - CLIA Only
                  8=FULL SURVEY AFTER COMPLAINT - CLIA ONLY

   General Type of Control Code                      2    250   251  VARCHAR2
     Description: Indicates the nature of the organization that operates a
                  provider of services.
     SAS Name:    GNRL_CNTL_TYPE_CD
     COBOL Name:  GNRL-CNTL-TYPE-CD
     VALUES:      01=PROPRIETARY
                  02=NON PROFIT
                  03=GOVERNMENT

   ZIP Code                                          5    252   256  VARCHAR2
     Description: The five-digit postal code for the provider.
     SAS Name:    ZIP_CD
     COBOL Name:  ZIP-CD

   FIPS State Code                                   2    257   258  VARCHAR2
     Description: FIPS State Code
     SAS Name:    FIPS_STATE_CD
     COBOL Name:  FIPS-STATE-CD

   FIPS County Code                                  3    259   261  VARCHAR2
     Description: FIPS County Code
     SAS Name:    FIPS_CNTY_CD
     COBOL Name:  FIPS-CNTY-CD

   CBSA Urban Rural Indicator                        1    262   262  VARCHAR2
     Description: CBSA (Core Based Statistical Area) indicates whether the
                  county is defined as Urban or Rural.
     SAS Name:    CBSA_URBN_RRL_IND
     COBOL Name:  CBSA-URBN-RRL-IND

   Accreditation Type Code                           1    279   279  VARCHAR2
     Description: This code indicates the organization that is responsible
                  for the accreditation of the provider.
     SAS Name:    ACRDTN_TYPE_CD
     COBOL Name:  ACRDTN-TYPE-CD
     VALUES:      0=NONE
                  1=TJC
                  2=AAAHC
                  3=AAAASF
                  4=AOA

   Compliance: Life Safety Code                      1    484   484  VARCHAR2
     Description: INDICATES IF A WAIVER OF ANY LIFE SAFETY CODE (LSC)
                  PROVISIONS HAS BEEN RECOMMENDED FOR A PROVIDER.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 20
        Ambulatory Surgical Center, CATEGORY = "15" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    LSC_WVR_SW
     COBOL Name:  LSC-WVR-SW

   Date Center Began Providing Services              8    507   514  DATE
     Description: The date an Ambulatory Surgical Center (ASC) began
                  providing health care services.
     SAS Name:    ASC_BGN_SRVC_DT
     COBOL Name:  ASC-BGN-SRVC-DT

   Date of Validation Survey                         8    515   522  DATE
     Description: Date a validation survey is performed by the state agency
                  in a JCAHCO (Joint Commission on Accreditation of Health
                  Care Organizations) or AOA (American Osteopathic
                  Association) accredited hospital.
     SAS Name:    VLDTN_SRVY_DT
     COBOL Name:  VLDTN-SRVY-DT

   Fiscal Year Ending Date                           4    613   616  VARCHAR2
     Description: The ending date (month and day) of a facility's fiscal
                  year.
     SAS Name:    FY_END_MO_DAY_CD
     COBOL Name:  FY-END-MO-DAY-CD

   Operating Rooms                                   2    1076  1077 NUMBER
     Description: The number of operating rooms in an ambulatory surgical
                  center.
     SAS Name:    OPRTG_ROOM_CNT
     COBOL Name:  OPRTG-ROOM-CNT

   Related Provider Number                           10   1510  1519 CHAR
     Description: Related provider number
     SAS Name:    RLTD_PRVDR_NUM
     COBOL Name:  RLTD-PRVDR-NUM

   Service: EKG                                      1    1581  1581 VARCHAR2
     Description: Indicates if EKG services are provided by an ambulatory
                  surgical center (ASC).
     SAS Name:    EKG_SRVC_CD
     COBOL Name:  EKG-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Service: Laboratory                               1    1588  1588 VARCHAR2
     Description: Indicates how laboratory services are provided.
     SAS Name:    LAB_SRVC_CD
     COBOL Name:  LAB-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Service: Other                                    1    1608  1608 VARCHAR2
     Description: Indicates how other (non-specified) services are
                  provided.
     SAS Name:    OTHR_SRVC_CD
     COBOL Name:  OTHR-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Service: Radiology                                1    1635  1635 VARCHAR2

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 21
        Ambulatory Surgical Center, CATEGORY = "15" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     Description: Indicates how radiology services are provided.
     SAS Name:    RDLGY_SRVC_CD
     COBOL Name:  RDLGY-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Services Provided: Pharmacy                       1    3230  3230 VARCHAR2
     Description: Indicates how pharmacy services are provided.
     SAS Name:    PHRMCY_SRVC_CD
     COBOL Name:  PHRMCY-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Services Provided: Pharmacy Description           39   3231  3269 VARCHAR2
     Description: Indicates how pharmacy services are provided.
     SAS Name:    PHRMCY_SRVC_DESC
     COBOL Name:  PHRMCY-SRVC-DESC

   Speciality: Thoracic Surgery                      1    4014  4014 VARCHAR2
     Description: Indicates if thoracic surgery is offered by an ambulatory
                  surgical center.
     SAS Name:    THORC_SRGRY_SW
     COBOL Name:  THORC-SRGRY-SW

   Speciality: Urology                               1    4015  4015 VARCHAR2
     Description: Indicates if urology surgery is offered by an ambulatory
                  surgical center.
     SAS Name:    URLGY_SRGRY_SW
     COBOL Name:  URLGY-SRGRY-SW

   Specialty: Cardiovascular                         1    4016  4016 VARCHAR2
     Description: Indicates if cardiovascular surgery is offered by an
                  Ambulatory Surgical Center (ASC).
     SAS Name:    CRDVSCLR_SRGRY_SW
     COBOL Name:  CRDVSCLR-SRGRY-SW

   Specialty: Foot                                   1    4017  4017 VARCHAR2
     Description: Indicates if foot surgery is offered by an ambulatory
                  surgical center.
     SAS Name:    FT_SRGRY_SW
     COBOL Name:  FT-SRGRY-SW

   Specialty: Neurological                           1    4018  4018 VARCHAR2
     Description: Indicates if neurological surgery is offered by an
                  ambulatory surgical center.
     SAS Name:    NRLGCL_SRGRY_SW
     COBOL Name:  NRLGCL-SRGRY-SW

   Specialty: Obstetrics / Gynecology                1    4019  4019 VARCHAR2
     Description: Indicates if obstetrics/gynecology surgery is offered by
                  an ambulatory surgical center.
     SAS Name:    OB_GYN_SRGRY_SW
     COBOL Name:  OB-GYN-SRGRY-SW

   Specialty: Opthamology                            1    4020  4020 VARCHAR2
     Description: Indicates if opthamology surgery is offered by an
                  ambulatory surgical center.
     SAS Name:    OPTHMLGY_SRGRY_SW
     COBOL Name:  OPTHMLGY-SRGRY-SW


 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 22
        Ambulatory Surgical Center, CATEGORY = "15" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

   Specialty: Oral                                   1    4021  4021 VARCHAR2
     Description: Indicates if oral surgery is offered by an ambulatory
                  surgical center.
     SAS Name:    ORAL_SRGRY_SW
     COBOL Name:  ORAL-SRGRY-SW

   Specialty: Orthopedic                             1    4022  4022 VARCHAR2
     Description: Indicates if orthopedic surgery is offered by an
                  ambulatory surgical center.
     SAS Name:    ORTHPDC_SRGRY_SW
     COBOL Name:  ORTHPDC-SRGRY-SW

   Specialty: Otolaryngology                         1    4023  4023 VARCHAR2
     Description: Indicates if otolaryngology surgery is offered by an
                  ambulatory surgical center.
     SAS Name:    OTLRYNGLGY_SRGRY_SW
     COBOL Name:  OTLRYNGLGY-SRGRY-SW

   Specialty: Plastic Surgery                        1    4024  4024 VARCHAR2
     Description: Indicates if plastic surgery is offered by an ambulatory
                  surgical center.
     SAS Name:    PLSTC_SRGRY_SW
     COBOL Name:  PLSTC-SRGRY-SW

   Specialty: Surgery                                1    4025  4025 VARCHAR2
     Description: Indicates if general surgery is offered by an ambulatory
                  surgical center.
     SAS Name:    GNRL_SRGRY_SW
     COBOL Name:  GNRL-SRGRY-SW




































 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 1
                  Hospice, CATEGORY = "16" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Provider Category Subtype Code                    2    1     2    VARCHAR2
     Description: This field is used mainly by batch report programs to
                  determine the breakdown of the provider category. This
                  field is mainly used for SNFs and hospitals.
     SAS Name:    PRVDR_CTGRY_SBTYP_CD
     COBOL Name:  PRVDR-CTGRY-SBTYP-CD
     VALUES:      01=HOSPICE

   Provider Category Code                            2    3     4    VARCHAR2
     Description: This code identifies the category which is most
                  descriptive of the facility identified on the
                  Medicare/Medicaid Certification and Transmittal Form (CMS
                  1539).
     SAS Name:    PRVDR_CTGRY_CD
     COBOL Name:  PRVDR-CTGRY-CD
     VALUES:      16=Hospice

   Change of Ownership Count                         2    5     6    NUMBER
     Description: The number of times a change of ownership (CHOW) has
                  taken place for a particular provider.
     SAS Name:    CHOW_CNT
     COBOL Name:  CHOW-CNT

   Change of Ownership Date                          8    7     14   DATE
     Description: Effective date of a change of ownership.
     SAS Name:    CHOW_DT
     COBOL Name:  CHOW-DT

   City                                              28   15    42   VARCHAR2
     Description: City in which the provider is physically located.
     SAS Name:    CITY_NAME
     COBOL Name:  CITY-NAME

   Compliance: Plan of Correction                    1    43    43   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements based on an acceptable plan for correction
                  of deficiencies.
     SAS Name:    ACPTBL_POC_SW
     COBOL Name:  ACPTBL-POC-SW

   Compliance: Status                                1    44    44   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements.
     SAS Name:    CMPLNC_STUS_CD
     COBOL Name:  CMPLNC-STUS-CD
     VALUES:      A=IN COMPLIANCE
                  B=NOT IN COMPLIANCE

   SSA County Code                                   3    45    47   VARCHAR2
     Description: SSA (State Survey Agency) geographic code indicating the
                  county where the facility is located.
     SAS Name:    SSA_CNTY_CD
     COBOL Name:  SSA-CNTY-CD

   Cross Ref Provider Number                         10   48    57   CHAR
     Description: Cross reference provider number
     SAS Name:    CROSS_RFRNC_PRVDR_NUM
     COBOL Name:  CROSS-RFRNC-PRVDR-NUM

   Certification Date                                8    58    65   DATE
     Description: The Certification date is equal to the exit date of the
                  initial visit of the Health survey or LSC survey,
                  whichever is later.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 2
                  Hospice, CATEGORY = "16" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    CRTFCTN_DT
     COBOL Name:  CRTFCTN-DT

   Eligibility Switch                                1    66    66   VARCHAR2
     Description: Indicates if a facility is eligible to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    ELGBLTY_SW
     COBOL Name:  ELGBLTY-SW

   Facility Name                                     50   67    116  VARCHAR2
     Description: The name of a provider certified to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    FAC_NAME
     COBOL Name:  FAC-NAME

   Intermediary Carrier Code                         5    117   121  VARCHAR2
     Description: A number assigned to an intermediary or carrier servicing
                  a provider or supplier. Not all numbers apply to all
                  provider types.
     SAS Name:    INTRMDRY_CARR_CD
     COBOL Name:  INTRMDRY-CARR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 3
                  Hospice, CATEGORY = "16" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 4
                  Hospice, CATEGORY = "16" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 5
                  Hospice, CATEGORY = "16" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 6
                  Hospice, CATEGORY = "16" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Medicare or Medicaid Vendor Number                15   122   136  VARCHAR2
     Description: A number which may be assigned to a facility by the state
                  Medicaid agency for external control or billing purposes.
     SAS Name:    MDCD_VNDR_NUM
     COBOL Name:  MDCD-VNDR-NUM

   Participation Date                                8    137   144  DATE
     Description: The date a facility is first approved to provide Medicare
                  and/or Medicaid services.
     SAS Name:    ORGNL_PRTCPTN_DT
     COBOL Name:  ORGNL-PRTCPTN-DT

   Prior Change of Ownership Date                    8    145   152  DATE
     Description: The date of a prior change of ownership.
     SAS Name:    CHOW_PRIOR_DT
     COBOL Name:  CHOW-PRIOR-DT

   Intermediary Carrier Prior Code                   5    153   157  VARCHAR2
     Description: The previous intermediary carrier number.
     SAS Name:    INTRMDRY_CARR_PRIOR_CD
     COBOL Name:  INTRMDRY-CARR-PRIOR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 7
                  Hospice, CATEGORY = "16" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 8
                  Hospice, CATEGORY = "16" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 9
                  Hospice, CATEGORY = "16" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 10
                  Hospice, CATEGORY = "16" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Provider Number                                   10   158   167  VARCHAR2
     Description: A six or ten position identification number that is
                  assigned to a certified provider.
     SAS Name:    PRVDR_NUM
     COBOL Name:  PRVDR-NUM

   Record Status Code                                1    168   168  VARCHAR2
     Description: This indicator specifies the current status of the
                  record.
     SAS Name:    REC_STUS_CD
     COBOL Name:  REC-STUS-CD
     VALUES:      A=ACCEPTED RECORD
                  C=COMPLAINT RECORD

   Region Code                                       2    169   170  VARCHAR2
     Description: The regional location of the provider.
     SAS Name:    RGN_CD
     COBOL Name:  RGN-CD
     VALUES:      01=BOSTON
                  02=NEW YORK
                  03=PHILADELPHIA
                  04=ATLANTA
                  05=CHICAGO
                  06=DALLAS
                  07=KANSAS CITY
                  08=DENVER

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 11
                  Hospice, CATEGORY = "16" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  09=SAN FRANCISCO
                  10=SEATTLE

   Skeleton Record Switch                            1    171   171  VARCHAR2
     Description: Indicates the record is a skeleton record.  Only a
                  limited set of the provider data is available for this
                  provider.
     SAS Name:    SKLTN_REC_SW
     COBOL Name:  SKLTN-REC-SW

   State Abbreviation                                2    172   173  VARCHAR2
     Description: The two-character state abbreviation.
     SAS Name:    STATE_CD
     COBOL Name:  STATE-CD
     VALUES:      AK=ALASKA
                  AL=ALABAMA
                  AR=ARKANSAS
                  AS=AMERICAN SAMOA
                  AZ=ARIZONA
                  CA=CALIFORNIA
                  CN=CANADA
                  CO=COLORADO
                  CT=CONNECTICUT
                  DC=DISTRICT OF COLUMBIA
                  DE=DELAWARE
                  FL=FLORIDA
                  FN=FOREIGN
                  GA=GEORGIA
                  GU=GUAM
                  HI=HAWAII
                  IA=IOWA
                  ID=IDAHO
                  IL=ILLINOIS
                  IN=INDIANA
                  KS=KANSAS
                  KY=KENTUCKY
                  LA=LOUISIANA
                  MA=MASSACHUSETTS
                  MD=MARYLAND
                  ME=MAINE
                  MI=MICHIGAN
                  MN=MINNESOTA
                  MO=MISSOURI
                  MP=SAIPAN
                  MS=MISSISSIPPI
                  MT=MONTANA
                  MX=MEXICO
                  NC=NORTH CAROLINA
                  ND=NORTH DAKOTA
                  NE=NEBRASKA
                  NH=NEW HAMPSHIRE
                  NJ=NEW JERSEY
                  NM=NEW MEXICO
                  NV=NEVADA
                  NY=NEW YORK
                  OH=OHIO
                  OK=OKLAHOMA
                  OR=OREGON
                  PA=PENNSYLVANIA
                  PR=PUERTO RICO
                  RI=RHODE ISLAND
                  SC=SOUTH CAROLINA
                  SD=SOUTH DAKOTA
                  TN=TENNESSEE

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 12
                  Hospice, CATEGORY = "16" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  TX=TEXAS
                  UT=UTAH
                  VA=VIRGINIA
                  VI=VIRGIN ISLANDS
                  VT=VERMONT
                  WA=WASHINGTON
                  WI=WISCONSIN
                  WV=WEST VIRGINIA
                  WY=WYOMING

   SSA State Code                                    2    174   175  VARCHAR2
     Description: SSA (Social Security Administration) geographic code
                  indicating the state of the provider's residence. Must
                  agree with the first two positions of the Provider number
                  (except California: 05 and 55; Texas: 45 and 67; FL: 10
                  and 68; MD: 21 and 80).
     SAS Name:    SSA_STATE_CD
     COBOL Name:  SSA-STATE-CD
     VALUES:      01=ALABAMA
                  02=ALASKA
                  03=ARIZONA
                  04=ARKANSAS
                  05=CALIFORNIA
                  06=COLORADO
                  07=CONNECTICUT
                  08=DELAWARE
                  09=DISTRICT OF COLUMBIA
                  10=FLORIDA
                  11=GEORGIA
                  12=HAWAII
                  13=IDAHO
                  14=ILLINOIS
                  15=INDIANA
                  16=IOWA
                  17=KANSAS
                  18=KENTUCKY
                  19=LOUISIANA
                  20=MAINE
                  21=MARYLAND
                  22=MASSACHUSETTS
                  23=MICHIGAN
                  24=MINNESOTA
                  25=MISSISSIPPI
                  26=MISSOURI
                  27=MONTANA
                  28=NEBRASKA
                  29=NEVADA
                  30=NEW HAMPSHIRE
                  31=NEW JERSEY
                  32=NEW MEXICO
                  33=NEW YORK
                  34=NORTH CAROLINA
                  35=NORTH DAKOTA
                  36=OHIO
                  37=OKLAHOMA
                  38=OREGON
                  39=PENNSYLVANIA
                  40=PUERTO RICO
                  41=RHODE ISLAND
                  42=SOUTH CAROLINA
                  43=SOUTH DAKOTA
                  44=TENNESSEE
                  45=TEXAS
                  46=UTAH

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 13
                  Hospice, CATEGORY = "16" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  47=VERMONT
                  48=VIRGIN ISLANDS
                  49=VIRGINIA
                  50=WASHINGTON
                  51=WEST VIRGINIA
                  52=WISCONSIN
                  53=WYOMING
                  54=AFRICA
                  56=CANADA
                  57=WEST INDIES
                  58=EUROPE
                  59=MEXICO
                  60=OCEANIA
                  61=PHILIPPINES
                  62=SOUTH AMERICA
                  63=UNITED STATES POSSESSIONS
                  64=AMERICAN SAMOA
                  65=GUAM
                  66=SAIPAN
                  99=FOREIGN

   State Region Code                                 3    176   178  VARCHAR2
     Description: For selected states, identifies the particular region
                  within the state where the provider is located.
     SAS Name:    STATE_RGN_CD
     COBOL Name:  STATE-RGN-CD
     VALUES:      AK/001=ALASKA
                  AK/LAB=LABORATORIES
                  AK/UNK=UNKNOWN
                  AL/001=ALABAMA
                  AL/LAB=LABORATORIES
                  AL/UNK=UNKNOWN
                  AR/001=ARKANSAS
                  AR/LAB=LABORATORIES
                  AR/UNK=UNKNOWN
                  AS/001=AMERICAN SAMOA
                  AS/LAB=LABORATORY
                  AS/UNK=UNKNOWN
                  AZ/AZ=PHOENIX
                  AZ/LAB=ARIZONA LAB
                  AZ/TUC=TUCSON
                  AZ/UNK=UNKNOWN
                  CA/BAK=BAKERSFIELD
                  CA/BER=SAN BERNARDINO
                  CA/BK=BERKELEY
                  CA/BK1=CONTRA COSTA
                  CA/FR=FRESNO
                  CA/L1=L.A. WEST
                  CA/L2=L.A. NORTH
                  CA/L3=L.A. CENTRAL
                  CA/L4=L.A. EAST
                  CA/L5=SAN GABRIEL
                  CA/LAB=LABORATORIES
                  CA/M1=LAB. SOUTH
                  CA/M2=LAB. NORTH
                  CA/ORG=ORANGE CO
                  CA/RIV=RIVERSIDE
                  CA/RWC=REDWOOD COAST
                  CA/S1=SACRAMENTO
                  CA/S2=SACTO SOUTH
                  CA/S3=CHICO
                  CA/SD=SAN DIEGO
                  CA/SDS=SAN DIEGO SOUTH
                  CA/SF=SAN FRANCISCO

