Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 2 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Utility Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 -RPT FIELD,TABLE,RF*(PROD) ; Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 3 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: ACTIVITY NAME: RF-ACTY (0017)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000015 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 S ACTY 00001 00003 C L N N 00001 ACTY ACTIVITY CODE 00003 01 S END-DAT 00004 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 00008 01 S BEG-DAT 00012 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 00008 01 S DESC 00020 00080 C L N N 00001 DESC ACTIVITY DESCRIPTION 00080 01 S PDV-STD 00100 00002 C L N N 00001 PDV_STD PRODUCTIVITY STANDARD 00002 01 S RSC-ID 00102 00002 C L N N 00001 RSC_ID RESOURCE IDENTIFICATION 00002 01 S LAST-MOD-DAT 00104 00008 C L N N 00001 LAST_MOD_DAT DATE OF LAST MODIFICATION 00008 01 S LAST-MOD-TIME 00112 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00120 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00123 00008 C L N N 00001

REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00131 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00139 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 4 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-AGE-LMT (0017)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000014 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S ELG-KEY-CD 00000 00003 C L N N 00001 ELG_KEY_CD ELIGIBILITY DEY CODE 00003 01 S STA 00003 00001 C L N N 00001 STA 00001 01 S AGE-LMT 00004 00002 C L N N 00001 AGE_LMT AGE LIMIT 00002 01 S BRTH-BEG-DAT 00006 00008 C L N N 00001 BRTH_BEG_DAT BIRTHDAY BEGIN DATE 00008 01 S EFF-BEG-DAT 00014 00008 C L N N 00001 EFF_BEG_DAT 00008 01 S EFF-END-DAT 00022 00008 C L N N 00001 EFF_END_DAT 00008 01 S LAST-MOD-DAT 00030 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00038 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00046 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00049 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00057 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00065 00003 C L N N 00001

REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 5 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-AGY-ID (0020)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000029 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA 00000 00001 C L N N 00001 STA STATUS OF THIS RECORD 00001 01 S AGY-ID 00001 00003 C L N N 00001 AGY_ID AGENCY IDENTIFICATION 00003 01 S AGY-NAME 00004 00080 C L N N 00001 AGY_NAME AGENCY NAME 00080 01 C BUS-ADDRESS 00084 00120 C L N N 00001 BUS_ADDRESS ADDRESS 02 S STR-1 BUS-ADDRESS 00084 00040 C L N N 00001 STR_1 STREET ADDRESS LINE 1 00040 02 S STR-2 BUS-ADDRESS 00124 00040 C L N N 00001 STR_2 STREET ADDRESS LINE 2 00040 02 S CITY BUS-ADDRESS 00164 00025 C L N N 00001 CITY CITY NAME 00025 02 S STATE BUS-ADDRESS 00189 00002 C L N N 00001 STATE STATE 00002 02 S ZIP BUS-ADDRESS 00191 00009 C L N N 00001 ZIP ZIP CODE 00009 02 S CTRY BUS-ADDRESS 00200 00002 C L N N 00001 CTRY COUNTRY 00002 02 S CTY BUS-ADDRESS 00202 00002 C L N N 00001 CTY COUNTY 00002 01 S BUS-PHO 00204 00010 C L N N 00001 BUS_PHO BUSINESS PHONE 00010 01 S ATTN 00214 00025 C L N N 00001 ATTN MAILING ADDRESS ATTENTION INFO 00025 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 6

* Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-AGY-ID (0020)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000029 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S EMG-PHO 00239 00010 C L N N 00001 EMG_PHO EMERGENCY PHONE 00010 01 S AGY-TYP 00249 00001 C L N N 00001 AGY_TYP AGENCY TYPE (LIC, REG, ETC.) 00001 01 S BEG-DAT 00250 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00258 00008 C L N N 00001 END_DAT 00008 01 S REC-ADDED-DAT 00266 00008 C L N N 00001 REC_ADDED_DAT DATE RECORD WAS ADDED TO TABLE 00008 01 S REC-ADDED-TIME 00274 00008 C L N N 00001 REC_ADDED_TIME TIME RECORD WAS ADDED TO TABLE 00008 01 S REC-ADDED-USR 00282 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00285 00008 C L N N 00001 LAST_MOD_DAT LAST DATE RECORD WAS MODIFIED 00008 01 S LAST-MOD-TIME 00293 00008 C L N N 00001 LAST_MOD_TIME LAST TIME RECORD WAS ADDED 00008 01 S LAST-MOD-USR 00301 00003 C L N N 00001 LAST_MOD_USR LAST USER TO MODIFY RECORD 00003 01 S LIC-ISU-YEARS 00304 00002 C L N N 00001 LIC_ISU_YEARS 00002 01 S LIC-RNU-YEARS 00306 00002 C L N N 00001 LIC_RNU_YEARS 00002 01 S LIC-TYP 00308 00004 C L N N 00001 LIC_TYP 00004 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 7 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0

* Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-ALT-NDC (0006)PROD AUTHOR: AHC09 CONTROLLER: AHC09 COPY-VERSION: 002 DATE-ADDED: 12/07/06 DATE-LAST-CHANGED: 12/07/06 TIME-OF-CHANGE: 17.33.00 NUMBER-OF-CHANGES: 000019 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S ALT-NDC 00000 00011 C L N N 00001 ALT_NDC 00011 01 S REC-STA 00011 00001 C L N N 00001 REC_STA 00001 01 S BLUEBOOK-NDC 00012 00011 C L N N 00001 BLUEBOOK_NDC 00011 01 S SOURCE-CODE 00023 00001 C L N N 00001 SOURCE_CODE 00001 01 S DESCRIPTION 00024 00030 C L N N 00001 DESCRIPTION 00030 01 S LABEL 00054 00018 C L N N 00001 LABEL 00018 01 S PKG-QTY 00072 00006 N R N N 001 00001 PKG_QTY 00006 01 S PRICE 00078 00011 N R N N 004 00001 PRICE 00011 01 S LAST-MOD-DAT 00089 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00097 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00105 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00108 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00116 00008 C L N N 00001 REC_ADDED_TIME 00008 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 8 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2

ENTITY-TYPE: TABLE DESC: NAME: RF-ALT-NDC (0006)PROD AUTHOR: AHC09 CONTROLLER: AHC09 COPY-VERSION: 002 DATE-ADDED: 12/07/06 DATE-LAST-CHANGED: 12/07/06 TIME-OF-CHANGE: 17.33.00 NUMBER-OF-CHANGES: 000019 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S REC-ADDED-USR 00124 00003 C L N N 00001 REC_ADDED_USR 00003 01 S THP-CLS 00127 00006 C L N N 00001 THP_CLS 00006 01 S THP-CLS-DESC 00133 00070 C L N N 00001 THP_CLS_DESC 00070 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 9 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-ANN-BED-DAY (0017)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000013 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S BEG-DAT 00001 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00009 00008 C L N N 00001 END_DAT 00008 01 S BED-HLD-DAY 00017 00003 C L N N 00001 BED_HLD_DAY 00003 01 S MAX-THR-BED-DAY 00020 00003 C L N N 00001 MAX_THR_BED_DAY 00003 01 S REC-ADDED-DAT 00023 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00031 00008 C L N N 00001

REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00039 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00042 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00050 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00058 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 10 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-ASN-ID-TYP (0017)PROD AUTHOR: AHM80 CONTROLLER: AHM80 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000022 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S ASN-ID 00000 00002 C L N N 00001 ASN_ID 00002 01 S DESC 00002 00080 C L N N 00001 DESC 00080 01 S PROPERTY-TYP 00082 00001 C L N N 00001 PROPERTY_TYP 00001 01 S REC-ADDED-DAT 00083 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00091 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00099 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00102 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00110 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00118 00003 C L N N 00001 LAST_MOD_USR 00003 01 S STA 00121 00001 C L N N 00001

STA 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 11 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-AUDIT (0017)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000017 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S SUB-SYSTEM 00000 00002 C L N N 00001 SUB_SYSTEM 00002 01 S FIELD-NAME 00002 00020 C L N N 00001 FIELD_NAME 00020 01 S KEY-VALUE 00022 00009 C L N N 00001 KEY_VALUE 00009 01 S DATE 00031 00008 C L N N 00001 DATE 00008 01 S TIME 00039 00008 C L N N 00001 TIME 00008 01 S PRIOR-VALUE 00047 00040 C L N N 00001 PRIOR_VALUE 00040 01 S CURRENT-VALUE 00087 00040 C L N N 00001 CURRENT_VALUE 00040 01 S USER-ID 00127 00003 C L N N 00001 USER_ID 00003 01 S TERM-ID 00130 00004 C L N N 00001 TERM_ID 00004 01 S LAST-MOD-DAT 00134 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00142 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00150 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00153 00008 C L N N 00001 REC_ADDED_DAT 00008 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 12

* Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-AUDIT (0017)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000017 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S REC-ADDED-TIME 00161 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00169 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 13 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-AZTECS-ELG (0005)PROD AUTHOR: AHC17 CONTROLLER: AHC17 COPY-VERSION: 002 DATE-ADDED: 10/28/03 DATE-LAST-CHANGED: 10/28/03 TIME-OF-CHANGE: 16.57.23 NUMBER-OF-CHANGES: 000023 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S ELG-KEY-CD 00000 00003 C L N N 00001 ELG_KEY_CD 00003 01 S STA 00003 00001 C L N N 00001 STA 00001 01 S PROGRAM 00004 00002 C L N N 00001 PROGRAM 00002 01 S CATEGORY 00006 00002 C L N N 00001 CATEGORY 00002 01 C AZTECS-FIELDS 00008 00004 C L N N 00001 AZTECS_FIELDS 02 S FC-AS-IND AZTECS-FIELDS 00008 00002 C L N N 00001

FC_AS_IND 00002 02 S PQ-IND AZTECS-FIELDS 00010 00001 C L N N 00001 PQ_IND 00001 02 S ES-IND AZTECS-FIELDS 00011 00001 C L N N 00001 ES_IND 00001 01 C HAWI-FIELDS REDEFINES 00008 00004 C L N N 00001 HAWI_FIELDS 02 S LIV-ARR HAWI-FIELDS 00008 00002 C L N N 00001 LIV_ARR 00002 02 S CITIZEN HAWI-FIELDS 00010 00002 C L N N 00001 CITIZEN 00002 01 S EFF-BEG-DAT 00012 00008 C L N N 00001 EFF_BEG_DAT 00008 01 S EFF-END-DAT 00020 00008 C L N N 00001 EFF_END_DAT 00008 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 14 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-AZTECS-ELG (0005)PROD AUTHOR: AHC17 CONTROLLER: AHC17 COPY-VERSION: 002 DATE-ADDED: 10/28/03 DATE-LAST-CHANGED: 10/28/03 TIME-OF-CHANGE: 16.57.23 NUMBER-OF-CHANGES: 000023 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S REC-ADDED-DAT 00028 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00036 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00044 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00047 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00055 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00063 00003 C L N N 00001 LAST_MOD_USR 00003 01 S DIS-IND 00066 00001 C L N N 00001

DIS_IND 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 15 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-BILL-FORM-TYPE (0007)PROD AUTHOR: AHC09 CONTROLLER: AHC09 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000013 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA 00000 00001 C L N N 00001 STA 00001 01 S BILL-TYPE 00001 00003 C L N N 00001 BILL_TYPE 00003 01 S FORM-TYPE 00004 00001 C L N N 00001 FORM_TYPE 00001 01 S BEG-DAT 00005 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00013 00008 C L N N 00001 END_DAT 00008 01 S LAST-MOD-DAT 00021 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00029 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00037 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00040 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00048 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00056 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 16 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2

ENTITY-TYPE: TABLE DESC: NAME: RF-BMX-PR-SPEC (0005)PROD AUTHOR: AHM17 CONTROLLER: AHM17 COPY-VERSION: 002 DATE-ADDED: 10/28/02 DATE-LAST-CHANGED: 10/28/02 TIME-OF-CHANGE: 14.41.59 NUMBER-OF-CHANGES: 000011 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S BOMEX-SPEC 00001 00003 C L N N 00001 BOMEX_SPEC 00003 01 S PR-SPEC 00004 00003 C L N N 00001 PR_SPEC 00003 01 S REC-ADDED-DAT 00007 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00015 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00023 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00026 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00034 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00042 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 17 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-BRF-DETAIL (0003)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.57.42 NUMBER-OF-CHANGES: 000028 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S JOB-NUM 00000 00006 C L N N 00001

JOB_NUM 01 S BRF-TRANS-ID REDEFINES 00000 00006 C L N N 00001 BRF_TRANS_ID 01 S SUB-SYS 00006 00002 C L N N 00001 SUB_SYS 01 S JOB-NAME 00008 00008 C L N N 00001 JOB_NAME 01 S JOB-DESC 00016 00020 C L N N 00001 JOB_DESC 01 S DISTRIBUTE 00036 00050 C L N N 00001 DISTRIBUTE 01 S EXT-DISTRIBUTE 00086 00080 C L N N 00020 EXT_DISTRIBUTE 01 S REC-ADDED-DAT 01686 00008 C L N N 00001 REC_ADDED_DAT 01 S REC-ADDED-TIME 01694 00006 C L N N 00001 REC_ADDED_TIME 01 S REC-ADDED-USR 01700 00003 C L N N 00001 REC_ADDED_USR 01 S LAST-MOD-DAT 01703 00008 C L N N 00001 LAST_MOD_DAT 01 S LAST-MOD-TIME 01711 00006 C L N N 00001 LAST_MOD_TIME 01 S LAST-MOD-USR 01717 00003 C L N N 00001 LAST_MOD_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 18 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-BRF-REQUEST (0003)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.57.42 NUMBER-OF-CHANGES: 000027 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S JOB-NUM 00000 00006 C L N N 00001 JOB_NUM 01 S BRF-TRANS-ID REDEFINES 00000 00006 C L N N 00001

BRF_TRANS_ID 01 S BRF-SEQ-NUM 00006 00005 C L N N 00001 BRF_SEQ_NUM 01 S JOB-SEQ REDEFINES 00006 00005 C L N N 00001 JOB_SEQ 01 S STATUS 00011 00001 C L N N 00001 STATUS 01 S SUB-SYS 00012 00002 C L N N 00001 SUB_SYS 01 S JOB-NAME 00014 00008 C L N N 00001 JOB_NAME 01 S TERMINAL-ID 00022 00004 C L N N 00001 TERMINAL_ID 01 S USER-ID 00026 00003 C L N N 00001 USER_ID 01 S REQ-DAT 00029 00008 C L N N 00001 REQ_DAT 01 S REQ-TIME 00037 00008 C L N N 00001 REQ_TIME 01 C PARMS 00045 00088 C L N N 00020 PARMS 02 S PARAMETER PARMS 00045 00008 C L N N 00001 PARAMETER Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 19 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-BRF-REQUEST (0003)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.57.42 NUMBER-OF-CHANGES: 000027 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 02 S PARM-VALUE PARMS 00053 00080 C L N N 00001 PARM_VALUE Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 20 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0

* Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-CALENDAR (0006)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.25.55 NUMBER-OF-CHANGES: 000013 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 01 S DATE 00001 00008 C L N N 00001 DATE 01 S REL-WORK-DAY 00009 00004 N R N N 00001 REL_WORK_DAY 01 S HOLIDAY-IND 00013 00001 C L N N 00001 HOLIDAY_IND 01 S REC-ADDED-DAT 00014 00008 C L N N 00001 REC_ADDED_DAT 01 S REC-ADDED-TIME 00022 00008 C L N N 00001 REC_ADDED_TIME 01 S REC-ADDED-USR 00030 00003 C L N N 00001 REC_ADDED_USR 01 S LAST-MOD-DAT 00033 00008 C L N N 00001 LAST_MOD_DAT 01 S LAST-MOD-TIME 00041 00008 C L N N 00001 LAST_MOD_TIME 01 S LAST-MOD-USR 00049 00003 C L N N 00001 LAST_MOD_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 21 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-CAP-RAT-VAL (0017)PROD AUTHOR: AHM80 CONTROLLER: AHM80 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000023 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE.............

SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA 00000 00001 C L N N 00001 STA 00001 01 S RURAL-METRO-CD 00001 00001 C L N N 00001 RURAL_METRO_CD 00001 01 S CAP-RATE-CD 00002 00004 C L N N 00001 CAP_RATE_CD 00004 01 S CTRT-TYP 00006 00001 C L N N 00001 CTRT_TYP 00001 01 S CTRT-YR 00007 00004 C L N N 00001 CTRT_YR 00004 01 S CRN-DAT 00011 00008 C L N N 00001 CRN_DAT 00008 01 S LTC-CD 00019 00001 C L N N 00001 LTC_CD 00001 01 S CAT-IND 00020 00001 C L N N 00001 CAT_IND 00001 01 S MDC-CVG-IND 00021 00001 C L N N 00001 MDC_CVG_IND 00001 01 S HP-DED-IND 00022 00001 C L N N 00001 HP_DED_IND 00001 01 S RI-PCT 00023 00007 N R N Y 004 00001 RI_PCT 00007 01 S DL-PCT 00030 00007 N R N Y 004 00001 DL_PCT 00007 01 S RI-DED-AMT 00037 00011 N R N Y 002 00001 RI_DED_AMT 00011 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 22 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-CAP-RAT-VAL (0017)PROD AUTHOR: AHM80 CONTROLLER: AHM80 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000023 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS

01 S BEG-DAT 00048 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00056 00008 C L N N 00001 END_DAT 00008 01 S LAST-MOD-DAT 00064 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00072 00006 C L N N 00001 LAST_MOD_TIME 00006 01 S LAST-MOD-USR 00078 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00081 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00089 00006 C L N N 00001 REC_ADDED_TIME 00006 01 S REC-ADDED-USR 00095 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 23 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-CAR-ID (0017)PROD AUTHOR: AHM80 CONTROLLER: AHM80 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000048 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA 00000 00001 C L N N 00001 STA 00001 01 S CAR-ID 00001 00005 C L N N 00001 CAR_ID 00005 01 S NAIC-CD 00006 00005 C L N N 00001 NAIC_CD 00005 01 S CAR-NAME 00011 00025 C L N N 00001 CAR_NAME 00025 01 C BUS-ADDRESS 00036 00088 C L N N 00001 BUS_ADDRESS 02 S STR-1 BUS-ADDRESS 00036 00025 C L N N 00001

STR_1 00025 02 S STR-2 BUS-ADDRESS 00061 00025 C L N N 00001 STR_2 00025 02 S CITY BUS-ADDRESS 00086 00025 C L N N 00001 CITY 00025 02 S STATE BUS-ADDRESS 00111 00002 C L N N 00001 STATE 00002 02 S ZIP BUS-ADDRESS 00113 00009 C L N N 00001 ZIP 00009 02 S CTY BUS-ADDRESS 00122 00002 C L N N 00001 CTY 00002 01 S BUS-PHO 00124 00010 C L N N 00001 BUS_PHO 00010 01 S ATTN 00134 00025 C L N N 00001 ATTN 00025 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 24 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-CAR-ID (0017)PROD AUTHOR: AHM80 CONTROLLER: AHM80 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000048 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S EMG-PHO 00159 00010 C L N N 00001 EMG_PHO 00010 01 S CAR-TYP 00169 00001 C L N N 00001 CAR_TYP 00001 01 S BEG-DAT 00170 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00178 00008 C L N N 00001 END_DAT 00008 01 S REC-ADDED-DAT 00186 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00194 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00202 00003 C L N N 00001

REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00205 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00213 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00221 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 25 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-CHAR-CODE (0017)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000015 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S CHAR-SRC 00001 00002 C L N N 00001 CHAR_SRC 00002 01 S CHAR-CD 00003 00004 C L N N 00001 CHAR_CD 00004 01 S CHAR-DESC 00007 00080 C L N N 00001 CHAR_DESC 00080 01 S PMMIS-VALUE 00087 00003 C L N N 00001 PMMIS_VALUE 00003 01 S BEG-DAT 00090 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00098 00008 C L N N 00001 END_DAT 00008 01 S LAST-MOD-DAT 00106 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00114 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00122 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00125 00008 C L N N 00001

REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00133 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00141 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 26 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-CMS-RTN-CDS (0001)PROD AUTHOR: AHC52 CONTROLLER: AHC52 COPY-VERSION: 002 DATE-ADDED: 12/01/05 DATE-LAST-CHANGED: 12/01/05 TIME-OF-CHANGE: 14.51.48 NUMBER-OF-CHANGES: 000012 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S RTN-FIELD 00000 00020 C L N N 00001 RTN_FIELD 00020 01 S RTN-CD 00020 00006 C L N N 00001 RTN_CD 00006 01 S STA 00026 00001 C L N N 00001 STA 00001 01 S RTN-DESC 00027 00086 C L N N 00001 RTN_DESC 00086 01 S REPORT-CD 00113 00001 C L N N 00001 REPORT_CD 00001 01 S DAT-REC-ADDED 00114 00008 C L N N 00001 DAT_REC_ADDED 00008 01 S TIME-REC-ADDED 00122 00008 C L N N 00001 TIME_REC_ADDED 00008 01 S LAST-MOD-DAT 00130 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00138 00006 C L N N 00001 LAST_MOD_TIME 00006 01 S LAST-MOD-USR 00144 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 27 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0

* Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-CNTL (0017)PROD AUTHOR: AHM35 CONTROLLER: AHM35 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000008 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S REC-KEY 00000 00008 C L N N 00001 REC_KEY 00008 01 S CNTL-NUM 00008 00004 N R N N 00001 CNTL_NUM 00004 01 S DAT-REC-ADDED 00012 00008 C L N N 00001 DAT_REC_ADDED 00008 01 S LAST-MOD-DAT 00020 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00028 00006 C L N N 00001 LAST_MOD_TIME 00006 01 S LAST-MOD-USR 00034 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 28 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-CN1-CODE (0001)PROD AUTHOR: AHC52 CONTROLLER: AHC52 COPY-VERSION: 002 DATE-ADDED: 08/19/05 DATE-LAST-CHANGED: 08/19/05 TIME-OF-CHANGE: 08.11.49 NUMBER-OF-CHANGES: 000014 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S CN1-CODE 00001 00002 C L N N 00001 CN1_CODE 00002 01 S DESC 00003 00020 C L N N 00001

DESC 00020 01 S REIMBURSE-IND 00023 00001 C L N N 00001 REIMBURSE_IND 00001 01 S BEG-DAT 00024 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00032 00008 C L N N 00001 END_DAT 00008 01 S LAST-MOD-DAT 00040 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00048 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00056 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00059 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00067 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00075 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 29 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-COPAY-DATA (0002)PROD AUTHOR: AHC09 CONTROLLER: AHC09 COPY-VERSION: 002 DATE-ADDED: 10/28/03 DATE-LAST-CHANGED: 10/28/03 TIME-OF-CHANGE: 16.57.23 NUMBER-OF-CHANGES: 000015 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA 00000 00001 C L N N 00001 STA 00001 01 S LEVEL 00001 00002 C L N N 00001 LEVEL 00002 01 S COPAY-SER-TYP 00003 00002 C L N N 00001 COPAY_SER_TYP 00002 01 S PAY-REQ 00005 00001 C L N N 00001 PAY_REQ 00001 01 S AMOUNT 00006 00005 N R N Y 002 00001