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 14
                  Hospice, CATEGORY = "16" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  CA/SJ=SAN JOSE
                  CA/SR=SANTA ROSA
                  CA/UNK=UNKNOWN
                  CA/VEN=VENTURA
                  CN/001=CANADA
                  CN/LAB=LABORATORY
                  CN/UNK=UNKNOWN
                  CO/001=COLORADO
                  CO/LAB=LABORATORIES
                  CO/UNK=UNKNOWN
                  CT/001=CONNECTICUT
                  CT/LAB=LABORATORIES
                  CT/UNK=UNKNOWN
                  DC/001=DISTRICT OF COLUMBIA
                  DC/LAB=LABORATORIES
                  DC/UNK=UNKNOWN
                  DE/001=DELAWARE
                  DE/LAB=LABORATORIES
                  DE/UNK=UNKNOWN
                  FL/FTM=FT. MYERS
                  FL/GAI=GAINESVILLE
                  FL/JAX=JACKSONVILLE
                  FL/LAB=LABORATORIES
                  FL/LAN=LANTANA
                  FL/LAU=LAUDERHILL
                  FL/MIA=MIAMI
                  FL/ORL=ORLANDO
                  FL/PEN=PENSACOLA
                  FL/STP=ST. PETERSBURG
                  FL/TAL=TALLAHASSEE
                  FL/TAM=TAMPA
                  FL/UNK=UNKNOWN
                  FM/001=FEDERATED STATES OF MICRO
                  FN/001=FOREIGN
                  FN/LAB=LABORATORIES
                  FN/UNK=UNKNOWN
                  GA/001=GEORGIA
                  GA/GAA=GEORGIA ALL
                  GA/GAC=GEORGIA CENTRAL
                  GA/GAE=GEORGIA EASTERN
                  GA/GAN=GEORGIA NORTH
                  GA/GAS=GEORGIA SOUTH
                  GA/GAW=GEORGIA WESTERN
                  GA/LAB=LABORATORIES
                  GA/UNK=UNKNOWN
                  GU/001=GUAM
                  GU/LAB=LABORATORIES
                  GU/UNK=UNKNOWN
                  HI/001=HAWAII
                  HI/LAB=LABORATORIES
                  HI/UNK=UNKNOWN
                  IA/001=IOWA
                  IA/LAB=LABORATORIES
                  IA/UNK=UNKNOWN
                  ID/001=IDAHO
                  ID/LAB=LABORATORIES
                  ID/UNK=UNKNOWN
                  IL/001=ILLINOIS
                  IL/LAB=LABORATORIES
                  IL/UNK=UNKNOWN
                  IN/001=INDIANA
                  IN/LAB=LABORATORIES
                  IN/UNK=UNKNOWN
                  KS/LAB=LABORATORIES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 15
                  Hospice, CATEGORY = "16" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  KS/LAW=LAWRENCE
                  KS/NC=NORTH CENTRAL KANSAS
                  KS/NE=NORTH EAST KANSAS
                  KS/NW=NORTH WEST KANSAS
                  KS/SC=SOUTH CENTRAL KANSAS
                  KS/SE=SOUTH EAST KANSAS
                  KS/SW=SOUTH WEST KANSAS
                  KS/UNK=UNKNOWN
                  KS/WST=WEST
                  KY/2C1=HOPKINSVILLE
                  KY/2C2=LOUISVILLE
                  KY/2C3=LONDON
                  KY/2C4=LEXINGTON
                  KY/LAB=LABORATORIES
                  KY/UNK=UNKNOWN
                  LA/001=LOUISIANA
                  LA/LA1=NEW ORLEANS
                  LA/LA2=MANDEVILLE
                  LA/LA3=LAFAYETTE
                  LA/LA4=MONROE
                  LA/LA5=SHREVEPORT
                  LA/LA6=ALEXANDRIA
                  LA/LAB=LABORATORIES
                  LA/LB1=CLIA NEW ORLEANS
                  LA/LB5=CLIA SHREVEPORT
                  LA/LB6=CLIA ALEXANDRIA
                  LA/UNK=UNKNOWN
                  MA/001=MASSACHUSETTS
                  MA/LAB=LABORATORIES
                  MA/UNK=UNKNOWN
                  MD/001=MARYLAND
                  MD/LAB=LABORATORIES
                  MD/UNK=UNKNOWN
                  ME/001=MAINE
                  ME/LAB=LABORATORIES
                  ME/UNK=UNKNOWN
                  MH/001=MARSHALL ISLANDS
                  MI/001=MICHIGAN
                  MI/LAB=LABORATORIES
                  MI/UNK=UNKNOWN
                  MN/001=MINNESOTA
                  MN/LAB=LABORATORIES
                  MN/UNK=UNKNOWN
                  MO/01=REGION01
                  MO/02=REGION02
                  MO/03=REGION 03
                  MO/04=REGION 04
                  MO/05=REGION 05
                  MO/06=REGION 06
                  MO/07=REGION 07
                  MO/1NH=REGION 1 NH
                  MO/2NH=REGION 2 NH
                  MO/3NH=REGION 3 NH
                  MO/4NH=REGION 4 NH
                  MO/5NH=REGION 5 NH
                  MO/6NH=REGION 6 NH
                  MO/7NH=REGION 7 NH
                  MO/LAB=LABORATORIES
                  MO/MO=STATEWIDE
                  MO/UNK=UNKNOWN
                  MP/001=NORTHERN MARIANA ISLANDS
                  MP/LAB=LABORATORIES
                  MP/UNK=UNKNOWN
                  MS/001=MISSISSIPPI

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 16
                  Hospice, CATEGORY = "16" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  MS/LAB=LABORATORIES
                  MS/UNK=UNKNOWN
                  MT/001=MONTANA
                  MT/LAB=LABORATORIES
                  MT/UNK=UNKNOWN
                  MX/001=MEXICO
                  MX/LAB=LABORATORY
                  MX/UNK=UNKNOWN
                  NC/LAB=LABORATORIES
                  NC/NCC=NORTH CAROLINA CENTRAL
                  NC/NCE=NORTH CAROLINA EAST
                  NC/NCN=NORTH CAROLINA NORTH
                  NC/NCS=NORTH CAROLINA SOUTH
                  NC/NCW=NORTH CAROLINA WEST
                  NC/UNK=UNKNOWN
                  ND/001=NORTH DAKOTA
                  ND/LAB=LABORATORIES
                  ND/UNK=UNKNOWN
                  NE/1=NORTH CENTRAL
                  NE/2=CENTRAL
                  NE/3=NORTHEAST
                  NE/4=SOUTHEAST
                  NE/5=WESTERN
                  NE/LAB=LABORATORIES
                  NE/UNK=UNKNOWN
                  NH/001=NEW HAMPSHIRE
                  NH/LAB=LABORATORIES
                  NH/UNK=UNKNOWN
                  NJ/001=NEW JERSEY
                  NJ/LAB=LABORATORIES
                  NJ/UNK=UNKNOWN
                  NM/001=NEW MEXICO
                  NM/LAB=LABORATORIES
                  NM/UNK=UNKNOWN
                  NV/CC=CARSON CITY
                  NV/LAB=LABORATORIES
                  NV/LV=LAS VEGAS
                  NV/UNK=UNKNOWN
                  NY/001=BUFFALO
                  NY/002=ROCHESTER
                  NY/003=SYRACUSE
                  NY/004=ALBANY
                  NY/005=NEW ROCHELLE
                  NY/006=NEW YORK CITY
                  NY/007=SUFFOLK/NASSAU COUNTY
                  NY/LAB=LABORATORIES
                  NY/UNK=UNKNOWN
                  OH/001=OHIO
                  OH/LAB=LABORATORIES
                  OH/UNK=UNKNOWN
                  OK/001=OKLAHOMA
                  OK/LAB=LABORATORIES
                  OK/UNK=UNKNOWN
                  OR/001=OFFICE #1
                  OR/002=OFFICE #2
                  OR/003=OFFICE #3
                  OR/LAB=LABORATORIES
                  OR/UNK=UNKNOWN
                  PA/001=PENNSYLVANIA
                  PA/LAB=LABORATORIES
                  PA/UNK=UNKNOWN
                  PR/001=PUERTO RICO
                  PR/LAB=LABORATORIES
                  PR/UNK=UNKNOWN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 17
                  Hospice, CATEGORY = "16" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  PW/001=PALAU
                  RI/001=RHODE ISLAND
                  RI/LAB=LABORATORIES
                  RI/UNK=UNKNOWN
                  SC/001=SOUTH CAROLINA
                  SC/LAB=LABORATORIES
                  SC/UNK=UNKNOWN
                  SD/001=SOUTH DAKOTA
                  SD/LAB=LABORATORIES
                  SD/UNK=UNKNOWN
                  TN/LAB=LABORATORIES
                  TN/TNC=TENNESSEE COOKEVILLE
                  TN/TNE=TENNESSEE EASTERN
                  TN/TNM=TENNESSEE MIDDLE
                  TN/TNW=TENNESSEE WESTERN
                  TN/UNK=UNKNOWN
                  TX/001=TEXAS
                  TX/L01=AMARILLO-LTC
                  TX/L02=ABILENE-LTC
                  TX/L03=ARLINGTON-LTC
                  TX/L04=TYLER-LTC
                  TX/L05=BEAUMONT-LTC
                  TX/L06=HOUSTON-LTC
                  TX/L07=TEMPLE-LTC
                  TX/L08=SAN ANTONIO-LTC
                  TX/L09=SAN ANGELO-LTC
                  TX/L10=EL PASO-LTC
                  TX/L11=CORPUS CHRISTI-LTC
                  TX/LAB=LABORATORIES
                  TX/TX1=LUBBOCK
                  TX/TX2=ARLINGTON
                  TX/TX3=SAN ANTONIO
                  TX/TX4=HOUSTON
                  TX/TX5=TYLER
                  TX/TX6=AUSTIN
                  TX/UNK=UNKNOWN
                  UT/001=UTAH
                  UT/LAB=LABORATORIES
                  UT/UNK=UNKNOWN
                  VA/001=VIRGINIA
                  VA/LAB=LABORATORIES
                  VA/UNK=UNKNOWN
                  VI/001=VIRGIN ISLANDS
                  VI/LAB=LABORATORIES
                  VI/UNK=UNKNOWN
                  VT/001=VERMONT
                  VT/LAB=LABORATORIES
                  VT/UNK=UNKNOWN
                  WA/001=ALL OTHERS (NON-LTC FAC)
                  WA/D1=SPOKANE & YAKIMA AREAS
                  WA/D1A=District 1, Unit A
                  WA/D1B=District 1, Unit B
                  WA/D1C=District 1, Unit C
                  WA/D1D=District 1, Unit D
                  WA/D2=SPOKANE & SE
                  WA/D2A=District 2, Unit A
                  WA/D2B=District 2, Unit B
                  WA/D2C=District 2, Unit C
                  WA/D2D=District 2, Unit D
                  WA/D2E=District 2, Unit E
                  WA/D2F=District 2, Unit F
                  WA/D2G=District 2, Unit G
                  WA/D3=NW WASHINGTON
                  WA/D3A=District 3, Unit A

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 18
                  Hospice, CATEGORY = "16" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  WA/D3B=District 3, Unit B
                  WA/D3C=District 3, Unit C
                  WA/D3D=District 3, Unit D
                  WA/D3E=District 3, Unit E
                  WA/D4A=GREATER SEATTLE AREA
                  WA/D4B=S KING COUNTY
                  WA/D5A=PIERCE CTY & PENINSULA
                  WA/D5B=PIERCE CTY & GRAYS HARBOR
                  WA/D6=OLYMPIA AREA
                  WA/LAB=LABORATORIES
                  WA/UNK=UNKNOWN
                  WI/001=WISCONSIN
                  WI/LAB=LABORATORIES
                  WI/UNK=UNKNOWN
                  WV/001=WEST VIRGINIA
                  WV/LAB=LABORATORIES
                  WV/UNK=UNKNOWN
                  WY/001=WYOMING
                  WY/LAB=LABORATORIES
                  WY/UNK=UNKNOWN

   Street Address                                    50   179   228  VARCHAR2
     Description: Street address of a provider that is certified to provide
                  Medicare and/or Medicaid services.
     SAS Name:    ST_ADR
     COBOL Name:  ST-ADR

   Telephone Number                                  10   229   238  VARCHAR2
     Description: The 10-digit telephone number of the primary contact or
                  the operator of a provider.
     SAS Name:    PHNE_NUM
     COBOL Name:  PHNE-NUM

   Termination Code 1                                2    239   240  VARCHAR2
     Description: Termination code number one: the reason a facility has
                  been terminated from the CLIA, Medicare and/or Medicaid
                  programs.
     SAS Name:    PGM_TRMNTN_CD
     COBOL Name:  PGM-TRMNTN-CD
     VALUES:      00=ACTIVE PROVIDER
                  01=VOLUNTARY-MERGER, CLOSURE
                  02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT
                  03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION
                  04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL
                  05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ
                  06=INVOLUNTARY-FAILURE TO MEET AGREEMENT
                  07=OTHER-PROVIDER STATUS CHANGE
                  08=NONPAYMENT OF FEES - CLIA Only
                  09=REV/UNSUCCESSFUL PARTICIPATION IN PT - CLIA Only
                  10=REV/OTHER REASON - CLIA Only
                  11=INCMPLETE CLIA APPLICATION INFORMATION - CLIA Only
                  12=NO LONGER PERFORMING TESTS - CLIA Only
                  13=MULTIPLE TO SINGLE SITE CERTIFICATE - CLIA Only
                  14=SHARED LABORATORY - CLIA Only
                  15=FAILURE TO RENEW WAIVER PPM CERTIFICATE - CLIA Only
                  16=DUPLICATE CLIA NUMBER - CLIA Only
                  17=MAIL RETURNED NO FORWARD ADDRESS CERT ENDED - CLIA Only
                  20=NOTIFICATION BANKRUPTCY - CLIA Only
                  33=ACCREDITATION NOT CONFIRMED - CLIA Only
                  80=AWAITING STATE APPROVAL
                  99=OIG ACTION - DO NOT ACTIVATE - CLIA Only

   Termination Date / Expiration Date 1              8    241   248  DATE
     Description: The date the laboratory's certificate terminated or the

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 19
                  Hospice, CATEGORY = "16" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  expiration date of the current CLIA certificate. For
                  other non-CLIA providers, it is the date the facility was
                  terminated.
     SAS Name:    TRMNTN_EXPRTN_DT
     COBOL Name:  TRMNTN-EXPRTN-DT

   Type of Action                                    1    249   249  VARCHAR2
     Description: Type of action on the 'official' survey record.  This
                  field is copied from type of action on the HCFA-1539,
                  certification and transmittal.
     SAS Name:    SRVY_PRPSE_CD
     COBOL Name:  SRVY-PRPSE-CD
     VALUES:      1=INITIAL
                  2=RECERTIFICATION
                  3=TERMINATION
                  4=CHANGE OF OWNERSHIP
                  5=VALIDATION
                  6=ONSITE SURVEY DUE TO FLEXIBLE SURVEY - CLIA Only
                  8=FULL SURVEY AFTER COMPLAINT - CLIA ONLY

   General Type of Control Code                      2    250   251  VARCHAR2
     Description: Indicates the nature of the organization that operates a
                  provider of services.
     SAS Name:    GNRL_CNTL_TYPE_CD
     COBOL Name:  GNRL-CNTL-TYPE-CD
     VALUES:      01=VOLUNTARY NON-PROFIT - CHURCH
                  02=VOLUNTARY NON-PROFIT - PRIVATE
                  03=VOLUNTARY NON-PROFIT - OTHER
                  04=PROPRIETARY - INDIVIDUAL
                  05=PROPRIETARY - PARTNERSHIP
                  06=PROPRIETARY - CORPORATION
                  07=PROPRIETARY - OTHER
                  08=GOVERNMENT - STATE
                  09=GOVERNMENT - COUNTY
                  10=GOVERNMENT - CITY
                  11=GOVERNMENT - CITY-COUNTY
                  12=COMBINATION GOVERNMENT & NONPROFIT
                  13=OTHER

   ZIP Code                                          5    252   256  VARCHAR2
     Description: The five-digit postal code for the provider.
     SAS Name:    ZIP_CD
     COBOL Name:  ZIP-CD

   FIPS State Code                                   2    257   258  VARCHAR2
     Description: FIPS State Code
     SAS Name:    FIPS_STATE_CD
     COBOL Name:  FIPS-STATE-CD

   FIPS County Code                                  3    259   261  VARCHAR2
     Description: FIPS County Code
     SAS Name:    FIPS_CNTY_CD
     COBOL Name:  FIPS-CNTY-CD

   CBSA Urban Rural Indicator                        1    262   262  VARCHAR2
     Description: CBSA (Core Based Statistical Area) indicates whether the
                  county is defined as Urban or Rural.
     SAS Name:    CBSA_URBN_RRL_IND
     COBOL Name:  CBSA-URBN-RRL-IND

   Accreditation Type Code                           1    279   279  VARCHAR2
     Description: This code indicates the organization that is responsible
                  for the accreditation of the provider.
     SAS Name:    ACRDTN_TYPE_CD

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 20
                  Hospice, CATEGORY = "16" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  ACRDTN-TYPE-CD
     VALUES:      0=NONE
                  1=TJC
                  2=CHAP
                  3=ACHC

   Acute/Respite Care Code                           1    328   328  VARCHAR2
     Description: Indicates if the hospice provides acute and/or respite
                  short-term inpatient care.
     SAS Name:    ACUTE_RESP_CARE_CD
     COBOL Name:  ACUTE-RESP-CARE-CD
     VALUES:      A=SHORT TERM INPATIENT ACUTE CARE PROV'D IN HSP
                  B=SHORT TERM INPATIENT RESPITE CARE PROV IN HSP
                  C=ST INPATIENT ACUTE & RESPITE CARE PROV IN HSP

   Compliance: Life Safety Code                      1    484   484  VARCHAR2
     Description: INDICATES IF A WAIVER OF ANY LIFE SAFETY CODE (LSC)
                  PROVISIONS HAS BEEN RECOMMENDED FOR A PROVIDER.
     SAS Name:    LSC_WVR_SW
     COBOL Name:  LSC-WVR-SW

   Counselors - Staff                                7    488   494  NUMBER
     Description: The number of full-time equivalent counselors employed by
                  a hospice.
     SAS Name:    CNSLR_EMPLEE_CNT
     COBOL Name:  CNSLR-EMPLEE-CNT

   Counselors - Volunteer                            7    496   502  NUMBER
     Description: The number of full-time equivalent volunteer counselors
                  in a hospice.
     SAS Name:    CNSLR_VLNTR_CNT
     COBOL Name:  CNSLR-VLNTR-CNT

   Date of Validation Survey                         8    515   522  DATE
     Description: Date a validation survey is performed by the state agency
                  in a JCAHCO (Joint Commission on Accreditation of Health
                  Care Organizations) or AOA (American Osteopathic
                  Association) accredited hospital.
     SAS Name:    VLDTN_SRVY_DT
     COBOL Name:  VLDTN-SRVY-DT

   Fiscal Year Ending Date                           4    613   616  VARCHAR2
     Description: The ending date (month and day) of a facility's fiscal
                  year.
     SAS Name:    FY_END_MO_DAY_CD
     COBOL Name:  FY-END-MO-DAY-CD

   Home Health Aides                                 7    643   649  NUMBER
     Description: Number of full-time equivalent home health aides employed
                  by a Home Health Agency or hospice.
     SAS Name:    HH_AIDE_CNT
     COBOL Name:  HH-AIDE-CNT

   Home Health Aides - Volunteer                     7    651   657  NUMBER
     Description: The number of full-time equivalent volunteer home health
                  aides in a hospice.
     SAS Name:    HH_AIDE_VLNTR_CNT
     COBOL Name:  HH-AIDE-VLNTR-CNT

   Homemakers - Staff                                7    659   665  NUMBER
     Description: The number of full-time equivalent homemakers employed by
                  a hospice.
     SAS Name:    HMMKR_EMPLEE_CNT
     COBOL Name:  HMMKR-EMPLEE-CNT

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 21
                  Hospice, CATEGORY = "16" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Homemakers - Volunteer                            7    667   673  NUMBER
     Description: The number of full-time equivalent homemakers in a
                  hospice.
     SAS Name:    HMMKR_VLNTR_CNT
     COBOL Name:  HMMKR-VLNTR-CNT

   Licensed Practical/Vocational Nurses              7    711   717  NUMBER
     Description: Number of full-time equivalent licensed practical or
                  vocational nurses employed by a facility.
     SAS Name:    LPN_LVN_CNT
     COBOL Name:  LPN-LVN-CNT

   LPNS/LVNS Volunteer                               7    743   749  NUMBER
     Description: The number of full-time equivalent volunteer licensed
                  practical/vocational nurses in a hospice.
     SAS Name:    LPN_LVN_VLNTR_CNT
     COBOL Name:  LPN-LVN-VLNTR-CNT

   Medical Social Workers                            7    816   822  NUMBER
     Description: Number of full-time equivalent medical social workers
                  employed by a hospital or hospice.
     SAS Name:    MDCL_SCL_WORKR_CNT
     COBOL Name:  MDCL-SCL-WORKR-CNT

   Medical Social Workers - Volunteer                7    824   830  NUMBER
     Description: The number of full-time equivalent volunteer medical
                  social workers in a hospice.
     SAS Name:    MDCL_SCL_WORKR_VLNTR_CNT
     COBOL Name:  MDCL-SCL-WORKR-VLNTR-CNT

   Other Personnel                                   7    1105  1111 NUMBER
     Description: The number of full-time equivalent other salaried
                  personnel employed by a facility.
     SAS Name:    PRSNEL_OTHR_CNT
     COBOL Name:  PRSNEL-OTHR-CNT

   Physicians                                        7    1327  1333 NUMBER
     Description: The number of full-time equivalent physicians employed by
                  a provider.
     SAS Name:    PHYSN_CNT
     COBOL Name:  PHYSN-CNT

   Physicians - Volunteer                            7    1343  1349 NUMBER
     Description: The number of full-time equivalent volunteer physicians
                  in a hospice.
     SAS Name:    PHYSN_VLNTR_CNT
     COBOL Name:  PHYSN-VLNTR-CNT

   Registered Nurses                                 7    1465  1471 NUMBER
     Description: The number of full-time equivalent registered
                  professional nurses employed by a provider.
     SAS Name:    RN_CNT
     COBOL Name:  RN-CNT

   Registered Nurses - Volunteer                     7    1473  1479 NUMBER
     Description: The number of full-time equivalent volunteer registered
                  nurses in a hospice.
     SAS Name:    RN_VLNTR_CNT
     COBOL Name:  RN-VLNTR-CNT

   Related Provider Number                           10   1510  1519 CHAR
     Description: Related provider number
     SAS Name:    RLTD_PRVDR_NUM

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 22
                  Hospice, CATEGORY = "16" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  RLTD-PRVDR-NUM

   Service: Counseling                               1    1574  1574 VARCHAR2
     Description: Indicates how counseling services are provided by a
                  hospice.
     SAS Name:    CNSLNG_SRVC_CD
     COBOL Name:  CNSLNG-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Service: Home Health Aide                         1    1582  1582 VARCHAR2
     Description: Indicates how home health aide services are provided.
     SAS Name:    HH_AIDE_SRVC_CD
     COBOL Name:  HH-AIDE-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Service: Homemaker                                1    1583  1583 VARCHAR2
     Description: Indicates how homemaker services are provided by a
                  hospice.
     SAS Name:    HMMKR_SRVC_CD
     COBOL Name:  HMMKR-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Service: Medical Social                           1    1589  1589 VARCHAR2
     Description: Indicates how medical social services are provided.
     SAS Name:    MDCL_SCL_SRVC_CD
     COBOL Name:  MDCL-SCL-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Service: Medical Supplies                         1    1590  1590 VARCHAR2
     Description: Indicates how medical supply services are provided by a
                  hospice.
     SAS Name:    MDCL_SUPLY_SRVC_CD
     COBOL Name:  MDCL-SUPLY-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Service: Nursing                                  1    1594  1594 VARCHAR2
     Description: Indicates how nursing services are provided.
     SAS Name:    NRSNG_SRVC_CD
     COBOL Name:  NRSNG-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Service: Other                                    1    1608  1608 VARCHAR2
     Description: Indicates how other (non-specified) services are
                  provided.
     SAS Name:    OTHR_SRVC_CD
     COBOL Name:  OTHR-SRVC-CD

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 23
                  Hospice, CATEGORY = "16" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Service: Physician                                1    1623  1623 VARCHAR2
     Description: Indicates how physician services are provided.
     SAS Name:    PHYSN_SRVC_CD
     COBOL Name:  PHYSN-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Service: Short Term Inpatient                     1    1638  1638 VARCHAR2
     Description: Indicates how short term inpatient care services are
                  provided by a hospice.
     SAS Name:    SHRT_TERM_IP_SRVC_CD
     COBOL Name:  SHRT-TERM-IP-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Services Provided: Occupational Therapy           1    2786  2786 VARCHAR2
     Description: Indicates how occupational therapy services are provided.
     SAS Name:    OT_SRVC_CD
     COBOL Name:  OT-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Services Provided: Occupational Therapy Description39   2787  2825 VARCHAR2
     Description: Indicates how occupational therapy services are provided.
     SAS Name:    OT_SRVC_DESC
     COBOL Name:  OT-SRVC-DESC

   Services Provided: Physical Therapy               1    3270  3270 VARCHAR2
     Description: Indicates how physical therapy services are provided.
     SAS Name:    PT_SRVC_CD
     COBOL Name:  PT-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Services Provided: Physical Therapy Description   39   3271  3309 VARCHAR2
     Description: Indicates how physical therapy services are provided.
     SAS Name:    PT_SRVC_DESC
     COBOL Name:  PT-SRVC-DESC

   Services Provided: Speech Pathology               1    3756  3756 VARCHAR2
     Description: Indicates how speech pathology services are provided.
     SAS Name:    SPCH_PTHLGY_SRVC_CD
     COBOL Name:  SPCH-PTHLGY-SRVC-CD
     VALUES:      0=NOT PROVIDED
                  1=PROVIDED BY STAFF
                  2=PROVIDED UNDER ARRANGEMENT
                  3=COMBINATION

   Services Provided: Speech Pathology Description   39   3757  3795 VARCHAR2
     Description: Indicates how speech pathology services are provided.
     SAS Name:    SPCH_PTHLGY_SRVC_DESC

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 24
                  Hospice, CATEGORY = "16" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  SPCH-PTHLGY-SRVC-DESC

   Total Number of Employees                         8    4162  4169 NUMBER
     Description: The total number of full-time employees in a hospice or
                  an intermediate care facility/mental retardation
                  facility.
     SAS Name:    EMPLEE_CNT
     COBOL Name:  EMPLEE-CNT

   Type of Facility                                  2    4171  4172 VARCHAR2
     Description: Indicates the category which represents the type of
                  facility.
     SAS Name:    GNRL_FAC_TYPE_CD
     COBOL Name:  GNRL-FAC-TYPE-CD
     VALUES:      01=HOSPITAL
                  02=SKILLED NURSING FACILITY
                  03=NURSING FACILITY
                  04=HOME HEALTH AGENCY
                  05=FREESTANDING HOSPICE

   Volunteers - Other                                7    4174  4180 NUMBER
     Description: The number of full-time equivalent other volunteers in a
                  hospice.
     SAS Name:    VLNTR_OTHR_CNT
     COBOL Name:  VLNTR-OTHR-CNT

   Volunteers - Total                                8    4182  4189 NUMBER
     Description: The number of full-time volunteers in a hospice.
     SAS Name:    VLNTR_CNT
     COBOL Name:  VLNTR-CNT



































 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 1
      Organ Procurement Organization, CATEGORY = "17" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Provider Category Subtype Code                    2    1     2    VARCHAR2
     Description: This field is used mainly by batch report programs to
                  determine the breakdown of the provider category. This
                  field is mainly used for SNFs and hospitals.
     SAS Name:    PRVDR_CTGRY_SBTYP_CD
     COBOL Name:  PRVDR-CTGRY-SBTYP-CD
     VALUES:      01=ORGAN PROCUREMENT

   Provider Category Code                            2    3     4    VARCHAR2
     Description: This code identifies the category which is most
                  descriptive of the facility identified on the
                  Medicare/Medicaid Certification and Transmittal Form (CMS
                  1539).
     SAS Name:    PRVDR_CTGRY_CD
     COBOL Name:  PRVDR-CTGRY-CD
     VALUES:      17=Organ Procurement Organization

   Change of Ownership Count                         2    5     6    NUMBER
     Description: The number of times a change of ownership (CHOW) has
                  taken place for a particular provider.
     SAS Name:    CHOW_CNT
     COBOL Name:  CHOW-CNT

   Change of Ownership Date                          8    7     14   DATE
     Description: Effective date of a change of ownership.
     SAS Name:    CHOW_DT
     COBOL Name:  CHOW-DT

   City                                              28   15    42   VARCHAR2
     Description: City in which the provider is physically located.
     SAS Name:    CITY_NAME
     COBOL Name:  CITY-NAME

   Compliance: Plan of Correction                    1    43    43   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements based on an acceptable plan for correction
                  of deficiencies.
     SAS Name:    ACPTBL_POC_SW
     COBOL Name:  ACPTBL-POC-SW

   Compliance: Status                                1    44    44   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements.
     SAS Name:    CMPLNC_STUS_CD
     COBOL Name:  CMPLNC-STUS-CD
     VALUES:      A=IN COMPLIANCE
                  B=NOT IN COMPLIANCE

   SSA County Code                                   3    45    47   VARCHAR2
     Description: SSA (State Survey Agency) geographic code indicating the
                  county where the facility is located.
     SAS Name:    SSA_CNTY_CD
     COBOL Name:  SSA-CNTY-CD

   Cross Ref Provider Number                         10   48    57   CHAR
     Description: Cross reference provider number
     SAS Name:    CROSS_RFRNC_PRVDR_NUM
     COBOL Name:  CROSS-RFRNC-PRVDR-NUM

   Certification Date                                8    58    65   DATE
     Description: The Certification date is equal to the exit date of the
                  initial visit of the Health survey or LSC survey,
                  whichever is later.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 2
      Organ Procurement Organization, CATEGORY = "17" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    CRTFCTN_DT
     COBOL Name:  CRTFCTN-DT

   Eligibility Switch                                1    66    66   VARCHAR2
     Description: Indicates if a facility is eligible to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    ELGBLTY_SW
     COBOL Name:  ELGBLTY-SW

   Facility Name                                     50   67    116  VARCHAR2
     Description: The name of a provider certified to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    FAC_NAME
     COBOL Name:  FAC-NAME

   Intermediary Carrier Code                         5    117   121  VARCHAR2
     Description: A number assigned to an intermediary or carrier servicing
                  a provider or supplier. Not all numbers apply to all
                  provider types.
     SAS Name:    INTRMDRY_CARR_CD
     COBOL Name:  INTRMDRY-CARR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 3
      Organ Procurement Organization, CATEGORY = "17" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 4
      Organ Procurement Organization, CATEGORY = "17" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 5
      Organ Procurement Organization, CATEGORY = "17" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 6
      Organ Procurement Organization, CATEGORY = "17" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Medicare or Medicaid Vendor Number                15   122   136  VARCHAR2
     Description: A number which may be assigned to a facility by the state
                  Medicaid agency for external control or billing purposes.
     SAS Name:    MDCD_VNDR_NUM
     COBOL Name:  MDCD-VNDR-NUM

   Participation Date                                8    137   144  DATE
     Description: The date a facility is first approved to provide Medicare
                  and/or Medicaid services.
     SAS Name:    ORGNL_PRTCPTN_DT
     COBOL Name:  ORGNL-PRTCPTN-DT

   Prior Change of Ownership Date                    8    145   152  DATE
     Description: The date of a prior change of ownership.
     SAS Name:    CHOW_PRIOR_DT
     COBOL Name:  CHOW-PRIOR-DT

   Intermediary Carrier Prior Code                   5    153   157  VARCHAR2
     Description: The previous intermediary carrier number.
     SAS Name:    INTRMDRY_CARR_PRIOR_CD
     COBOL Name:  INTRMDRY-CARR-PRIOR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 7
      Organ Procurement Organization, CATEGORY = "17" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 8
      Organ Procurement Organization, CATEGORY = "17" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 9
      Organ Procurement Organization, CATEGORY = "17" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 10
      Organ Procurement Organization, CATEGORY = "17" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Provider Number                                   10   158   167  VARCHAR2
     Description: A six or ten position identification number that is
                  assigned to a certified provider.
     SAS Name:    PRVDR_NUM
     COBOL Name:  PRVDR-NUM

   Record Status Code                                1    168   168  VARCHAR2
     Description: This indicator specifies the current status of the
                  record.
     SAS Name:    REC_STUS_CD
     COBOL Name:  REC-STUS-CD
     VALUES:      A=ACCEPTED RECORD
                  C=COMPLAINT RECORD

   Region Code                                       2    169   170  VARCHAR2
     Description: The regional location of the provider.
     SAS Name:    RGN_CD
     COBOL Name:  RGN-CD
     VALUES:      01=BOSTON
                  02=NEW YORK
                  03=PHILADELPHIA
                  04=ATLANTA
                  05=CHICAGO
                  06=DALLAS
                  07=KANSAS CITY
                  08=DENVER

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 11
      Organ Procurement Organization, CATEGORY = "17" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  09=SAN FRANCISCO
                  10=SEATTLE

   Skeleton Record Switch                            1    171   171  VARCHAR2
     Description: Indicates the record is a skeleton record.  Only a
                  limited set of the provider data is available for this
                  provider.
     SAS Name:    SKLTN_REC_SW
     COBOL Name:  SKLTN-REC-SW

   State Abbreviation                                2    172   173  VARCHAR2
     Description: The two-character state abbreviation.
     SAS Name:    STATE_CD
     COBOL Name:  STATE-CD
     VALUES:      AK=ALASKA
                  AL=ALABAMA
                  AR=ARKANSAS
                  AS=AMERICAN SAMOA
                  AZ=ARIZONA
                  CA=CALIFORNIA
                  CN=CANADA
                  CO=COLORADO
                  CT=CONNECTICUT
                  DC=DISTRICT OF COLUMBIA
                  DE=DELAWARE
                  FL=FLORIDA
                  FN=FOREIGN
                  GA=GEORGIA
                  GU=GUAM
                  HI=HAWAII
                  IA=IOWA
                  ID=IDAHO
                  IL=ILLINOIS
                  IN=INDIANA
                  KS=KANSAS
                  KY=KENTUCKY
                  LA=LOUISIANA
                  MA=MASSACHUSETTS
                  MD=MARYLAND
                  ME=MAINE
                  MI=MICHIGAN
                  MN=MINNESOTA
                  MO=MISSOURI
                  MP=SAIPAN
                  MS=MISSISSIPPI
                  MT=MONTANA
                  MX=MEXICO
                  NC=NORTH CAROLINA
                  ND=NORTH DAKOTA
                  NE=NEBRASKA
                  NH=NEW HAMPSHIRE
                  NJ=NEW JERSEY
                  NM=NEW MEXICO
                  NV=NEVADA
                  NY=NEW YORK
                  OH=OHIO
                  OK=OKLAHOMA
                  OR=OREGON
                  PA=PENNSYLVANIA
                  PR=PUERTO RICO
                  RI=RHODE ISLAND
                  SC=SOUTH CAROLINA
                  SD=SOUTH DAKOTA
                  TN=TENNESSEE

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 12
      Organ Procurement Organization, CATEGORY = "17" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  TX=TEXAS
                  UT=UTAH
                  VA=VIRGINIA
                  VI=VIRGIN ISLANDS
                  VT=VERMONT
                  WA=WASHINGTON
                  WI=WISCONSIN
                  WV=WEST VIRGINIA
                  WY=WYOMING

   SSA State Code                                    2    174   175  VARCHAR2
     Description: SSA (Social Security Administration) geographic code
                  indicating the state of the provider's residence. Must
                  agree with the first two positions of the Provider number
                  (except California: 05 and 55; Texas: 45 and 67; FL: 10
                  and 68; MD: 21 and 80).
     SAS Name:    SSA_STATE_CD
     COBOL Name:  SSA-STATE-CD
     VALUES:      01=ALABAMA
                  02=ALASKA
                  03=ARIZONA
                  04=ARKANSAS
                  05=CALIFORNIA
                  06=COLORADO
                  07=CONNECTICUT
                  08=DELAWARE
                  09=DISTRICT OF COLUMBIA
                  10=FLORIDA
                  11=GEORGIA
                  12=HAWAII
                  13=IDAHO
                  14=ILLINOIS
                  15=INDIANA
                  16=IOWA
                  17=KANSAS
                  18=KENTUCKY
                  19=LOUISIANA
                  20=MAINE
                  21=MARYLAND
                  22=MASSACHUSETTS
                  23=MICHIGAN
                  24=MINNESOTA
                  25=MISSISSIPPI
                  26=MISSOURI
                  27=MONTANA
                  28=NEBRASKA
                  29=NEVADA
                  30=NEW HAMPSHIRE
                  31=NEW JERSEY
                  32=NEW MEXICO
                  33=NEW YORK
                  34=NORTH CAROLINA
                  35=NORTH DAKOTA
                  36=OHIO
                  37=OKLAHOMA
                  38=OREGON
                  39=PENNSYLVANIA
                  40=PUERTO RICO
                  41=RHODE ISLAND
                  42=SOUTH CAROLINA
                  43=SOUTH DAKOTA
                  44=TENNESSEE
                  45=TEXAS
                  46=UTAH

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 13
      Organ Procurement Organization, CATEGORY = "17" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  47=VERMONT
                  48=VIRGIN ISLANDS
                  49=VIRGINIA
                  50=WASHINGTON
                  51=WEST VIRGINIA
                  52=WISCONSIN
                  53=WYOMING
                  54=AFRICA
                  56=CANADA
                  57=WEST INDIES
                  58=EUROPE
                  59=MEXICO
                  60=OCEANIA
                  61=PHILIPPINES
                  62=SOUTH AMERICA
                  63=UNITED STATES POSSESSIONS
                  64=AMERICAN SAMOA
                  65=GUAM
                  66=SAIPAN
                  99=FOREIGN

   State Region Code                                 3    176   178  VARCHAR2
     Description: For selected states, identifies the particular region
                  within the state where the provider is located.
     SAS Name:    STATE_RGN_CD
     COBOL Name:  STATE-RGN-CD
     VALUES:      AK/001=ALASKA
                  AK/LAB=LABORATORIES
                  AK/UNK=UNKNOWN
                  AL/001=ALABAMA
                  AL/LAB=LABORATORIES
                  AL/UNK=UNKNOWN
                  AR/001=ARKANSAS
                  AR/LAB=LABORATORIES
                  AR/UNK=UNKNOWN
                  AS/001=AMERICAN SAMOA
                  AS/LAB=LABORATORY
                  AS/UNK=UNKNOWN
                  AZ/AZ=PHOENIX
                  AZ/LAB=ARIZONA LAB
                  AZ/TUC=TUCSON
                  AZ/UNK=UNKNOWN
                  CA/BAK=BAKERSFIELD
                  CA/BER=SAN BERNARDINO
                  CA/BK=BERKELEY
                  CA/BK1=CONTRA COSTA
                  CA/FR=FRESNO
                  CA/L1=L.A. WEST
                  CA/L2=L.A. NORTH
                  CA/L3=L.A. CENTRAL
                  CA/L4=L.A. EAST
                  CA/L5=SAN GABRIEL
                  CA/LAB=LABORATORIES
                  CA/M1=LAB. SOUTH
                  CA/M2=LAB. NORTH
                  CA/ORG=ORANGE CO
                  CA/RIV=RIVERSIDE
                  CA/RWC=REDWOOD COAST
                  CA/S1=SACRAMENTO
                  CA/S2=SACTO SOUTH
                  CA/S3=CHICO
                  CA/SD=SAN DIEGO
                  CA/SDS=SAN DIEGO SOUTH
                  CA/SF=SAN FRANCISCO