AMOUNT 00005 01 S BEG-DAT 00011 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00019 00008 C L N N 00001 END_DAT 00008 01 S REC-ADDED-DAT 00027 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00035 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00043 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00046 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00054 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00062 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 30 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-COPAY-ELG-LVL (0002)PROD AUTHOR: AHC20 CONTROLLER: AHC20 COPY-VERSION: 002 DATE-ADDED: 10/28/03 DATE-LAST-CHANGED: 10/28/03 TIME-OF-CHANGE: 16.57.23 NUMBER-OF-CHANGES: 000014 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA 00000 00001 C L N N 00001 STA 00001 01 S ELG-KEY 00001 00003 C L N N 00001 ELG_KEY 00003 01 S FPL-LVL 00004 00003 C L N N 00001 FPL_LVL 00003 01 S COPAY-LVL 00007 00002 C L N N 00001 COPAY_LVL 00002 01 S BEG-DAT 00009 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00017 00008 C L N N 00001

END_DAT 00008 01 S REC-ADDED-DAT 00025 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00033 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00041 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00044 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00052 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00060 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 31 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-COS-LOC (0017)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000014 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S PR-TYP 00001 00002 C L N N 00001 PR_TYP 00002 01 S CAT-SER 00003 00002 C L N N 00001 CAT_SER 00002 01 S LVL-CARE 00005 00003 C L N N 00001 LVL_CARE 00003 01 S BEG-DAT 00008 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00016 00008 C L N N 00001 END_DAT 00008 01 S LAST-MOD-DAT 00024 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00032 00008 C L N N 00001

LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00040 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00043 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00051 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00059 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 32 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-COST-CENTER (0017)PROD AUTHOR: AHM35 CONTROLLER: AHM35 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000015 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S COST-DIV 00000 00002 C L N N 00001 COST_DIV 00002 01 S COST-DEPT 00002 00002 C L N N 00001 COST_DEPT 00002 01 S DIVISION-NAME 00004 00024 C L N N 00001 DIVISION_NAME 00024 01 S DEPT-NAME 00028 00015 C L N N 00001 DEPT_NAME 00015 01 S DIV-ACRONYM 00043 00004 C L N N 00001 DIV_ACRONYM 00004 01 S DEPT-ACRONYM 00047 00004 C L N N 00001 DEPT_ACRONYM 00004 01 S STA-CD 00051 00001 C L N N 00001 STA_CD 00001 01 S LAST-MOD-DAT 00052 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00060 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00068 00003 C L N N 00001

LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00071 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00079 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00087 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 33 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-CST-CENTER (0001)PROD AUTHOR: AHCY5 CONTROLLER: AHCY5 COPY-VERSION: 002 DATE-ADDED: 08/31/04 DATE-LAST-CHANGED: 08/31/04 TIME-OF-CHANGE: 18.03.55 NUMBER-OF-CHANGES: 000009 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S COST-CENTER-CD 00000 00004 C L N N 00001 COST_CENTER_CD 00004 01 S COST-CENTER-DESC 00004 00040 C L N N 00001 COST_CENTER_DESC 00040 01 S HAWAII-INV-DEPT 00044 00002 C L N N 00001 HAWAII_INV_DEPT 00002 01 S BEG-DAT 00046 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00054 00008 C L N N 00001 END_DAT 00008 01 S LAST-MOD-USR 00062 00003 C L N N 00001 LAST_MOD_USR 00003 01 S LAST-MOD-DAT 00065 00008 C L N N 00001 LAST_MOD_DAT 00008 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 34 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: CONTRACT TYPE NAME: RF-CTRT-TYP (0018)PROD

AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000016 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 S CTRT-TYP 00001 00001 C L N N 00001 CTRT_TYP CONTRACT TYPE 00001 01 S CTRT-CD 00002 00012 C L N N 00001 CTRT_CD CONTRACT CODE 00012 01 S CTRT-DESC 00014 00045 C L N N 00001 CTRT_DESC CONTRACT DESCRIPTION 00045 01 S CAP-IND 00059 00001 C L N N 00001 CAP_IND CAPITATION INDICATOR 00001 01 S BEG-DAT 00060 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 00008 01 S END-DAT 00068 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 00008 01 S REC-ADDED-DAT 00076 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00084 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00092 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00095 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00103 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00111 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 35 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: CONTRACT TYPE NAME: RF-CTRT-TYP (0018)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000016

LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S FFS-IND 00114 00001 C L N N 00001 FFS_IND 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 36 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: DATA PRECEDENCE NAME: RF-DATA-PREC (0017)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000014 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 S DATA-ELE 00001 00003 C L N N 00001 DATA_ELE DATA ELEMENT CODE 00003 01 S SRC 00004 00002 C L N N 00001 SRC SOURCE 00002 01 S PREC 00006 00003 C L N N 00001 PREC PRECEDENCE 00003 01 S BEG-DAT 00009 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 00008 01 S END-DAT 00017 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 00008 01 S REC-ADDED-DAT 00025 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00033 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00041 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00044 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00052 00008 C L N N 00001

LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00060 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 37 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-DATA-SRC-CD (0017)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000015 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S SRC-CD 00001 00002 C L N N 00001 SRC_CD 00002 01 S MDC-IND 00003 00001 C L N N 00001 MDC_IND 00001 01 S ELG-IND 00004 00001 C L N N 00001 ELG_IND 00001 01 S MED-CND-IND 00005 00001 C L N N 00001 MED_CND_IND 00001 01 S BEG-DAT 00006 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00014 00008 C L N N 00001 END_DAT 00008 01 S LAST-MOD-DAT 00022 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00030 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00038 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00041 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00049 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00057 00003 C L N N 00001

REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 38 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-DBID (0007)PROD AUTHOR: AHC36 CONTROLLER: AHC36 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000008 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S DBID 00000 00003 C L N N 00001 DBID 00003 01 S TBL-ID 00003 00003 C L N N 00001 TBL_ID 00003 01 S DB-NM 00006 00025 C L N N 00001 DB_NM 00025 01 S TBL-NM 00031 00025 C L N N 00001 TBL_NM 00025 01 S LAST-MOD-DAT 00056 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-USR 00064 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 39 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-DENTAL-PROC (0001)PROD AUTHOR: AHCC6 CONTROLLER: AHCC6 COPY-VERSION: 002 DATE-ADDED: 06/22/07 DATE-LAST-CHANGED: 06/22/07 TIME-OF-CHANGE: 16.09.04 NUMBER-OF-CHANGES: 000035 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001

STA_CD 00001 01 S PROC 00001 00005 C L N N 00001 PROC 00005 01 S END-DAT 00006 00008 C L N N 00001 END_DAT 00008 01 S BEG-DAT 00014 00008 C L N N 00001 BEG_DAT 00008 01 S DESC 00022 00080 C L N N 00001 DESC 00080 01 S DESC-SPAN 00102 00080 C L N N 00001 DESC_SPAN 00080 01 S DESC-SHORT 00182 00020 C L N N 00001 DESC_SHORT 00020 01 C FREQ1 00202 00004 C L N N 00001 FREQ1 02 S FREQ1-VAL FREQ1 00202 00003 C L N N 00001 FREQ1_VAL 00003 02 S FREQ1-CD FREQ1 00205 00001 C L N N 00001 FREQ1_CD 00001 01 C FREQ2 00206 00004 C L N N 00001 FREQ2 02 S FREQ2-VAL FREQ2 00206 00003 C L N N 00001 FREQ2_VAL 00003 02 S FREQ2-CD FREQ2 00209 00001 C L N N 00001 FREQ2_CD 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 40 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-DENTAL-PROC (0001)PROD AUTHOR: AHCC6 CONTROLLER: AHCC6 COPY-VERSION: 002 DATE-ADDED: 06/22/07 DATE-LAST-CHANGED: 06/22/07 TIME-OF-CHANGE: 16.09.04 NUMBER-OF-CHANGES: 000035 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 C MAX-AGE 00210 00004 C L N N 00001 MAX_AGE 02 S MAX-AGE-DUR MAX-AGE 00210 00003 C L N N 00001

MAX_AGE_DUR 00003 02 S MAX-AGE-TYP MAX-AGE 00213 00001 C L N N 00001 MAX_AGE_TYP 00001 01 C MIN-AGE 00214 00004 C L N N 00001 MIN_AGE 02 S MIN-AGE-DUR MIN-AGE 00214 00003 C L N N 00001 MIN_AGE_DUR 00003 02 S MIN-AGE-TYP MIN-AGE 00217 00001 C L N N 00001 MIN_AGE_TYP 00001 01 S PROC-MAX-OCC 00218 00003 C L N N 00001 PROC_MAX_OCC 00003 01 S PROC-STA 00221 00001 C L N N 00001 PROC_STA 00001 01 S LMT1 00222 00003 C L N N 00001 LMT1 00003 01 S LMT2 00225 00003 C L N N 00001 LMT2 00003 01 S APPLY-TO-ALL 00228 00001 C L N N 00001 APPLY_TO_ALL 00001 01 S TOOTH-REQ 00229 00001 C L N N 00001 TOOTH_REQ 00001 01 S REUSE-IND 00230 00001 C L N N 00001 REUSE_IND 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 41 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-DENTAL-PROC (0001)PROD AUTHOR: AHCC6 CONTROLLER: AHCC6 COPY-VERSION: 002 DATE-ADDED: 06/22/07 DATE-LAST-CHANGED: 06/22/07 TIME-OF-CHANGE: 16.09.04 NUMBER-OF-CHANGES: 000035 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S TOOTH-NO 00231 00002 C L N N 00110 TOOTH_NO 00002 01 S LAST-MOD-DAT 00451 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00459 00008 C L N N 00001

LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00467 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00470 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADD-TIME 00478 00008 C L N N 00001 REC_ADD_TIME 00008 01 S REC-ADD-USR 00486 00003 C L N N 00001 REC_ADD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 42 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-DES-MATRIX (0001)PROD AUTHOR: AHC52 CONTROLLER: AHC52 COPY-VERSION: 002 DATE-ADDED: 10/28/03 DATE-LAST-CHANGED: 10/28/03 TIME-OF-CHANGE: 16.57.23 NUMBER-OF-CHANGES: 000013 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S ELG-KEY-CD 00000 00003 C L N N 00001 ELG_KEY_CD 00003 01 S STA 00003 00001 C L N N 00001 STA 00001 01 S ELG-KEY-DESC 00004 00025 C L N N 00001 ELG_KEY_DESC 00025 01 S P-IND 00029 00001 C L N N 00001 P_IND 00001 01 S EFF-BEG-DAT 00030 00008 C L N N 00001 EFF_BEG_DAT 00008 01 S EFF-END-DAT 00038 00008 C L N N 00001 EFF_END_DAT 00008 01 S REC-ADDED-DAT 00046 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00054 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S LAST-MOD-DAT 00062 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LST-MOD-TIME 00070 00008 C L N N 00001

LST_MOD_TIME 00008 01 S LAST-MOD-USR 00078 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 43 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-DESC (0001)PROD AUTHOR: AHC36 CONTROLLER: AHC36 COPY-VERSION: 002 DATE-ADDED: 05/03/00 DATE-LAST-CHANGED: 05/03/00 TIME-OF-CHANGE: 22.28.54 NUMBER-OF-CHANGES: 000007 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S SUBSYS 00000 00002 C L N N 00001 SUBSYS 00002 01 S DESC-KEY 00002 00020 C L N N 00001 DESC_KEY 00020 01 S DESC-TYP 00022 00001 C L N N 00001 DESC_TYP 00001 01 S LINE-NUM 00023 00003 N R N N 00001 LINE_NUM 00003 01 S TEXT 00026 00075 C L N N 00001 TEXT 00075 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 44 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-DIAG (0004)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.13.17 NUMBER-OF-CHANGES: 000040 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001

STA_CD STATUS OF A DIAGNOSIS 01 C DIAG 00001 00006 C L N N 00001 DIAG ICD9 DIAGNOSIS CODE 02 S DIAG-CD DIAG 00001 00001 C L N N 00001 DIAG_CD 02 S DIAG-CND DIAG 00002 00003 C L N N 00001 DIAG_CND 02 S DIAG-DTL DIAG 00005 00002 C L N N 00001 DIAG_DTL 01 S END-DAT 00007 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 01 S BEG-DAT 00015 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 01 S DIAG-CLS-CD 00023 00002 C L N N 00001 DIAG_CLS_CD DIAGNOSIS CLASSIFICATION CODE 01 S DESC-TECH 00025 00080 C L N N 00001 DESC_TECH TECHNICAL DESCRIPTION 01 S DIAG-CD-METH 00105 00001 C L N N 00001 DIAG_CD_METH DIAGNOSIS CODING METHOD 01 S DIAG-STA 00106 00001 C L N N 00001 DIAG_STA DIAGNOSIS STATUS 01 S FAM-PLN-IND 00107 00001 C L N N 00001 FAM_PLN_IND FAMILY PLANNING INDICATOR 01 C MAX-AGE 00108 00004 C L N N 00001 MAX_AGE MAXIMUM AGE Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 45 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-DIAG (0004)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.13.17 NUMBER-OF-CHANGES: 000040 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 02 S MAX-AGE-DUR MAX-AGE 00108 00003 C L N N 00001 MAX_AGE_DUR 02 S MAX-AGE-TYP MAX-AGE 00111 00001 C L N N 00001

MAX_AGE_TYP 01 C MIN-AGE 00112 00004 C L N N 00001 MIN_AGE MINIMUM AGE 02 S MIN-AGE-DUR MIN-AGE 00112 00003 C L N N 00001 MIN_AGE_DUR 02 S MIN-AGE-TYP MIN-AGE 00115 00001 C L N N 00001 MIN_AGE_TYP 01 S PAS-GRP 00116 00003 C L N N 00001 PAS_GRP PROFESSIONAL ACTIVITIES STUDY 01 S SEX 00119 00001 C L N N 00001 SEX SEX CODE 01 S TPL-IND 00120 00001 C L N N 00001 TPL_IND THIRD PARTY LIABILITY IND 01 S DESC 00121 00080 C L N N 00001 DESC GENERAL DESCRIPTION FOR DIAG 01 S DL-TYP 00201 00002 C L N N 00001 DL_TYP 01 S RI-TYP 00203 00002 C L N N 00001 RI_TYP 01 S RI-CVG-CD 00205 00001 C L N N 00001 RI_CVG_CD 01 S CNF-IND 00206 00001 C L N N 00001 CNF_IND Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 46 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-DIAG (0004)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.13.17 NUMBER-OF-CHANGES: 000040 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STER-IND 00207 00001 C L N N 00001 STER_IND 01 S ABR-IND 00208 00001 C L N N 00001 ABR_IND 01 S LAST-MOD-DAT 00209 00008 C L N N 00001

LAST_MOD_DAT DATE OF LAST MODIFICATION 01 S LAST-MOD-TIME 00217 00008 C L N N 00001 LAST_MOD_TIME 01 S LAST-MOD-USR 00225 00003 C L N N 00001 LAST_MOD_USR 01 S REC-ADDED-DAT 00228 00008 C L N N 00001 REC_ADDED_DAT 01 S REC-ADDED-TIME 00236 00008 C L N N 00001 REC_ADDED_TIME 01 S REC-ADDED-USR 00244 00003 C L N N 00001 REC_ADDED_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 47 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-DIAG-CVG (0004)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.13.17 NUMBER-OF-CHANGES: 000017 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 01 C DIAG 00001 00006 C L N N 00001 DIAG 02 S DIAG-CD DIAG 00001 00001 C L N N 00001 DIAG_CD 02 S DIAG-CND DIAG 00002 00003 C L N N 00001 DIAG_CND 02 S DIAG-DTL DIAG 00005 00002 C L N N 00001 DIAG_DTL 01 S AHCCCS-CVG 00007 00002 C L N N 00001 AHCCCS_CVG 01 S BEG-DAT 00009 00008 C L N N 00001 BEG_DAT 01 S END-DAT 00017 00008 C L N N 00001 END_DAT 01 S REC-ADDED-DAT 00025 00008 C L N N 00001

REC_ADDED_DAT 01 S REC-ADDED-TIME 00033 00008 C L N N 00001 REC_ADDED_TIME 01 S REC-ADDED-USR 00041 00003 C L N N 00001 REC_ADDED_USR 01 S LAST-MOD-DAT 00044 00008 C L N N 00001 LAST_MOD_DAT 01 S LAST-MOD-TIME 00052 00008 C L N N 00001 LAST_MOD_TIME Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 48 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-DIAG-CVG (0004)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.13.17 NUMBER-OF-CHANGES: 000017 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S LAST-MOD-USR 00060 00003 C L N N 00001 LAST_MOD_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 49 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-DIAG-IND (0003)PROD AUTHOR: AHC09 CONTROLLER: AHC09 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.13.17 NUMBER-OF-CHANGES: 000030 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 C DIAG 00001 00006 C L N N 00001

DIAG 02 S DIAG-CD DIAG 00001 00001 C L N N 00001 DIAG_CD 00001 02 S DIAG-CND DIAG 00002 00003 C L N N 00001 DIAG_CND 00003 02 S DIAG-DTL DIAG 00005 00002 C L N N 00001 DIAG_DTL 00002 01 S DIAG-BEG-DAT 00007 00008 C L N N 00001 DIAG_BEG_DAT 00008 01 S DIAG-END-DAT 00015 00008 C L N N 00001 DIAG_END_DAT 00008 01 S SYSTEM-ID 00023 00001 C L N N 00001 SYSTEM_ID 00001 01 S BEG-DAT 00024 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00032 00008 C L N N 00001 END_DAT 00008 01 C MAX-AGE 00040 00004 C L N N 00001 MAX_AGE 02 S MAX-AGE-DUR MAX-AGE 00040 00003 C L N N 00001 MAX_AGE_DUR 00003 02 S MAX-AGE-TYP MAX-AGE 00043 00001 C L N N 00001 MAX_AGE_TYP 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 50 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-DIAG-IND (0003)PROD AUTHOR: AHC09 CONTROLLER: AHC09 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.13.17 NUMBER-OF-CHANGES: 000030 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 C MIN-AGE 00044 00004 C L N N 00001 MIN_AGE 02 S MIN-AGE-DUR MIN-AGE 00044 00003 C L N N 00001 MIN_AGE_DUR 00003 02 S MIN-AGE-TYP MIN-AGE 00047 00001 C L N N 00001

MIN_AGE_TYP 00001 01 S FAM-PLN-IND 00048 00001 C L N N 00001 FAM_PLN_IND 00001 01 S SEX 00049 00001 C L N N 00001 SEX 00001 01 S STER-IND 00050 00001 C L N N 00001 STER_IND 00001 01 S ABR-IND 00051 00001 C L N N 00001 ABR_IND 00001 01 S TPL-IND 00052 00001 C L N N 00001 TPL_IND 00001 01 S CNF-IND 00053 00001 C L N N 00001 CNF_IND 00001 01 S REC-ADDED-DAT 00054 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00062 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00070 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00073 00008 C L N N 00001 LAST_MOD_DAT 00008 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 51 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-DIAG-IND (0003)PROD AUTHOR: AHC09 CONTROLLER: AHC09 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.13.17 NUMBER-OF-CHANGES: 000030 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S LAST-MOD-TIME 00081 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00089 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 52 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0

* Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-DIAG-LOS (0004)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.13.17 NUMBER-OF-CHANGES: 000023 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD DIAG LENGTH OF STAY STATUS 01 S DIAG-SURG-COMB 00001 00001 C L N N 00001 DIAG_SURG_COMB DIAGNOSIS SURGURY COMB CODE 01 S PAS-GRP 00002 00003 C L N N 00001 PAS_GRP PROFESSIONAL ACTIVITIES STUDY 01 C AGE-FROM 00005 00004 C L N N 00001 AGE_FROM MINIMUM AGE 02 S AGE-FROM-DUR AGE-FROM 00005 00003 C L N N 00001 AGE_FROM_DUR 02 S AGE-FROM-TYP AGE-FROM 00008 00001 C L N N 00001 AGE_FROM_TYP 01 C AGE-TO 00009 00004 C L N N 00001 AGE_TO MAXIMUM AGE 02 S AGE-TO-DUR AGE-TO 00009 00003 C L N N 00001 AGE_TO_DUR 02 S AGE-TO-TYP AGE-TO 00012 00001 C L N N 00001 AGE_TO_TYP 01 S DAY-PBL 00013 00003 N R N Y 00001 DAY_PBL DAYS PAYABLE 01 S BEG-DAT 00016 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 01 S END-DAT 00024 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 01 S LAST-MOD-DAT 00032 00008 C L N N 00001 LAST_MOD_DAT DATE OF LAST MODIFICATION Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 53 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2

ENTITY-TYPE: TABLE DESC: NAME: RF-DIAG-LOS (0004)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.13.17 NUMBER-OF-CHANGES: 000023 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S LAST-MOD-TIME 00040 00008 C L N N 00001 LAST_MOD_TIME 01 S LAST-MOD-USR 00048 00003 C L N N 00001 LAST_MOD_USR 01 S REC-ADDED-DAT 00051 00008 C L N N 00001 REC_ADDED_DAT 01 S REC-ADDED-TIME 00059 00008 C L N N 00001 REC_ADDED_TIME 01 S REC-ADDED-USR 00067 00003 C L N N 00001 REC_ADDED_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 54 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-DIAG-PA (0004)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.13.17 NUMBER-OF-CHANGES: 000017 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 01 C DIAG 00001 00006 C L N N 00001 DIAG 02 S DIAG-CD DIAG 00001 00001 C L N N 00001 DIAG_CD 02 S DIAG-CND DIAG 00002 00003 C L N N 00001 DIAG_CND 02 S DIAG-DTL DIAG 00005 00002 C L N N 00001

DIAG_DTL 01 S PA-CODE 00007 00001 C L N N 00001 PA_CODE 01 S BEG-DAT 00008 00008 C L N N 00001 BEG_DAT 01 S END-DAT 00016 00008 C L N N 00001 END_DAT 01 S REC-ADDED-DAT 00024 00008 C L N N 00001 REC_ADDED_DAT 01 S REC-ADDED-TIME 00032 00008 C L N N 00001 REC_ADDED_TIME 01 S REC-ADDED-USR 00040 00003 C L N N 00001 REC_ADDED_USR 01 S LAST-MOD-DAT 00043 00008 C L N N 00001 LAST_MOD_DAT 01 S LAST-MOD-TIME 00051 00008 C L N N 00001 LAST_MOD_TIME Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 55 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-DIAG-PA (0004)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.13.17 NUMBER-OF-CHANGES: 000017 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S LAST-MOD-USR 00059 00003 C L N N 00001 LAST_MOD_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 56 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: ICD9 DIAGNOSIS RELATED PROCEDURES NAME: RF-DIAG-PROC (0004)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.13.17 NUMBER-OF-CHANGES: 000034

LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 S SUB-SYSTEM 00001 00001 C L N N 00001 SUB_SYSTEM 00001 01 C FORM-TYPE 00002 00006 C L N N 00001 FORM_TYPE 02 S FT-A FORM-TYPE 00002 00001 C L N N 00001 FT_A 00001 02 S FT-C FORM-TYPE 00003 00001 C L N N 00001 FT_C 00001 02 S FT-D FORM-TYPE 00004 00001 C L N N 00001 FT_D 00001 02 S FT-I FORM-TYPE 00005 00001 C L N N 00001 FT_I 00001 02 S FT-L FORM-TYPE 00006 00001 C L N N 00001 FT_L 00001 02 S FT-O FORM-TYPE 00007 00001 C L N N 00001 FT_O 00001 01 C DIAG-FROM 00008 00006 C L N N 00001 DIAG_FROM 02 S DIAG-FM-CD DIAG-FROM 00008 00001 C L N N 00001 DIAG_FM_CD 00001 02 S DIAG-FM-CND DIAG-FROM 00009 00003 C L N N 00001 DIAG_FM_CND 00003 02 S DIAG-FM-DTL DIAG-FROM 00012 00002 C L N N 00001 DIAG_FM_DTL 00002 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 57 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: ICD9 DIAGNOSIS RELATED PROCEDURES NAME: RF-DIAG-PROC (0004)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.13.17 NUMBER-OF-CHANGES: 000034 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE.............

SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 C DIAG-TO 00014 00006 C L N N 00001 DIAG_TO 02 S DIAG-TO-CD DIAG-TO 00014 00001 C L N N 00001 DIAG_TO_CD 00001 02 S DIAG-TO-CND DIAG-TO 00015 00003 C L N N 00001 DIAG_TO_CND 00003 02 S DIAG-TO-DTL DIAG-TO 00018 00002 C L N N 00001 DIAG_TO_DTL 00002 01 S IE-IND 00020 00001 C L N N 00001 IE_IND INCLUDED/EXCLUDED RANGE IND 00001 01 S PROC-FROM 00021 00005 C L N N 00001 PROC_FROM BEGINNING HCPCS PROCEDURE CODE 00005 01 S PROC-TO 00026 00005 C L N N 00001 PROC_TO ENDING HCPCS PROCEDURE CODE 00005 01 S END-DAT 00031 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 00008 01 S BEG-DAT 00039 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 00008 01 S LAST-MOD-DAT 00047 00008 C L N N 00001 LAST_MOD_DAT DATE OF LAST MODIFICATION 00008 01 S LAST-MOD-TIME 00055 00008 C L N N 00001 LAST_MOD_TIME LAST MODIFIED TIME 00008 01 S LAST-MOD-USR 00063 00003 C L N N 00001 LAST_MOD_USR LAST MODIFIED USER ID 00003 01 S REC-ADDED-DAT 00066 00008 C L N N 00001 REC_ADDED_DAT RECORD ADDED DATE 00008 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 58 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: ICD9 DIAGNOSIS RELATED PROCEDURES NAME: RF-DIAG-PROC (0004)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.13.17 NUMBER-OF-CHANGES: 000034 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS

01 S REC-ADDED-TIME 00074 00008 C L N N 00001 REC_ADDED_TIME RECORD ADDED TIME 00008 01 S REC-ADDED-USR 00082 00003 C L N N 00001 REC_ADDED_USR RECORD ADDED USER ID 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 59 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-DIAG-SPP (0004)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.13.17 NUMBER-OF-CHANGES: 000019 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 01 C DIAG 00001 00006 C L N N 00001 DIAG ICD9 DIAGNOSIS CODE 02 S DIAG-CD DIAG 00001 00001 C L N N 00001 DIAG_CD 02 S DIAG-CND DIAG 00002 00003 C L N N 00001 DIAG_CND 02 S DIAG-DTL DIAG 00005 00002 C L N N 00001 DIAG_DTL 01 S SPP 00007 00001 C L N N 00001 SPP SPECIAL PROCESSING PARM 01 S BEG-DAT 00008 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 01 S END-DAT 00016 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 01 S LAST-MOD-DAT 00024 00008 C L N N 00001 LAST_MOD_DAT DATE OF LAST MODIFICATION 01 S LAST-MOD-TIME 00032 00008 C L N N 00001 LAST_MOD_TIME 01 S LAST-MOD-USR 00040 00003 C L N N 00001 LAST_MOD_USR 01 S REC-ADDED-DAT 00043 00008 C L N N 00001

REC_ADDED_DAT 01 S REC-ADDED-TIME 00051 00008 C L N N 00001 REC_ADDED_TIME Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 60 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-DIAG-SPP (0004)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.13.17 NUMBER-OF-CHANGES: 000019 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S REC-ADDED-USR 00059 00003 C L N N 00001 REC_ADDED_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 61 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-DOC-NUM (0003)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.11.27 NUMBER-OF-CHANGES: 000017 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 01 S DOC-NUM 00001 00004 C L N N 00001 DOC_NUM DOCUMENT NUMBER 01 S DOC-LOC 00005 00001 C L N N 00001 DOC_LOC DOCUMENT LOCATION 01 S DESC 00006 00080 C L N N 00001 DESC DOC NUMBER DESCRIPTION 01 S BEG-DAT 00086 00008 C L N N 00001

BEG_DAT CODE EFFECTIVE BEGINNING DATE 01 S END-DAT 00094 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 01 S LAST-MOD-DAT 00102 00008 C L N N 00001 LAST_MOD_DAT 01 S LAST-MOD-TIME 00110 00008 C L N N 00001 LAST_MOD_TIME 01 S LAST-MOD-USR 00118 00003 C L N N 00001 LAST_MOD_USR 01 S REC-ADDED-DAT 00121 00008 C L N N 00001 REC_ADDED_DAT 01 S REC-ADDED-TIME 00129 00008 C L N N 00001 REC_ADDED_TIME 01 S REC-ADDED-USR 00137 00003 C L N N 00001 REC_ADDED_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 62 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-DUAL-STATUS (0002)PROD AUTHOR: AHCC6 CONTROLLER: AHCC6 COPY-VERSION: 002 DATE-ADDED: 09/22/06 DATE-LAST-CHANGED: 09/22/06 TIME-OF-CHANGE: 09.16.44 NUMBER-OF-CHANGES: 000016 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S FPL-DS-IND 00001 00004 C L N N 00001 FPL_DS_IND 00004 01 S DUAL-STA-CD 00005 00002 C L N N 00001 DUAL_STA_CD 00002 01 S FPL-PCT-IND 00007 00001 C L N N 00001 FPL_PCT_IND 00001 01 S DESC 00008 00030 C L N N 00001 DESC 00030 01 S LAST-MOD-DAT 00038 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00046 00008 C L N N 00001

LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00054 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00057 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00065 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00073 00003 C L N N 00001 REC_ADDED_USR 00003 01 S PSB-PCT-IND 00076 00003 C L N N 00001 PSB_PCT_IND 00003 01 S QN-AA-IND 00079 00001 C L N N 00001 QN_AA_IND 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 63 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-EC-CCL-ED (0005)PROD AUTHOR: AHM19 CONTROLLER: AHM19 COPY-VERSION: 002 DATE-ADDED: 10/28/02 DATE-LAST-CHANGED: 10/28/02 TIME-OF-CHANGE: 14.41.59 NUMBER-OF-CHANGES: 000015 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S EDIT-CD 00001 00004 C L N N 00001 EDIT_CD 00004 01 S CLM-TYP 00005 00001 C L N N 00001 CLM_TYP 00001 01 S FORM-TYP 00006 00001 C L N N 00001 FORM_TYP 00001 01 S INPUT-MODE 00007 00002 C L N N 00001 INPUT_MODE 00002 01 S BEG-DAT 00009 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00017 00008 C L N N 00001 END_DAT 00008 01 S REC-ADDED-DAT 00025 00008 C L N N 00001

REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00033 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00041 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00044 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00052 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00060 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 64 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-ELG-HIER (0006)PROD AUTHOR: AHM35 CONTROLLER: AHM35 COPY-VERSION: 002 DATE-ADDED: 10/28/03 DATE-LAST-CHANGED: 10/28/03 TIME-OF-CHANGE: 16.57.23 NUMBER-OF-CHANGES: 000020 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 01 S ELG-TYP 00001 00001 C L N N 00001 ELG_TYP ELIGIBILITY CATEGORY 01 S ELG-CAT 00002 00002 C L N N 00001 ELG_CAT ELIGIBILITY CATEGORY 01 S ELG-QUAL 00004 00002 C L N N 00001 ELG_QUAL ELIGIBILITY QUALIFIER 01 S BEN-CAT 00006 00002 C L N N 00001 BEN_CAT BENEFIT CATEGORY 01 S BEN-QUAL 00008 00002 C L N N 00001 BEN_QUAL BENEFIT QUALIFIER 01 S PRECEDENCE-LVL 00010 00003 C L N N 00001 PRECEDENCE_LVL 01 S ELG-KEY-CD 00013 00003 C L N N 00001 ELG_KEY_CD ABBREVIATED ELIGIBILITY KEY CODE 01 S EFF-BEG-DAT 00016 00008 C L N N 00001

EFF_BEG_DAT 01 S EFF-END-DAT 00024 00008 C L N N 00001 EFF_END_DAT 01 S CAT-IND 00032 00001 C L N N 00001 CAT_IND 01 S REC-ADDED-DAT 00033 00008 C L N N 00001 REC_ADDED_DAT 01 S LAST-MOD-DAT 00041 00008 C L N N 00001 LAST_MOD_DAT DATE RECORD LAST MODIFIED Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 65 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-ELG-HIER (0006)PROD AUTHOR: AHM35 CONTROLLER: AHM35 COPY-VERSION: 002 DATE-ADDED: 10/28/03 DATE-LAST-CHANGED: 10/28/03 TIME-OF-CHANGE: 16.57.23 NUMBER-OF-CHANGES: 000020 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S LAST-MOD-TIME 00049 00008 C L N N 00001 LAST_MOD_TIME TIME RECORD LAST MODIFIED 01 S LAST-MOD-USR 00057 00003 C L N N 00001 LAST_MOD_USR USER WHO LAST MODIFIED RECORD 01 S REC-ADDED-TIME 00060 00008 C L N N 00001 REC_ADDED_TIME 01 S REC-ADDED-USR 00068 00003 C L N N 00001 REC_ADDED_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 66 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: REFERENCES ELIGIBILITY RATE NAME: RF-ELG-RATE (0007)PROD AUTHOR: MDF CONTROLLER: MDF COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.18.49 NUMBER-OF-CHANGES: 000015 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE.............

SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 01 S ELG-KEY-CD 00001 00003 C L N N 00001 ELG_KEY_CD 01 S MDC-CVG 00004 00001 C L N N 00001 MDC_CVG MEDICARE COVERAGE 01 S END-DAT 00005 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 01 S BEG-DAT 00013 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 01 S CAP-RATE-CD 00021 00004 C L N N 00001 CAP_RATE_CD CAPITATION RATE CODE 01 S REC-ADDED-DAT 00025 00008 C L N N 00001 REC_ADDED_DAT 01 S LAST-MOD-DAT 00033 00008 C L N N 00001 LAST_MOD_DAT DATE OF LAST MODIFICATION 01 S LAST-MOD-TIME 00041 00008 C L N N 00001 LAST_MOD_TIME TIME OF LAST MODIFICATION 01 S LAST-MOD-USR 00049 00003 C L N N 00001 LAST_MOD_USR 01 S REC-ADDED-TIME 00052 00008 C L N N 00001 REC_ADDED_TIME 01 S REC-ADDED-USR 00060 00003 C L N N 00001 REC_ADDED_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 67 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-ELGKEY-PGM (0006)PROD AUTHOR: AHC03 CONTROLLER: AHC03 COPY-VERSION: 002 DATE-ADDED: 10/28/03 DATE-LAST-CHANGED: 10/28/03 TIME-OF-CHANGE: 16.57.23 NUMBER-OF-CHANGES: 000015 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001

STA_CD 00001 01 S ELG-KEY-CD 00001 00003 C L N N 00001 ELG_KEY_CD 00003 01 S ELG-PGM 00004 00002 C L N N 00001 ELG_PGM 00002 01 S SUB-PGM 00006 00002 C L N N 00001 SUB_PGM 00002 01 S FND-SRC 00008 00002 C L N N 00001 FND_SRC 00002 01 S EFF-BEG-DAT 00010 00008 C L N N 00001 EFF_BEG_DAT 00008 01 S EFF-END-DAT 00018 00008 C L N N 00001 EFF_END_DAT 00008 01 S REC-ADDED-DAT 00026 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00034 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00042 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00045 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00053 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00061 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 68 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-ENRL-STA (0017)PROD AUTHOR: AHM80 CONTROLLER: AHM80 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000022 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S PR-STA-TYP 00000 00001 C L N N 00001 PR_STA_TYP 00001 01 S STA 00001 00002 C L N N 00001

STA 00002 01 S DESC 00003 00080 C L N N 00001 DESC 00080 01 S STA-CD 00083 00001 C L N N 00001 STA_CD 00001 01 S REC-ADDED-DAT 00084 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00092 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00100 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00103 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00111 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00119 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 69 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-ENT-RAT (0005)PROD AUTHOR: AHM17 CONTROLLER: AHM17 COPY-VERSION: 002 DATE-ADDED: 10/28/02 DATE-LAST-CHANGED: 10/28/02 TIME-OF-CHANGE: 14.41.59 NUMBER-OF-CHANGES: 000015 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S ENT-TYP-RAT-SCH 00001 00003 C L N N 00001 ENT_TYP_RAT_SCH 00003 01 S SER-TYP 00004 00001 C L N N 00001 SER_TYP 00001 01 S PR-TYP-RAT-IND 00005 00001 C L N N 00001 PR_TYP_RAT_IND 00001 01 S PR-RAT-IND 00006 00001 C L N N 00001 PR_RAT_IND 00001 01 S PR-THRESH-IND 00007 00001 C L N N 00001

PR_THRESH_IND 00001 01 S STD-SVC-IND 00008 00001 C L N N 00001 STD_SVC_IND 00001 01 S LAST-MOD-DAT 00009 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00017 00006 C L N N 00001 LAST_MOD_TIME 00006 01 S LAST-MOD-USR 00023 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00026 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00034 00006 C L N N 00001 REC_ADDED_TIME 00006 01 S REC-ADDED-USR 00040 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 70 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-ERR-LOG (0006)PROD AUTHOR: AHM35 CONTROLLER: AHM35 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.25.55 NUMBER-OF-CHANGES: 000017 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S ERR-DAT 00000 00008 C L N N 00001 ERR_DAT 01 S ERR-TIME 00008 00006 C L N N 00001 ERR_TIME 01 S ERR-USR 00014 00003 C L N N 00001 ERR_USR 01 S ERR-TERM 00017 00004 C L N N 00001 ERR_TERM 01 S ERR-PGM 00021 00008 C L N N 00001 ERR_PGM 01 S ERR-PROC 00029 00030 C L N N 00001 ERR_PROC 01 S ERR-INST 00059 00006 C L N N 00001

ERR_INST 01 S ERR-SUB 00065 00003 C L N N 00001 ERR_SUB 01 S ERR-DBID 00068 00003 C L N N 00001 ERR_DBID 01 S ERR-STA 00071 00003 C L N N 00001 ERR_STA 01 S ERR-INTL-STA 00074 00003 C L N N 00001 ERR_INTL_STA 01 S ERR-DESC 00077 00080 C L N N 00001 ERR_DESC 01 S ERR-TYP 00157 00003 C L N N 00001 ERR_TYP Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 71 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-ERR-LOG (0006)PROD AUTHOR: AHM35 CONTROLLER: AHM35 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.25.55 NUMBER-OF-CHANGES: 000017 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S ERR-CLASS 00160 00003 C L N N 00001 ERR_CLASS 01 S ERR-NAME 00163 00015 C L N N 00001 ERR_NAME Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 72 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-ERR-MSG (0006)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.25.55 NUMBER-OF-CHANGES: 000018 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE.............

SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 01 S ERR-CD 00001 00004 C L N N 00001 ERR_CD ERROR CODE 01 S ERR-MSG 00005 00070 C L N N 00001 ERR_MSG ERROR MESSAGE 01 S BEG-DAT 00075 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 01 S END-DAT 00083 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 01 S LAST-MOD-DAT 00091 00008 C L N N 00001 LAST_MOD_DAT DATE OF LAST MODIFICATION 01 S LAST-MOD-TIME 00099 00008 C L N N 00001 LAST_MOD_TIME 01 S LAST-MOD-USR 00107 00003 C L N N 00001 LAST_MOD_USR 01 S REC-ADDED-DAT 00110 00008 C L N N 00001 REC_ADDED_DAT 01 S REC-ADDED-TIME 00118 00008 C L N N 00001 REC_ADDED_TIME 01 S REC-ADDED-USR 00126 00003 C L N N 00001 REC_ADDED_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 73 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-ERROR (0003)PROD AUTHOR: AHC03 CONTROLLER: AHC03 COPY-VERSION: 002 DATE-ADDED: 12/04/03 DATE-LAST-CHANGED: 12/04/03 TIME-OF-CHANGE: 15.12.35 NUMBER-OF-CHANGES: 000007 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S ERR-CD 00000 00004 C L N N 00001 ERR_CD 00004 01 S ERR-MSG 00004 00070 C L N N 00001

ERR_MSG 00070 01 S REC-ADD-DAT 00074 00008 C L N N 00001 REC_ADD_DAT 00008 01 S REC-ADD-USR 00082 00003 C L N N 00001 REC_ADD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 74 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-EXC-EM-SER (0005)PROD AUTHOR: AHC03 CONTROLLER: AHC03 COPY-VERSION: 002 DATE-ADDED: 10/28/02 DATE-LAST-CHANGED: 10/28/02 TIME-OF-CHANGE: 14.41.59 NUMBER-OF-CHANGES: 000021 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S CONTRACT-TYPE 00000 00001 C L N N 00001 CONTRACT_TYPE 00001 01 S SERVICE-TYPE 00001 00001 C L N N 00001 SERVICE_TYPE 00001 01 S SERVICE-FROM 00002 00011 C L N N 00001 SERVICE_FROM 00011 01 S SERVICE-TO 00013 00011 C L N N 00001 SERVICE_TO 00011 01 S REL-SERV-TYPE 00024 00001 C L N N 00001 REL_SERV_TYPE 00001 01 S REL-SERV-FROM 00025 00011 C L N N 00001 REL_SERV_FROM 00011 01 S REL-SERV-TO 00036 00011 C L N N 00001 REL_SERV_TO 00011 01 S PREG-IND 00047 00001 C L N N 00001 PREG_IND 00001 01 S PA-IND 00048 00001 C L N N 00001 PA_IND 00001 01 S REVIEW-IND 00049 00001 C L N N 00001 REVIEW_IND 00001 01 S BEG-DAT 00050 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00058 00008 C L N N 00001

END_DAT 00008 01 S STA-IND 00066 00001 C L N N 00001 STA_IND 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 75 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-EXC-EM-SER (0005)PROD AUTHOR: AHC03 CONTROLLER: AHC03 COPY-VERSION: 002 DATE-ADDED: 10/28/02 DATE-LAST-CHANGED: 10/28/02 TIME-OF-CHANGE: 14.41.59 NUMBER-OF-CHANGES: 000021 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S REC-ADDED-DAT 00067 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00075 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00083 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00086 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00094 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00102 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 76 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: FEDERAL WAIVER NAME: RF-FED-WAI (0017)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000014 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS

01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 S END-DAT 00001 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 00008 01 S FED-WAI 00009 00001 C L N N 00001 FED_WAI FEDERAL WAIVER CODE 00001 01 S BEG-DAT 00010 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 00008 01 S DESC 00018 00080 C L N N 00001 DESC FEDERAL WAIVER DESCRIPTION 00080 01 S RPT-ID 00098 00004 C L N N 00001 RPT_ID REPORT IDENTIFICATION 00004 01 S REC-ADDED-DAT 00102 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00110 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00118 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00121 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00129 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00137 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 77 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-FFP-SVC (0008)PROD AUTHOR: AHC03 CONTROLLER: AHC03 COPY-VERSION: 002 DATE-ADDED: 10/06/04 DATE-LAST-CHANGED: 10/06/04 TIME-OF-CHANGE: 06.13.49 NUMBER-OF-CHANGES: 000016 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S SVC 00001 00011 C L N N 00001

SVC 00011 01 S SVC-TYP 00012 00001 C L N N 00001 SVC_TYP 00001 01 S SVC-IND 00013 00001 C L N N 00001 SVC_IND 00001 01 S BEG-DAT 00014 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00022 00008 C L N N 00001 END_DAT 00008 01 S REC-ADDED-DAT 00030 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00038 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00046 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00049 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00057 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00065 00003 C L N N 00001 LAST_MOD_USR 00003 01 S DIAG-POS 00068 00001 C L N N 00001 DIAG_POS 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 78 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-FPS-RATES (0001)PROD AUTHOR: AHC52 CONTROLLER: AHC52 COPY-VERSION: 002 DATE-ADDED: 01/03/05 DATE-LAST-CHANGED: 01/03/05 TIME-OF-CHANGE: 12.14.27 NUMBER-OF-CHANGES: 000014 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S FPS-CODE 00000 00001 C L N N 00001 FPS_CODE 00001 01 S GSA-CD 00001 00002 C L N N 00001 GSA_CD 00002 01 S BEG-DAT 00003 00008 C L N N 00001

BEG_DAT 00008 01 S END-DAT 00011 00008 C L N N 00001 END_DAT 00008 01 S FP-RATE 00019 00008 N R N Y 002 00001 FP_RATE 00008 01 S STA-CD 00027 00001 C L N N 00001 STA_CD 00001 01 S LAST-MOD-DAT 00028 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00036 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00044 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00047 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00055 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00063 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 79 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-FUNC-RSN-CD (0017)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000017 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S RSN-CD 00001 00002 C L N N 00001 RSN_CD 00002 01 S ELG-IND 00003 00001 C L N N 00001 ELG_IND 00001 01 S ENR-IND 00004 00001 C L N N 00001 ENR_IND 00001 01 S MDC-IND 00005 00001 C L N N 00001

MDC_IND 00001 01 S TPC-IND 00006 00001 C L N N 00001 TPC_IND 00001 01 S SPC-IND 00007 00001 C L N N 00001 SPC_IND 00001 01 S BEG-DAT 00008 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00016 00008 C L N N 00001 END_DAT 00008 01 S LAST-MOD-DAT 00024 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00032 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00040 00008 C L N N 00001 LAST_MOD_USR 00008 01 S REC-ADDED-DAT 00048 00008 C L N N 00001 REC_ADDED_DAT 00008 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 80 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-FUNC-RSN-CD (0017)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000017 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S REC-ADDED-TIME 00056 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00064 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 81 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-GENERIC (0003)PROD

AUTHOR: AHC03 CONTROLLER: AHC03 COPY-VERSION: 002 DATE-ADDED: 12/04/03 DATE-LAST-CHANGED: 12/04/03 TIME-OF-CHANGE: 15.12.35 NUMBER-OF-CHANGES: 000011 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S TBL-ID 00000 00005 C L N N 00001 TBL_ID 00005 01 S TBL-CD 00005 00005 C L N N 00001 TBL_CD 00005 01 S REC-ADD-DAT 00010 00008 C L N N 00001 REC_ADD_DAT 00008 01 S STA 00018 00001 C L N N 00001 STA 00001 01 S DESC 00019 00040 C L N N 00001 DESC 00040 01 S BEG-DAT 00059 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00067 00008 C L N N 00001 END_DAT 00008 01 S REC-ADD-USR 00075 00003 C L N N 00001 REC_ADD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 82 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-GSA-CTY (0005)PROD AUTHOR: AHC17 CONTROLLER: AHC17 COPY-VERSION: 002 DATE-ADDED: 10/28/02 DATE-LAST-CHANGED: 10/28/02 TIME-OF-CHANGE: 14.41.59 NUMBER-OF-CHANGES: 000009 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S GSA-CD 00000 00002 C L N N 00001 GSA_CD 00002 01 S CTY 00002 00002 C L N N 00001 CTY 00002 01 S BEG-DAT 00004 00008 C L N N 00001