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 14
      Organ Procurement Organization, CATEGORY = "17" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  CA/SJ=SAN JOSE
                  CA/SR=SANTA ROSA
                  CA/UNK=UNKNOWN
                  CA/VEN=VENTURA
                  CN/001=CANADA
                  CN/LAB=LABORATORY
                  CN/UNK=UNKNOWN
                  CO/001=COLORADO
                  CO/LAB=LABORATORIES
                  CO/UNK=UNKNOWN
                  CT/001=CONNECTICUT
                  CT/LAB=LABORATORIES
                  CT/UNK=UNKNOWN
                  DC/001=DISTRICT OF COLUMBIA
                  DC/LAB=LABORATORIES
                  DC/UNK=UNKNOWN
                  DE/001=DELAWARE
                  DE/LAB=LABORATORIES
                  DE/UNK=UNKNOWN
                  FL/FTM=FT. MYERS
                  FL/GAI=GAINESVILLE
                  FL/JAX=JACKSONVILLE
                  FL/LAB=LABORATORIES
                  FL/LAN=LANTANA
                  FL/LAU=LAUDERHILL
                  FL/MIA=MIAMI
                  FL/ORL=ORLANDO
                  FL/PEN=PENSACOLA
                  FL/STP=ST. PETERSBURG
                  FL/TAL=TALLAHASSEE
                  FL/TAM=TAMPA
                  FL/UNK=UNKNOWN
                  FM/001=FEDERATED STATES OF MICRO
                  FN/001=FOREIGN
                  FN/LAB=LABORATORIES
                  FN/UNK=UNKNOWN
                  GA/001=GEORGIA
                  GA/GAA=GEORGIA ALL
                  GA/GAC=GEORGIA CENTRAL
                  GA/GAE=GEORGIA EASTERN
                  GA/GAN=GEORGIA NORTH
                  GA/GAS=GEORGIA SOUTH
                  GA/GAW=GEORGIA WESTERN
                  GA/LAB=LABORATORIES
                  GA/UNK=UNKNOWN
                  GU/001=GUAM
                  GU/LAB=LABORATORIES
                  GU/UNK=UNKNOWN
                  HI/001=HAWAII
                  HI/LAB=LABORATORIES
                  HI/UNK=UNKNOWN
                  IA/001=IOWA
                  IA/LAB=LABORATORIES
                  IA/UNK=UNKNOWN
                  ID/001=IDAHO
                  ID/LAB=LABORATORIES
                  ID/UNK=UNKNOWN
                  IL/001=ILLINOIS
                  IL/LAB=LABORATORIES
                  IL/UNK=UNKNOWN
                  IN/001=INDIANA
                  IN/LAB=LABORATORIES
                  IN/UNK=UNKNOWN
                  KS/LAB=LABORATORIES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 15
      Organ Procurement Organization, CATEGORY = "17" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  KS/LAW=LAWRENCE
                  KS/NC=NORTH CENTRAL KANSAS
                  KS/NE=NORTH EAST KANSAS
                  KS/NW=NORTH WEST KANSAS
                  KS/SC=SOUTH CENTRAL KANSAS
                  KS/SE=SOUTH EAST KANSAS
                  KS/SW=SOUTH WEST KANSAS
                  KS/UNK=UNKNOWN
                  KS/WST=WEST
                  KY/2C1=HOPKINSVILLE
                  KY/2C2=LOUISVILLE
                  KY/2C3=LONDON
                  KY/2C4=LEXINGTON
                  KY/LAB=LABORATORIES
                  KY/UNK=UNKNOWN
                  LA/001=LOUISIANA
                  LA/LA1=NEW ORLEANS
                  LA/LA2=MANDEVILLE
                  LA/LA3=LAFAYETTE
                  LA/LA4=MONROE
                  LA/LA5=SHREVEPORT
                  LA/LA6=ALEXANDRIA
                  LA/LAB=LABORATORIES
                  LA/LB1=CLIA NEW ORLEANS
                  LA/LB5=CLIA SHREVEPORT
                  LA/LB6=CLIA ALEXANDRIA
                  LA/UNK=UNKNOWN
                  MA/001=MASSACHUSETTS
                  MA/LAB=LABORATORIES
                  MA/UNK=UNKNOWN
                  MD/001=MARYLAND
                  MD/LAB=LABORATORIES
                  MD/UNK=UNKNOWN
                  ME/001=MAINE
                  ME/LAB=LABORATORIES
                  ME/UNK=UNKNOWN
                  MH/001=MARSHALL ISLANDS
                  MI/001=MICHIGAN
                  MI/LAB=LABORATORIES
                  MI/UNK=UNKNOWN
                  MN/001=MINNESOTA
                  MN/LAB=LABORATORIES
                  MN/UNK=UNKNOWN
                  MO/01=REGION01
                  MO/02=REGION02
                  MO/03=REGION 03
                  MO/04=REGION 04
                  MO/05=REGION 05
                  MO/06=REGION 06
                  MO/07=REGION 07
                  MO/1NH=REGION 1 NH
                  MO/2NH=REGION 2 NH
                  MO/3NH=REGION 3 NH
                  MO/4NH=REGION 4 NH
                  MO/5NH=REGION 5 NH
                  MO/6NH=REGION 6 NH
                  MO/7NH=REGION 7 NH
                  MO/LAB=LABORATORIES
                  MO/MO=STATEWIDE
                  MO/UNK=UNKNOWN
                  MP/001=NORTHERN MARIANA ISLANDS
                  MP/LAB=LABORATORIES
                  MP/UNK=UNKNOWN
                  MS/001=MISSISSIPPI

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 16
      Organ Procurement Organization, CATEGORY = "17" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  MS/LAB=LABORATORIES
                  MS/UNK=UNKNOWN
                  MT/001=MONTANA
                  MT/LAB=LABORATORIES
                  MT/UNK=UNKNOWN
                  MX/001=MEXICO
                  MX/LAB=LABORATORY
                  MX/UNK=UNKNOWN
                  NC/LAB=LABORATORIES
                  NC/NCC=NORTH CAROLINA CENTRAL
                  NC/NCE=NORTH CAROLINA EAST
                  NC/NCN=NORTH CAROLINA NORTH
                  NC/NCS=NORTH CAROLINA SOUTH
                  NC/NCW=NORTH CAROLINA WEST
                  NC/UNK=UNKNOWN
                  ND/001=NORTH DAKOTA
                  ND/LAB=LABORATORIES
                  ND/UNK=UNKNOWN
                  NE/1=NORTH CENTRAL
                  NE/2=CENTRAL
                  NE/3=NORTHEAST
                  NE/4=SOUTHEAST
                  NE/5=WESTERN
                  NE/LAB=LABORATORIES
                  NE/UNK=UNKNOWN
                  NH/001=NEW HAMPSHIRE
                  NH/LAB=LABORATORIES
                  NH/UNK=UNKNOWN
                  NJ/001=NEW JERSEY
                  NJ/LAB=LABORATORIES
                  NJ/UNK=UNKNOWN
                  NM/001=NEW MEXICO
                  NM/LAB=LABORATORIES
                  NM/UNK=UNKNOWN
                  NV/CC=CARSON CITY
                  NV/LAB=LABORATORIES
                  NV/LV=LAS VEGAS
                  NV/UNK=UNKNOWN
                  NY/001=BUFFALO
                  NY/002=ROCHESTER
                  NY/003=SYRACUSE
                  NY/004=ALBANY
                  NY/005=NEW ROCHELLE
                  NY/006=NEW YORK CITY
                  NY/007=SUFFOLK/NASSAU COUNTY
                  NY/LAB=LABORATORIES
                  NY/UNK=UNKNOWN
                  OH/001=OHIO
                  OH/LAB=LABORATORIES
                  OH/UNK=UNKNOWN
                  OK/001=OKLAHOMA
                  OK/LAB=LABORATORIES
                  OK/UNK=UNKNOWN
                  OR/001=OFFICE #1
                  OR/002=OFFICE #2
                  OR/003=OFFICE #3
                  OR/LAB=LABORATORIES
                  OR/UNK=UNKNOWN
                  PA/001=PENNSYLVANIA
                  PA/LAB=LABORATORIES
                  PA/UNK=UNKNOWN
                  PR/001=PUERTO RICO
                  PR/LAB=LABORATORIES
                  PR/UNK=UNKNOWN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 17
      Organ Procurement Organization, CATEGORY = "17" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  PW/001=PALAU
                  RI/001=RHODE ISLAND
                  RI/LAB=LABORATORIES
                  RI/UNK=UNKNOWN
                  SC/001=SOUTH CAROLINA
                  SC/LAB=LABORATORIES
                  SC/UNK=UNKNOWN
                  SD/001=SOUTH DAKOTA
                  SD/LAB=LABORATORIES
                  SD/UNK=UNKNOWN
                  TN/LAB=LABORATORIES
                  TN/TNC=TENNESSEE COOKEVILLE
                  TN/TNE=TENNESSEE EASTERN
                  TN/TNM=TENNESSEE MIDDLE
                  TN/TNW=TENNESSEE WESTERN
                  TN/UNK=UNKNOWN
                  TX/001=TEXAS
                  TX/L01=AMARILLO-LTC
                  TX/L02=ABILENE-LTC
                  TX/L03=ARLINGTON-LTC
                  TX/L04=TYLER-LTC
                  TX/L05=BEAUMONT-LTC
                  TX/L06=HOUSTON-LTC
                  TX/L07=TEMPLE-LTC
                  TX/L08=SAN ANTONIO-LTC
                  TX/L09=SAN ANGELO-LTC
                  TX/L10=EL PASO-LTC
                  TX/L11=CORPUS CHRISTI-LTC
                  TX/LAB=LABORATORIES
                  TX/TX1=LUBBOCK
                  TX/TX2=ARLINGTON
                  TX/TX3=SAN ANTONIO
                  TX/TX4=HOUSTON
                  TX/TX5=TYLER
                  TX/TX6=AUSTIN
                  TX/UNK=UNKNOWN
                  UT/001=UTAH
                  UT/LAB=LABORATORIES
                  UT/UNK=UNKNOWN
                  VA/001=VIRGINIA
                  VA/LAB=LABORATORIES
                  VA/UNK=UNKNOWN
                  VI/001=VIRGIN ISLANDS
                  VI/LAB=LABORATORIES
                  VI/UNK=UNKNOWN
                  VT/001=VERMONT
                  VT/LAB=LABORATORIES
                  VT/UNK=UNKNOWN
                  WA/001=ALL OTHERS (NON-LTC FAC)
                  WA/D1=SPOKANE & YAKIMA AREAS
                  WA/D1A=District 1, Unit A
                  WA/D1B=District 1, Unit B
                  WA/D1C=District 1, Unit C
                  WA/D1D=District 1, Unit D
                  WA/D2=SPOKANE & SE
                  WA/D2A=District 2, Unit A
                  WA/D2B=District 2, Unit B
                  WA/D2C=District 2, Unit C
                  WA/D2D=District 2, Unit D
                  WA/D2E=District 2, Unit E
                  WA/D2F=District 2, Unit F
                  WA/D2G=District 2, Unit G
                  WA/D3=NW WASHINGTON
                  WA/D3A=District 3, Unit A

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 18
      Organ Procurement Organization, CATEGORY = "17" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  WA/D3B=District 3, Unit B
                  WA/D3C=District 3, Unit C
                  WA/D3D=District 3, Unit D
                  WA/D3E=District 3, Unit E
                  WA/D4A=GREATER SEATTLE AREA
                  WA/D4B=S KING COUNTY
                  WA/D5A=PIERCE CTY & PENINSULA
                  WA/D5B=PIERCE CTY & GRAYS HARBOR
                  WA/D6=OLYMPIA AREA
                  WA/LAB=LABORATORIES
                  WA/UNK=UNKNOWN
                  WI/001=WISCONSIN
                  WI/LAB=LABORATORIES
                  WI/UNK=UNKNOWN
                  WV/001=WEST VIRGINIA
                  WV/LAB=LABORATORIES
                  WV/UNK=UNKNOWN
                  WY/001=WYOMING
                  WY/LAB=LABORATORIES
                  WY/UNK=UNKNOWN

   Street Address                                    50   179   228  VARCHAR2
     Description: Street address of a provider that is certified to provide
                  Medicare and/or Medicaid services.
     SAS Name:    ST_ADR
     COBOL Name:  ST-ADR

   Telephone Number                                  10   229   238  VARCHAR2
     Description: The 10-digit telephone number of the primary contact or
                  the operator of a provider.
     SAS Name:    PHNE_NUM
     COBOL Name:  PHNE-NUM

   Termination Code 1                                2    239   240  VARCHAR2
     Description: Termination code number one: the reason a facility has
                  been terminated from the CLIA, Medicare and/or Medicaid
                  programs.
     SAS Name:    PGM_TRMNTN_CD
     COBOL Name:  PGM-TRMNTN-CD
     VALUES:      00=ACTIVE PROVIDER
                  01=VOLUNTARY-MERGER, CLOSURE
                  02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT
                  03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION
                  04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL
                  05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ
                  06=INVOLUNTARY-FAILURE TO MEET AGREEMENT
                  07=OTHER-PROVIDER STATUS CHANGE
                  08=NONPAYMENT OF FEES - CLIA Only
                  09=REV/UNSUCCESSFUL PARTICIPATION IN PT - CLIA Only
                  10=REV/OTHER REASON - CLIA Only
                  11=INCMPLETE CLIA APPLICATION INFORMATION - CLIA Only
                  12=NO LONGER PERFORMING TESTS - CLIA Only
                  13=MULTIPLE TO SINGLE SITE CERTIFICATE - CLIA Only
                  14=SHARED LABORATORY - CLIA Only
                  15=FAILURE TO RENEW WAIVER PPM CERTIFICATE - CLIA Only
                  16=DUPLICATE CLIA NUMBER - CLIA Only
                  17=MAIL RETURNED NO FORWARD ADDRESS CERT ENDED - CLIA Only
                  20=NOTIFICATION BANKRUPTCY - CLIA Only
                  33=ACCREDITATION NOT CONFIRMED - CLIA Only
                  80=AWAITING STATE APPROVAL
                  99=OIG ACTION - DO NOT ACTIVATE - CLIA Only

   Termination Date / Expiration Date 1              8    241   248  DATE
     Description: The date the laboratory's certificate terminated or the

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 19
      Organ Procurement Organization, CATEGORY = "17" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  expiration date of the current CLIA certificate. For
                  other non-CLIA providers, it is the date the facility was
                  terminated.
     SAS Name:    TRMNTN_EXPRTN_DT
     COBOL Name:  TRMNTN-EXPRTN-DT

   Type of Action                                    1    249   249  VARCHAR2
     Description: Type of action on the 'official' survey record.  This
                  field is copied from type of action on the HCFA-1539,
                  certification and transmittal.
     SAS Name:    SRVY_PRPSE_CD
     COBOL Name:  SRVY-PRPSE-CD
     VALUES:      1=INITIAL
                  2=RECERTIFICATION
                  3=TERMINATION
                  4=CHANGE OF OWNERSHIP
                  5=VALIDATION
                  6=ONSITE SURVEY DUE TO FLEXIBLE SURVEY - CLIA Only
                  8=FULL SURVEY AFTER COMPLAINT - CLIA ONLY

   General Type of Control Code                      2    250   251  VARCHAR2
     Description: Indicates the nature of the organization that operates a
                  provider of services.
     SAS Name:    GNRL_CNTL_TYPE_CD
     COBOL Name:  GNRL-CNTL-TYPE-CD

   ZIP Code                                          5    252   256  VARCHAR2
     Description: The five-digit postal code for the provider.
     SAS Name:    ZIP_CD
     COBOL Name:  ZIP-CD

   FIPS State Code                                   2    257   258  VARCHAR2
     Description: FIPS State Code
     SAS Name:    FIPS_STATE_CD
     COBOL Name:  FIPS-STATE-CD

   FIPS County Code                                  3    259   261  VARCHAR2
     Description: FIPS County Code
     SAS Name:    FIPS_CNTY_CD
     COBOL Name:  FIPS-CNTY-CD

   CBSA Urban Rural Indicator                        1    262   262  VARCHAR2
     Description: CBSA (Core Based Statistical Area) indicates whether the
                  county is defined as Urban or Rural.
     SAS Name:    CBSA_URBN_RRL_IND
     COBOL Name:  CBSA-URBN-RRL-IND



















 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 1
             HHA or OPT Branch, CATEGORY = "18" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Provider Category Subtype Code                    2    1     2    VARCHAR2
     Description: This field is used mainly by batch report programs to
                  determine the breakdown of the provider category. This
                  field is mainly used for SNFs and hospitals.
     SAS Name:    PRVDR_CTGRY_SBTYP_CD
     COBOL Name:  PRVDR-CTGRY-SBTYP-CD
     VALUES:      01=HHA BRANCH
                  02=OPT EXTENSION

   Provider Category Code                            2    3     4    VARCHAR2
     Description: This code identifies the category which is most
                  descriptive of the facility identified on the
                  Medicare/Medicaid Certification and Transmittal Form (CMS
                  1539).
     SAS Name:    PRVDR_CTGRY_CD
     COBOL Name:  PRVDR-CTGRY-CD
     VALUES:      18=HHA or OPT Branch

   Change of Ownership Count                         2    5     6    NUMBER
     Description: The number of times a change of ownership (CHOW) has
                  taken place for a particular provider.
     SAS Name:    CHOW_CNT
     COBOL Name:  CHOW-CNT

   Change of Ownership Date                          8    7     14   DATE
     Description: Effective date of a change of ownership.
     SAS Name:    CHOW_DT
     COBOL Name:  CHOW-DT

   City                                              28   15    42   VARCHAR2
     Description: City in which the provider is physically located.
     SAS Name:    CITY_NAME
     COBOL Name:  CITY-NAME

   Compliance: Plan of Correction                    1    43    43   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements based on an acceptable plan for correction
                  of deficiencies.
     SAS Name:    ACPTBL_POC_SW
     COBOL Name:  ACPTBL-POC-SW

   Compliance: Status                                1    44    44   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements.
     SAS Name:    CMPLNC_STUS_CD
     COBOL Name:  CMPLNC-STUS-CD
     VALUES:      A=IN COMPLIANCE
                  B=NOT IN COMPLIANCE

   SSA County Code                                   3    45    47   VARCHAR2
     Description: SSA (State Survey Agency) geographic code indicating the
                  county where the facility is located.
     SAS Name:    SSA_CNTY_CD
     COBOL Name:  SSA-CNTY-CD

   Cross Ref Provider Number                         10   48    57   CHAR
     Description: Cross reference provider number
     SAS Name:    CROSS_RFRNC_PRVDR_NUM
     COBOL Name:  CROSS-RFRNC-PRVDR-NUM

   Certification Date                                8    58    65   DATE
     Description: The Certification date is equal to the exit date of the
                  initial visit of the Health survey or LSC survey,

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 2
             HHA or OPT Branch, CATEGORY = "18" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  whichever is later.
     SAS Name:    CRTFCTN_DT
     COBOL Name:  CRTFCTN-DT

   Eligibility Switch                                1    66    66   VARCHAR2
     Description: Indicates if a facility is eligible to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    ELGBLTY_SW
     COBOL Name:  ELGBLTY-SW

   Facility Name                                     50   67    116  VARCHAR2
     Description: The name of a provider certified to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    FAC_NAME
     COBOL Name:  FAC-NAME

   Intermediary Carrier Code                         5    117   121  VARCHAR2
     Description: A number assigned to an intermediary or carrier servicing
                  a provider or supplier. Not all numbers apply to all
                  provider types.
     SAS Name:    INTRMDRY_CARR_CD
     COBOL Name:  INTRMDRY-CARR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 3
             HHA or OPT Branch, CATEGORY = "18" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 4
             HHA or OPT Branch, CATEGORY = "18" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 5
             HHA or OPT Branch, CATEGORY = "18" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 6
             HHA or OPT Branch, CATEGORY = "18" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Medicare or Medicaid Vendor Number                15   122   136  VARCHAR2
     Description: A number which may be assigned to a facility by the state
                  Medicaid agency for external control or billing purposes.
     SAS Name:    MDCD_VNDR_NUM
     COBOL Name:  MDCD-VNDR-NUM

   Participation Date                                8    137   144  DATE
     Description: The date a facility is first approved to provide Medicare
                  and/or Medicaid services.
     SAS Name:    ORGNL_PRTCPTN_DT
     COBOL Name:  ORGNL-PRTCPTN-DT

   Prior Change of Ownership Date                    8    145   152  DATE
     Description: The date of a prior change of ownership.
     SAS Name:    CHOW_PRIOR_DT
     COBOL Name:  CHOW-PRIOR-DT

   Intermediary Carrier Prior Code                   5    153   157  VARCHAR2
     Description: The previous intermediary carrier number.
     SAS Name:    INTRMDRY_CARR_PRIOR_CD
     COBOL Name:  INTRMDRY-CARR-PRIOR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 7
             HHA or OPT Branch, CATEGORY = "18" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 8
             HHA or OPT Branch, CATEGORY = "18" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 9
             HHA or OPT Branch, CATEGORY = "18" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 10
             HHA or OPT Branch, CATEGORY = "18" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Provider Number                                   10   158   167  VARCHAR2
     Description: A six or ten position identification number that is
                  assigned to a certified provider.
     SAS Name:    PRVDR_NUM
     COBOL Name:  PRVDR-NUM

   Record Status Code                                1    168   168  VARCHAR2
     Description: This indicator specifies the current status of the
                  record.
     SAS Name:    REC_STUS_CD
     COBOL Name:  REC-STUS-CD
     VALUES:      A=ACCEPTED RECORD
                  C=COMPLAINT RECORD

   Region Code                                       2    169   170  VARCHAR2
     Description: The regional location of the provider.
     SAS Name:    RGN_CD
     COBOL Name:  RGN-CD
     VALUES:      01=BOSTON
                  02=NEW YORK
                  03=PHILADELPHIA
                  04=ATLANTA
                  05=CHICAGO
                  06=DALLAS
                  07=KANSAS CITY

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 11
             HHA or OPT Branch, CATEGORY = "18" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  08=DENVER
                  09=SAN FRANCISCO
                  10=SEATTLE

   Skeleton Record Switch                            1    171   171  VARCHAR2
     Description: Indicates the record is a skeleton record.  Only a
                  limited set of the provider data is available for this
                  provider.
     SAS Name:    SKLTN_REC_SW
     COBOL Name:  SKLTN-REC-SW