BEG_DAT 00008 01 S END-DAT 00012 00008 C L N N 00001 END_DAT 00008 01 S REC-ADDED-DAT 00020 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIM 00028 00006 C L N N 00001 REC_ADDED_TIM 00006 01 S REC-ADDED-USR 00034 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 83 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-HAWI-PLAN-CD (0001)PROD AUTHOR: AHCY5 CONTROLLER: AHCY5 COPY-VERSION: 002 DATE-ADDED: 05/02/05 DATE-LAST-CHANGED: 05/02/05 TIME-OF-CHANGE: 08.32.19 NUMBER-OF-CHANGES: 000016 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S HP-ID 00000 00006 C L N N 00001 HP_ID 00006 01 S CTRT-TYP 00006 00001 C L N N 00001 CTRT_TYP 00001 01 S PLAN-TYP 00007 00001 C L N N 00001 PLAN_TYP 00001 01 S HAWI-CD 00008 00002 C L N N 00001 HAWI_CD 00002 01 S HAWI-CD-DESC 00010 00025 C L N N 00001 HAWI_CD_DESC 00025 01 S BEG-DATE 00035 00008 C L N N 00001 BEG_DATE 00008 01 S END-DATE 00043 00008 C L N N 00001 END_DATE 00008 01 S REC-STA 00051 00001 C L N N 00001 REC_STA 00001 01 S REC-ADDED-DAT 00052 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIM 00060 00008 C L N N 00001

REC_ADDED_TIM 00008 01 S REC-ADDED-USR 00068 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00071 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIM 00079 00008 C L N N 00001 LAST_MOD_TIM 00008 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 84 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-HAWI-PLAN-CD (0001)PROD AUTHOR: AHCY5 CONTROLLER: AHCY5 COPY-VERSION: 002 DATE-ADDED: 05/02/05 DATE-LAST-CHANGED: 05/02/05 TIME-OF-CHANGE: 08.32.19 NUMBER-OF-CHANGES: 000016 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S LAST-MOD-USR 00087 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 85 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-HCFA-DEGREE (0005)PROD AUTHOR: AHM19 CONTROLLER: AHM19 COPY-VERSION: 002 DATE-ADDED: 10/28/02 DATE-LAST-CHANGED: 10/28/02 TIME-OF-CHANGE: 14.41.59 NUMBER-OF-CHANGES: 000011 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S AHCCCS-DEGREE 00000 00004 C L N N 00001 AHCCCS_DEGREE 00004 01 S HCFA-DEGREE 00004 00004 C L N N 00001 HCFA_DEGREE 00004 01 S HCFA-DESC 00008 00030 C L N N 00001

HCFA_DESC 00030 01 S REC-ADDED-DAT 00038 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00046 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00054 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00057 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00065 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00073 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 86 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-HCFA-SPEC (0005)PROD AUTHOR: AHM19 CONTROLLER: AHM19 COPY-VERSION: 002 DATE-ADDED: 10/28/02 DATE-LAST-CHANGED: 10/28/02 TIME-OF-CHANGE: 14.41.59 NUMBER-OF-CHANGES: 000011 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S AHCCCS-SPEC 00000 00003 C L N N 00001 AHCCCS_SPEC 00003 01 S HCFA-SPEC 00003 00002 C L N N 00001 HCFA_SPEC 00002 01 S HCFA-DESC 00005 00030 C L N N 00001 HCFA_DESC 00030 01 S REC-ADDED-DAT 00035 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00043 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00051 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00054 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00062 00008 C L N N 00001

LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00070 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 87 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-HCPCS-TAP-95 (0006)PROD AUTHOR: AHC17 CONTROLLER: AHC17 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 11.12.24 NUMBER-OF-CHANGES: 000035 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S HCPCS-CD 00000 00005 C L N N 00001 HCPCS_CD 01 C HCPCS-REDEF-GRP REDEFINES 00000 00005 C L N N 00001 HCPCS_REDEF_GRP 02 S FILLER HCPCS-REDEF-GRP 00000 00003 C L N N 00001 FILLER 02 S HCPCS-MOD-CD HCPCS-REDEF-GRP 00003 00002 C L N N 00001 HCPCS_MOD_CD 01 S SEQ-NUM 00005 00005 N R N N 00001 SEQ_NUM 01 S REC-IDENT-CD 00010 00001 C L N N 00001 REC_IDENT_CD 01 S LONG-DESC 00011 00080 C L N N 00001 LONG_DESC 01 S SHORT-DESC 00091 00028 C L N N 00001 SHORT_DESC 01 S PRCNG-CD 00119 00002 C L N N 00004 PRCNG_CD 01 S MLTPL-PRCNG-CD 00127 00001 C L N N 00001 MLTPL_PRCNG_CD 01 S CIM-REF-NUM 00128 00006 C L N N 00003 CIM_REF_NUM 01 S MCM-REF-SEC-NUM 00146 00008 C L N N 00003 MCM_REF_SEC_NUM 01 S STAT-NUM 00170 00010 C L N N 00001

STAT_NUM Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 88 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-HCPCS-TAP-95 (0006)PROD AUTHOR: AHC17 CONTROLLER: AHC17 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 11.12.24 NUMBER-OF-CHANGES: 000035 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S LAB-CERT-CD 00180 00003 C L N N 00008 LAB_CERT_CD 01 S X-REF-CD 00204 00025 C L N N 00001 X_REF_CD 01 S XREF-CD REDEFINES 00204 00005 C L N N 00005 XREF_CD 01 S COV-CD 00229 00001 C L N N 00001 COV_CD 01 S ASC-PMT-GRP-CD 00230 00002 C L N N 00001 ASC_PMT_GRP_CD 01 S ASC-PMT-EFF-DT 00232 00008 N R N N 00001 ASC_PMT_EFF_DT 01 S MOG-PMT-GRP-CD 00240 00003 C R N N 00001 MOG_PMT_GRP_CD 01 S MOG-PMT-PLCY-CD 00243 00001 C R N N 00001 MOG_PMT_PLCY_CD 01 S MOG-PMT-EFF-DT 00244 00008 C R N N 00001 MOG_PMT_EFF_DT 01 S NOTE-NUM 00252 00004 C L N N 00001 NOTE_NUM 01 S BETOS-CD 00256 00003 C L N N 00001 BETOS_CD 01 S FILLER-3 00259 00001 C L N N 00001 FILLER_3 01 S TYP-SRVC-CD 00260 00001 C L N N 00005 TYP_SRVC_CD Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 89

* Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-HCPCS-TAP-95 (0006)PROD AUTHOR: AHC17 CONTROLLER: AHC17 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 11.12.24 NUMBER-OF-CHANGES: 000035 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S ANS-BASE-UNIT 00265 00003 N R N N 00001 ANS_BASE_UNIT 01 S CD-ADD-DAT 00268 00008 N R N N 00001 CD_ADD_DAT 01 S ACTN-EFF-DAT 00276 00008 N R N N 00001 ACTN_EFF_DAT 01 S TERM-DAT 00284 00008 N R N N 00001 TERM_DAT 01 S ACTN-CD 00292 00001 C L N N 00001 ACTN_CD 01 S FILLER1 00293 00027 C L N N 00001 FILLER1 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 90 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-HELP-TEXT (0001)PROD AUTHOR: AHC36 CONTROLLER: AHC36 COPY-VERSION: 002 DATE-ADDED: 05/03/00 DATE-LAST-CHANGED: 05/03/00 TIME-OF-CHANGE: 22.29.52 NUMBER-OF-CHANGES: 000007 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S TEXT-ID 00000 00005 C L N N 00001 TEXT_ID 00005 01 S SEQ 00005 00003 N R N N 00001

SEQ 00003 01 S TEXT 00008 00075 C L N N 00001 TEXT 00075 01 S LAST-MOD-DAT 00083 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-USR 00091 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 91 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-HELP-TRAN (0001)PROD AUTHOR: AHC36 CONTROLLER: AHC36 COPY-VERSION: 002 DATE-ADDED: 05/03/00 DATE-LAST-CHANGED: 05/03/00 TIME-OF-CHANGE: 22.30.34 NUMBER-OF-CHANGES: 000007 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S TRAN-ID 00000 00005 C L N N 00001 TRAN_ID 00005 01 S TEXT-ID 00005 00005 C L N N 00001 TEXT_ID 00005 01 S SEQ 00010 00003 N R N N 00001 SEQ 00003 01 S LAST-MOD-DAT 00013 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-USR 00021 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 92 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-HELP-TXT (0007)PROD AUTHOR: AHC03 CONTROLLER: AHC03 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.25.55 NUMBER-OF-CHANGES: 000011 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE.............

SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 C TRAN-ID 00000 00006 C L N N 00001 TRAN_ID 02 S TRAN-SYS TRAN-ID 00000 00002 C L N N 00001 TRAN_SYS 02 S TRAN-NUM TRAN-ID 00002 00003 C L N N 00001 TRAN_NUM 02 S TRAN-FUNC TRAN-ID 00005 00001 C L N N 00001 TRAN_FUNC 01 S SUBJECT-NUM 00006 00002 C L N N 00001 SUBJECT_NUM 01 S SEQ-NUM 00008 00002 C L N N 00001 SEQ_NUM 01 S LINE-NUM 00010 00003 C L N N 00001 LINE_NUM 01 S TXT 00013 00080 C L N N 00001 TXT Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 93 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-HIV-NDC (0001)PROD AUTHOR: AHC52 CONTROLLER: AHC52 COPY-VERSION: 002 DATE-ADDED: 03/19/07 DATE-LAST-CHANGED: 03/19/07 TIME-OF-CHANGE: 01.28.16 NUMBER-OF-CHANGES: 000011 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S NDC-CODE 00000 00011 C L N N 00001 NDC_CODE 00011 01 S NDC-GROUP 00011 00001 C L N N 00001 NDC_GROUP 00001 01 S STA-CD 00012 00001 C L N N 00001 STA_CD 00001 01 S LAST-MOD-DAT 00013 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00021 00006 C L N N 00001

LAST_MOD_TIME 00006 01 S LAST-MOD-USR 00027 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00030 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00038 00006 C L N N 00001 REC_ADDED_TIME 00006 01 S REC-ADDED-USR 00044 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 94 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: HOSPITAL AVERAGE CHARGE NAME: RF-HOSP-AVG-CHG (0017)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000015 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 S ACOM-TYP 00001 00001 C L N N 00001 ACOM_TYP ACCOMMODATION TYPE 00001 01 S END-DAT 00002 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 00008 01 S PR-ID 00010 00006 C L N N 00001 PR_ID UNIQUE PROVIDER ID NUMBER 00006 01 S BEG-DAT 00016 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 00008 01 S AMT 00024 00011 N R N N 002 00001 AMT AMOUNT 00011 01 S SER-LOC-CD 00035 00002 C L N N 00001 SER_LOC_CD 00002 01 S LAST-MOD-DAT 00037 00008 C L N N 00001 LAST_MOD_DAT DATE OF LAST MODIFICATION 00008 01 S LAST-MOD-TIME 00045 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00053 00003 C L N N 00001

LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00056 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00064 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00072 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 95 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-HOSP-DISC (0005)PROD AUTHOR: AHC03 CONTROLLER: AHC03 COPY-VERSION: 002 DATE-ADDED: 10/28/02 DATE-LAST-CHANGED: 10/28/02 TIME-OF-CHANGE: 14.41.59 NUMBER-OF-CHANGES: 000013 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S CAT-IND 00001 00001 C L N N 00001 CAT_IND 00001 01 S BEG-DAT 00002 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00010 00008 C L N N 00001 END_DAT 00008 01 S DISC-PCT 00018 00005 N R N Y 004 00001 DISC_PCT 00005 01 S REC-ADDED-DAT 00023 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00031 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00039 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00042 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00050 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00058 00003 C L N N 00001

LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 96 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-HP-CUST (0003)PROD AUTHOR: AHC09 CONTROLLER: AHC09 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000011 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S REC-STA 00000 00001 C L N N 00001 REC_STA 00001 01 S HP-ID 00001 00006 C L N N 00001 HP_ID 00006 01 S CUSTOMER-ID 00007 00003 C L N N 00001 CUSTOMER_ID 00003 01 S REC-ADDED-DAT 00010 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00018 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00026 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00029 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00037 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00045 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 97 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-HP-PARM (0005)PROD AUTHOR: AHM81 CONTROLLER: AHM81 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.25.55 NUMBER-OF-CHANGES: 000012

LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S TRANS-ID 00000 00006 C L N N 00001 TRANS_ID 01 S SEQ-NUM 00006 00005 C L N N 00001 SEQ_NUM 01 S UNIQUE-NUM 00011 00005 C L N N 00001 UNIQUE_NUM 01 S CTRT-TYP 00016 00001 C L N N 00001 CTRT_TYP 01 S CTY-SER-AREA-CD 00017 00002 C L N N 00001 CTY_SER_AREA_CD 01 S ALL-HP 00019 00001 C L N N 00001 ALL_HP 01 S USR-REQUEST-NUM 00020 00005 C L N N 00001 USR_REQUEST_NUM 01 S DAT-REC-ADDED 00025 00008 C L N N 00001 DAT_REC_ADDED 01 S LAST-MOD-USR 00033 00003 C L N N 00001 LAST_MOD_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 98 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-HP-PR-TAPE (0017)PROD AUTHOR: AHM09 CONTROLLER: AHM09 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000013 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S HP-PR-ID 00001 00006 C L N N 00001 HP_PR_ID 00006 01 S TAPE-TYP 00007 00002 C L N N 00001

TAPE_TYP 00002 01 S EFF-BEG-DAT 00009 00008 C L N N 00001 EFF_BEG_DAT 00008 01 S EFF-END-DAT 00017 00008 C L N N 00001 EFF_END_DAT 00008 01 S LAST-MOD-DAT 00025 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00033 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00041 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00044 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00052 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00060 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 99 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-HP-RAT-CAT (0013)PROD AUTHOR: AHM81 CONTROLLER: AHM81 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000014 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S RATE-CD 00001 00004 C L N N 00001 RATE_CD 00004 01 S RATE-CD-CAT 00005 00004 C L N N 00001 RATE_CD_CAT 00004 01 S CTRT-YR 00009 00004 C L N N 00001 CTRT_YR 00004 01 S BEG-DAT 00013 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00021 00008 C L N N 00001

END_DAT 00008 01 S LAST-MOD-DAT 00029 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00037 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00045 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00048 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00056 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00064 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 100 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: HEALTH PLAN SERVICE TYPE NAME: RF-HP-SER-TYP (0017)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000014 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 S HP-SER-TYP 00001 00002 C L N N 00001 HP_SER_TYP HEALTH PLAN SERVICE TYPE 00002 01 S DESC 00003 00080 C L N N 00001 DESC DESCRIPTION 00080 01 S OPT-MAND-IND 00083 00001 C L N N 00001 OPT_MAND_IND OPTIONAL/MANDATORY INDICATOR 00001 01 S BEG-DAT 00084 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 00008 01 S END-DAT 00092 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 00008 01 S REC-ADDED-DAT 00100 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00108 00008 C L N N 00001

REC_ADDED_TIME 00008 01 S LAST-MOD-USR 00116 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-USR 00119 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00122 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00130 00008 C L N N 00001 LAST_MOD_TIME 00008 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 101 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-ICD9-CVG (0007)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.17.10 NUMBER-OF-CHANGES: 000016 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 01 C ICD9-PROC 00001 00004 C L N N 00001 ICD9_PROC 02 S ICD9-PROC-CND ICD9-PROC 00001 00002 C L N N 00001 ICD9_PROC_CND 02 S ICD9-PROC-DTL ICD9-PROC 00003 00002 C L N N 00001 ICD9_PROC_DTL 01 S AHCCCS-CVG 00005 00002 C L N N 00001 AHCCCS_CVG 01 S BEG-DAT 00007 00008 C L N N 00001 BEG_DAT 01 S END-DAT 00015 00008 C L N N 00001 END_DAT 01 S REC-ADDED-DAT 00023 00008 C L N N 00001 REC_ADDED_DAT 01 S REC-ADDED-TIME 00031 00008 C L N N 00001 REC_ADDED_TIME 01 S REC-ADDED-USR 00039 00003 C L N N 00001

REC_ADDED_USR 01 S LAST-MOD-DAT 00042 00008 C L N N 00001 LAST_MOD_DAT 01 S LAST-MOD-TIME 00050 00008 C L N N 00001 LAST_MOD_TIME 01 S LAST-MOD-USR 00058 00003 C L N N 00001 LAST_MOD_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 102 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-ICD9-DIAG (0007)PROD AUTHOR: AHM80 CONTROLLER: AHM80 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.17.10 NUMBER-OF-CHANGES: 000023 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 01 C ICD9-PROC-FROM 00001 00004 C L N N 00001 ICD9_PROC_FROM 02 S ICD9-FROM-CND ICD9-PROC-FROM 00001 00002 C L N N 00001 ICD9_FROM_CND 02 S ICD9-FROM-DTL ICD9-PROC-FROM 00003 00002 C L N N 00001 ICD9_FROM_DTL 01 C ICD9-PROC-TO 00005 00004 C L N N 00001 ICD9_PROC_TO 02 S ICD9-TO-CND ICD9-PROC-TO 00005 00002 C L N N 00001 ICD9_TO_CND 02 S ICD9-TO-DTL ICD9-PROC-TO 00007 00002 C L N N 00001 ICD9_TO_DTL 01 C DIAG 00009 00006 C L N N 00001 DIAG 02 S DIAG-CD DIAG 00009 00001 C L N N 00001 DIAG_CD 02 S DIAG-CND DIAG 00010 00003 C L N N 00001 DIAG_CND 02 S DIAG-DTL DIAG 00013 00002 C L N N 00001

DIAG_DTL 01 S IE-IND 00015 00001 C L N N 00001 IE_IND 01 S BEG-DAT 00016 00008 C L N N 00001 BEG_DAT Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 103 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-ICD9-DIAG (0007)PROD AUTHOR: AHM80 CONTROLLER: AHM80 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.17.10 NUMBER-OF-CHANGES: 000023 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S END-DAT 00024 00008 C L N N 00001 END_DAT 01 S REC-ADDED-DAT 00032 00008 C L N N 00001 REC_ADDED_DAT 01 S REC-ADDED-TIME 00040 00008 C L N N 00001 REC_ADDED_TIME 01 S REC-ADDED-USR 00048 00003 C L N N 00001 REC_ADDED_USR 01 S LAST-MOD-DAT 00051 00008 C L N N 00001 LAST_MOD_DAT 01 S LAST-MOD-TIME 00059 00008 C L N N 00001 LAST_MOD_TIME 01 S LAST-MOD-USR 00067 00003 C L N N 00001 LAST_MOD_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 104 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-ICD9-PA (0007)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.17.10 NUMBER-OF-CHANGES: 000016

LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 01 C ICD9-PROC 00001 00004 C L N N 00001 ICD9_PROC 02 S ICD9-PROC-CND ICD9-PROC 00001 00002 C L N N 00001 ICD9_PROC_CND 02 S ICD9-PROC-DTL ICD9-PROC 00003 00002 C L N N 00001 ICD9_PROC_DTL 01 S PA-CODE 00005 00001 C L N N 00001 PA_CODE 01 S BEG-DAT 00006 00008 C L N N 00001 BEG_DAT 01 S END-DAT 00014 00008 C L N N 00001 END_DAT 01 S REC-ADDED-DAT 00022 00008 C L N N 00001 REC_ADDED_DAT 01 S REC-ADDED-TIME 00030 00008 C L N N 00001 REC_ADDED_TIME 01 S REC-ADDED-USR 00038 00003 C L N N 00001 REC_ADDED_USR 01 S LAST-MOD-DAT 00041 00008 C L N N 00001 LAST_MOD_DAT 01 S LAST-MOD-TIME 00049 00008 C L N N 00001 LAST_MOD_TIME 01 S LAST-MOD-USR 00057 00003 C L N N 00001 LAST_MOD_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 105 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-ICD9-PRC-SPP (0007)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.17.10 NUMBER-OF-CHANGES: 000016 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE.............

SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 01 C ICD9-PROC 00001 00004 C L N N 00001 ICD9_PROC ICD9 PROCEDURE CODE 02 S ICD9-PROC-CND ICD9-PROC 00001 00002 C L N N 00001 ICD9_PROC_CND 02 S ICD9-PROC-DTL ICD9-PROC 00003 00002 C L N N 00001 ICD9_PROC_DTL 01 S SPP 00005 00001 C L N N 00001 SPP SPECIAL PROCESSING PARMETER 01 S BEG-DAT 00006 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 01 S END-DAT 00014 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 01 S LAST-MOD-DAT 00022 00008 C L N N 00001 LAST_MOD_DAT DATE OF LAST MODIFICATION 01 S LAST-MOD-TIME 00030 00008 C L N N 00001 LAST_MOD_TIME 01 S LAST-MOD-USR 00038 00003 C L N N 00001 LAST_MOD_USR 01 S REC-ADDED-DAT 00041 00008 C L N N 00001 REC_ADDED_DAT 01 S REC-ADDED-TIME 00049 00008 C L N N 00001 REC_ADDED_TIME 01 S REC-ADDED-USR 00057 00003 C L N N 00001 REC_ADDED_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 106 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-ICD9-PROC (0007)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.17.10 NUMBER-OF-CHANGES: 000037 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS

01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 01 C ICD9-PROC 00001 00004 C L N N 00001 ICD9_PROC ICD9 PROCEDURE CODE 02 S ICD9-PROC-CND ICD9-PROC 00001 00002 C L N N 00001 ICD9_PROC_CND ICD9 PROCEDURE CONDITION 02 S ICD9-PROC-DTL ICD9-PROC 00003 00002 C L N N 00001 ICD9_PROC_DTL ICD9 PROCEDURE DETAIL 01 S END-DAT 00005 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 01 S BEG-DAT 00013 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 01 S CLS-CD 00021 00002 C L N N 00001 CLS_CD CLASSIFICATION CODE 01 S DESC 00023 00050 C L N N 00001 DESC 01 S DESC-TECH 00073 00050 C L N N 00001 DESC_TECH TECHNICAL DESCRIPTION 01 S PROC-CD-METH 00123 00001 C L N N 00001 PROC_CD_METH PROCEDURE CODING METHOD 01 S PROC-STA 00124 00001 C L N N 00001 PROC_STA PROCEDURE STATUS 01 S FAM-PLN-IND 00125 00001 C L N N 00001 FAM_PLN_IND FAMILY PLANNING INDICATOR 01 C MAX-AGE 00126 00004 C L N N 00001 MAX_AGE MAXIMUM AGE Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 107 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-ICD9-PROC (0007)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.17.10 NUMBER-OF-CHANGES: 000037 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 02 S MAX-AGE-DUR MAX-AGE 00126 00003 C L N N 00001

MAX_AGE_DUR 02 S MAX-AGE-TYP MAX-AGE 00129 00001 C L N N 00001 MAX_AGE_TYP 01 C MIN-AGE 00130 00004 C L N N 00001 MIN_AGE MINIMUM AGE 02 S MIN-AGE-DUR MIN-AGE 00130 00003 C L N N 00001 MIN_AGE_DUR 02 S MIN-AGE-TYP MIN-AGE 00133 00001 C L N N 00001 MIN_AGE_TYP 01 S PAS-GRP 00134 00003 C L N N 00001 PAS_GRP PROFESSIONAL ACTIVITIES STUDY 01 S SEX 00137 00001 C L N N 00001 SEX SEX CODE 01 S TPL-IND 00138 00001 C L N N 00001 TPL_IND THIRD PARTY LIABILITY IND 01 S RI-TYP 00139 00002 C L N N 00001 RI_TYP 01 S DL-TYP 00141 00002 C L N N 00001 DL_TYP 01 S RI-CVG-CD 00143 00001 C L N N 00001 RI_CVG_CD 01 S CNF-IND 00144 00001 C L N N 00001 CNF_IND 01 S STER-IND 00145 00001 C L N N 00001 STER_IND Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 108 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-ICD9-PROC (0007)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.17.10 NUMBER-OF-CHANGES: 000037 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S ABR-IND 00146 00001 C L N N 00001 ABR_IND 01 S REC-ADDED-DAT 00147 00008 C L N N 00001

REC_ADDED_DAT 01 S LAST-MOD-DAT 00155 00008 C L N N 00001 LAST_MOD_DAT DATE OF LAST MODIFICATION 01 S LAST-MOD-TIME 00163 00008 C L N N 00001 LAST_MOD_TIME TIME OF LAST MODIFICATION 01 S LAST-MOD-USR 00171 00003 C L N N 00001 LAST_MOD_USR USER ID OF LAST MODIFIER 01 S REC-ADDED-TIME 00174 00008 C L N N 00001 REC_ADDED_TIME 01 S REC-ADDED-USR 00182 00003 C L N N 00001 REC_ADDED_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 109 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-IM-FFP-CAP (0012)PROD AUTHOR: AHM81 CONTROLLER: AHM81 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000014 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S RAT-CD-FROM 00001 00004 C L N N 00001 RAT_CD_FROM 00004 01 S RAT-CD-TO 00005 00004 C L N N 00001 RAT_CD_TO 00004 01 S FFP-AMT 00009 00009 N R N Y 002 00001 FFP_AMT 00009 01 S BEG-DAT 00018 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00026 00008 C L N N 00001 END_DAT 00008 01 S LAST-MOD-DAT 00034 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00042 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00050 00003 C L N N 00001

LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00053 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00061 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00069 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 110 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-IM-FFP-EXP (0012)PROD AUTHOR: AHM81 CONTROLLER: AHM81 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000018 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S ORG-CD 00001 00003 C L N N 00001 ORG_CD 00003 01 S SUB-OBJ-FROM 00004 00004 C L N N 00001 SUB_OBJ_FROM 00004 01 S SUB-OBJ-TO 00008 00004 C L N N 00001 SUB_OBJ_TO 00004 01 S PGM-CD-FROM 00012 00004 C L N N 00001 PGM_CD_FROM 00004 01 S PGM-CD-TO 00016 00004 C L N N 00001 PGM_CD_TO 00004 01 S DESC 00020 00040 C L N N 00001 DESC 00040 01 S ACCUM-ROWS 00060 00004 C L N N 00001 ACCUM_ROWS 00004 01 S BEG-DAT 00064 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00072 00008 C L N N 00001 END_DAT 00008 01 S LAST-MOD-DAT 00080 00008 C L N N 00001

LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00088 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00096 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 111 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-IM-FFP-EXP (0012)PROD AUTHOR: AHM81 CONTROLLER: AHM81 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000018 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S REC-ADDED-DAT 00099 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00107 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00115 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 112 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-IM-FFP-RAT (0012)PROD AUTHOR: AHM81 CONTROLLER: AHM81 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000014 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S FFP-RAT-TYP 00001 00004 C L N N 00001

FFP_RAT_TYP 00004 01 S FFP-RAT-AMT 00005 00011 N R N Y 004 00001 FFP_RAT_AMT 00011 01 S PMT-TYP 00016 00001 C L N N 00001 PMT_TYP 00001 01 S BEG-DAT 00017 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00025 00008 C L N N 00001 END_DAT 00008 01 S LAST-MOD-DAT 00033 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00041 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00049 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00052 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00060 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00068 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 113 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-IM-RAT-TYP (0012)PROD AUTHOR: AHM81 CONTROLLER: AHM81 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000012 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S FFP-RAT-TYP 00001 00004 C L N N 00001 FFP_RAT_TYP 00004 01 S PMT-TYP 00005 00001 C L N N 00001 PMT_TYP 00001 01 S DESC 00006 00080 C L N N 00001

DESC 00080 01 S LAST-MOD-DAT 00086 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00094 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00102 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00105 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00113 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00121 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 114 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-MDC-CVG (0017)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000016 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 S MDC-CVG 00001 00001 C L N N 00001 MDC_CVG MEDICARE COVERAGE CODE 00001 01 S END-DAT 00002 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 00008 01 S BEG-DAT 00010 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 00008 01 S DED-AMT 00018 00011 N R N Y 002 00001 DED_AMT DEDUCTIBLE AMOUNT 00011 01 S DESC 00029 00080 C L N N 00001 DESC MEDICARE COVERAGE DESCRIPTION 00080 01 S COIN-AMT 00109 00011 N R N N 002 00001 COIN_AMT MEDICARE COVERAGE COINSURANCE AMOUNT 00011 01 S LIFE-RESV-AMT 00120 00011 N R N N 002 00001

LIFE_RESV_AMT LIFETIME RESERVED AMOUNT 00011 01 S REC-ADDED-DAT 00131 00008 C L N N 00001 REC_ADDED_DAT DATE RECORD WAS ADDED 00008 01 S REC-ADDED-TIME 00139 00008 C L N N 00001 REC_ADDED_TIME TIME RECORD WAS ADDED 00008 01 S REC-ADDED-USR 00147 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00150 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00158 00008 C L N N 00001 LAST_MOD_TIME 00008 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 115 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-MDC-CVG (0017)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000016 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S LAST-MOD-USR 00166 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 116 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-MDCD-DRUG-PLS (0002)PROD AUTHOR: AHC52 CONTROLLER: AHC52 COPY-VERSION: 002 DATE-ADDED: 01/19/06 DATE-LAST-CHANGED: 01/19/06 TIME-OF-CHANGE: 14.19.26 NUMBER-OF-CHANGES: 000015 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S CTRT-NUM 00000 00005 C L N N 00001

CTRT_NUM 00005 01 S HPID 00005 00006 C L N N 00001 HPID 00006 01 S STA 00011 00001 C L N N 00001 STA 00001 01 S DESC 00012 00080 C L N N 00001 DESC 00080 01 S DAT-REC-ADDED 00092 00008 C L N N 00001 DAT_REC_ADDED 00008 01 S TIME-REC-ADDED 00100 00008 C L N N 00001 TIME_REC_ADDED 00008 01 S LAST-MOD-DAT 00108 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00116 00006 C L N N 00001 LAST_MOD_TIME 00006 01 S LAST-MOD-USR 00122 00003 C L N N 00001 LAST_MOD_USR 00003 01 S MCO 00125 00006 C L N N 00001 MCO 00006 01 S PLAN-ID 00131 00003 C L N N 00001 PLAN_ID 00003 01 S EFF-FROM-DAT 00134 00008 C L N N 00001 EFF_FROM_DAT 00008 01 S EFF-THRU-DAT 00142 00008 C L N N 00001 EFF_THRU_DAT 00008 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 117 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-MED-CAT-SER (0017)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000015 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA 00000 00001 C L N N 00001 STA 00001 01 S SER-TYP 00001 00001 C L N N 00001

SER_TYP 00001 01 S SER-FROM 00002 00011 C L N N 00001 SER_FROM 00011 01 S SER-TO 00013 00011 C L N N 00001 SER_TO 00011 01 S CAT-SER 00024 00002 C L N N 00001 CAT_SER 00002 01 S BEG-DAT 00026 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00034 00008 C L N N 00001 END_DAT 00008 01 S LAST-MOD-DAT 00042 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00050 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00058 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00061 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00069 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00077 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 118 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-MENU (0003)PROD AUTHOR: AHC03 CONTROLLER: AHC03 COPY-VERSION: 002 DATE-ADDED: 12/04/03 DATE-LAST-CHANGED: 12/04/03 TIME-OF-CHANGE: 15.12.35 NUMBER-OF-CHANGES: 000006 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S MENU-TRAN 00000 00005 C L N N 00001 MENU_TRAN 00005 01 S TRAN-ID 00005 00005 C L N N 00001 TRAN_ID 00005 01 S LAST-MOD-DAT 00010 00008 C L N N 00001

LAST_MOD_DAT 00008 01 S LAST-MOD-USR 00018 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 119 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-MHS-RATE (0007)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000012 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S CAP-RATE-CD 00001 00004 C L N N 00001 CAP_RATE_CD 00004 01 S TRIBE-CD 00005 00002 C L N N 00001 TRIBE_CD 00002 01 S MHS-CAT 00007 00001 C L N N 00001 MHS_CAT 00001 01 S LAST-MOD-DAT 00008 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00016 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00024 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00027 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S DAT-ADDED-TIME 00035 00008 C L N N 00001 DAT_ADDED_TIME 00008 01 S DAT-ADDED-USR 00043 00003 C L N N 00001 DAT_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 120 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2

ENTITY-TYPE: TABLE DESC: NAME: RF-MHS-SITE (0007)PROD AUTHOR: AHM19 CONTROLLER: AHM19 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000012 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S SITE-CD 00001 00002 C L N N 00001 SITE_CD 00002 01 S SITE-DESC 00003 00030 C L N N 00001 SITE_DESC 00030 01 S TRIBE-CD 00033 00002 C L N N 00001 TRIBE_CD 00002 01 S LAST-MOD-DAT 00035 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00043 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00051 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00054 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S DAT-ADDED-TIME 00062 00008 C L N N 00001 DAT_ADDED_TIME 00008 01 S DAT-ADDED-USR 00070 00003 C L N N 00001 DAT_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 121 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-MHS-SITE-PR (0006)PROD AUTHOR: AHC09 CONTROLLER: AHC09 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000011 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS

01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S SITE-CD 00001 00002 C L N N 00001 SITE_CD 00002 01 S PR-ID 00003 00006 C L N N 00001 PR_ID 00006 01 S LAST-MOD-DAT 00009 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00017 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00025 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00028 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00036 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00044 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 122 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-MOD-OVERIDE-LIMIT (0001)PROD AUTHOR: AHCY5 CONTROLLER: AHCY5 COPY-VERSION: 002 DATE-ADDED: 05/18/05 DATE-LAST-CHANGED: 05/18/05 TIME-OF-CHANGE: 11.14.37 NUMBER-OF-CHANGES: 000013 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S MOD 00001 00002 C L N N 00001 MOD 00002 01 S ACT-CODE 00003 00002 C L N N 00001 ACT_CODE 00002 01 S BEG-DAT 00005 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00013 00008 C L N N 00001

END_DAT 00008 01 S LAST-MOD-DAT 00021 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00029 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00037 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00040 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00048 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00056 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 123 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-MULTI-SVC-TYP (0001)PROD AUTHOR: AHCC6 CONTROLLER: AHCC6 COPY-VERSION: 002 DATE-ADDED: 03/19/07 DATE-LAST-CHANGED: 03/19/07 TIME-OF-CHANGE: 01.28.02 NUMBER-OF-CHANGES: 000018 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S CODE-TYP 00001 00002 C L N N 00001 CODE_TYP 00002 01 S SER-TYP-FROM 00003 00001 C L N N 00001 SER_TYP_FROM 00001 01 S SER-FROM-START 00004 00011 C L N N 00001 SER_FROM_START 00011 01 S SER-FROM-END 00015 00011 C L N N 00001 SER_FROM_END 00011 01 S SER-TYP-TO 00026 00001 C L N N 00001 SER_TYP_TO 00001 01 S SER-TO-START 00027 00011 C L N N 00001 SER_TO_START 00011 01 S SER-TO-END 00038 00011 C L N N 00001

SER_TO_END 00011 01 S BEG-DAT 00049 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00057 00008 C L N N 00001 END_DAT 00008 01 S REC-ADDED-DAT 00065 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00073 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00081 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 124 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-MULTI-SVC-TYP (0001)PROD AUTHOR: AHCC6 CONTROLLER: AHCC6 COPY-VERSION: 002 DATE-ADDED: 03/19/07 DATE-LAST-CHANGED: 03/19/07 TIME-OF-CHANGE: 01.28.02 NUMBER-OF-CHANGES: 000018 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S LAST-MOD-DAT 00084 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00092 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00100 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 125 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-NDC-TAPE (0008)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 11.12.24 NUMBER-OF-CHANGES: 000104 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE.............

SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S BLUE-NDC 00000 00011 C L N N 00001 BLUE_NDC 00011 01 S BLUE-IND 00011 00001 C L N N 00001 BLUE_IND 00001 01 S BLUE-MESSAGE 00012 00006 C L N N 00001 BLUE_MESSAGE 00006 01 S BLUE-RTE 00018 00001 C L N N 00001 BLUE_RTE 00001 01 S BLUE-DISP 00019 00001 C L N N 00001 BLUE_DISP 00001 01 S BLUE-USER 00020 00003 C L N N 00001 BLUE_USER 00003 01 S BLUE-TRANS 00023 00006 C L N N 00001 BLUE_TRANS 00006 01 S BLUE-SEQ-NO 00029 00006 C L N N 00001 BLUE_SEQ_NO 00006 01 S BLUE-INSTALL 00035 00006 C L N N 00001 BLUE_INSTALL 00006 01 S BLUE-DATA 00041 00039 C L N N 00001 BLUE_DATA 00039 01 C MSG-102000 REDEFINES 00041 00039 C L N N 00001 MSG_102000 02 S FILLER-102000 MSG-102000 00041 00010 C L N N 00001 FILLER_102000 00010 02 S OBS-DAT MSG-102000 00051 00006 C L N N 00001 OBS_DAT 00006 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 126 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-NDC-TAPE (0008)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 11.12.24 NUMBER-OF-CHANGES: 000104 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS

02 S FILLER2-102000 MSG-102000 00057 00023 C L N N 00001 FILLER2_102000 00023 01 C MSG-103000 REDEFINES 00041 00039 C L N N 00001 MSG_103000 02 S DSG-FRM MSG-103000 00041 00010 C L N N 00001 DSG_FRM 00010 02 S FILLER-103000 MSG-103000 00051 00029 C L N N 00001 FILLER_103000 00029 01 C MSG-105000 REDEFINES 00041 00039 C L N N 00001 MSG_105000 02 S STRN MSG-105000 00041 00010 C L N N 00001 STRN 00010 02 S FILLER-105000 MSG-105000 00051 00029 C L N N 00001 FILLER_105000 00029 01 C MSG-107000 REDEFINES 00041 00039 C L N N 00001 MSG_107000 02 S LBL MSG-107000 00041 00015 C L N N 00001 LBL 00015 02 S FILLER-107000 MSG-107000 00056 00024 C L N N 00001 FILLER_107000 00024 01 C MSG-109000 REDEFINES 00041 00039 C L N N 00001 MSG_109000 02 S DRUG-RTE MSG-109000 00041 00010 C L N N 00001 DRUG_RTE 00010 02 S FILLER-109000 MSG-109000 00051 00029 C L N N 00001 FILLER_109000 00029 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 127 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-NDC-TAPE (0008)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 11.12.24 NUMBER-OF-CHANGES: 000104 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 C MSG-111000 REDEFINES 00041 00039 C L N N 00001

MSG_111000 02 S DESC-TECH MSG-111000 00041 00030 C L N N 00001 DESC_TECH 00030 02 S FILLER-111000 MSG-111000 00071 00009 C L N N 00001 FILLER_111000 00009 01 C MSG-113000 REDEFINES 00041 00039 C L N N 00001 MSG_113000 02 S REP-NDC MSG-113000 00041 00011 C L N N 00001 REP_NDC 00011 02 S FILLER-113000 MSG-113000 00052 00028 C L N N 00001 FILLER_113000 00028 01 C MSG-130000 REDEFINES 00041 00039 C L N N 00001 MSG_130000 02 S DESI-IND MSG-130000 00041 00001 C L N N 00001 DESI_IND 00001 02 S FILLER-130000 MSG-130000 00042 00038 C L N N 00001 FILLER_130000 00038 01 C MSG-131000 REDEFINES 00041 00039 C L N N 00001 MSG_131000 02 S FILLER-131000 MSG-131000 00041 00010 C L N N 00001 FILLER_131000 00010 02 S DESI-DAT MSG-131000 00051 00006 C L N N 00001 DESI_DAT 00006 02 S FILLER2-131000 MSG-131000 00057 00023 C L N N 00001 FILLER2_131000 00023 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 128 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-NDC-TAPE (0008)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 11.12.24 NUMBER-OF-CHANGES: 000104 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 C MSG-133000 REDEFINES 00041 00039 C L N N 00001 MSG_133000 02 S GNR-CD MSG-133000 00041 00005 C L N N 00001

GNR_CD 00005 02 S FILLER-133000 MSG-133000 00046 00034 C L N N 00001 FILLER_133000 00034 01 C MSG-137000 REDEFINES 00041 00039 C L N N 00001 MSG_137000 02 S DEA-ID MSG-137000 00041 00001 C L N N 00001 DEA_ID 00001 02 S FILLER-137000 MSG-137000 00042 00038 C L N N 00001 FILLER_137000 00038 01 C MSG-139000 REDEFINES 00041 00039 C L N N 00001 MSG_139000 02 S DRUG-CLS-IND MSG-139000 00041 00001 C L N N 00001 DRUG_CLS_IND 00001 02 S FILLER-139000 MSG-139000 00042 00038 C L N N 00001 FILLER_139000 00038 01 C MSG-143000 REDEFINES 00041 00039 C L N N 00001 MSG_143000 02 S THR-CLS MSG-143000 00041 00006 C L N N 00001 THR_CLS 00006 02 S FILLER-143000 MSG-143000 00047 00033 C L N N 00001 FILLER_143000 00033 01 C MSG-101000 REDEFINES 00041 00039 C L N N 00001 MSG_101000 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 129 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-NDC-TAPE (0008)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 11.12.24 NUMBER-OF-CHANGES: 000104 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 02 S DESC MSG-101000 00041 00030 C L N N 00001 DESC 00030 02 S FILLER-101000 MSG-101000 00071 00009 C L N N 00001 FILLER_101000 00009 01 C MSG-161000 REDEFINES 00041 00039 C L N N 00001

MSG_161000 02 S GNR-AVL MSG-161000 00041 00001 C L N N 00001 GNR_AVL 00001 02 S FILLER-161000 MSG-161000 00042 00038 C L N N 00001 FILLER_161000 00038 01 C MSG-164000 REDEFINES 00041 00039 C L N N 00001 MSG_164000 02 S GNR-DRUG MSG-164000 00041 00001 C L N N 00001 GNR_DRUG 00001 02 S FILLER-164000 MSG-164000 00042 00038 C L N N 00001 FILLER_164000 00038 01 C MSG-167000 REDEFINES 00041 00039 C L N N 00001 MSG_167000 02 S STD-PKG-IND MSG-167000 00041 00001 C L N N 00001 STD_PKG_IND 00001 02 S FILLER-167000 MSG-167000 00042 00038 C L N N 00001 FILLER_167000 00038 01 C MSG-207000 REDEFINES 00041 00039 C L N N 00001 MSG_207000 02 S DRUG-FORM MSG-207000 00041 00001 C L N N 00001 DRUG_FORM 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 130 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-NDC-TAPE (0008)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 11.12.24 NUMBER-OF-CHANGES: 000104 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 02 S FILLER-207000 MSG-207000 00042 00038 C L N N 00001 FILLER_207000 00038 01 C MSG-211000 REDEFINES 00041 00039 C L N N 00001 MSG_211000 02 S FILLER-211000 MSG-211000 00041 00005 C L N N 00001 FILLER_211000 00005 02 S PKG-QTY MSG-211000 00046 00011 C L N N 00001

PKG_QTY 00011 02 S FILLER2-211000 MSG-211000 00057 00023 C L N N 00001 FILLER2_211000 00023 01 C MSG-180000 REDEFINES 00041 00039 C L N N 00001 MSG_180000 02 S DESI-2-IND MSG-180000 00041 00001 C L N N 00001 DESI_2_IND 00001 02 S FILLER-180000 MSG-180000 00042 00038 C L N N 00001 FILLER_180000 00038 01 C MSG-181000 REDEFINES 00041 00039 C L N N 00001 MSG_181000 02 S FILLER1-181000 MSG-181000 00041 00010 C L N N 00001 FILLER1_181000 00010 02 S DESI-2-DAT MSG-181000 00051 00006 C L N N 00001 DESI_2_DAT 00006 02 S FILLER2-181000 MSG-181000 00057 00023 C L N N 00001 FILLER2_181000 00023 01 C MSG-129000 REDEFINES 00041 00039 C L N N 00001 MSG_129000 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 131 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-NDC-TAPE (0008)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 11.12.24 NUMBER-OF-CHANGES: 000104 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 02 S DCC MSG-129000 00041 00001 C L N N 00001 DCC 00001 02 S FILLER-129000 MSG-129000 00042 00038 C L N N 00001 FILLER_129000 00038 01 C MSG-240000 REDEFINES 00041 00039 C L N N 00001 MSG_240000 02 S TOP-FORM MSG-240000 00041 00003 C L N N 00001 TOP_FORM 00003 02 S FILLER-240000 MSG-240000 00044 00036 C L N N 00001

FILLER_240000 00036 01 C MSG-PRICE REDEFINES 00041 00039 C L N N 00001 MSG_PRICE 02 S PRICE-DAT MSG-PRICE 00041 00006 C L N N 00001 PRICE_DAT 00006 02 S PRICE-SIGN MSG-PRICE 00047 00001 C L N N 00001 PRICE_SIGN 00001 02 S PRICE-AMT MSG-PRICE 00048 00009 C L N N 00001 PRICE_AMT 00009 02 S FILLER-PRICE MSG-PRICE 00057 00023 C L N N 00001 FILLER_PRICE 00023 01 C MSG-401130 REDEFINES 00041 00039 C L N N 00001 MSG_401130 02 S HCFA-DESI-DAT MSG-401130 00041 00006 C L N N 00001 HCFA_DESI_DAT 00006 02 S HCFA-DESI-IND MSG-401130 00047 00002 C L N N 00001 HCFA_DESI_IND 00002 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 132 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-NDC-TAPE (0008)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 11.12.24 NUMBER-OF-CHANGES: 000104 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 02 S FILLER-401130 MSG-401130 00049 00031 C L N N 00001 FILLER_401130 00031 01 C MSG-190000 REDEFINES 00041 00039 C L N N 00001 MSG_190000 02 S HCPC MSG-190000 00041 00005 C L N N 00001 HCPC 00005 02 S FILLER-190000 MSG-190000 00046 00034 C L N N 00001 FILLER_190000 00034 01 C MSG-A00001 REDEFINES 00041 00039 C L N N 00001 MSG_A00001 02 S GENDER MSG-A00001 00041 00001 C L N N 00001

GENDER 00001 02 S FILLER-A00001 MSG-A00001 00042 00038 C L N N 00001 FILLER_A00001 00038 01 C MSG-401003 REDEFINES 00041 00039 C L N N 00001 MSG_401003 02 S FILLER2-401003 MSG-401003 00041 00010 C L N N 00001 FILLER2_401003 00010 02 S HCFA-TERM-DAT MSG-401003 00051 00006 C L N N 00001 HCFA_TERM_DAT 00006 02 S FILLER-401003 MSG-401003 00057 00023 C L N N 00001 FILLER_401003 00023 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 133 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-OR-PARM (0013)PROD AUTHOR: AHM81 CONTROLLER: AHM81 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000013 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S TRANS-ID 00000 00006 C L N N 00001 TRANS_ID 00006 01 S SEQ-NUM 00006 00005 C L N N 00001 SEQ_NUM 00005 01 S UNIQUE-NUM 00011 00005 C L N N 00001 UNIQUE_NUM 00005 01 S HP-ID 00016 00006 C L N N 00007 HP_ID 00006 01 S CTY 00058 00002 C L N N 00001 CTY 00002 01 S ZIP 00060 00009 C L N N 00024 ZIP 00009 01 S CTY-SER-AREA-CD 00276 00002 C L N N 00001 CTY_SER_AREA_CD 00002 01 S USR-REQUEST-NUM 00278 00005 C L N N 00001 USR_REQUEST_NUM 00005 01 S DAT-REC-ADDED 00283 00008 C L N N 00001