   State Abbreviation                                2    172   173  VARCHAR2
     Description: The two-character state abbreviation.
     SAS Name:    STATE_CD
     COBOL Name:  STATE-CD
     VALUES:      AK=ALASKA
                  AL=ALABAMA
                  AR=ARKANSAS
                  AS=AMERICAN SAMOA
                  AZ=ARIZONA
                  CA=CALIFORNIA
                  CN=CANADA
                  CO=COLORADO
                  CT=CONNECTICUT
                  DC=DISTRICT OF COLUMBIA
                  DE=DELAWARE
                  FL=FLORIDA
                  FN=FOREIGN
                  GA=GEORGIA
                  GU=GUAM
                  HI=HAWAII
                  IA=IOWA
                  ID=IDAHO
                  IL=ILLINOIS
                  IN=INDIANA
                  KS=KANSAS
                  KY=KENTUCKY
                  LA=LOUISIANA
                  MA=MASSACHUSETTS
                  MD=MARYLAND
                  ME=MAINE
                  MI=MICHIGAN
                  MN=MINNESOTA
                  MO=MISSOURI
                  MP=SAIPAN
                  MS=MISSISSIPPI
                  MT=MONTANA
                  MX=MEXICO
                  NC=NORTH CAROLINA
                  ND=NORTH DAKOTA
                  NE=NEBRASKA
                  NH=NEW HAMPSHIRE
                  NJ=NEW JERSEY
                  NM=NEW MEXICO
                  NV=NEVADA
                  NY=NEW YORK
                  OH=OHIO
                  OK=OKLAHOMA
                  OR=OREGON
                  PA=PENNSYLVANIA
                  PR=PUERTO RICO
                  RI=RHODE ISLAND
                  SC=SOUTH CAROLINA
                  SD=SOUTH DAKOTA

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 12
             HHA or OPT Branch, CATEGORY = "18" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  TN=TENNESSEE
                  TX=TEXAS
                  UT=UTAH
                  VA=VIRGINIA
                  VI=VIRGIN ISLANDS
                  VT=VERMONT
                  WA=WASHINGTON
                  WI=WISCONSIN
                  WV=WEST VIRGINIA
                  WY=WYOMING

   SSA State Code                                    2    174   175  VARCHAR2
     Description: SSA (Social Security Administration) geographic code
                  indicating the state of the provider's residence. Must
                  agree with the first two positions of the Provider number
                  (except California: 05 and 55; Texas: 45 and 67; FL: 10
                  and 68; MD: 21 and 80).
     SAS Name:    SSA_STATE_CD
     COBOL Name:  SSA-STATE-CD
     VALUES:      01=ALABAMA
                  02=ALASKA
                  03=ARIZONA
                  04=ARKANSAS
                  05=CALIFORNIA
                  06=COLORADO
                  07=CONNECTICUT
                  08=DELAWARE
                  09=DISTRICT OF COLUMBIA
                  10=FLORIDA
                  11=GEORGIA
                  12=HAWAII
                  13=IDAHO
                  14=ILLINOIS
                  15=INDIANA
                  16=IOWA
                  17=KANSAS
                  18=KENTUCKY
                  19=LOUISIANA
                  20=MAINE
                  21=MARYLAND
                  22=MASSACHUSETTS
                  23=MICHIGAN
                  24=MINNESOTA
                  25=MISSISSIPPI
                  26=MISSOURI
                  27=MONTANA
                  28=NEBRASKA
                  29=NEVADA
                  30=NEW HAMPSHIRE
                  31=NEW JERSEY
                  32=NEW MEXICO
                  33=NEW YORK
                  34=NORTH CAROLINA
                  35=NORTH DAKOTA
                  36=OHIO
                  37=OKLAHOMA
                  38=OREGON
                  39=PENNSYLVANIA
                  40=PUERTO RICO
                  41=RHODE ISLAND
                  42=SOUTH CAROLINA
                  43=SOUTH DAKOTA
                  44=TENNESSEE
                  45=TEXAS

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 13
             HHA or OPT Branch, CATEGORY = "18" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  46=UTAH
                  47=VERMONT
                  48=VIRGIN ISLANDS
                  49=VIRGINIA
                  50=WASHINGTON
                  51=WEST VIRGINIA
                  52=WISCONSIN
                  53=WYOMING
                  54=AFRICA
                  56=CANADA
                  57=WEST INDIES
                  58=EUROPE
                  59=MEXICO
                  60=OCEANIA
                  61=PHILIPPINES
                  62=SOUTH AMERICA
                  63=UNITED STATES POSSESSIONS
                  64=AMERICAN SAMOA
                  65=GUAM
                  66=SAIPAN
                  99=FOREIGN

   State Region Code                                 3    176   178  VARCHAR2
     Description: For selected states, identifies the particular region
                  within the state where the provider is located.
     SAS Name:    STATE_RGN_CD
     COBOL Name:  STATE-RGN-CD
     VALUES:      AK/001=ALASKA
                  AK/LAB=LABORATORIES
                  AK/UNK=UNKNOWN
                  AL/001=ALABAMA
                  AL/LAB=LABORATORIES
                  AL/UNK=UNKNOWN
                  AR/001=ARKANSAS
                  AR/LAB=LABORATORIES
                  AR/UNK=UNKNOWN
                  AS/001=AMERICAN SAMOA
                  AS/LAB=LABORATORY
                  AS/UNK=UNKNOWN
                  AZ/AZ=PHOENIX
                  AZ/LAB=ARIZONA LAB
                  AZ/TUC=TUCSON
                  AZ/UNK=UNKNOWN
                  CA/BAK=BAKERSFIELD
                  CA/BER=SAN BERNARDINO
                  CA/BK=BERKELEY
                  CA/BK1=CONTRA COSTA
                  CA/FR=FRESNO
                  CA/L1=L.A. WEST
                  CA/L2=L.A. NORTH
                  CA/L3=L.A. CENTRAL
                  CA/L4=L.A. EAST
                  CA/L5=SAN GABRIEL
                  CA/LAB=LABORATORIES
                  CA/M1=LAB. SOUTH
                  CA/M2=LAB. NORTH
                  CA/ORG=ORANGE CO
                  CA/RIV=RIVERSIDE
                  CA/RWC=REDWOOD COAST
                  CA/S1=SACRAMENTO
                  CA/S2=SACTO SOUTH
                  CA/S3=CHICO
                  CA/SD=SAN DIEGO
                  CA/SDS=SAN DIEGO SOUTH

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 14
             HHA or OPT Branch, CATEGORY = "18" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  CA/SF=SAN FRANCISCO
                  CA/SJ=SAN JOSE
                  CA/SR=SANTA ROSA
                  CA/UNK=UNKNOWN
                  CA/VEN=VENTURA
                  CN/001=CANADA
                  CN/LAB=LABORATORY
                  CN/UNK=UNKNOWN
                  CO/001=COLORADO
                  CO/LAB=LABORATORIES
                  CO/UNK=UNKNOWN
                  CT/001=CONNECTICUT
                  CT/LAB=LABORATORIES
                  CT/UNK=UNKNOWN
                  DC/001=DISTRICT OF COLUMBIA
                  DC/LAB=LABORATORIES
                  DC/UNK=UNKNOWN
                  DE/001=DELAWARE
                  DE/LAB=LABORATORIES
                  DE/UNK=UNKNOWN
                  FL/FTM=FT. MYERS
                  FL/GAI=GAINESVILLE
                  FL/JAX=JACKSONVILLE
                  FL/LAB=LABORATORIES
                  FL/LAN=LANTANA
                  FL/LAU=LAUDERHILL
                  FL/MIA=MIAMI
                  FL/ORL=ORLANDO
                  FL/PEN=PENSACOLA
                  FL/STP=ST. PETERSBURG
                  FL/TAL=TALLAHASSEE
                  FL/TAM=TAMPA
                  FL/UNK=UNKNOWN
                  FM/001=FEDERATED STATES OF MICRO
                  FN/001=FOREIGN
                  FN/LAB=LABORATORIES
                  FN/UNK=UNKNOWN
                  GA/001=GEORGIA
                  GA/GAA=GEORGIA ALL
                  GA/GAC=GEORGIA CENTRAL
                  GA/GAE=GEORGIA EASTERN
                  GA/GAN=GEORGIA NORTH
                  GA/GAS=GEORGIA SOUTH
                  GA/GAW=GEORGIA WESTERN
                  GA/LAB=LABORATORIES
                  GA/UNK=UNKNOWN
                  GU/001=GUAM
                  GU/LAB=LABORATORIES
                  GU/UNK=UNKNOWN
                  HI/001=HAWAII
                  HI/LAB=LABORATORIES
                  HI/UNK=UNKNOWN
                  IA/001=IOWA
                  IA/LAB=LABORATORIES
                  IA/UNK=UNKNOWN
                  ID/001=IDAHO
                  ID/LAB=LABORATORIES
                  ID/UNK=UNKNOWN
                  IL/001=ILLINOIS
                  IL/LAB=LABORATORIES
                  IL/UNK=UNKNOWN
                  IN/001=INDIANA
                  IN/LAB=LABORATORIES
                  IN/UNK=UNKNOWN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 15
             HHA or OPT Branch, CATEGORY = "18" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  KS/LAB=LABORATORIES
                  KS/LAW=LAWRENCE
                  KS/NC=NORTH CENTRAL KANSAS
                  KS/NE=NORTH EAST KANSAS
                  KS/NW=NORTH WEST KANSAS
                  KS/SC=SOUTH CENTRAL KANSAS
                  KS/SE=SOUTH EAST KANSAS
                  KS/SW=SOUTH WEST KANSAS
                  KS/UNK=UNKNOWN
                  KS/WST=WEST
                  KY/2C1=HOPKINSVILLE
                  KY/2C2=LOUISVILLE
                  KY/2C3=LONDON
                  KY/2C4=LEXINGTON
                  KY/LAB=LABORATORIES
                  KY/UNK=UNKNOWN
                  LA/001=LOUISIANA
                  LA/LA1=NEW ORLEANS
                  LA/LA2=MANDEVILLE
                  LA/LA3=LAFAYETTE
                  LA/LA4=MONROE
                  LA/LA5=SHREVEPORT
                  LA/LA6=ALEXANDRIA
                  LA/LAB=LABORATORIES
                  LA/LB1=CLIA NEW ORLEANS
                  LA/LB5=CLIA SHREVEPORT
                  LA/LB6=CLIA ALEXANDRIA
                  LA/UNK=UNKNOWN
                  MA/001=MASSACHUSETTS
                  MA/LAB=LABORATORIES
                  MA/UNK=UNKNOWN
                  MD/001=MARYLAND
                  MD/LAB=LABORATORIES
                  MD/UNK=UNKNOWN
                  ME/001=MAINE
                  ME/LAB=LABORATORIES
                  ME/UNK=UNKNOWN
                  MH/001=MARSHALL ISLANDS
                  MI/001=MICHIGAN
                  MI/LAB=LABORATORIES
                  MI/UNK=UNKNOWN
                  MN/001=MINNESOTA
                  MN/LAB=LABORATORIES
                  MN/UNK=UNKNOWN
                  MO/01=REGION01
                  MO/02=REGION02
                  MO/03=REGION 03
                  MO/04=REGION 04
                  MO/05=REGION 05
                  MO/06=REGION 06
                  MO/07=REGION 07
                  MO/1NH=REGION 1 NH
                  MO/2NH=REGION 2 NH
                  MO/3NH=REGION 3 NH
                  MO/4NH=REGION 4 NH
                  MO/5NH=REGION 5 NH
                  MO/6NH=REGION 6 NH
                  MO/7NH=REGION 7 NH
                  MO/LAB=LABORATORIES
                  MO/MO=STATEWIDE
                  MO/UNK=UNKNOWN
                  MP/001=NORTHERN MARIANA ISLANDS
                  MP/LAB=LABORATORIES
                  MP/UNK=UNKNOWN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 16
             HHA or OPT Branch, CATEGORY = "18" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  MS/001=MISSISSIPPI
                  MS/LAB=LABORATORIES
                  MS/UNK=UNKNOWN
                  MT/001=MONTANA
                  MT/LAB=LABORATORIES
                  MT/UNK=UNKNOWN
                  MX/001=MEXICO
                  MX/LAB=LABORATORY
                  MX/UNK=UNKNOWN
                  NC/LAB=LABORATORIES
                  NC/NCC=NORTH CAROLINA CENTRAL
                  NC/NCE=NORTH CAROLINA EAST
                  NC/NCN=NORTH CAROLINA NORTH
                  NC/NCS=NORTH CAROLINA SOUTH
                  NC/NCW=NORTH CAROLINA WEST
                  NC/UNK=UNKNOWN
                  ND/001=NORTH DAKOTA
                  ND/LAB=LABORATORIES
                  ND/UNK=UNKNOWN
                  NE/1=NORTH CENTRAL
                  NE/2=CENTRAL
                  NE/3=NORTHEAST
                  NE/4=SOUTHEAST
                  NE/5=WESTERN
                  NE/LAB=LABORATORIES
                  NE/UNK=UNKNOWN
                  NH/001=NEW HAMPSHIRE
                  NH/LAB=LABORATORIES
                  NH/UNK=UNKNOWN
                  NJ/001=NEW JERSEY
                  NJ/LAB=LABORATORIES
                  NJ/UNK=UNKNOWN
                  NM/001=NEW MEXICO
                  NM/LAB=LABORATORIES
                  NM/UNK=UNKNOWN
                  NV/CC=CARSON CITY
                  NV/LAB=LABORATORIES
                  NV/LV=LAS VEGAS
                  NV/UNK=UNKNOWN
                  NY/001=BUFFALO
                  NY/002=ROCHESTER
                  NY/003=SYRACUSE
                  NY/004=ALBANY
                  NY/005=NEW ROCHELLE
                  NY/006=NEW YORK CITY
                  NY/007=SUFFOLK/NASSAU COUNTY
                  NY/LAB=LABORATORIES
                  NY/UNK=UNKNOWN
                  OH/001=OHIO
                  OH/LAB=LABORATORIES
                  OH/UNK=UNKNOWN
                  OK/001=OKLAHOMA
                  OK/LAB=LABORATORIES
                  OK/UNK=UNKNOWN
                  OR/001=OFFICE #1
                  OR/002=OFFICE #2
                  OR/003=OFFICE #3
                  OR/LAB=LABORATORIES
                  OR/UNK=UNKNOWN
                  PA/001=PENNSYLVANIA
                  PA/LAB=LABORATORIES
                  PA/UNK=UNKNOWN
                  PR/001=PUERTO RICO
                  PR/LAB=LABORATORIES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 17
             HHA or OPT Branch, CATEGORY = "18" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  PR/UNK=UNKNOWN
                  PW/001=PALAU
                  RI/001=RHODE ISLAND
                  RI/LAB=LABORATORIES
                  RI/UNK=UNKNOWN
                  SC/001=SOUTH CAROLINA
                  SC/LAB=LABORATORIES
                  SC/UNK=UNKNOWN
                  SD/001=SOUTH DAKOTA
                  SD/LAB=LABORATORIES
                  SD/UNK=UNKNOWN
                  TN/LAB=LABORATORIES
                  TN/TNC=TENNESSEE COOKEVILLE
                  TN/TNE=TENNESSEE EASTERN
                  TN/TNM=TENNESSEE MIDDLE
                  TN/TNW=TENNESSEE WESTERN
                  TN/UNK=UNKNOWN
                  TX/001=TEXAS
                  TX/L01=AMARILLO-LTC
                  TX/L02=ABILENE-LTC
                  TX/L03=ARLINGTON-LTC
                  TX/L04=TYLER-LTC
                  TX/L05=BEAUMONT-LTC
                  TX/L06=HOUSTON-LTC
                  TX/L07=TEMPLE-LTC
                  TX/L08=SAN ANTONIO-LTC
                  TX/L09=SAN ANGELO-LTC
                  TX/L10=EL PASO-LTC
                  TX/L11=CORPUS CHRISTI-LTC
                  TX/LAB=LABORATORIES
                  TX/TX1=LUBBOCK
                  TX/TX2=ARLINGTON
                  TX/TX3=SAN ANTONIO
                  TX/TX4=HOUSTON
                  TX/TX5=TYLER
                  TX/TX6=AUSTIN
                  TX/UNK=UNKNOWN
                  UT/001=UTAH
                  UT/LAB=LABORATORIES
                  UT/UNK=UNKNOWN
                  VA/001=VIRGINIA
                  VA/LAB=LABORATORIES
                  VA/UNK=UNKNOWN
                  VI/001=VIRGIN ISLANDS
                  VI/LAB=LABORATORIES
                  VI/UNK=UNKNOWN
                  VT/001=VERMONT
                  VT/LAB=LABORATORIES
                  VT/UNK=UNKNOWN
                  WA/001=ALL OTHERS (NON-LTC FAC)
                  WA/D1=SPOKANE & YAKIMA AREAS
                  WA/D1A=District 1, Unit A
                  WA/D1B=District 1, Unit B
                  WA/D1C=District 1, Unit C
                  WA/D1D=District 1, Unit D
                  WA/D2=SPOKANE & SE
                  WA/D2A=District 2, Unit A
                  WA/D2B=District 2, Unit B
                  WA/D2C=District 2, Unit C
                  WA/D2D=District 2, Unit D
                  WA/D2E=District 2, Unit E
                  WA/D2F=District 2, Unit F
                  WA/D2G=District 2, Unit G
                  WA/D3=NW WASHINGTON

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 18
             HHA or OPT Branch, CATEGORY = "18" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  WA/D3A=District 3, Unit A
                  WA/D3B=District 3, Unit B
                  WA/D3C=District 3, Unit C
                  WA/D3D=District 3, Unit D
                  WA/D3E=District 3, Unit E
                  WA/D4A=GREATER SEATTLE AREA
                  WA/D4B=S KING COUNTY
                  WA/D5A=PIERCE CTY & PENINSULA
                  WA/D5B=PIERCE CTY & GRAYS HARBOR
                  WA/D6=OLYMPIA AREA
                  WA/LAB=LABORATORIES
                  WA/UNK=UNKNOWN
                  WI/001=WISCONSIN
                  WI/LAB=LABORATORIES
                  WI/UNK=UNKNOWN
                  WV/001=WEST VIRGINIA
                  WV/LAB=LABORATORIES
                  WV/UNK=UNKNOWN
                  WY/001=WYOMING
                  WY/LAB=LABORATORIES
                  WY/UNK=UNKNOWN

   Street Address                                    50   179   228  VARCHAR2
     Description: Street address of a provider that is certified to provide
                  Medicare and/or Medicaid services.
     SAS Name:    ST_ADR
     COBOL Name:  ST-ADR

   Telephone Number                                  10   229   238  VARCHAR2
     Description: The 10-digit telephone number of the primary contact or
                  the operator of a provider.
     SAS Name:    PHNE_NUM
     COBOL Name:  PHNE-NUM

   Termination Code 1                                2    239   240  VARCHAR2
     Description: Termination code number one: the reason a facility has
                  been terminated from the CLIA, Medicare and/or Medicaid
                  programs.
     SAS Name:    PGM_TRMNTN_CD
     COBOL Name:  PGM-TRMNTN-CD
     VALUES:      00=ACTIVE PROVIDER
                  01=VOLUNTARY-MERGER, CLOSURE
                  02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT
                  03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION
                  04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL
                  05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ
                  06=INVOLUNTARY-FAILURE TO MEET AGREEMENT
                  07=OTHER-PROVIDER STATUS CHANGE
                  08=NONPAYMENT OF FEES - CLIA Only
                  09=REV/UNSUCCESSFUL PARTICIPATION IN PT - CLIA Only
                  10=REV/OTHER REASON - CLIA Only
                  11=INCMPLETE CLIA APPLICATION INFORMATION - CLIA Only
                  12=NO LONGER PERFORMING TESTS - CLIA Only
                  13=MULTIPLE TO SINGLE SITE CERTIFICATE - CLIA Only
                  14=SHARED LABORATORY - CLIA Only
                  15=FAILURE TO RENEW WAIVER PPM CERTIFICATE - CLIA Only
                  16=DUPLICATE CLIA NUMBER - CLIA Only
                  17=MAIL RETURNED NO FORWARD ADDRESS CERT ENDED - CLIA Only
                  20=NOTIFICATION BANKRUPTCY - CLIA Only
                  33=ACCREDITATION NOT CONFIRMED - CLIA Only
                  80=AWAITING STATE APPROVAL
                  99=OIG ACTION - DO NOT ACTIVATE - CLIA Only

   Termination Date / Expiration Date 1              8    241   248  DATE

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 19
             HHA or OPT Branch, CATEGORY = "18" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     Description: The date the laboratory's certificate terminated or the
                  expiration date of the current CLIA certificate. For
                  other non-CLIA providers, it is the date the facility was
                  terminated.
     SAS Name:    TRMNTN_EXPRTN_DT
     COBOL Name:  TRMNTN-EXPRTN-DT

   Type of Action                                    1    249   249  VARCHAR2
     Description: Type of action on the 'official' survey record.  This
                  field is copied from type of action on the HCFA-1539,
                  certification and transmittal.
     SAS Name:    SRVY_PRPSE_CD
     COBOL Name:  SRVY-PRPSE-CD
     VALUES:      1=INITIAL
                  2=RECERTIFICATION
                  3=TERMINATION
                  4=CHANGE OF OWNERSHIP
                  5=VALIDATION
                  6=ONSITE SURVEY DUE TO FLEXIBLE SURVEY - CLIA Only
                  8=FULL SURVEY AFTER COMPLAINT - CLIA ONLY

   General Type of Control Code                      2    250   251  VARCHAR2
     Description: Indicates the nature of the organization that operates a
                  provider of services.
     SAS Name:    GNRL_CNTL_TYPE_CD
     COBOL Name:  GNRL-CNTL-TYPE-CD