DAT_REC_ADDED 00008 01 S LAST-MOD-USR 00291 00003 C L N N 00001 LAST_MOD_USR 00003 01 S RACE 00294 00002 C L N N 00001 RACE 00002 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 134 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PHR-CVG (0007)PROD AUTHOR: AHC03 CONTROLLER: AHC03 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.22.41 NUMBER-OF-CHANGES: 000017 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 01 S PHR-ITM 00001 00011 C L N N 00001 PHR_ITM 01 S NDC-CVG 00012 00002 C L N N 00001 NDC_CVG 01 S REPL-NDC 00014 00011 C L N N 00001 REPL_NDC 01 S CNL-RSN 00025 00001 C L N N 00001 CNL_RSN 01 S PREV-NDC-IND 00026 00001 C L N N 00001 PREV_NDC_IND 01 S BEG-DAT 00027 00008 C L N N 00001 BEG_DAT 01 S END-DAT 00035 00008 C L N N 00001 END_DAT 01 S REC-ADDED-DAT 00043 00008 C L N N 00001 REC_ADDED_DAT 01 S REC-ADDED-TIME 00051 00008 C L N N 00001 REC_ADDED_TIME 01 S REC-ADDED-USR 00059 00003 C L N N 00001 REC_ADDED_USR 01 S LAST-MOD-DAT 00062 00008 C L N N 00001

LAST_MOD_DAT 01 S LAST-MOD-TIME 00070 00008 C L N N 00001 LAST_MOD_TIME Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 135 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PHR-CVG (0007)PROD AUTHOR: AHC03 CONTROLLER: AHC03 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.22.41 NUMBER-OF-CHANGES: 000017 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S LAST-MOD-USR 00078 00003 C L N N 00001 LAST_MOD_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 136 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PHR-DOSAGE (0002)PROD AUTHOR: AHC09 CONTROLLER: AHC09 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.22.41 NUMBER-OF-CHANGES: 000013 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S GCDF 00001 00002 C L N N 00001 GCDF 00002 01 S DOSE 00003 00010 C L N N 00001 DOSE 00010 01 S GCDF-DESC 00013 00040 C L N N 00001 GCDF_DESC 00040 01 S SKEY-DOSE 00053 00003 N R N N 00001

SKEY_DOSE 00003 01 S REC-ADDED-DAT 00056 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00064 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00072 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00075 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00083 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00091 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 137 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PHR-GCN-SEQ (0002)PROD AUTHOR: AHC09 CONTROLLER: AHC09 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.22.41 NUMBER-OF-CHANGES: 000024 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S GCN-SEQNO 00001 00006 N L N N 00001 GCN_SEQNO 00006 01 S HIC3 00007 00003 C L N N 00001 HIC3 00003 01 S HICL-SEQNO 00010 00006 N R N N 00001 HICL_SEQNO 00006 01 S GCDF 00016 00002 C L N N 00001 GCDF 00002 01 S GCRT 00018 00001 C L N N 00001 GCRT 00001 01 S STR 00019 00010 C L N N 00001 STR 00010 01 S GTC 00029 00002 N R N N 00001

GTC 00002 01 S TC 00031 00002 N R N N 00001 TC 00002 01 S DCC 00033 00001 C L N N 00001 DCC 00001 01 S GCNSEQ-GI 00034 00001 N R N Y 00001 GCNSEQ_GI 00001 01 S GENDER 00035 00001 C L N N 00001 GENDER 00001 01 S HIC3-SEQN 00036 00006 N R N N 00001 HIC3_SEQN 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 138 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PHR-GCN-SEQ (0002)PROD AUTHOR: AHC09 CONTROLLER: AHC09 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.22.41 NUMBER-OF-CHANGES: 000024 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S AHFS 00042 00006 N R N N 00001 AHFS 00001 01 S AHFS-REL 00048 00002 N R N N 00001 AHFS_REL 00001 01 S GCN 00050 00005 N R N N 00001 GCN 00001 01 S REC-ADDED-DAT 00055 00008 C R N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00063 00008 C R N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00071 00003 C R N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00074 00008 C R N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00082 00008 C R N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00090 00003 C R N N 00001

LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 139 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PHR-GEN-NAME (0002)PROD AUTHOR: AHC10 CONTROLLER: AHC10 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.22.41 NUMBER-OF-CHANGES: 000012 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S HICL-SEQNO 00001 00006 N R N N 00001 HICL_SEQNO 00006 01 S GNN 00007 00030 C L N N 00001 GNN 00030 01 S GNN60 00037 00060 C L N N 00001 GNN60 00060 01 S REC-ADDED-DAT 00097 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00105 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00113 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00116 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00124 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00132 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 140 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: PHARMACY ITEM NAME: RF-PHR-ITM (0009)PROD

AUTHOR: AHCC6 CONTROLLER: AHCC6 COPY-VERSION: 002 DATE-ADDED: 06/22/07 DATE-LAST-CHANGED: 06/22/07 TIME-OF-CHANGE: 16.09.44 NUMBER-OF-CHANGES: 000096 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 S BEG-DAT 00001 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 00008 01 S END-DAT 00009 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 00008 01 S PHR-ITM 00017 00011 C L N N 00001 PHR_ITM PHARMACY ITEM CODE 00011 01 S ABR-IND 00028 00001 C L N N 00001 ABR_IND ABORTION INDICATOR 00001 01 S CNF-IND 00029 00001 C L N N 00001 CNF_IND CONFIDENTIALITY INDICATOR 00001 01 S DEA-ID 00030 00001 C L N N 00001 DEA_ID DRUG ENFORCEMENT AGENCY ID 00001 01 S DESC 00031 00030 C L N N 00001 DESC PHARMACY ITEM DESCRIPTION 00030 01 S DESC-TECH 00061 00030 C L N N 00001 DESC_TECH TECHNICAL DESCRIPTION 00030 01 S DRUG-CLS-IND 00091 00001 C L N N 00001 DRUG_CLS_IND DRUG CLASSIFICATION INDCATOR 00001 01 S DRUG-FORM 00092 00001 C L N N 00001 DRUG_FORM DRUG FORM 00001 01 S DRUG-RTE 00093 00010 C L N N 00001 DRUG_RTE DRUG ROUTE 00010 01 S DSG-FORM 00103 00010 C L N N 00001 DSG_FORM DOSAGE FORM 00010 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 141 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: PHARMACY ITEM NAME: RF-PHR-ITM (0009)PROD AUTHOR: AHCC6 CONTROLLER: AHCC6 COPY-VERSION: 002 DATE-ADDED: 06/22/07 DATE-LAST-CHANGED: 06/22/07 TIME-OF-CHANGE: 16.09.44 NUMBER-OF-CHANGES: 000096

LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S DSPL-REUS-IND 00113 00001 C L N N 00001 DSPL_REUS_IND DISPOSABLE REUSABLE INDICATOR 00001 01 S FAM-PLN-IND 00114 00001 C L N N 00001 FAM_PLN_IND FAMILY PLANNING INDICATOR 00001 01 C FREQ1 00115 00004 C L N N 00001 FREQ1 FREQUENCY 02 S FREQ1-VAL FREQ1 00115 00003 C L N N 00001 FREQ1_VAL FREQUENCY 1 VALUE 00003 02 S FREQ1-CD FREQ1 00118 00001 C L N N 00001 FREQ1_CD FREQUENCY 1 CODE 00001 01 C FREQ2 00119 00004 C L N N 00001 FREQ2 FREQUENCY 02 S FREQ2-VAL FREQ2 00119 00003 C L N N 00001 FREQ2_VAL FREQUENCY 2 VALUE 00003 02 S FREQ2-CD FREQ2 00122 00001 C L N N 00001 FREQ2_CD FREQUENCY 2 CODE 00001 01 S GNR-CD 00123 00005 C L N N 00001 GNR_CD GENERIC DRUG CODE 00005 01 S LBL 00128 00018 C L N N 00001 LBL DRUG LABELER CODE 00018 01 S LMT1 00146 00003 C L N N 00001 LMT1 LIMIT 1 00003 01 S LMT2 00149 00003 C L N N 00001 LMT2 LIMIT 2 00003 01 S MAN-RVW 00152 00001 C L N N 00001 MAN_RVW MANUAL REVIEW CODE 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 142 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: PHARMACY ITEM NAME: RF-PHR-ITM (0009)PROD AUTHOR: AHCC6 CONTROLLER: AHCC6 COPY-VERSION: 002 DATE-ADDED: 06/22/07 DATE-LAST-CHANGED: 06/22/07 TIME-OF-CHANGE: 16.09.44 NUMBER-OF-CHANGES: 000096 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE.............

SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 C MAX-AGE 00153 00004 C L N N 00001 MAX_AGE MAXIMUM AGE 02 S MAX-AGE-DUR MAX-AGE 00153 00003 C L N N 00001 MAX_AGE_DUR MAXIMUM AGE DURATION 00003 02 S MAX-AGE-TYP MAX-AGE 00156 00001 C L N N 00001 MAX_AGE_TYP MAXIMUM AGE TYPE 00001 01 S MAX-DAY-SUPL 00157 00003 C L N N 00001 MAX_DAY_SUPL MAXIMUM DAYS SUPPLY 00003 01 S MAX-ICF-DAY 00160 00003 C L N N 00001 MAX_ICF_DAY MAX INTERMEDIATE CARE FACILITY DAYS 00003 01 S MAX-ICF-QTY 00163 00004 C L N N 00001 MAX_ICF_QTY MAX INTR CARE FACLTY QUANTITY 00004 01 S MAX-QTY 00167 00004 C L N N 00001 MAX_QTY MAXIMUM QUANTITY 00004 01 S MDC-CVG-IND 00171 00001 C L N N 00001 MDC_CVG_IND MEDICARE COVERAGE INDICATOR 00001 01 C MIN-AGE 00172 00004 C L N N 00001 MIN_AGE MINIMUM AGE 02 S MIN-AGE-DUR MIN-AGE 00172 00003 C L N N 00001 MIN_AGE_DUR MINIMUM AGE DURATION 00003 02 S MIN-AGE-TYP MIN-AGE 00175 00001 C L N N 00001 MIN_AGE_TYP MINIMUM AGE TYPE 00001 01 S MIN-DAY-SUPL 00176 00003 C L N N 00001 MIN_DAY_SUPL MINIMUM DAYS SUPPLY 00003 01 S MIN-ICF-DAY 00179 00003 C L N N 00001 MIN_ICF_DAY MIN INTERMEDIATE CARE FACILITY DAYS 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 143 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: PHARMACY ITEM NAME: RF-PHR-ITM (0009)PROD AUTHOR: AHCC6 CONTROLLER: AHCC6 COPY-VERSION: 002 DATE-ADDED: 06/22/07 DATE-LAST-CHANGED: 06/22/07 TIME-OF-CHANGE: 16.09.44 NUMBER-OF-CHANGES: 000096 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS

01 S MIN-ICF-QTY 00182 00004 C L N N 00001 MIN_ICF_QTY MIN INTR CARE FACLTY QUANTITY 00004 01 S MIN-QTY 00186 00004 C L N N 00001 MIN_QTY MINIMUM QUANTITY 00004 01 S PHR-ITM-STA 00190 00001 C L N N 00001 PHR_ITM_STA PHARMACY ITEM STATUS 00001 01 S PKG-QTY 00191 00006 N R N N 001 00001 PKG_QTY PACKAGE QUATITY 00006 01 S PRR-PHR-ITM 00197 00011 C L N N 00001 PRR_PHR_ITM PRIOR PHARMACY ITEM 00011 01 S REFL-NUM 00208 00002 C L N N 00001 REFL_NUM NUMBER OF REFILLS 00002 01 S SEX 00210 00001 C L N N 00001 SEX SEX CODE 00001 01 S STD-PKG-IND 00211 00001 C L N N 00001 STD_PKG_IND STANDARD PACKAGE INDICATOR 00001 01 S STER-IND 00212 00001 C L N N 00001 STER_IND STERILIZATION INDICATOR 00001 01 S STRN 00213 00010 C L N N 00001 STRN STRENGTH CODE 00010 01 S THP-CLS 00223 00006 C L N N 00001 THP_CLS THERAPEUTIC CLASSIFICATION 00006 01 S TOP-DRUG 00229 00003 C L N N 00001 TOP_DRUG TOP 200 DRUG INDICATOR 00003 01 S RI-TYP 00232 00002 C L N N 00001 RI_TYP REINSURANCE TYPE 00002 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 144 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: PHARMACY ITEM NAME: RF-PHR-ITM (0009)PROD AUTHOR: AHCC6 CONTROLLER: AHCC6 COPY-VERSION: 002 DATE-ADDED: 06/22/07 DATE-LAST-CHANGED: 06/22/07 TIME-OF-CHANGE: 16.09.44 NUMBER-OF-CHANGES: 000096 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S DL-TYP 00234 00002 C L N N 00001

DL_TYP DEFERRED LIABILITY TYPE 00002 01 S RI-CVG-CD 00236 00001 C L N N 00001 RI_CVG_CD REINSURANCE COVERAGE CODE 00001 01 S LAST-MOD-DAT 00237 00008 C L N N 00001 LAST_MOD_DAT DATE OF LAST MODIFICATION 00008 01 S LAST-MOD-TIME 00245 00008 C L N N 00001 LAST_MOD_TIME LAST MODIFIED TIME 00008 01 S LAST-MOD-USR 00253 00003 C L N N 00001 LAST_MOD_USR LAST MODIFIED USER ID 00003 01 S REC-ADDED-DAT 00256 00008 C L N N 00001 REC_ADDED_DAT RECORD ADDED DATE 00008 01 S REC-ADDED-TIME 00264 00008 C L N N 00001 REC_ADDED_TIME RECORD ADDED TIME 00008 01 S REC-ADDED-USR 00272 00003 C L N N 00001 REC_ADDED_USR RECORD ADDED USER ID 00003 01 S GNR-DRUG-IND 00275 00001 C L N N 00001 GNR_DRUG_IND GENERIC DRUG INDICATOR 00001 01 S GNR-AVAIL-IND 00276 00001 C L N N 00001 GNR_AVAIL_IND GENERIC AVAILABILITY INDICATOR 00001 01 S AHCCCS-DRUG-IND 00277 00001 C L N N 00001 AHCCCS_DRUG_IND AHCCCS DRUG INDICATOR 00001 01 S DCC 00278 00001 C L N N 00001 DCC DRUG CATEGORY CODE 00001 01 S DESI-IND 00279 00001 C L N N 00001 DESI_IND LESS THAN EFFECTIVE INDICATOR 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 145 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: PHARMACY ITEM NAME: RF-PHR-ITM (0009)PROD AUTHOR: AHCC6 CONTROLLER: AHCC6 COPY-VERSION: 002 DATE-ADDED: 06/22/07 DATE-LAST-CHANGED: 06/22/07 TIME-OF-CHANGE: 16.09.44 NUMBER-OF-CHANGES: 000096 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S DESI-BEG-DAT 00280 00008 C L N N 00001 DESI_BEG_DAT LESS THAN EFFECTIVE BEGIN DATE 00008 01 S DESI-END-DAT 00288 00008 C L N N 00001

DESI_END_DAT LESS THAN EFFECTIVE END DATE 00008 01 S DESI-2-IND 00296 00001 C L N N 00001 DESI_2_IND LESS THAN EFFECTIVE INDICATOR 2 00001 01 S DESI-2-BEG-DAT 00297 00008 C L N N 00001 DESI_2_BEG_DAT LESS THAN EFFECTIVE BEGIN DATE 2 00008 01 S DESI-2-END-DAT 00305 00008 C L N N 00001 DESI_2_END_DAT LESS THAN EFFECTIVE END DATE 2 00008 01 S HCFA-DESI-IND 00313 00001 C L N N 00001 HCFA_DESI_IND HCFA LESS THAN EFFECTIVE INDICATOR 00001 01 S HCFA-DES-BEG-DT 00314 00008 C L N N 00001 HCFA_DES_BEG_DT HCFA LESS THAN EFFECTIVE BEGIN DATE 00008 01 S HCFA-DES-END-DT 00322 00008 C L N N 00001 HCFA_DES_END_DT HCFA LESS THAN EFFECTIVE END DATE 00008 01 S HCPC 00330 00005 C L N N 00001 HCPC HCPCS PROCEDURE CODE 00005 01 S NDC-ADD-DAT 00335 00008 C L N N 00001 NDC_ADD_DAT 00008 01 S NDC-REUSE-DAT 00343 00008 C L N N 00001 NDC_REUSE_DAT 00008 01 S GCN-SEQNO 00351 00006 N L N N 00001 GCN_SEQNO 00006 01 S LBLRID 00357 00006 C L N N 00001 LBLRID 00006 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 146 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: PHARMACY ITEM NAME: RF-PHR-ITM (0009)PROD AUTHOR: AHCC6 CONTROLLER: AHCC6 COPY-VERSION: 002 DATE-ADDED: 06/22/07 DATE-LAST-CHANGED: 06/22/07 TIME-OF-CHANGE: 16.09.44 NUMBER-OF-CHANGES: 000096 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S REPL-NDC 00363 00011 C L N N 00001 REPL_NDC 00011 01 S HCFA-TRMC 00374 00008 N L N N 00001 HCFA_TRMC 00008 01 S OBSDTEC 00382 00008 N L N N 00001

OBSDTEC 00008 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 147 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: PHARMACY ITEM PRICE NAME: RF-PHR-ITM-PRC (0008)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.22.41 NUMBER-OF-CHANGES: 000019 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 S PHR-ITM 00001 00011 C L N N 00001 PHR_ITM PHARMACY ITEM CODE 00011 01 S PRICE-TYP 00012 00003 C L N N 00001 PRICE_TYP PRICING TYPE 00003 01 S AMOUNT 00015 00011 N R N N 004 00001 AMOUNT AMOUNT 00011 01 S CRN-DAT 00026 00008 C L N N 00001 CRN_DAT CLAIM RECEIPT DATE 00008 01 S BEG-DAT 00034 00008 C L N N 00001 BEG_DAT BEGIN DATE 00008 01 S END-DAT 00042 00008 C L N N 00001 END_DAT END DATE 00008 01 S REC-ADDED-DAT 00050 00008 C L N N 00001 REC_ADDED_DAT RECORD ADDED DATE 00008 01 S REC-ADDED-TIME 00058 00008 C L N N 00001 REC_ADDED_TIME RECORD ADDED TIME 00008 01 S REC-ADDED-USR 00066 00003 C L N N 00001 REC_ADDED_USR RECORD ADDED USER ID 00003 01 S LAST-MOD-DAT 00069 00008 C L N N 00001 LAST_MOD_DAT LAST MODIFIED DATE 00008 01 S LAST-MOD-TIME 00077 00008 C L N N 00001 LAST_MOD_TIME LAST MODIFIED TIME 00008 01 S LAST-MOD-USR 00085 00003 C L N N 00001 LAST_MOD_USR LAST MODIFIED USER ID 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 148

* Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: PHARMACY ITEM PRICE NAME: RF-PHR-ITM-PRC (0008)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.22.41 NUMBER-OF-CHANGES: 000019 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S SOURCE-CD 00088 00001 C L N N 00001 SOURCE_CD 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 149 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PHR-ITM-SPP (0007)PROD AUTHOR: AHC03 CONTROLLER: AHC03 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.22.41 NUMBER-OF-CHANGES: 000018 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 01 S PHR-ITM 00001 00011 C L N N 00001 PHR_ITM PHARMACY ITEM CODE 01 S SPP 00012 00001 C L N N 00001 SPP SPECIAL PROCESSING PARM 01 S BEG-DAT 00013 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 01 S END-DAT 00021 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 01 S LAST-MOD-DAT 00029 00008 C L N N 00001 LAST_MOD_DAT DATE OF LAST MODIFICATION 01 S LAST-MOD-TIME 00037 00008 C L N N 00001

LAST_MOD_TIME 01 S LAST-MOD-USR 00045 00003 C L N N 00001 LAST_MOD_USR 01 S REC-ADDED-DAT 00048 00008 C L N N 00001 REC_ADDED_DAT 01 S REC-ADDED-TIME 00056 00008 C L N N 00001 REC_ADDED_TIME 01 S REC-ADDED-USR 00064 00003 C L N N 00001 REC_ADDED_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 150 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PHR-LABEL (0002)PROD AUTHOR: AHC10 CONTROLLER: AHC10 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.22.41 NUMBER-OF-CHANGES: 000013 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S LBLRID 00001 00006 C L N N 00001 LBLRID 00006 01 S MFG 00007 00015 C L N N 00001 MFG 00015 01 S CORPID 00022 00005 N R N N 00001 CORPID 00005 01 S LBLRIND 00027 00001 C L N N 00001 LBLRIND 00001 01 S REC-ADDED-DAT 00028 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00036 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00044 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00047 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00055 00008 C L N N 00001

LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00063 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 151 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PHR-PA (0007)PROD AUTHOR: AHC03 CONTROLLER: AHC03 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.22.41 NUMBER-OF-CHANGES: 000014 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 01 S PHR-ITM 00001 00011 C L N N 00001 PHR_ITM 01 S PA-CODE 00012 00001 C L N N 00001 PA_CODE 01 S BEG-DAT 00013 00008 C L N N 00001 BEG_DAT 01 S END-DAT 00021 00008 C L N N 00001 END_DAT 01 S REC-ADDED-DAT 00029 00008 C L N N 00001 REC_ADDED_DAT 01 S REC-ADDED-TIME 00037 00008 C L N N 00001 REC_ADDED_TIME 01 S REC-ADDED-USR 00045 00003 C L N N 00001 REC_ADDED_USR 01 S LAST-MOD-DAT 00048 00008 C L N N 00001 LAST_MOD_DAT 01 S LAST-MOD-TIME 00056 00008 C L N N 00001 LAST_MOD_TIME 01 S LAST-MOD-USR 00064 00003 C L N N 00001 LAST_MOD_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 152 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0

* Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PHR-ROUTE (0002)PROD AUTHOR: AHC10 CONTROLLER: AHC10 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.22.41 NUMBER-OF-CHANGES: 000015 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S GCRT 00001 00001 C L N N 00001 GCRT 00001 01 S RT 00002 00010 C L N N 00001 RT 00010 01 S GCRT2 00012 00002 C L N N 00001 GCRT2 00002 01 S GCRT-DESC 00014 00040 C L N N 00001 GCRT_DESC 00040 01 S SYSTEMIC 00054 00001 C L N N 00001 SYSTEMIC 00001 01 S SKEY-RT 00055 00002 N R N N 00001 SKEY_RT 00002 01 S REC-ADDED-DAT 00057 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00065 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00073 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00076 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00084 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00092 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 153 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2

ENTITY-TYPE: TABLE DESC: NAME: RF-PHR-STRENGTH (0002)PROD AUTHOR: AHC10 CONTROLLER: AHC10 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.22.41 NUMBER-OF-CHANGES: 000014 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S STR 00001 00010 C L N N 00001 STR 00010 01 S STRNUM 00011 00011 N R N N 003 00001 STRNUM 00011 01 S STRUN 00022 00010 C L N N 00001 STRUN 00010 01 S VOLNUM 00032 00007 N R N N 003 00001 VOLNUM 00007 01 S VOLUN 00039 00005 C L N N 00001 VOLUN 00005 01 S REC-ADDED-DAT 00044 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00052 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00060 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00063 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00071 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00079 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 154 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PR-ALT-TYP (0003)PROD AUTHOR: AHC52 CONTROLLER: AHC52 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000012

LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S ALT-ID-TYP 00001 00002 C L N N 00001 ALT_ID_TYP 00002 01 S DESC 00003 00080 C L N N 00001 DESC 00080 01 S UNIQUE-ID-IND 00083 00001 C L N N 00001 UNIQUE_ID_IND 00001 01 S REC-ADDED-DAT 00084 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00092 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00100 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00103 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00111 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00119 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 155 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: PROVIDER CATEGORY OF SERVICE NAME: RF-PR-CAT-SER (0017)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000019 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 S PR-TYP 00001 00002 C L N N 00001

PR_TYP PROVIDER TYPE 00002 01 S CAT-SER 00003 00002 C L N N 00001 CAT_SER CATEGORY OF SERVICE 00002 01 S COS-MAND-OPT 00005 00001 C L N N 00001 COS_MAND_OPT 00001 01 S AGY-ID 00006 00003 C L N N 00001 AGY_ID 00003 01 S ST-FED-IND 00009 00001 C L N N 00001 ST_FED_IND 00001 01 S ST 00010 00002 C L N N 00001 ST 00002 01 S LIC-CERT-IND 00012 00001 C L N N 00001 LIC_CERT_IND 00001 01 S AGY-MAND-OPT 00013 00001 C L N N 00001 AGY_MAND_OPT 00001 01 S BEG-DAT 00014 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DAT 00008 01 S END-DAT 00022 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 00008 01 S LAST-MOD-DAT 00030 00008 C L N N 00001 LAST_MOD_DAT DATE OF LAST MODIFICATION 00008 01 S LAST-MOD-TIME 00038 00008 C L N N 00001 LAST_MOD_TIME 00008 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 156 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: PROVIDER CATEGORY OF SERVICE NAME: RF-PR-CAT-SER (0017)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000019 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S LAST-MOD-USR 00046 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00049 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00057 00008 C L N N 00001

REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00065 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 157 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PR-EMPLOYEE (0018)PROD AUTHOR: AHM35 CONTROLLER: AHM35 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000022 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S USER-ID 00000 00003 C L N N 00001 USER_ID 00003 01 S SSR-STA-CD 00003 00001 C L N N 00001 SSR_STA_CD 00001 01 C TRUNC-NAME-ALT 00004 00006 C L N N 00001 TRUNC_NAME_ALT 02 S LAST-NAME-TRUNC TRUNC-NAME-ALT 00004 00005 C L N N 00001 LAST_NAME_TRUNC 00005 02 S FI-TRUNC TRUNC-NAME-ALT 00009 00001 C L N N 00001 FI_TRUNC 00001 01 C LONG-NAME 00010 00026 C L N N 00001 LONG_NAME 02 S LONG-LAST-NAME LONG-NAME 00010 00015 C L N N 00001 LONG_LAST_NAME 00015 02 S LONG-MID-INIT LONG-NAME 00025 00001 C L N N 00001 LONG_MID_INIT 00001 02 S LONG-FIRST-NAME LONG-NAME 00026 00010 C L N N 00001 LONG_FIRST_NAME 00010 01 S SSN 00036 00010 C L N N 00001 SSN 00010 01 S SSR-USERID 00046 00003 C L N N 00001 SSR_USERID 00003 01 S FILLER-1 00049 00001 C L N N 00001 FILLER_1 00001 01 S POSITION-TITLE 00050 00008 C L N N 00001

POSITION_TITLE 00008 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 158 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PR-EMPLOYEE (0018)PROD AUTHOR: AHM35 CONTROLLER: AHM35 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000022 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00058 00001 C L N N 00001 STA_CD 00001 01 S LAST-MOD-DAT 00059 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00067 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00075 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00078 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00086 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00094 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 159 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PR-MIPS-SVC (0007)PROD AUTHOR: AHC03 CONTROLLER: AHC03 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000012 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS

01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S PR-TYP 00001 00002 C L N N 00001 PR_TYP 00002 01 S SVC-FR 00003 00011 C L N N 00001 SVC_FR 00011 01 S SVC-TO 00014 00011 C L N N 00001 SVC_TO 00011 01 S SVC-TYP 00025 00001 C L N N 00001 SVC_TYP 00001 01 S BEG-DAT 00026 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00034 00008 C L N N 00001 END_DAT 00008 01 S LAST-MOD-DAT 00042 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00050 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00058 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 160 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PR-MNEM (0017)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000013 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S PR-ID 00001 00006 C L N N 00001 PR_ID 00006 01 S MNEM 00007 00003 C L N N 00001 MNEM 00003 01 S REC-ADDED-DAT 00010 00008 C L N N 00001

REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00018 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00026 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00029 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00037 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00045 00003 C L N N 00001 LAST_MOD_USR 00003 01 S BEG-DAT 00048 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00056 00008 C L N N 00001 END_DAT 00008 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 161 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PR-NPI (0001)PROD AUTHOR: AHCC6 CONTROLLER: AHCC6 COPY-VERSION: 002 DATE-ADDED: 05/24/06 DATE-LAST-CHANGED: 05/24/06 TIME-OF-CHANGE: 15.45.26 NUMBER-OF-CHANGES: 000013 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00002 C L N N 00001 STA_CD 00002 01 S PR-TYP 00002 00002 C L N N 00001 PR_TYP 00002 01 S NPI-IND 00004 00001 C L N N 00001 NPI_IND 00001 01 S BEG-DAT 00005 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00013 00008 C L N N 00001 END_DAT 00008 01 S LAST-MOD-DAT 00021 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00029 00008 C L N N 00001

LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00037 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00040 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00048 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00056 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 162 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PR-PARM (0007)PROD AUTHOR: AHM19 CONTROLLER: AHM19 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.25.55 NUMBER-OF-CHANGES: 000034 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S TRANS-ID 00000 00006 C L N N 00001 TRANS_ID 01 S SEQ-NUM 00006 00005 C L N N 00001 SEQ_NUM 01 S UNIQUE-NUM 00011 00005 C L N N 00001 UNIQUE_NUM 01 S PR-STA-TYP 00016 00001 C L N N 00001 PR_STA_TYP 01 S PR-TYP 00017 00002 C L N N 00001 PR_TYP 01 S FFS-TYP 00019 00002 C L N N 00001 FFS_TYP 01 S IHS-IND 00021 00001 C L N N 00001 IHS_IND 01 S ENRL-BEG-DAT 00022 00008 C L N N 00001 ENRL_BEG_DAT 01 S LST-ADJU-BEGDAT 00030 00008 C L N N 00001 LST_ADJU_BEGDAT 01 S LST-ADJU-ENDDAT 00038 00008 C L N N 00001

LST_ADJU_ENDDAT 01 S REIM-TYP 00046 00002 C L N N 00001 REIM_TYP 01 S RATE-SCH 00048 00003 C L N N 00001 RATE_SCH 01 S MDC-CVG 00051 00001 C L N N 00001 MDC_CVG Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 163 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PR-PARM (0007)PROD AUTHOR: AHM19 CONTROLLER: AHM19 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.25.55 NUMBER-OF-CHANGES: 000034 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S CTY 00052 00002 C L N N 00001 CTY 01 S ZIP-FROM 00054 00009 C L N N 00001 ZIP_FROM 01 S ZIP-TO 00063 00009 C L N N 00001 ZIP_TO 01 S ST-AZ 00072 00001 C L N N 00001 ST_AZ 01 S ST-CONTIG 00073 00001 C L N N 00001 ST_CONTIG 01 S ST-OTHERS 00074 00001 C L N N 00001 ST_OTHERS 01 S AGY-ID 00075 00003 C L N N 00001 AGY_ID 01 S LIC-CERT-IND 00078 00002 C L N N 00001 LIC_CERT_IND 01 S LIC-DEA-LVL 00080 00001 C L N N 00001 LIC_DEA_LVL 01 S CAT-SER 00081 00002 C L N N 00001 CAT_SER 01 S DECERT-CD 00083 00002 C L N N 00001

DECERT_CD 01 S SPEC 00085 00003 C L N N 00001 SPEC 01 S BED-TYP 00088 00004 C L N N 00001 BED_TYP Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 164 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PR-PARM (0007)PROD AUTHOR: AHM19 CONTROLLER: AHM19 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.25.55 NUMBER-OF-CHANGES: 000034 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S RSTN-TYP 00092 00002 C L N N 00001 RSTN_TYP 01 S USR-REQUEST-NUM 00094 00005 C L N N 00001 USR_REQUEST_NUM 01 S DAT-REC-ADDED 00099 00008 C L N N 00001 DAT_REC_ADDED 01 S LAST-MOD-USR 00107 00003 C L N N 00001 LAST_MOD_USR 01 S PR-MANUAL-IND 00110 00001 C L N N 00001 PR_MANUAL_IND Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 165 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: PROVIDER RATE SCHEDULE NAME: RF-PR-RATE (0021)PROD AUTHOR: AHM80 CONTROLLER: AHM80 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000025 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS

01 S STA 00000 00001 C L N N 00001 STA STATUS 00001 01 S PR-ID 00001 00006 C L N N 00001 PR_ID PROVIDER NUMBER 00006 01 S SER-TYP 00007 00001 C L N N 00001 SER_TYP SERVICE TYPE 00001 01 S SER-FROM 00008 00011 C L N N 00001 SER_FROM SERVICE FROM CODE 00011 01 S SER-TO 00019 00011 C L N N 00001 SER_TO SERVICE TO CODE 00011 01 S CTY 00030 00002 C L N N 00001 CTY COUNTY CODE 00002 01 S CRN-DAT 00032 00008 C L N N 00001 CRN_DAT CLAIM REFERENCE DATE 00008 01 S BEG-DAT 00040 00008 C L N N 00001 BEG_DAT BEGIN DATE 00008 01 S END-DAT 00048 00008 C L N N 00001 END_DAT END DATE 00008 01 S RATE-SCH 00056 00003 C L N N 00001 RATE_SCH RATE SCHEDULE CODE 00003 01 S PMT-TYP 00059 00001 C L N N 00001 PMT_TYP PAYMENT TYPE 00001 01 S AMT 00060 00011 N R N Y 004 00001 AMT AMOUNT 00011 01 S LAST-MOD-DAT 00071 00008 C L N N 00001 LAST_MOD_DAT LAST MODIFIED DATE 00008 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 166 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: PROVIDER RATE SCHEDULE NAME: RF-PR-RATE (0021)PROD AUTHOR: AHM80 CONTROLLER: AHM80 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000025 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S LAST-MOD-TIME 00079 00006 C L N N 00001

LAST_MOD_TIME LAST MODIFIED TIME 00006 01 S LAST-MOD-USR 00085 00003 C L N N 00001 LAST_MOD_USR LAST MODIFIED USER 00003 01 S REC-ADDED-DAT 00088 00008 C L N N 00001 REC_ADDED_DAT RECORD ADDED DATE 00008 01 S REC-ADDED-TIME 00096 00006 C L N N 00001 REC_ADDED_TIME RECORD ADDED TIME 00006 01 S REC-ADDED-USR 00102 00003 C L N N 00001 REC_ADDED_USR RECORD ADDED USER 00003 01 S PLC-SER 00105 00002 C L N N 00001 PLC_SER 00002 01 S PROC-MOD 00107 00002 C L N N 00001 PROC_MOD 00002 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 167 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: REIMBURSEMENT TYPE NAME: RF-PR-REIM-TYP (0017)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000014 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 S PR-TYP 00001 00002 C L N N 00001 PR_TYP PERIOD TYPE 00002 01 S PR-REIM-TYP 00003 00002 C L N N 00001 PR_REIM_TYP PROVIDER REIMBURSEMENT TYPE 00002 01 S EFF-BEG-DAT 00005 00008 C L N N 00001 EFF_BEG_DAT EFFECTIVE BEGIN DATE 00008 01 S EFF-END-DAT 00013 00008 C L N N 00001 EFF_END_DAT EFFECTIVE END DATE 00008 01 S LAST-MOD-DAT 00021 00008 C L N N 00001 LAST_MOD_DAT DATE OF LAST MODIFICATION 00008 01 S LAST-MOD-TIME 00029 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00037 00003 C L N N 00001

LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00040 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00048 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00056 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 168 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: PROVIDER SPECIALTY NAME: RF-PR-SPEC (0017)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000014 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 S PR-TYP 00001 00002 C L N N 00001 PR_TYP PROVIDER TYPE 00002 01 S SPEC 00003 00003 C L N N 00001 SPEC SPECIALTY CODE 00003 01 S OPT-MAND-IND 00006 00001 C L N N 00001 OPT_MAND_IND OPTIONAL/MANDATORY INDICATOR 00001 01 S BEG-DAT 00007 00008 C L N N 00001 BEG_DAT CODE EFECTIVE BEGINNING DATE 00008 01 S END-DAT 00015 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 00008 01 S LAST-MOD-DAT 00023 00008 C L N N 00001 LAST_MOD_DAT DATE OF LAST MODIFICATION 00008 01 S LAST-MOD-TIME 00031 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00039 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00042 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00050 00008 C L N N 00001

REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00058 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 169 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: PROVIDER TYPE RATE SCHEDULE NAME: RF-PR-TYP-RATE (0019)PROD AUTHOR: AHM80 CONTROLLER: AHM80 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000025 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA 00000 00001 C L N N 00001 STA STATUS 00001 01 S PR-TYP 00001 00002 C L N N 00001 PR_TYP PROVIDER TYPE 00002 01 S IN-OUT-STATE 00003 00001 C L N N 00001 IN_OUT_STATE IN-STATE/OUT-OF-STATE INDICATOR 00001 01 S SER-TYP 00004 00001 C L N N 00001 SER_TYP SERVICE TYPE 00001 01 S SER-FROM 00005 00011 C L N N 00001 SER_FROM SERVICE FROM CODE 00011 01 S SER-TO 00016 00011 C L N N 00001 SER_TO SERVICE TO CODE 00011 01 S CRN-DAT 00027 00008 C L N N 00001 CRN_DAT CLAIM REFERENCE DATE 00008 01 S BEG-DAT 00035 00008 C L N N 00001 BEG_DAT BEGIN DATE 00008 01 S END-DAT 00043 00008 C L N N 00001 END_DAT END DATE 00008 01 S RATE-SCH 00051 00003 C L N N 00001 RATE_SCH RATE SCHEDULE CODE 00003 01 S PMT-TYP 00054 00001 C L N N 00001 PMT_TYP PAYMENT TYPE 00001 01 S AMT 00055 00011 N R N Y 004 00001 AMT AMOUNT 00011 01 S LAST-MOD-DAT 00066 00008 C L N N 00001

LAST_MOD_DAT LAST MODIFIED DATE 00008 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 170 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: PROVIDER TYPE RATE SCHEDULE NAME: RF-PR-TYP-RATE (0019)PROD AUTHOR: AHM80 CONTROLLER: AHM80 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000025 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S LAST-MOD-TIME 00074 00006 C L N N 00001 LAST_MOD_TIME LAST MODIFIED TIME 00006 01 S LAST-MOD-USR 00080 00003 C L N N 00001 LAST_MOD_USR LAST MODIFIED USER 00003 01 S REC-ADDED-DAT 00083 00008 C L N N 00001 REC_ADDED_DAT RECORD ADDED DATE 00008 01 S REC-ADDED-TIME 00091 00006 C L N N 00001 REC_ADDED_TIME RECORD ADDED TIME 00006 01 S REC-ADDED-USR 00097 00003 C L N N 00001 REC_ADDED_USR RECORD ADDED USER 00003 01 S PLC-SER 00100 00002 C L N N 00001 PLC_SER 00002 01 S PROC-MOD 00102 00002 C L N N 00001 PROC_MOD 00002 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 171 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: PERIOD TYPE NAME: RF-PRD-TYP (0017)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000014 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS

01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 S END-DAT 00001 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 00008 01 S PRD-TYP 00009 00003 C L N N 00001 PRD_TYP PERIOD TYPE 00003 01 S BEG-DAT 00012 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 00008 01 S DESC 00020 00080 C L N N 00001 DESC PERIOD TYPE DESCRIPTION 00080 01 S PRD-LEN 00100 00003 C L N N 00001 PRD_LEN PERIOD LENGTH 00003 01 S REC-ADDED-DAT 00103 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00111 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00119 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00122 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00130 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00138 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 172 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PRINT (0003)PROD AUTHOR: AHC03 CONTROLLER: AHC03 COPY-VERSION: 002 DATE-ADDED: 12/04/03 DATE-LAST-CHANGED: 12/04/03 TIME-OF-CHANGE: 15.12.35 NUMBER-OF-CHANGES: 000013 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S PRTR-ID 00000 00008 C L N N 00001 PRTR_ID 00008 01 S BEG-DAT 00008 00008 C L N N 00001

BEG_DAT 00008 01 S PRTR-LOC 00016 00025 C L N N 00001 PRTR_LOC 00025 01 S PRTR-ORIENT 00041 00001 C L N N 00001 PRTR_ORIENT 00001 01 S PRTR-WTH 00042 00003 N R N N 00001 PRTR_WTH 00003 01 S PRTR-TYP 00045 00006 C L N N 00001 PRTR_TYP 00006 01 S BAR-CD 00051 00006 N R N N 00001 BAR_CD 00006 01 S STA 00057 00001 C L N N 00001 STA 00001 01 S LAST-MOD-DAT 00058 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-USR 00066 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 173 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: REFERENCE PRINTER DATABASE TABLE NAME: RF-PRINTERS (0004)PROD AUTHOR: AHC17 CONTROLLER: AHC17 COPY-VERSION: 002 DATE-ADDED: 12/04/03 DATE-LAST-CHANGED: 12/04/03 TIME-OF-CHANGE: 15.12.35 NUMBER-OF-CHANGES: 000016 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 C RF-PRINTERS-01 00000 00090 C L N N 00001 RF_PRINTERS_01 DATABASE ELEMENT 01 GROUP LEVEL 02 C RF-PRINTERS-K1 RF-PRINTERS-01 00000 00008 C L N N 00001 RF_PRINTERS_K1 DATABASE KEY 1 GROUP LEVEL 03 S PRTR-ID RF-PRINTERS-K1 00000 00008 C L N N 00001 PRTR_ID PRINTER IDENTIFICATION 02 S PRTR-LOC RF-PRINTERS-01 00008 00040 C L N N 00001 PRTR_LOC PRINTER LOCATION 02 S PRTR-WTH RF-PRINTERS-01 00048 00003 C L N N 00001 PRTR_WTH 02 S PRTR-STA RF-PRINTERS-01 00051 00001 C L N N 00001

PRTR_STA STATUS FOR THIS PRINTER 02 S BAR-CODE RF-PRINTERS-01 00052 00006 N R N N 00001 BAR_CODE 02 S PRTR-TYPE RF-PRINTERS-01 00058 00006 C L N N 00001 PRTR_TYPE 02 S PRTR-ORIENT RF-PRINTERS-01 00064 00001 C L N N 00001 PRTR_ORIENT 02 S DAT-REC-ADDED RF-PRINTERS-01 00065 00008 C L N N 00001 DAT_REC_ADDED 02 S LAST-MOD-DAT RF-PRINTERS-01 00073 00008 C L N N 00001 LAST_MOD_DAT 02 S LAST-MOD-TIM RF-PRINTERS-01 00081 00006 C L N N 00001 LAST_MOD_TIM 02 S LAST-MOD-USR RF-PRINTERS-01 00087 00003 C L N N 00001 LAST_MOD_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 174 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: HCPCS PROCEDURE NAME: RF-PROC (0010)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 10/19/04 DATE-LAST-CHANGED: 10/19/04 TIME-OF-CHANGE: 12.12.19 NUMBER-OF-CHANGES: 000062 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 S PROC 00001 00005 C L N N 00001 PROC HCPCS PROCEDURE CODE 00005 01 S END-DAT 00006 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 00008 01 S BEG-DAT 00014 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 00008 01 S ABR-IND 00022 00001 C L N N 00001 ABR_IND ABORTION INDICATOR 00001 01 S ANS-MAX-VAL 00023 00004 C L N N 00001 ANS_MAX_VAL ANESTHESIA UNIT MAXIMUM 00004 01 S ANS-VAL 00027 00004 N R N N 001 00001

ANS_VAL ANESTHESIA BASIC VALUE 00004 01 S CNF-IND 00031 00001 C L N N 00001 CNF_IND CONFIDENTIALITY INDICATOR 00001 01 S DESC 00032 00080 C L N N 00001 DESC HCPCS PROC CODE DESCRIPTION 00080 01 S DESC-SPAN 00112 00080 C L N N 00001 DESC_SPAN SPANISH PROC CODE DESRIPTN 00080 01 S DESC-SHORT 00192 00020 C L N N 00001 DESC_SHORT SHORT PROC CODE DESCRIPTION 00020 01 S EPSDT-IND 00212 00001 C L N N 00001 EPSDT_IND EARLY DIAGNOSTIC TESTING IND 00001 01 S FAM-PLN-IND 00213 00001 C L N N 00001 FAM_PLN_IND FAMILY PLANNING INDICATOR 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 175 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: HCPCS PROCEDURE NAME: RF-PROC (0010)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 10/19/04 DATE-LAST-CHANGED: 10/19/04 TIME-OF-CHANGE: 12.12.19 NUMBER-OF-CHANGES: 000062 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 C FREQ1 00214 00004 C L N N 00001 FREQ1 FREQUENCY 02 S FREQ1-VAL FREQ1 00214 00003 C L N N 00001 FREQ1_VAL FREQUENCY 1 VALUE 00003 02 S FREQ1-CD FREQ1 00217 00001 C L N N 00001 FREQ1_CD FREQUENCY 1 CODE 00001 01 C FREQ2 00218 00004 C L N N 00001 FREQ2 FREQUENCY 02 S FREQ2-VAL FREQ2 00218 00003 C L N N 00001 FREQ2_VAL FREQUENCY 2 VALUE 00003 02 S FREQ2-CD FREQ2 00221 00001 C L N N 00001 FREQ2_CD FREQUENCY 2 CODE 00001 01 S FUP-DAY 00222 00003 C L N N 00001 FUP_DAY FOLLOW-UP DAYS 00003 01 S MAN-PRC-IND 00225 00001 C L N N 00001

MAN_PRC_IND MANUAL PRICING INDICATOR 00001 01 S MAN-RVW 00226 00001 C L N N 00001 MAN_RVW MANUAL REVIEW CODE 00001 01 C MAX-AGE 00227 00004 C L N N 00001 MAX_AGE MAXIMUM AGE 02 S MAX-AGE-DUR MAX-AGE 00227 00003 C L N N 00001 MAX_AGE_DUR MAXIMUM AGE DURATION 00003 02 S MAX-AGE-TYP MAX-AGE 00230 00001 C L N N 00001 MAX_AGE_TYP MAXIMUM AGE TYPE 00001 01 S MDC-CVG-IND 00231 00001 C L N N 00001 MDC_CVG_IND MEDICARE COVERAGE INDICATOR 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 176 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: HCPCS PROCEDURE NAME: RF-PROC (0010)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 10/19/04 DATE-LAST-CHANGED: 10/19/04 TIME-OF-CHANGE: 12.12.19 NUMBER-OF-CHANGES: 000062 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S MDC-CVG-MAX-AMT 00232 00011 N R N N 002 00001 MDC_CVG_MAX_AMT MEDICARE COVERAGE MAX AMOUNT 00011 01 C MIN-AGE 00243 00004 C L N N 00001 MIN_AGE MINIMUM AGE 02 S MIN-AGE-DUR MIN-AGE 00243 00003 C L N N 00001 MIN_AGE_DUR MINIMUM AGE DURATION 00003 02 S MIN-AGE-TYP MIN-AGE 00246 00001 C L N N 00001 MIN_AGE_TYP MINIMUM AGE TYPE 00001 01 S POP-DAY 00247 00003 C L N N 00001 POP_DAY PREVIOUS DAYS TO OPERATION 00003 01 S PRC-SRC 00250 00002 C L N N 00001 PRC_SRC PRICE SOURCE 00002 01 S PROC-CD-METH 00252 00001 C L N N 00001 PROC_CD_METH PROCEDURE CODING METHOD 00001 01 S PROC-CLS-CD 00253 00002 C L N N 00001 PROC_CLS_CD PROCEDURE CLASSIFICATION CODE 00002 01 S PROC-MAX-OCC 00255 00003 C L N N 00001