   ZIP Code                                          5    252   256  VARCHAR2
     Description: The five-digit postal code for the provider.
     SAS Name:    ZIP_CD
     COBOL Name:  ZIP-CD

   FIPS State Code                                   2    257   258  VARCHAR2
     Description: FIPS State Code
     SAS Name:    FIPS_STATE_CD
     COBOL Name:  FIPS-STATE-CD

   FIPS County Code                                  3    259   261  VARCHAR2
     Description: FIPS County Code
     SAS Name:    FIPS_CNTY_CD
     COBOL Name:  FIPS-CNTY-CD

   CBSA Urban Rural Indicator                        1    262   262  VARCHAR2
     Description: CBSA (Core Based Statistical Area) indicates whether the
                  county is defined as Urban or Rural.
     SAS Name:    CBSA_URBN_RRL_IND
     COBOL Name:  CBSA-URBN-RRL-IND

   Related Provider Number                           10   1510  1519 CHAR
     Description: Related provider number
     SAS Name:    RLTD_PRVDR_NUM
     COBOL Name:  RLTD-PRVDR-NUM













 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 1
      Community Mental Health Center, CATEGORY = "19" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Provider Category Subtype Code                    2    1     2    VARCHAR2
     Description: This field is used mainly by batch report programs to
                  determine the breakdown of the provider category. This
                  field is mainly used for SNFs and hospitals.
     SAS Name:    PRVDR_CTGRY_SBTYP_CD
     COBOL Name:  PRVDR-CTGRY-SBTYP-CD
     VALUES:      01=COMMUNITY MENTAL HEALTH CENTER

   Provider Category Code                            2    3     4    VARCHAR2
     Description: This code identifies the category which is most
                  descriptive of the facility identified on the
                  Medicare/Medicaid Certification and Transmittal Form (CMS
                  1539).
     SAS Name:    PRVDR_CTGRY_CD
     COBOL Name:  PRVDR-CTGRY-CD
     VALUES:      19=Community Mental Health Center

   Change of Ownership Count                         2    5     6    NUMBER
     Description: The number of times a change of ownership (CHOW) has
                  taken place for a particular provider.
     SAS Name:    CHOW_CNT
     COBOL Name:  CHOW-CNT

   Change of Ownership Date                          8    7     14   DATE
     Description: Effective date of a change of ownership.
     SAS Name:    CHOW_DT
     COBOL Name:  CHOW-DT

   City                                              28   15    42   VARCHAR2
     Description: City in which the provider is physically located.
     SAS Name:    CITY_NAME
     COBOL Name:  CITY-NAME

   Compliance: Plan of Correction                    1    43    43   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements based on an acceptable plan for correction
                  of deficiencies.
     SAS Name:    ACPTBL_POC_SW
     COBOL Name:  ACPTBL-POC-SW

   Compliance: Status                                1    44    44   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements.
     SAS Name:    CMPLNC_STUS_CD
     COBOL Name:  CMPLNC-STUS-CD
     VALUES:      A=IN COMPLIANCE
                  B=NOT IN COMPLIANCE

   SSA County Code                                   3    45    47   VARCHAR2
     Description: SSA (State Survey Agency) geographic code indicating the
                  county where the facility is located.
     SAS Name:    SSA_CNTY_CD
     COBOL Name:  SSA-CNTY-CD

   Cross Ref Provider Number                         10   48    57   CHAR
     Description: Cross reference provider number
     SAS Name:    CROSS_RFRNC_PRVDR_NUM
     COBOL Name:  CROSS-RFRNC-PRVDR-NUM

   Certification Date                                8    58    65   DATE
     Description: The Certification date is equal to the exit date of the
                  initial visit of the Health survey or LSC survey,
                  whichever is later.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 2
      Community Mental Health Center, CATEGORY = "19" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    CRTFCTN_DT
     COBOL Name:  CRTFCTN-DT

   Eligibility Switch                                1    66    66   VARCHAR2
     Description: Indicates if a facility is eligible to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    ELGBLTY_SW
     COBOL Name:  ELGBLTY-SW

   Facility Name                                     50   67    116  VARCHAR2
     Description: The name of a provider certified to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    FAC_NAME
     COBOL Name:  FAC-NAME

   Intermediary Carrier Code                         5    117   121  VARCHAR2
     Description: A number assigned to an intermediary or carrier servicing
                  a provider or supplier. Not all numbers apply to all
                  provider types.
     SAS Name:    INTRMDRY_CARR_CD
     COBOL Name:  INTRMDRY-CARR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 3
      Community Mental Health Center, CATEGORY = "19" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 4
      Community Mental Health Center, CATEGORY = "19" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 5
      Community Mental Health Center, CATEGORY = "19" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 6
      Community Mental Health Center, CATEGORY = "19" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Medicare or Medicaid Vendor Number                15   122   136  VARCHAR2
     Description: A number which may be assigned to a facility by the state
                  Medicaid agency for external control or billing purposes.
     SAS Name:    MDCD_VNDR_NUM
     COBOL Name:  MDCD-VNDR-NUM

   Participation Date                                8    137   144  DATE
     Description: The date a facility is first approved to provide Medicare
                  and/or Medicaid services.
     SAS Name:    ORGNL_PRTCPTN_DT
     COBOL Name:  ORGNL-PRTCPTN-DT

   Prior Change of Ownership Date                    8    145   152  DATE
     Description: The date of a prior change of ownership.
     SAS Name:    CHOW_PRIOR_DT
     COBOL Name:  CHOW-PRIOR-DT

   Intermediary Carrier Prior Code                   5    153   157  VARCHAR2
     Description: The previous intermediary carrier number.
     SAS Name:    INTRMDRY_CARR_PRIOR_CD
     COBOL Name:  INTRMDRY-CARR-PRIOR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 7
      Community Mental Health Center, CATEGORY = "19" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 8
      Community Mental Health Center, CATEGORY = "19" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 9
      Community Mental Health Center, CATEGORY = "19" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 10
      Community Mental Health Center, CATEGORY = "19" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Provider Number                                   10   158   167  VARCHAR2
     Description: A six or ten position identification number that is
                  assigned to a certified provider.
     SAS Name:    PRVDR_NUM
     COBOL Name:  PRVDR-NUM

   Record Status Code                                1    168   168  VARCHAR2
     Description: This indicator specifies the current status of the
                  record.
     SAS Name:    REC_STUS_CD
     COBOL Name:  REC-STUS-CD
     VALUES:      A=ACCEPTED RECORD
                  C=COMPLAINT RECORD

   Region Code                                       2    169   170  VARCHAR2
     Description: The regional location of the provider.
     SAS Name:    RGN_CD
     COBOL Name:  RGN-CD
     VALUES:      01=BOSTON
                  02=NEW YORK
                  03=PHILADELPHIA
                  04=ATLANTA
                  05=CHICAGO
                  06=DALLAS
                  07=KANSAS CITY
                  08=DENVER

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 11
      Community Mental Health Center, CATEGORY = "19" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  09=SAN FRANCISCO
                  10=SEATTLE

   Skeleton Record Switch                            1    171   171  VARCHAR2
     Description: Indicates the record is a skeleton record.  Only a
                  limited set of the provider data is available for this
                  provider.
     SAS Name:    SKLTN_REC_SW
     COBOL Name:  SKLTN-REC-SW

   State Abbreviation                                2    172   173  VARCHAR2
     Description: The two-character state abbreviation.
     SAS Name:    STATE_CD
     COBOL Name:  STATE-CD
     VALUES:      AK=ALASKA
                  AL=ALABAMA
                  AR=ARKANSAS
                  AS=AMERICAN SAMOA
                  AZ=ARIZONA
                  CA=CALIFORNIA
                  CN=CANADA
                  CO=COLORADO
                  CT=CONNECTICUT
                  DC=DISTRICT OF COLUMBIA
                  DE=DELAWARE
                  FL=FLORIDA
                  FN=FOREIGN
                  GA=GEORGIA
                  GU=GUAM
                  HI=HAWAII
                  IA=IOWA
                  ID=IDAHO
                  IL=ILLINOIS
                  IN=INDIANA
                  KS=KANSAS
                  KY=KENTUCKY
                  LA=LOUISIANA
                  MA=MASSACHUSETTS
                  MD=MARYLAND
                  ME=MAINE
                  MI=MICHIGAN
                  MN=MINNESOTA
                  MO=MISSOURI
                  MP=SAIPAN
                  MS=MISSISSIPPI
                  MT=MONTANA
                  MX=MEXICO
                  NC=NORTH CAROLINA
                  ND=NORTH DAKOTA
                  NE=NEBRASKA
                  NH=NEW HAMPSHIRE
                  NJ=NEW JERSEY
                  NM=NEW MEXICO
                  NV=NEVADA
                  NY=NEW YORK
                  OH=OHIO
                  OK=OKLAHOMA
                  OR=OREGON
                  PA=PENNSYLVANIA
                  PR=PUERTO RICO
                  RI=RHODE ISLAND
                  SC=SOUTH CAROLINA
                  SD=SOUTH DAKOTA
                  TN=TENNESSEE

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 12
      Community Mental Health Center, CATEGORY = "19" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  TX=TEXAS
                  UT=UTAH
                  VA=VIRGINIA
                  VI=VIRGIN ISLANDS
                  VT=VERMONT
                  WA=WASHINGTON
                  WI=WISCONSIN
                  WV=WEST VIRGINIA
                  WY=WYOMING

   SSA State Code                                    2    174   175  VARCHAR2
     Description: SSA (Social Security Administration) geographic code
                  indicating the state of the provider's residence. Must
                  agree with the first two positions of the Provider number
                  (except California: 05 and 55; Texas: 45 and 67; FL: 10
                  and 68; MD: 21 and 80).
     SAS Name:    SSA_STATE_CD
     COBOL Name:  SSA-STATE-CD
     VALUES:      01=ALABAMA
                  02=ALASKA
                  03=ARIZONA
                  04=ARKANSAS
                  05=CALIFORNIA
                  06=COLORADO
                  07=CONNECTICUT
                  08=DELAWARE
                  09=DISTRICT OF COLUMBIA
                  10=FLORIDA
                  11=GEORGIA
                  12=HAWAII
                  13=IDAHO
                  14=ILLINOIS
                  15=INDIANA
                  16=IOWA
                  17=KANSAS
                  18=KENTUCKY
                  19=LOUISIANA
                  20=MAINE
                  21=MARYLAND
                  22=MASSACHUSETTS
                  23=MICHIGAN
                  24=MINNESOTA
                  25=MISSISSIPPI
                  26=MISSOURI
                  27=MONTANA
                  28=NEBRASKA
                  29=NEVADA
                  30=NEW HAMPSHIRE
                  31=NEW JERSEY
                  32=NEW MEXICO
                  33=NEW YORK
                  34=NORTH CAROLINA
                  35=NORTH DAKOTA
                  36=OHIO
                  37=OKLAHOMA
                  38=OREGON
                  39=PENNSYLVANIA
                  40=PUERTO RICO
                  41=RHODE ISLAND
                  42=SOUTH CAROLINA
                  43=SOUTH DAKOTA
                  44=TENNESSEE
                  45=TEXAS
                  46=UTAH

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 13
      Community Mental Health Center, CATEGORY = "19" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  47=VERMONT
                  48=VIRGIN ISLANDS
                  49=VIRGINIA
                  50=WASHINGTON
                  51=WEST VIRGINIA
                  52=WISCONSIN
                  53=WYOMING
                  54=AFRICA
                  56=CANADA
                  57=WEST INDIES
                  58=EUROPE
                  59=MEXICO
                  60=OCEANIA
                  61=PHILIPPINES
                  62=SOUTH AMERICA
                  63=UNITED STATES POSSESSIONS
                  64=AMERICAN SAMOA
                  65=GUAM
                  66=SAIPAN
                  99=FOREIGN

   State Region Code                                 3    176   178  VARCHAR2
     Description: For selected states, identifies the particular region
                  within the state where the provider is located.
     SAS Name:    STATE_RGN_CD
     COBOL Name:  STATE-RGN-CD
     VALUES:      AK/001=ALASKA
                  AK/LAB=LABORATORIES
                  AK/UNK=UNKNOWN
                  AL/001=ALABAMA
                  AL/LAB=LABORATORIES
                  AL/UNK=UNKNOWN
                  AR/001=ARKANSAS
                  AR/LAB=LABORATORIES
                  AR/UNK=UNKNOWN
                  AS/001=AMERICAN SAMOA
                  AS/LAB=LABORATORY
                  AS/UNK=UNKNOWN
                  AZ/AZ=PHOENIX
                  AZ/LAB=ARIZONA LAB
                  AZ/TUC=TUCSON
                  AZ/UNK=UNKNOWN
                  CA/BAK=BAKERSFIELD
                  CA/BER=SAN BERNARDINO
                  CA/BK=BERKELEY
                  CA/BK1=CONTRA COSTA
                  CA/FR=FRESNO
                  CA/L1=L.A. WEST
                  CA/L2=L.A. NORTH
                  CA/L3=L.A. CENTRAL
                  CA/L4=L.A. EAST
                  CA/L5=SAN GABRIEL
                  CA/LAB=LABORATORIES
                  CA/M1=LAB. SOUTH
                  CA/M2=LAB. NORTH
                  CA/ORG=ORANGE CO
                  CA/RIV=RIVERSIDE
                  CA/RWC=REDWOOD COAST
                  CA/S1=SACRAMENTO
                  CA/S2=SACTO SOUTH
                  CA/S3=CHICO
                  CA/SD=SAN DIEGO
                  CA/SDS=SAN DIEGO SOUTH
                  CA/SF=SAN FRANCISCO

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 14
      Community Mental Health Center, CATEGORY = "19" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  CA/SJ=SAN JOSE
                  CA/SR=SANTA ROSA
                  CA/UNK=UNKNOWN
                  CA/VEN=VENTURA
                  CN/001=CANADA
                  CN/LAB=LABORATORY
                  CN/UNK=UNKNOWN
                  CO/001=COLORADO
                  CO/LAB=LABORATORIES
                  CO/UNK=UNKNOWN
                  CT/001=CONNECTICUT
                  CT/LAB=LABORATORIES
                  CT/UNK=UNKNOWN
                  DC/001=DISTRICT OF COLUMBIA
                  DC/LAB=LABORATORIES
                  DC/UNK=UNKNOWN
                  DE/001=DELAWARE
                  DE/LAB=LABORATORIES
                  DE/UNK=UNKNOWN
                  FL/FTM=FT. MYERS
                  FL/GAI=GAINESVILLE
                  FL/JAX=JACKSONVILLE
                  FL/LAB=LABORATORIES
                  FL/LAN=LANTANA
                  FL/LAU=LAUDERHILL
                  FL/MIA=MIAMI
                  FL/ORL=ORLANDO
                  FL/PEN=PENSACOLA
                  FL/STP=ST. PETERSBURG
                  FL/TAL=TALLAHASSEE
                  FL/TAM=TAMPA
                  FL/UNK=UNKNOWN
                  FM/001=FEDERATED STATES OF MICRO
                  FN/001=FOREIGN
                  FN/LAB=LABORATORIES
                  FN/UNK=UNKNOWN
                  GA/001=GEORGIA
                  GA/GAA=GEORGIA ALL
                  GA/GAC=GEORGIA CENTRAL
                  GA/GAE=GEORGIA EASTERN
                  GA/GAN=GEORGIA NORTH
                  GA/GAS=GEORGIA SOUTH
                  GA/GAW=GEORGIA WESTERN
                  GA/LAB=LABORATORIES
                  GA/UNK=UNKNOWN
                  GU/001=GUAM
                  GU/LAB=LABORATORIES
                  GU/UNK=UNKNOWN
                  HI/001=HAWAII
                  HI/LAB=LABORATORIES
                  HI/UNK=UNKNOWN
                  IA/001=IOWA
                  IA/LAB=LABORATORIES
                  IA/UNK=UNKNOWN
                  ID/001=IDAHO
                  ID/LAB=LABORATORIES
                  ID/UNK=UNKNOWN
                  IL/001=ILLINOIS
                  IL/LAB=LABORATORIES
                  IL/UNK=UNKNOWN
                  IN/001=INDIANA
                  IN/LAB=LABORATORIES
                  IN/UNK=UNKNOWN
                  KS/LAB=LABORATORIES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 15
      Community Mental Health Center, CATEGORY = "19" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  KS/LAW=LAWRENCE
                  KS/NC=NORTH CENTRAL KANSAS
                  KS/NE=NORTH EAST KANSAS
                  KS/NW=NORTH WEST KANSAS
                  KS/SC=SOUTH CENTRAL KANSAS
                  KS/SE=SOUTH EAST KANSAS
                  KS/SW=SOUTH WEST KANSAS
                  KS/UNK=UNKNOWN
                  KS/WST=WEST
                  KY/2C1=HOPKINSVILLE
                  KY/2C2=LOUISVILLE
                  KY/2C3=LONDON
                  KY/2C4=LEXINGTON
                  KY/LAB=LABORATORIES
                  KY/UNK=UNKNOWN
                  LA/001=LOUISIANA
                  LA/LA1=NEW ORLEANS
                  LA/LA2=MANDEVILLE
                  LA/LA3=LAFAYETTE
                  LA/LA4=MONROE
                  LA/LA5=SHREVEPORT
                  LA/LA6=ALEXANDRIA
                  LA/LAB=LABORATORIES
                  LA/LB1=CLIA NEW ORLEANS
                  LA/LB5=CLIA SHREVEPORT
                  LA/LB6=CLIA ALEXANDRIA
                  LA/UNK=UNKNOWN
                  MA/001=MASSACHUSETTS
                  MA/LAB=LABORATORIES
                  MA/UNK=UNKNOWN
                  MD/001=MARYLAND
                  MD/LAB=LABORATORIES
                  MD/UNK=UNKNOWN
                  ME/001=MAINE
                  ME/LAB=LABORATORIES
                  ME/UNK=UNKNOWN
                  MH/001=MARSHALL ISLANDS
                  MI/001=MICHIGAN
                  MI/LAB=LABORATORIES
                  MI/UNK=UNKNOWN
                  MN/001=MINNESOTA
                  MN/LAB=LABORATORIES
                  MN/UNK=UNKNOWN
                  MO/01=REGION01
                  MO/02=REGION02
                  MO/03=REGION 03
                  MO/04=REGION 04
                  MO/05=REGION 05
                  MO/06=REGION 06
                  MO/07=REGION 07
                  MO/1NH=REGION 1 NH
                  MO/2NH=REGION 2 NH
                  MO/3NH=REGION 3 NH
                  MO/4NH=REGION 4 NH
                  MO/5NH=REGION 5 NH
                  MO/6NH=REGION 6 NH
                  MO/7NH=REGION 7 NH
                  MO/LAB=LABORATORIES
                  MO/MO=STATEWIDE
                  MO/UNK=UNKNOWN
                  MP/001=NORTHERN MARIANA ISLANDS
                  MP/LAB=LABORATORIES
                  MP/UNK=UNKNOWN
                  MS/001=MISSISSIPPI

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 16
      Community Mental Health Center, CATEGORY = "19" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  MS/LAB=LABORATORIES
                  MS/UNK=UNKNOWN
                  MT/001=MONTANA
                  MT/LAB=LABORATORIES
                  MT/UNK=UNKNOWN
                  MX/001=MEXICO
                  MX/LAB=LABORATORY
                  MX/UNK=UNKNOWN
                  NC/LAB=LABORATORIES
                  NC/NCC=NORTH CAROLINA CENTRAL
                  NC/NCE=NORTH CAROLINA EAST
                  NC/NCN=NORTH CAROLINA NORTH
                  NC/NCS=NORTH CAROLINA SOUTH
                  NC/NCW=NORTH CAROLINA WEST
                  NC/UNK=UNKNOWN
                  ND/001=NORTH DAKOTA
                  ND/LAB=LABORATORIES
                  ND/UNK=UNKNOWN
                  NE/1=NORTH CENTRAL
                  NE/2=CENTRAL
                  NE/3=NORTHEAST
                  NE/4=SOUTHEAST
                  NE/5=WESTERN
                  NE/LAB=LABORATORIES
                  NE/UNK=UNKNOWN
                  NH/001=NEW HAMPSHIRE
                  NH/LAB=LABORATORIES
                  NH/UNK=UNKNOWN
                  NJ/001=NEW JERSEY
                  NJ/LAB=LABORATORIES
                  NJ/UNK=UNKNOWN
                  NM/001=NEW MEXICO
                  NM/LAB=LABORATORIES
                  NM/UNK=UNKNOWN
                  NV/CC=CARSON CITY
                  NV/LAB=LABORATORIES
                  NV/LV=LAS VEGAS
                  NV/UNK=UNKNOWN
                  NY/001=BUFFALO
                  NY/002=ROCHESTER
                  NY/003=SYRACUSE
                  NY/004=ALBANY
                  NY/005=NEW ROCHELLE
                  NY/006=NEW YORK CITY
                  NY/007=SUFFOLK/NASSAU COUNTY
                  NY/LAB=LABORATORIES
                  NY/UNK=UNKNOWN
                  OH/001=OHIO
                  OH/LAB=LABORATORIES
                  OH/UNK=UNKNOWN
                  OK/001=OKLAHOMA
                  OK/LAB=LABORATORIES
                  OK/UNK=UNKNOWN
                  OR/001=OFFICE #1
                  OR/002=OFFICE #2
                  OR/003=OFFICE #3
                  OR/LAB=LABORATORIES
                  OR/UNK=UNKNOWN
                  PA/001=PENNSYLVANIA
                  PA/LAB=LABORATORIES
                  PA/UNK=UNKNOWN
                  PR/001=PUERTO RICO
                  PR/LAB=LABORATORIES
                  PR/UNK=UNKNOWN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 17
      Community Mental Health Center, CATEGORY = "19" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  PW/001=PALAU
                  RI/001=RHODE ISLAND
                  RI/LAB=LABORATORIES
                  RI/UNK=UNKNOWN
                  SC/001=SOUTH CAROLINA
                  SC/LAB=LABORATORIES
                  SC/UNK=UNKNOWN
                  SD/001=SOUTH DAKOTA
                  SD/LAB=LABORATORIES
                  SD/UNK=UNKNOWN
                  TN/LAB=LABORATORIES
                  TN/TNC=TENNESSEE COOKEVILLE
                  TN/TNE=TENNESSEE EASTERN
                  TN/TNM=TENNESSEE MIDDLE
                  TN/TNW=TENNESSEE WESTERN
                  TN/UNK=UNKNOWN
                  TX/001=TEXAS
                  TX/L01=AMARILLO-LTC
                  TX/L02=ABILENE-LTC
                  TX/L03=ARLINGTON-LTC
                  TX/L04=TYLER-LTC
                  TX/L05=BEAUMONT-LTC
                  TX/L06=HOUSTON-LTC
                  TX/L07=TEMPLE-LTC
                  TX/L08=SAN ANTONIO-LTC
                  TX/L09=SAN ANGELO-LTC
                  TX/L10=EL PASO-LTC
                  TX/L11=CORPUS CHRISTI-LTC
                  TX/LAB=LABORATORIES
                  TX/TX1=LUBBOCK
                  TX/TX2=ARLINGTON
                  TX/TX3=SAN ANTONIO
                  TX/TX4=HOUSTON
                  TX/TX5=TYLER
                  TX/TX6=AUSTIN
                  TX/UNK=UNKNOWN
                  UT/001=UTAH
                  UT/LAB=LABORATORIES
                  UT/UNK=UNKNOWN
                  VA/001=VIRGINIA
                  VA/LAB=LABORATORIES
                  VA/UNK=UNKNOWN
                  VI/001=VIRGIN ISLANDS
                  VI/LAB=LABORATORIES
                  VI/UNK=UNKNOWN
                  VT/001=VERMONT
                  VT/LAB=LABORATORIES
                  VT/UNK=UNKNOWN
                  WA/001=ALL OTHERS (NON-LTC FAC)
                  WA/D1=SPOKANE & YAKIMA AREAS
                  WA/D1A=District 1, Unit A
                  WA/D1B=District 1, Unit B
                  WA/D1C=District 1, Unit C
                  WA/D1D=District 1, Unit D
                  WA/D2=SPOKANE & SE
                  WA/D2A=District 2, Unit A
                  WA/D2B=District 2, Unit B
                  WA/D2C=District 2, Unit C
                  WA/D2D=District 2, Unit D
                  WA/D2E=District 2, Unit E
                  WA/D2F=District 2, Unit F
                  WA/D2G=District 2, Unit G
                  WA/D3=NW WASHINGTON
                  WA/D3A=District 3, Unit A

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 18
      Community Mental Health Center, CATEGORY = "19" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  WA/D3B=District 3, Unit B
                  WA/D3C=District 3, Unit C
                  WA/D3D=District 3, Unit D
                  WA/D3E=District 3, Unit E
                  WA/D4A=GREATER SEATTLE AREA
                  WA/D4B=S KING COUNTY
                  WA/D5A=PIERCE CTY & PENINSULA
                  WA/D5B=PIERCE CTY & GRAYS HARBOR
                  WA/D6=OLYMPIA AREA
                  WA/LAB=LABORATORIES
                  WA/UNK=UNKNOWN
                  WI/001=WISCONSIN
                  WI/LAB=LABORATORIES
                  WI/UNK=UNKNOWN
                  WV/001=WEST VIRGINIA
                  WV/LAB=LABORATORIES
                  WV/UNK=UNKNOWN
                  WY/001=WYOMING
                  WY/LAB=LABORATORIES
                  WY/UNK=UNKNOWN

   Street Address                                    50   179   228  VARCHAR2
     Description: Street address of a provider that is certified to provide
                  Medicare and/or Medicaid services.
     SAS Name:    ST_ADR
     COBOL Name:  ST-ADR

   Telephone Number                                  10   229   238  VARCHAR2
     Description: The 10-digit telephone number of the primary contact or
                  the operator of a provider.
     SAS Name:    PHNE_NUM
     COBOL Name:  PHNE-NUM

   Termination Code 1                                2    239   240  VARCHAR2
     Description: Termination code number one: the reason a facility has
                  been terminated from the CLIA, Medicare and/or Medicaid
                  programs.
     SAS Name:    PGM_TRMNTN_CD
     COBOL Name:  PGM-TRMNTN-CD
     VALUES:      00=ACTIVE PROVIDER
                  01=VOLUNTARY-MERGER, CLOSURE
                  02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT
                  03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION
                  04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL
                  05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ
                  06=INVOLUNTARY-FAILURE TO MEET AGREEMENT
                  07=OTHER-PROVIDER STATUS CHANGE
                  08=NONPAYMENT OF FEES - CLIA Only
                  09=REV/UNSUCCESSFUL PARTICIPATION IN PT - CLIA Only
                  10=REV/OTHER REASON - CLIA Only
                  11=INCMPLETE CLIA APPLICATION INFORMATION - CLIA Only
                  12=NO LONGER PERFORMING TESTS - CLIA Only
                  13=MULTIPLE TO SINGLE SITE CERTIFICATE - CLIA Only
                  14=SHARED LABORATORY - CLIA Only
                  15=FAILURE TO RENEW WAIVER PPM CERTIFICATE - CLIA Only
                  16=DUPLICATE CLIA NUMBER - CLIA Only
                  17=MAIL RETURNED NO FORWARD ADDRESS CERT ENDED - CLIA Only
                  20=NOTIFICATION BANKRUPTCY - CLIA Only
                  33=ACCREDITATION NOT CONFIRMED - CLIA Only
                  80=AWAITING STATE APPROVAL
                  99=OIG ACTION - DO NOT ACTIVATE - CLIA Only

   Termination Date / Expiration Date 1              8    241   248  DATE
     Description: The date the laboratory's certificate terminated or the

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 19
      Community Mental Health Center, CATEGORY = "19" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  expiration date of the current CLIA certificate. For
                  other non-CLIA providers, it is the date the facility was
                  terminated.
     SAS Name:    TRMNTN_EXPRTN_DT
     COBOL Name:  TRMNTN-EXPRTN-DT

   Type of Action                                    1    249   249  VARCHAR2
     Description: Type of action on the 'official' survey record.  This
                  field is copied from type of action on the HCFA-1539,
                  certification and transmittal.
     SAS Name:    SRVY_PRPSE_CD
     COBOL Name:  SRVY-PRPSE-CD
     VALUES:      1=INITIAL
                  2=RECERTIFICATION
                  3=TERMINATION
                  4=CHANGE OF OWNERSHIP
                  5=VALIDATION
                  6=ONSITE SURVEY DUE TO FLEXIBLE SURVEY - CLIA Only
                  8=FULL SURVEY AFTER COMPLAINT - CLIA ONLY

   General Type of Control Code                      2    250   251  VARCHAR2
     Description: Indicates the nature of the organization that operates a
                  provider of services.
     SAS Name:    GNRL_CNTL_TYPE_CD
     COBOL Name:  GNRL-CNTL-TYPE-CD
     VALUES:      01=PROPRIETARY
                  02=CHURCH RELATED
                  03=NONPROFIT CORPORATION
                  04=OTHER NONPROFIT
                  05=STATE
                  06=LOCAL
                  07=FEDERAL

   ZIP Code                                          5    252   256  VARCHAR2
     Description: The five-digit postal code for the provider.
     SAS Name:    ZIP_CD
     COBOL Name:  ZIP-CD

   FIPS State Code                                   2    257   258  VARCHAR2
     Description: FIPS State Code
     SAS Name:    FIPS_STATE_CD
     COBOL Name:  FIPS-STATE-CD

   FIPS County Code                                  3    259   261  VARCHAR2
     Description: FIPS County Code
     SAS Name:    FIPS_CNTY_CD
     COBOL Name:  FIPS-CNTY-CD

   CBSA Urban Rural Indicator                        1    262   262  VARCHAR2
     Description: CBSA (Core Based Statistical Area) indicates whether the
                  county is defined as Urban or Rural.
     SAS Name:    CBSA_URBN_RRL_IND
     COBOL Name:  CBSA-URBN-RRL-IND

   Related Provider Number                           10   1510  1519 CHAR
     Description: Related provider number
     SAS Name:    RLTD_PRVDR_NUM
     COBOL Name:  RLTD-PRVDR-NUM







 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 1
     Federally Qualified Health Center, CATEGORY = "21" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Provider Category Subtype Code                    2    1     2    VARCHAR2
     Description: This field is used mainly by batch report programs to
                  determine the breakdown of the provider category. This
                  field is mainly used for SNFs and hospitals.
     SAS Name:    PRVDR_CTGRY_SBTYP_CD
     COBOL Name:  PRVDR-CTGRY-SBTYP-CD
     VALUES:      01=FEDERALLY QUALIFIED HEALTH CENTER

   Provider Category Code                            2    3     4    VARCHAR2
     Description: This code identifies the category which is most
                  descriptive of the facility identified on the
                  Medicare/Medicaid Certification and Transmittal Form (CMS
                  1539).
     SAS Name:    PRVDR_CTGRY_CD
     COBOL Name:  PRVDR-CTGRY-CD
     VALUES:      21=Federally Qualified Health Center

   Change of Ownership Count                         2    5     6    NUMBER
     Description: The number of times a change of ownership (CHOW) has
                  taken place for a particular provider.
     SAS Name:    CHOW_CNT
     COBOL Name:  CHOW-CNT

   Change of Ownership Date                          8    7     14   DATE
     Description: Effective date of a change of ownership.
     SAS Name:    CHOW_DT
     COBOL Name:  CHOW-DT

   City                                              28   15    42   VARCHAR2
     Description: City in which the provider is physically located.
     SAS Name:    CITY_NAME
     COBOL Name:  CITY-NAME

   Compliance: Plan of Correction                    1    43    43   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements based on an acceptable plan for correction
                  of deficiencies.
     SAS Name:    ACPTBL_POC_SW
     COBOL Name:  ACPTBL-POC-SW

   Compliance: Status                                1    44    44   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements.
     SAS Name:    CMPLNC_STUS_CD
     COBOL Name:  CMPLNC-STUS-CD
     VALUES:      A=IN COMPLIANCE
                  B=NOT IN COMPLIANCE

   SSA County Code                                   3    45    47   VARCHAR2
     Description: SSA (State Survey Agency) geographic code indicating the
                  county where the facility is located.
     SAS Name:    SSA_CNTY_CD
     COBOL Name:  SSA-CNTY-CD

   Cross Ref Provider Number                         10   48    57   CHAR
     Description: Cross reference provider number
     SAS Name:    CROSS_RFRNC_PRVDR_NUM
     COBOL Name:  CROSS-RFRNC-PRVDR-NUM

   Certification Date                                8    58    65   DATE
     Description: The Certification date is equal to the exit date of the
                  initial visit of the Health survey or LSC survey,
                  whichever is later.

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 2
     Federally Qualified Health Center, CATEGORY = "21" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    CRTFCTN_DT
     COBOL Name:  CRTFCTN-DT

   Eligibility Switch                                1    66    66   VARCHAR2
     Description: Indicates if a facility is eligible to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    ELGBLTY_SW
     COBOL Name:  ELGBLTY-SW

   Facility Name                                     50   67    116  VARCHAR2
     Description: The name of a provider certified to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    FAC_NAME
     COBOL Name:  FAC-NAME

   Intermediary Carrier Code                         5    117   121  VARCHAR2
     Description: A number assigned to an intermediary or carrier servicing
                  a provider or supplier. Not all numbers apply to all
                  provider types.
     SAS Name:    INTRMDRY_CARR_CD
     COBOL Name:  INTRMDRY-CARR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 3
     Federally Qualified Health Center, CATEGORY = "21" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 4
     Federally Qualified Health Center, CATEGORY = "21" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 5
     Federally Qualified Health Center, CATEGORY = "21" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)
                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 6
     Federally Qualified Health Center, CATEGORY = "21" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Medicare or Medicaid Vendor Number                15   122   136  VARCHAR2
     Description: A number which may be assigned to a facility by the state
                  Medicaid agency for external control or billing purposes.
     SAS Name:    MDCD_VNDR_NUM
     COBOL Name:  MDCD-VNDR-NUM

   Participation Date                                8    137   144  DATE
     Description: The date a facility is first approved to provide Medicare
                  and/or Medicaid services.
     SAS Name:    ORGNL_PRTCPTN_DT
     COBOL Name:  ORGNL-PRTCPTN-DT

   Prior Change of Ownership Date                    8    145   152  DATE
     Description: The date of a prior change of ownership.
     SAS Name:    CHOW_PRIOR_DT
     COBOL Name:  CHOW-PRIOR-DT

   Intermediary Carrier Prior Code                   5    153   157  VARCHAR2
     Description: The previous intermediary carrier number.
     SAS Name:    INTRMDRY_CARR_PRIOR_CD
     COBOL Name:  INTRMDRY-CARR-PRIOR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00030=BLUE CROSS (ARIZONA)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 7
     Federally Qualified Health Center, CATEGORY = "21" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00241=BLUE CROSS (MISSOURI)
                  00250=BLUE CROSS (MONTANA)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00460=BLUE CROSS (WYOMING)
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00751=BLUE SHIELD (MONTANA)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00820=BLUE SHIELD (NORTH DAKOTA)
                  00824=NORIDIAN GVT SERVICES (CO)
                  00825=BLUE SHIELD (NORTH DAKOTA/WYOMING)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 8
     Federally Qualified Health Center, CATEGORY = "21" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01120=AETNA (HAWAII)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=NATIONAL HERITAGE (ALASKA)
                  02102=NATIONAL HERITAGE (ALASKA)
                  02201=NATIONAL HERITAGE (IDAHO)
                  02202=NATIONAL HERITAGE (IDAHO)
                  02301=NATIONAL HERITAGE (OREGON)
                  02302=NATIONAL HERITAGE (OREGON)
                  02401=NATIONAL HERITAGE (WASHINGTON)
                  02402=NATIONAL HERITAGE (WASHINGTON)
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 9
     Federally Qualified Health Center, CATEGORY = "21" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04901=MUTUAL LEGACY
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  06004=NORIDIAN HHH D
                  07101=PINNACLE (ARKANSAS)
                  07102=PINNACLE (ARKANSAS)
                  07201=PINNACLE (LOUISIANA)
                  07202=PINNACLE (LOUISIANA)
                  07301=PINNACLE (MISSISSIPPI)
                  07302=PINNACLE (MISSISSIPPI)
                  08101=PINNACLE (INDIANA)
                  08102=PINNACLE (INDIANA)
                  08201=PINNACLE (MICHIGAN)
                  08202=PINNACLE (MICHIGAN)
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=HIGHMARK (DELAWARE)
                  12102=HIGHMARK (DELAWARE)
                  12201=HIGHMARK (DISTRICT OF COLUMBIA)
                  12202=HIGHMARK (DISTRICT OF COLUMBIA)
                  12301=HIGHMARK (MARYLAND)
                  12302=HIGHMARK (MARYLAND)
                  12401=HIGHMARK (NEW JERSEY)
                  12402=HIGHMARK (NEW JERSEY)
                  12501=HIGHMARK (PENNSYLVANIA)

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 10
     Federally Qualified Health Center, CATEGORY = "21" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  12502=HIGHMARK (PENNSYLVANIA)
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NATIONAL GOVT SERVICES (NEW YORK - HEALTHNOW)
                  13292=NATIONAL GOVT SERVICES (NEW YORK - GHI)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  15004=CIGNA HHH B
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31140=NATIONAL HERITAGE (CA)
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  31146=NATIONAL HERTAGE INSURANCE
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Provider Number                                   10   158   167  VARCHAR2
     Description: A six or ten position identification number that is
                  assigned to a certified provider.
     SAS Name:    PRVDR_NUM
     COBOL Name:  PRVDR-NUM

   Record Status Code                                1    168   168  VARCHAR2
     Description: This indicator specifies the current status of the
                  record.
     SAS Name:    REC_STUS_CD
     COBOL Name:  REC-STUS-CD
     VALUES:      A=ACCEPTED RECORD
                  C=COMPLAINT RECORD

   Region Code                                       2    169   170  VARCHAR2
     Description: The regional location of the provider.
     SAS Name:    RGN_CD
     COBOL Name:  RGN-CD
     VALUES:      01=BOSTON
                  02=NEW YORK
                  03=PHILADELPHIA
                  04=ATLANTA
                  05=CHICAGO
                  06=DALLAS
                  07=KANSAS CITY
                  08=DENVER

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 11
     Federally Qualified Health Center, CATEGORY = "21" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  09=SAN FRANCISCO
                  10=SEATTLE

   Skeleton Record Switch                            1    171   171  VARCHAR2
     Description: Indicates the record is a skeleton record.  Only a
                  limited set of the provider data is available for this
                  provider.
     SAS Name:    SKLTN_REC_SW
     COBOL Name:  SKLTN-REC-SW

   State Abbreviation                                2    172   173  VARCHAR2
     Description: The two-character state abbreviation.
     SAS Name:    STATE_CD
     COBOL Name:  STATE-CD
     VALUES:      AK=ALASKA
                  AL=ALABAMA
                  AR=ARKANSAS
                  AS=AMERICAN SAMOA
                  AZ=ARIZONA
                  CA=CALIFORNIA
                  CN=CANADA
                  CO=COLORADO
                  CT=CONNECTICUT
                  DC=DISTRICT OF COLUMBIA
                  DE=DELAWARE
                  FL=FLORIDA
                  FN=FOREIGN
                  GA=GEORGIA
                  GU=GUAM
                  HI=HAWAII
                  IA=IOWA
                  ID=IDAHO
                  IL=ILLINOIS
                  IN=INDIANA
                  KS=KANSAS
                  KY=KENTUCKY
                  LA=LOUISIANA
                  MA=MASSACHUSETTS
                  MD=MARYLAND
                  ME=MAINE
                  MI=MICHIGAN
                  MN=MINNESOTA
                  MO=MISSOURI
                  MP=SAIPAN
                  MS=MISSISSIPPI
                  MT=MONTANA
                  MX=MEXICO
                  NC=NORTH CAROLINA
                  ND=NORTH DAKOTA
                  NE=NEBRASKA
                  NH=NEW HAMPSHIRE
                  NJ=NEW JERSEY
                  NM=NEW MEXICO
                  NV=NEVADA
                  NY=NEW YORK
                  OH=OHIO
                  OK=OKLAHOMA
                  OR=OREGON
                  PA=PENNSYLVANIA
                  PR=PUERTO RICO
                  RI=RHODE ISLAND
                  SC=SOUTH CAROLINA
                  SD=SOUTH DAKOTA
                  TN=TENNESSEE

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 12
     Federally Qualified Health Center, CATEGORY = "21" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  TX=TEXAS
                  UT=UTAH
                  VA=VIRGINIA
                  VI=VIRGIN ISLANDS
                  VT=VERMONT
                  WA=WASHINGTON
                  WI=WISCONSIN
                  WV=WEST VIRGINIA
                  WY=WYOMING

   SSA State Code                                    2    174   175  VARCHAR2
     Description: SSA (Social Security Administration) geographic code
                  indicating the state of the provider's residence. Must
                  agree with the first two positions of the Provider number
                  (except California: 05 and 55; Texas: 45 and 67; FL: 10
                  and 68; MD: 21 and 80).
     SAS Name:    SSA_STATE_CD
     COBOL Name:  SSA-STATE-CD
     VALUES:      01=ALABAMA
                  02=ALASKA
                  03=ARIZONA
                  04=ARKANSAS
                  05=CALIFORNIA
                  06=COLORADO
                  07=CONNECTICUT
                  08=DELAWARE
                  09=DISTRICT OF COLUMBIA
                  10=FLORIDA
                  11=GEORGIA
                  12=HAWAII
                  13=IDAHO
                  14=ILLINOIS
                  15=INDIANA
                  16=IOWA
                  17=KANSAS
                  18=KENTUCKY
                  19=LOUISIANA
                  20=MAINE
                  21=MARYLAND
                  22=MASSACHUSETTS
                  23=MICHIGAN
                  24=MINNESOTA
                  25=MISSISSIPPI
                  26=MISSOURI
                  27=MONTANA
                  28=NEBRASKA
                  29=NEVADA
                  30=NEW HAMPSHIRE
                  31=NEW JERSEY
                  32=NEW MEXICO
                  33=NEW YORK
                  34=NORTH CAROLINA
                  35=NORTH DAKOTA
                  36=OHIO
                  37=OKLAHOMA
                  38=OREGON
                  39=PENNSYLVANIA
                  40=PUERTO RICO
                  41=RHODE ISLAND
                  42=SOUTH CAROLINA
                  43=SOUTH DAKOTA
                  44=TENNESSEE
                  45=TEXAS
                  46=UTAH

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 13
     Federally Qualified Health Center, CATEGORY = "21" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  47=VERMONT
                  48=VIRGIN ISLANDS
                  49=VIRGINIA
                  50=WASHINGTON
                  51=WEST VIRGINIA
                  52=WISCONSIN
                  53=WYOMING
                  54=AFRICA
                  56=CANADA
                  57=WEST INDIES
                  58=EUROPE
                  59=MEXICO
                  60=OCEANIA
                  61=PHILIPPINES
                  62=SOUTH AMERICA
                  63=UNITED STATES POSSESSIONS
                  64=AMERICAN SAMOA
                  65=GUAM
                  66=SAIPAN
                  99=FOREIGN

   State Region Code                                 3    176   178  VARCHAR2
     Description: For selected states, identifies the particular region
                  within the state where the provider is located.
     SAS Name:    STATE_RGN_CD
     COBOL Name:  STATE-RGN-CD
     VALUES:      AK/001=ALASKA
                  AK/LAB=LABORATORIES
                  AK/UNK=UNKNOWN
                  AL/001=ALABAMA
                  AL/LAB=LABORATORIES
                  AL/UNK=UNKNOWN
                  AR/001=ARKANSAS
                  AR/LAB=LABORATORIES
                  AR/UNK=UNKNOWN
                  AS/001=AMERICAN SAMOA
                  AS/LAB=LABORATORY
                  AS/UNK=UNKNOWN
                  AZ/AZ=PHOENIX
                  AZ/LAB=ARIZONA LAB
                  AZ/TUC=TUCSON
                  AZ/UNK=UNKNOWN
                  CA/BAK=BAKERSFIELD
                  CA/BER=SAN BERNARDINO
                  CA/BK=BERKELEY
                  CA/BK1=CONTRA COSTA
                  CA/FR=FRESNO
                  CA/L1=L.A. WEST
                  CA/L2=L.A. NORTH
                  CA/L3=L.A. CENTRAL
                  CA/L4=L.A. EAST
                  CA/L5=SAN GABRIEL
                  CA/LAB=LABORATORIES
                  CA/M1=LAB. SOUTH
                  CA/M2=LAB. NORTH
                  CA/ORG=ORANGE CO
                  CA/RIV=RIVERSIDE
                  CA/RWC=REDWOOD COAST
                  CA/S1=SACRAMENTO
                  CA/S2=SACTO SOUTH
                  CA/S3=CHICO
                  CA/SD=SAN DIEGO
                  CA/SDS=SAN DIEGO SOUTH
                  CA/SF=SAN FRANCISCO

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 14
     Federally Qualified Health Center, CATEGORY = "21" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  CA/SJ=SAN JOSE
                  CA/SR=SANTA ROSA
                  CA/UNK=UNKNOWN
                  CA/VEN=VENTURA
                  CN/001=CANADA
                  CN/LAB=LABORATORY
                  CN/UNK=UNKNOWN
                  CO/001=COLORADO
                  CO/LAB=LABORATORIES
                  CO/UNK=UNKNOWN
                  CT/001=CONNECTICUT
                  CT/LAB=LABORATORIES
                  CT/UNK=UNKNOWN
                  DC/001=DISTRICT OF COLUMBIA
                  DC/LAB=LABORATORIES
                  DC/UNK=UNKNOWN
                  DE/001=DELAWARE
                  DE/LAB=LABORATORIES
                  DE/UNK=UNKNOWN
                  FL/FTM=FT. MYERS
                  FL/GAI=GAINESVILLE
                  FL/JAX=JACKSONVILLE
                  FL/LAB=LABORATORIES
                  FL/LAN=LANTANA
                  FL/LAU=LAUDERHILL
                  FL/MIA=MIAMI
                  FL/ORL=ORLANDO
                  FL/PEN=PENSACOLA
                  FL/STP=ST. PETERSBURG
                  FL/TAL=TALLAHASSEE
                  FL/TAM=TAMPA
                  FL/UNK=UNKNOWN
                  FM/001=FEDERATED STATES OF MICRO
                  FN/001=FOREIGN
                  FN/LAB=LABORATORIES
                  FN/UNK=UNKNOWN
                  GA/001=GEORGIA
                  GA/GAA=GEORGIA ALL
                  GA/GAC=GEORGIA CENTRAL
                  GA/GAE=GEORGIA EASTERN
                  GA/GAN=GEORGIA NORTH
                  GA/GAS=GEORGIA SOUTH
                  GA/GAW=GEORGIA WESTERN
                  GA/LAB=LABORATORIES
                  GA/UNK=UNKNOWN
                  GU/001=GUAM
                  GU/LAB=LABORATORIES
                  GU/UNK=UNKNOWN
                  HI/001=HAWAII
                  HI/LAB=LABORATORIES
                  HI/UNK=UNKNOWN
                  IA/001=IOWA
                  IA/LAB=LABORATORIES
                  IA/UNK=UNKNOWN
                  ID/001=IDAHO
                  ID/LAB=LABORATORIES
                  ID/UNK=UNKNOWN
                  IL/001=ILLINOIS
                  IL/LAB=LABORATORIES
                  IL/UNK=UNKNOWN
                  IN/001=INDIANA
                  IN/LAB=LABORATORIES
                  IN/UNK=UNKNOWN
                  KS/LAB=LABORATORIES

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 15
     Federally Qualified Health Center, CATEGORY = "21" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  KS/LAW=LAWRENCE
                  KS/NC=NORTH CENTRAL KANSAS
                  KS/NE=NORTH EAST KANSAS
                  KS/NW=NORTH WEST KANSAS
                  KS/SC=SOUTH CENTRAL KANSAS
                  KS/SE=SOUTH EAST KANSAS
                  KS/SW=SOUTH WEST KANSAS
                  KS/UNK=UNKNOWN
                  KS/WST=WEST
                  KY/2C1=HOPKINSVILLE
                  KY/2C2=LOUISVILLE
                  KY/2C3=LONDON
                  KY/2C4=LEXINGTON
                  KY/LAB=LABORATORIES
                  KY/UNK=UNKNOWN
                  LA/001=LOUISIANA
                  LA/LA1=NEW ORLEANS
                  LA/LA2=MANDEVILLE
                  LA/LA3=LAFAYETTE
                  LA/LA4=MONROE
                  LA/LA5=SHREVEPORT
                  LA/LA6=ALEXANDRIA
                  LA/LAB=LABORATORIES
                  LA/LB1=CLIA NEW ORLEANS
                  LA/LB5=CLIA SHREVEPORT
                  LA/LB6=CLIA ALEXANDRIA
                  LA/UNK=UNKNOWN
                  MA/001=MASSACHUSETTS
                  MA/LAB=LABORATORIES
                  MA/UNK=UNKNOWN
                  MD/001=MARYLAND
                  MD/LAB=LABORATORIES
                  MD/UNK=UNKNOWN
                  ME/001=MAINE
                  ME/LAB=LABORATORIES
                  ME/UNK=UNKNOWN
                  MH/001=MARSHALL ISLANDS
                  MI/001=MICHIGAN
                  MI/LAB=LABORATORIES
                  MI/UNK=UNKNOWN
                  MN/001=MINNESOTA
                  MN/LAB=LABORATORIES
                  MN/UNK=UNKNOWN
                  MO/01=REGION01
                  MO/02=REGION02
                  MO/03=REGION 03
                  MO/04=REGION 04
                  MO/05=REGION 05
                  MO/06=REGION 06
                  MO/07=REGION 07
                  MO/1NH=REGION 1 NH
                  MO/2NH=REGION 2 NH
                  MO/3NH=REGION 3 NH
                  MO/4NH=REGION 4 NH
                  MO/5NH=REGION 5 NH
                  MO/6NH=REGION 6 NH
                  MO/7NH=REGION 7 NH
                  MO/LAB=LABORATORIES
                  MO/MO=STATEWIDE
                  MO/UNK=UNKNOWN
                  MP/001=NORTHERN MARIANA ISLANDS
                  MP/LAB=LABORATORIES
                  MP/UNK=UNKNOWN
                  MS/001=MISSISSIPPI

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 16
     Federally Qualified Health Center, CATEGORY = "21" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  MS/LAB=LABORATORIES
                  MS/UNK=UNKNOWN
                  MT/001=MONTANA
                  MT/LAB=LABORATORIES
                  MT/UNK=UNKNOWN
                  MX/001=MEXICO
                  MX/LAB=LABORATORY
                  MX/UNK=UNKNOWN
                  NC/LAB=LABORATORIES
                  NC/NCC=NORTH CAROLINA CENTRAL
                  NC/NCE=NORTH CAROLINA EAST
                  NC/NCN=NORTH CAROLINA NORTH
                  NC/NCS=NORTH CAROLINA SOUTH
                  NC/NCW=NORTH CAROLINA WEST
                  NC/UNK=UNKNOWN
                  ND/001=NORTH DAKOTA
                  ND/LAB=LABORATORIES
                  ND/UNK=UNKNOWN
                  NE/1=NORTH CENTRAL
                  NE/2=CENTRAL
                  NE/3=NORTHEAST
                  NE/4=SOUTHEAST
                  NE/5=WESTERN
                  NE/LAB=LABORATORIES
                  NE/UNK=UNKNOWN
                  NH/001=NEW HAMPSHIRE
                  NH/LAB=LABORATORIES
                  NH/UNK=UNKNOWN
                  NJ/001=NEW JERSEY
                  NJ/LAB=LABORATORIES
                  NJ/UNK=UNKNOWN
                  NM/001=NEW MEXICO
                  NM/LAB=LABORATORIES
                  NM/UNK=UNKNOWN
                  NV/CC=CARSON CITY
                  NV/LAB=LABORATORIES
                  NV/LV=LAS VEGAS
                  NV/UNK=UNKNOWN
                  NY/001=BUFFALO
                  NY/002=ROCHESTER
                  NY/003=SYRACUSE
                  NY/004=ALBANY
                  NY/005=NEW ROCHELLE
                  NY/006=NEW YORK CITY
                  NY/007=SUFFOLK/NASSAU COUNTY
                  NY/LAB=LABORATORIES
                  NY/UNK=UNKNOWN
                  OH/001=OHIO
                  OH/LAB=LABORATORIES
                  OH/UNK=UNKNOWN
                  OK/001=OKLAHOMA
                  OK/LAB=LABORATORIES
                  OK/UNK=UNKNOWN
                  OR/001=OFFICE #1
                  OR/002=OFFICE #2
                  OR/003=OFFICE #3
                  OR/LAB=LABORATORIES
                  OR/UNK=UNKNOWN
                  PA/001=PENNSYLVANIA
                  PA/LAB=LABORATORIES
                  PA/UNK=UNKNOWN
                  PR/001=PUERTO RICO
                  PR/LAB=LABORATORIES
                  PR/UNK=UNKNOWN

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 17
     Federally Qualified Health Center, CATEGORY = "21" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  PW/001=PALAU
                  RI/001=RHODE ISLAND
                  RI/LAB=LABORATORIES
                  RI/UNK=UNKNOWN
                  SC/001=SOUTH CAROLINA
                  SC/LAB=LABORATORIES
                  SC/UNK=UNKNOWN
                  SD/001=SOUTH DAKOTA
                  SD/LAB=LABORATORIES
                  SD/UNK=UNKNOWN
                  TN/LAB=LABORATORIES
                  TN/TNC=TENNESSEE COOKEVILLE
                  TN/TNE=TENNESSEE EASTERN
                  TN/TNM=TENNESSEE MIDDLE
                  TN/TNW=TENNESSEE WESTERN
                  TN/UNK=UNKNOWN
                  TX/001=TEXAS
                  TX/L01=AMARILLO-LTC
                  TX/L02=ABILENE-LTC
                  TX/L03=ARLINGTON-LTC
                  TX/L04=TYLER-LTC
                  TX/L05=BEAUMONT-LTC
                  TX/L06=HOUSTON-LTC
                  TX/L07=TEMPLE-LTC
                  TX/L08=SAN ANTONIO-LTC
                  TX/L09=SAN ANGELO-LTC
                  TX/L10=EL PASO-LTC
                  TX/L11=CORPUS CHRISTI-LTC
                  TX/LAB=LABORATORIES
                  TX/TX1=LUBBOCK
                  TX/TX2=ARLINGTON
                  TX/TX3=SAN ANTONIO
                  TX/TX4=HOUSTON
                  TX/TX5=TYLER
                  TX/TX6=AUSTIN
                  TX/UNK=UNKNOWN
                  UT/001=UTAH
                  UT/LAB=LABORATORIES
                  UT/UNK=UNKNOWN
                  VA/001=VIRGINIA
                  VA/LAB=LABORATORIES
                  VA/UNK=UNKNOWN
                  VI/001=VIRGIN ISLANDS
                  VI/LAB=LABORATORIES
                  VI/UNK=UNKNOWN
                  VT/001=VERMONT
                  VT/LAB=LABORATORIES
                  VT/UNK=UNKNOWN
                  WA/001=ALL OTHERS (NON-LTC FAC)
                  WA/D1=SPOKANE & YAKIMA AREAS
                  WA/D1A=District 1, Unit A
                  WA/D1B=District 1, Unit B
                  WA/D1C=District 1, Unit C
                  WA/D1D=District 1, Unit D
                  WA/D2=SPOKANE & SE
                  WA/D2A=District 2, Unit A
                  WA/D2B=District 2, Unit B
                  WA/D2C=District 2, Unit C
                  WA/D2D=District 2, Unit D
                  WA/D2E=District 2, Unit E
                  WA/D2F=District 2, Unit F
                  WA/D2G=District 2, Unit G
                  WA/D3=NW WASHINGTON
                  WA/D3A=District 3, Unit A

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 18
     Federally Qualified Health Center, CATEGORY = "21" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  WA/D3B=District 3, Unit B
                  WA/D3C=District 3, Unit C
                  WA/D3D=District 3, Unit D
                  WA/D3E=District 3, Unit E
                  WA/D4A=GREATER SEATTLE AREA
                  WA/D4B=S KING COUNTY
                  WA/D5A=PIERCE CTY & PENINSULA
                  WA/D5B=PIERCE CTY & GRAYS HARBOR
                  WA/D6=OLYMPIA AREA
                  WA/LAB=LABORATORIES
                  WA/UNK=UNKNOWN
                  WI/001=WISCONSIN
                  WI/LAB=LABORATORIES
                  WI/UNK=UNKNOWN
                  WV/001=WEST VIRGINIA
                  WV/LAB=LABORATORIES
                  WV/UNK=UNKNOWN
                  WY/001=WYOMING
                  WY/LAB=LABORATORIES
                  WY/UNK=UNKNOWN

   Street Address                                    50   179   228  VARCHAR2
     Description: Street address of a provider that is certified to provide
                  Medicare and/or Medicaid services.
     SAS Name:    ST_ADR
     COBOL Name:  ST-ADR

   Telephone Number                                  10   229   238  VARCHAR2
     Description: The 10-digit telephone number of the primary contact or
                  the operator of a provider.
     SAS Name:    PHNE_NUM
     COBOL Name:  PHNE-NUM

   Termination Code 1                                2    239   240  VARCHAR2
     Description: Termination code number one: the reason a facility has
                  been terminated from the CLIA, Medicare and/or Medicaid
                  programs.
     SAS Name:    PGM_TRMNTN_CD
     COBOL Name:  PGM-TRMNTN-CD
     VALUES:      00=ACTIVE PROVIDER
                  01=VOLUNTARY-MERGER, CLOSURE
                  02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT
                  03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION
                  04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL
                  05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ
                  06=INVOLUNTARY-FAILURE TO MEET AGREEMENT
                  07=OTHER-PROVIDER STATUS CHANGE
                  08=NONPAYMENT OF FEES - CLIA Only
                  09=REV/UNSUCCESSFUL PARTICIPATION IN PT - CLIA Only
                  10=REV/OTHER REASON - CLIA Only
                  11=INCMPLETE CLIA APPLICATION INFORMATION - CLIA Only
                  12=NO LONGER PERFORMING TESTS - CLIA Only
                  13=MULTIPLE TO SINGLE SITE CERTIFICATE - CLIA Only
                  14=SHARED LABORATORY - CLIA Only
                  15=FAILURE TO RENEW WAIVER PPM CERTIFICATE - CLIA Only
                  16=DUPLICATE CLIA NUMBER - CLIA Only
                  17=MAIL RETURNED NO FORWARD ADDRESS CERT ENDED - CLIA Only
                  20=NOTIFICATION BANKRUPTCY - CLIA Only
                  33=ACCREDITATION NOT CONFIRMED - CLIA Only
                  80=AWAITING STATE APPROVAL
                  99=OIG ACTION - DO NOT ACTIVATE - CLIA Only

   Termination Date / Expiration Date 1              8    241   248  DATE
     Description: The date the laboratory's certificate terminated or the

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 19
     Federally Qualified Health Center, CATEGORY = "21" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  expiration date of the current CLIA certificate. For
                  other non-CLIA providers, it is the date the facility was
                  terminated.
     SAS Name:    TRMNTN_EXPRTN_DT
     COBOL Name:  TRMNTN-EXPRTN-DT

   Type of Action                                    1    249   249  VARCHAR2
     Description: Type of action on the 'official' survey record.  This
                  field is copied from type of action on the HCFA-1539,
                  certification and transmittal.
     SAS Name:    SRVY_PRPSE_CD
     COBOL Name:  SRVY-PRPSE-CD
     VALUES:      1=INITIAL
                  2=RECERTIFICATION
                  3=TERMINATION
                  4=CHANGE OF OWNERSHIP
                  5=VALIDATION
                  6=ONSITE SURVEY DUE TO FLEXIBLE SURVEY - CLIA Only
                  8=FULL SURVEY AFTER COMPLAINT - CLIA ONLY

   General Type of Control Code                      2    250   251  VARCHAR2
     Description: Indicates the nature of the organization that operates a
                  provider of services.
     SAS Name:    GNRL_CNTL_TYPE_CD
     COBOL Name:  GNRL-CNTL-TYPE-CD
     VALUES:      01=RELIGIOUS AFFILIATION
                  02=PRIVATE
                  03=OTHER
                  04=PROPRIETARY
                  05=GOVERNMENT - STATE/COUNTY
                  06=GOVERNMENT - COMBINATION GOVT & VOLUNTARY

   ZIP Code                                          5    252   256  VARCHAR2
     Description: The five-digit postal code for the provider.
     SAS Name:    ZIP_CD
     COBOL Name:  ZIP-CD

   FIPS State Code                                   2    257   258  VARCHAR2
     Description: FIPS State Code
     SAS Name:    FIPS_STATE_CD
     COBOL Name:  FIPS-STATE-CD

   FIPS County Code                                  3    259   261  VARCHAR2
     Description: FIPS County Code
     SAS Name:    FIPS_CNTY_CD
     COBOL Name:  FIPS-CNTY-CD

   CBSA Urban Rural Indicator                        1    262   262  VARCHAR2
     Description: CBSA (Core Based Statistical Area) indicates whether the
                  county is defined as Urban or Rural.
     SAS Name:    CBSA_URBN_RRL_IND
     COBOL Name:  CBSA-URBN-RRL-IND

   Federally Funded Health Center                    1    612   612  VARCHAR2
     Description: Indicates whether this FQHC (Federally Qualified Health
                  Center) is federally funded.
     SAS Name:    FED_FUNDD_FQHC_SW
     COBOL Name:  FED-FUNDD-FQHC-SW

   FQHC Approved Rural Health Clinic                 1    641   641  VARCHAR2
     Description: Indicates if the Federally Qualified Health Center (FQHC)
                  was a Medicare certified Rural Health Clinic (RHC).
     SAS Name:    FQHC_APRVD_RHC_SW
     COBOL Name:  FQHC-APRVD-RHC-SW

 * INDICATES THIS FIELD HAS BEEN ADDED OR CHANGED SINCE: 01/26/2012

 DATE: 01/26/2012              POS RECORD LAYOUT                      PAGE: 20
     Federally Qualified Health Center, CATEGORY = "21" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   Related Provider Number                           10   1510  1519 CHAR
     Description: Related provider number
     SAS Name:    RLTD_PRVDR_NUM
     COBOL Name:  RLTD-PRVDR-NUM