PROC_MAX_OCC PROCEDURE MAXIMUM OCCURRENCE 00003 01 S PROC-STA 00258 00001 C L N N 00001 PROC_STA PROCEDURE STATUS 00001 01 S STER-IND 00259 00001 C L N N 00001 STER_IND STERILIZATION INDICATOR 00001 01 S RLTV-VAL 00260 00005 N R N N 002 00001 RLTV_VAL RELATIVE VALUE 00005 01 S SEX 00265 00001 C L N N 00001 SEX SEX CODE 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 177 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: HCPCS PROCEDURE NAME: RF-PROC (0010)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 10/19/04 DATE-LAST-CHANGED: 10/19/04 TIME-OF-CHANGE: 12.12.19 NUMBER-OF-CHANGES: 000062 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S TPL-IND 00266 00001 C L N N 00001 TPL_IND THIRD PARTY LIABLITY IND 00001 01 S DL-TYP 00267 00002 C L N N 00001 DL_TYP DEFERRED LIABILITY TYPE 00002 01 S RI-TYP 00269 00002 C L N N 00001 RI_TYP REINSURANCE TYPE 00002 01 S RI-CVG-CD 00271 00001 C L N N 00001 RI_CVG_CD REINSURANCE COVERAGE CODE 00001 01 S LMT1 00272 00003 C L N N 00001 LMT1 LIMIT 1 00003 01 S LMT2 00275 00003 C L N N 00001 LMT2 LIMIT 2 00003 01 S LAST-MOD-DAT 00278 00008 C L N N 00001 LAST_MOD_DAT DATE OF LAST MODIFICATION 00008 01 S LAST-MOD-TIME 00286 00008 C L N N 00001 LAST_MOD_TIME LAST MODIFIED TIME 00008 01 S LAST-MOD-USR 00294 00003 C L N N 00001 LAST_MOD_USR LAST MODIFIED USER ID 00003 01 S REC-ADDED-DAT 00297 00008 C L N N 00001

REC_ADDED_DAT RECORD ADDED DATE 00008 01 S REC-ADDED-TIME 00305 00008 C L N N 00001 REC_ADDED_TIME RECORD ADDED TIME 00008 01 S REC-ADDED-USR 00313 00003 C L N N 00001 REC_ADDED_USR RECORD ADDED USER ID 00003 01 S PROC-XREF 00316 00005 C L N N 00001 PROC_XREF NOT IN USE 00005 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 178 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: HCPCS PROCEDURE NAME: RF-PROC (0010)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 10/19/04 DATE-LAST-CHANGED: 10/19/04 TIME-OF-CHANGE: 12.12.19 NUMBER-OF-CHANGES: 000062 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S LAB-IND 00321 00001 C L N N 00001 LAB_IND LABORATORY INDICATOR 00001 01 S REUSE-IND 00322 00001 C L N N 00001 REUSE_IND 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 179 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PROC-CCI (0001)PROD AUTHOR: AHCY5 CONTROLLER: AHCY5 COPY-VERSION: 002 DATE-ADDED: 05/18/05 DATE-LAST-CHANGED: 05/18/05 TIME-OF-CHANGE: 11.16.56 NUMBER-OF-CHANGES: 000016 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S PROC-PRIMARY 00001 00005 C L N N 00001

PROC_PRIMARY 00005 01 S PROC-COMPONENT 00006 00005 C L N N 00001 PROC_COMPONENT 00005 01 S MOD-IND 00011 00001 C L N N 00001 MOD_IND 00001 01 S FORM-TYPE 00012 00001 C L N N 00001 FORM_TYPE 00001 01 S BEG-DAT 00013 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00021 00008 C L N N 00001 END_DAT 00008 01 S LAST-MOD-DAT 00029 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00037 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00045 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00048 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00056 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00064 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 180 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PROC-CCI (0001)PROD AUTHOR: AHCY5 CONTROLLER: AHCY5 COPY-VERSION: 002 DATE-ADDED: 05/18/05 DATE-LAST-CHANGED: 05/18/05 TIME-OF-CHANGE: 11.16.56 NUMBER-OF-CHANGES: 000016 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S POLICY 00067 00001 C L N N 00001 POLICY 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 181 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0

* Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PROC-CVG (0007)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.17.10 NUMBER-OF-CHANGES: 000016 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S PROC 00001 00005 C L N N 00001 PROC 00005 01 S AHCCCS-CVG 00006 00002 C L N N 00001 AHCCCS_CVG 00002 01 S BEG-DAT 00008 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00016 00008 C L N N 00001 END_DAT 00008 01 S REC-ADDED-DAT 00024 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00032 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00040 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00043 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00051 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00059 00003 C L N N 00001 LAST_MOD_USR 00003 01 S PROC-XREF 00062 00005 C L N N 00001 PROC_XREF 00005 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 182 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: HCPCS DENTAL PROCEDURE NAME: RF-PROC-DNT (0007)PROD

AUTHOR: AHM82 CONTROLLER: AHM82 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.17.10 NUMBER-OF-CHANGES: 000017 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 S PROC 00001 00005 C L N N 00001 PROC HCPCS PROCEDURE CODE 00005 01 S TTH 00006 00001 C L N N 00001 TTH TOOTH CODE 00001 01 S QUAD 00007 00001 C L N N 00001 QUAD DENTAL QUADRANT CODE 00001 01 S SRF 00008 00001 C L N N 00001 SRF DENTAL SURFACE CODE 00001 01 S BEG-DAT 00009 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 00008 01 S END-DAT 00017 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 00008 01 S LAST-MOD-DAT 00025 00008 C L N N 00001 LAST_MOD_DAT DATE OF LAST MODIFICATION 00008 01 S LAST-MOD-TIME 00033 00008 C L N N 00001 LAST_MOD_TIME LAST MODIFIED TIME 00008 01 S LAST-MOD-USR 00041 00003 C L N N 00001 LAST_MOD_USR LAST MODIFIED USER ID 00003 01 S REC-ADDED-DAT 00044 00008 C L N N 00001 REC_ADDED_DAT RECORD ADDED DATE 00008 01 S REC-ADDED-TIME 00052 00008 C L N N 00001 REC_ADDED_TIME RECORD ADDED TIME 00008 01 S REC-ADDED-USR 00060 00003 C L N N 00001 REC_ADDED_USR RECORD ADDED USER ID 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 183 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PROC-MAC (0008)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.17.10 NUMBER-OF-CHANGES: 000017

LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 S PROC 00001 00005 C L N N 00001 PROC HICPIC PROCEDURE CODE 00005 01 S CTY 00006 00002 C L N N 00001 CTY COUNTY CODE 00002 01 S END-DAT 00008 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 00008 01 S BEG-DAT 00016 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 00008 01 S MAC 00024 00011 N R N N 002 00001 MAC MAXIMUM ALLOWABLE COST 00011 01 S CRN-DAT 00035 00008 C L N N 00001 CRN_DAT 00008 01 S LAST-MOD-DAT 00043 00008 C L N N 00001 LAST_MOD_DAT DATE OF LAST MODIFICATION 00008 01 S LAST-MOD-TIME 00051 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00059 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00062 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00070 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00078 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 184 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PROC-MAC (0008)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.17.10 NUMBER-OF-CHANGES: 000017 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE.............

SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S PLC-SER 00081 00002 C L N N 00001 PLC_SER 00002 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 185 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PROC-MAINT (0006)PROD AUTHOR: AHM19 CONTROLLER: AHM19 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.17.10 NUMBER-OF-CHANGES: 000011 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 01 S MAINT-DAT 00001 00008 C L N N 00001 MAINT_DAT 01 S LAST-MOD-DAT 00009 00008 C L N N 00001 LAST_MOD_DAT 01 S LAST-MOD-TIME 00017 00008 C L N N 00001 LAST_MOD_TIME 01 S LAST-MOD-USR 00025 00003 C L N N 00001 LAST_MOD_USR 01 S REC-ADDED-DAT 00028 00008 C L N N 00001 REC_ADDED_DAT 01 S REC-ADDED-TIME 00036 00008 C L N N 00001 REC_ADDED_TIME 01 S REC-ADDED-USR 00044 00003 C L N N 00001 REC_ADDED_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 186 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PROC-MOD (0006)PROD

AUTHOR: AHM17 CONTROLLER: AHM17 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.17.10 NUMBER-OF-CHANGES: 000013 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 01 S PROC-MOD 00001 00002 C L N N 00001 PROC_MOD 01 S PMT-TYP 00003 00001 C L N N 00001 PMT_TYP 01 S AMT 00004 00011 N R N N 004 00001 AMT 01 S LAST-MOD-DAT 00015 00008 C L N N 00001 LAST_MOD_DAT 01 S LAST-MOD-TIME 00023 00006 C L N N 00001 LAST_MOD_TIME 01 S LAST-MOD-USR 00029 00003 C L N N 00001 LAST_MOD_USR 01 S REC-ADDED-DAT 00032 00008 C L N N 00001 REC_ADDED_DAT 01 S REC-ADDED-TIME 00040 00006 C L N N 00001 REC_ADDED_TIME 01 S REC-ADDED-USR 00046 00003 C L N N 00001 REC_ADDED_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 187 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PROC-MOD-OPFS (0001)PROD AUTHOR: AHCY5 CONTROLLER: AHCY5 COPY-VERSION: 002 DATE-ADDED: 05/18/05 DATE-LAST-CHANGED: 05/18/05 TIME-OF-CHANGE: 11.18.03 NUMBER-OF-CHANGES: 000016 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001

STA_CD 00001 01 S PROC 00001 00005 C L N N 00001 PROC 00005 01 S PROC-MOD 00006 00002 C L N N 00001 PROC_MOD 00002 01 S PMT-TYP 00008 00001 C L N N 00001 PMT_TYP 00001 01 S AMT 00009 00011 N R N N 004 00001 AMT 00011 01 S CRN-DAT 00020 00008 C L N N 00001 CRN_DAT 00008 01 S BEG-DAT 00028 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00036 00008 C L N N 00001 END_DAT 00008 01 S LAST-MOD-DAT 00044 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00052 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00060 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00063 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00071 00008 C L N N 00001 REC_ADDED_TIME 00008 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 188 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PROC-MOD-OPFS (0001)PROD AUTHOR: AHCY5 CONTROLLER: AHCY5 COPY-VERSION: 002 DATE-ADDED: 05/18/05 DATE-LAST-CHANGED: 05/18/05 TIME-OF-CHANGE: 11.18.03 NUMBER-OF-CHANGES: 000016 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S REC-ADDED-USR 00079 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 189

* Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: HCPCS PROCEDURE VALID MODIFIER NAME: RF-PROC-MOD-VLD (0008)PROD AUTHOR: AHM82 CONTROLLER: AHM82 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.17.10 NUMBER-OF-CHANGES: 000020 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 S PROC 00001 00005 C L N N 00001 PROC HCPCS PROCEDURE CODE 00005 01 S PROC-MOD 00006 00002 C L N N 00001 PROC_MOD PROCEDURE MODIFIER 00002 01 S PMT-TYP 00008 00001 C L N N 00001 PMT_TYP PAYMENT TYPE 00001 01 S AMT 00009 00011 N R N N 004 00001 AMT AMOUNT 00011 01 S BEG-DAT 00020 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGIN DATE 00008 01 S END-DAT 00028 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 00008 01 S CRN-DAT 00036 00008 C L N N 00001 CRN_DAT CLAIM RECEIPT DATE 00008 01 S LAST-MOD-DAT 00044 00008 C L N N 00001 LAST_MOD_DAT DATE OF LAST MODIFICATION 00008 01 S LAST-MOD-TIME 00052 00008 C L N N 00001 LAST_MOD_TIME LAST MODIFIED TIME 00008 01 S LAST-MOD-USR 00060 00003 C L N N 00001 LAST_MOD_USR LAST MODIFIED USER ID 00003 01 S REC-ADDED-DAT 00063 00008 C L N N 00001 REC_ADDED_DAT RECORD ADDED DATE 00008 01 S REC-ADDED-TIME 00071 00008 C L N N 00001 REC_ADDED_TIME RECORD ADDED TIME 00008 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 190 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0

* Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: HCPCS PROCEDURE VALID MODIFIER NAME: RF-PROC-MOD-VLD (0008)PROD AUTHOR: AHM82 CONTROLLER: AHM82 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.17.10 NUMBER-OF-CHANGES: 000020 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S REC-ADDED-USR 00079 00003 C L N N 00001 REC_ADDED_USR RECORD ADDED USER ID 00003 01 S PLC-SER 00082 00002 C L N N 00001 PLC_SER 00002 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 191 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PROC-OPFS-DRIVER (0003)PROD AUTHOR: AHCY5 CONTROLLER: AHCY5 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000013 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S PROC-FROM 00001 00005 C L N N 00001 PROC_FROM 00005 01 S PROC-TO 00006 00005 C L N N 00001 PROC_TO 00005 01 S BEG-DAT 00011 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00019 00008 C L N N 00001 END_DAT 00008 01 S LAST-MOD-DAT 00027 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00035 00008 C L N N 00001

LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00043 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00046 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00054 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00062 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 192 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PROC-OPFS-IND (0001)PROD AUTHOR: AHCY5 CONTROLLER: AHCY5 COPY-VERSION: 002 DATE-ADDED: 05/18/05 DATE-LAST-CHANGED: 05/18/05 TIME-OF-CHANGE: 11.16.22 NUMBER-OF-CHANGES: 000035 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S PROC 00001 00005 C L N N 00001 PROC 00005 01 S BEG-DAT 00006 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00014 00008 C L N N 00001 END_DAT 00008 01 S MDC-CVG-IND 00022 00001 C L N N 00001 MDC_CVG_IND 00001 01 S TPL-IND 00023 00001 C L N N 00001 TPL_IND 00001 01 S CNF-IND 00024 00001 C L N N 00001 CNF_IND 00001 01 S FAM-PLN-IND 00025 00001 C L N N 00001 FAM_PLN_IND 00001 01 S STER-IND 00026 00001 C L N N 00001 STER_IND 00001 01 S ABR-IND 00027 00001 C L N N 00001

ABR_IND 00001 01 S EPSDT-IND 00028 00001 C L N N 00001 EPSDT_IND 00001 01 S PROC-MAX-OCC 00029 00003 C L N N 00001 PROC_MAX_OCC 00003 01 S SEX 00032 00001 C L N N 00001 SEX 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 193 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PROC-OPFS-IND (0001)PROD AUTHOR: AHCY5 CONTROLLER: AHCY5 COPY-VERSION: 002 DATE-ADDED: 05/18/05 DATE-LAST-CHANGED: 05/18/05 TIME-OF-CHANGE: 11.16.22 NUMBER-OF-CHANGES: 000035 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S LMT1 00033 00003 C L N N 00001 LMT1 00003 01 C FREQ1 00036 00004 C L N N 00001 FREQ1 02 S FREQ1-VAL FREQ1 00036 00003 C L N N 00001 FREQ1_VAL 00003 02 S FREQ1-CD FREQ1 00039 00001 C L N N 00001 FREQ1_CD 00001 01 S LMT2 00040 00003 C L N N 00001 LMT2 00003 01 C FREQ2 00043 00004 C L N N 00001 FREQ2 02 S FREQ2-VAL FREQ2 00043 00003 C L N N 00001 FREQ2_VAL 00003 02 S FREQ2-CD FREQ2 00046 00001 C L N N 00001 FREQ2_CD 00001 01 C MIN-AGE 00047 00004 C L N N 00001 MIN_AGE 02 S MIN-AGE-DUR MIN-AGE 00047 00003 C L N N 00001 MIN_AGE_DUR 00003 02 S MIN-AGE-TYPE MIN-AGE 00050 00001 C L N N 00001

MIN_AGE_TYPE 00001 01 C MAX-AGE 00051 00004 C L N N 00001 MAX_AGE 02 S MAX-AGE-DUR MAX-AGE 00051 00003 C L N N 00001 MAX_AGE_DUR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 194 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PROC-OPFS-IND (0001)PROD AUTHOR: AHCY5 CONTROLLER: AHCY5 COPY-VERSION: 002 DATE-ADDED: 05/18/05 DATE-LAST-CHANGED: 05/18/05 TIME-OF-CHANGE: 11.16.22 NUMBER-OF-CHANGES: 000035 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 02 S MAX-AGE-TYPE MAX-AGE 00054 00001 C L N N 00001 MAX_AGE_TYPE 00001 01 S LAST-MOD-DAT 00055 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00063 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00071 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00074 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00082 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00090 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 195 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PROC-OPFS-PRICE (0001)PROD AUTHOR: AHCY5 CONTROLLER: AHCY5 COPY-VERSION: 002 DATE-ADDED: 05/18/05 DATE-LAST-CHANGED: 05/18/05 TIME-OF-CHANGE: 11.15.48 NUMBER-OF-CHANGES: 000015

LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S PROC 00001 00005 C L N N 00001 PROC 00005 01 S CTY 00006 00002 C L N N 00001 CTY 00002 01 S CRN-DAT 00008 00008 C L N N 00001 CRN_DAT 00008 01 S OPFS 00016 00011 N R N N 002 00001 OPFS 00011 01 S BEG-DAT 00027 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00035 00008 C L N N 00001 END_DAT 00008 01 S LAST-MOD-DAT 00043 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00051 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00059 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00062 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00070 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00078 00001 C L N N 00001 REC_ADDED_USR 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 196 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PROC-OVER-LMT (0001)PROD AUTHOR: AHC52 CONTROLLER: AHC52 COPY-VERSION: 002 DATE-ADDED: 05/18/05 DATE-LAST-CHANGED: 05/18/05 TIME-OF-CHANGE: 11.15.11 NUMBER-OF-CHANGES: 000014 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE.............

SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S PROC-FROM 00001 00005 C L N N 00001 PROC_FROM 00005 01 S PROC-TO 00006 00005 C L N N 00001 PROC_TO 00005 01 S ACT-CODE 00011 00002 C L N N 00001 ACT_CODE 00002 01 S BEG-DAT 00013 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00021 00008 C L N N 00001 END_DAT 00008 01 S REC-ADDED-DAT 00029 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00037 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00045 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00048 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00056 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00064 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 197 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PROC-PA (0007)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.17.10 NUMBER-OF-CHANGES: 000014 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001

STA_CD 01 S PROC 00001 00005 C L N N 00001 PROC 01 S PA-CODE 00006 00001 C L N N 00001 PA_CODE 01 S BEG-DAT 00007 00008 C L N N 00001 BEG_DAT 01 S END-DAT 00015 00008 C L N N 00001 END_DAT 01 S REC-ADDED-DAT 00023 00008 C L N N 00001 REC_ADDED_DAT 01 S REC-ADDED-TIME 00031 00008 C L N N 00001 REC_ADDED_TIME 01 S REC-ADDED-USR 00039 00003 C L N N 00001 REC_ADDED_USR 01 S LAST-MOD-DAT 00042 00008 C L N N 00001 LAST_MOD_DAT 01 S LAST-MOD-TIME 00050 00008 C L N N 00001 LAST_MOD_TIME 01 S LAST-MOD-USR 00058 00003 C L N N 00001 LAST_MOD_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 198 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: HCPCS PROCEDURE PLACE OF SERVICE NAME: RF-PROC-PLC-SER (0008)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.17.10 NUMBER-OF-CHANGES: 000016 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 S PLC-SER 00001 00002 C L N N 00001 PLC_SER PLACE OF SERVICE CODE 00002 01 S PROC 00003 00005 C L N N 00001 PROC HCPCS PROCEDURE CODE 00005 01 S END-DAT 00008 00008 C L N N 00001

END_DAT CODE EFFECTIVE ENDING DATE 00008 01 S BEG-DAT 00016 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 00008 01 S LAST-MOD-DAT 00024 00008 C L N N 00001 LAST_MOD_DAT DATE OF LAST MODIFICATION 00008 01 S LAST-MOD-TIME 00032 00008 C L N N 00001 LAST_MOD_TIME LAST MODIFIED TIME 00008 01 S LAST-MOD-USR 00040 00003 C L N N 00001 LAST_MOD_USR LAST MODIFIED USER ID 00003 01 S REC-ADDED-DAT 00043 00008 C L N N 00001 REC_ADDED_DAT RECORD ADDED DATE 00008 01 S REC-ADDED-TIME 00051 00008 C L N N 00001 REC_ADDED_TIME RECORD ADDED TIME 00008 01 S REC-ADDED-USR 00059 00003 C L N N 00001 REC_ADDED_USR RECORD ADDED USER ID 00003 01 S ALLOW-IND 00062 00001 C L N N 00001 ALLOW_IND 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 199 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PROC-SPEC (0007)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.17.10 NUMBER-OF-CHANGES: 000014 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 01 S SPEC 00001 00003 C L N N 00001 SPEC SPECIALTY CODE 01 S PROC 00004 00005 C L N N 00001 PROC HICPIC PROCEDURE CODE 01 S END-DAT 00009 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 01 S BEG-DAT 00017 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 01 S LAST-MOD-DAT 00025 00008 C L N N 00001

LAST_MOD_DAT DATE OF LAST MODIFICATION 01 S LAST-MOD-TIME 00033 00008 C L N N 00001 LAST_MOD_TIME 01 S LAST-MOD-USR 00041 00003 C L N N 00001 LAST_MOD_USR 01 S REC-ADDED-DAT 00044 00008 C L N N 00001 REC_ADDED_DAT 01 S REC-ADDED-TIME 00052 00008 C L N N 00001 REC_ADDED_TIME 01 S REC-ADDED-USR 00060 00003 C L N N 00001 REC_ADDED_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 200 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PROC-SPP (0007)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.17.10 NUMBER-OF-CHANGES: 000015 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 01 S PROC 00001 00005 C L N N 00001 PROC HICPIC PROCEDURE CODE 01 S SPP 00006 00001 C L N N 00001 SPP SPECIAL PROCESSING PARAMETER 01 S FILLER 00007 00002 C L N N 00001 FILLER 01 S BEG-DAT 00009 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 01 S END-DAT 00017 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 01 S LAST-MOD-DAT 00025 00008 C L N N 00001 LAST_MOD_DAT DATE OF LAST MODIFICATION 01 S LAST-MOD-TIME 00033 00008 C L N N 00001 LAST_MOD_TIME 01 S LAST-MOD-USR 00041 00003 C L N N 00001

LAST_MOD_USR 01 S REC-ADDED-DAT 00044 00008 C L N N 00001 REC_ADDED_DAT 01 S REC-ADDED-TIME 00052 00008 C L N N 00001 REC_ADDED_TIME 01 S REC-ADDED-USR 00060 00003 C L N N 00001 REC_ADDED_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 201 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PROC-SURG-XCP (0001)PROD AUTHOR: AHCY5 CONTROLLER: AHCY5 COPY-VERSION: 002 DATE-ADDED: 05/18/05 DATE-LAST-CHANGED: 05/18/05 TIME-OF-CHANGE: 11.17.29 NUMBER-OF-CHANGES: 000013 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S PROC 00001 00005 C L N N 00001 PROC 00005 01 S SRC-IND 00006 00001 C L N N 00001 SRC_IND 00001 01 S BEG-DAT 00007 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00015 00008 C L N N 00001 END_DAT 00008 01 S LAST-MOD-DAT 00023 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00031 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00039 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00042 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00050 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00058 00003 C L N N 00001

REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 202 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-PROC-VFC (0001)PROD AUTHOR: AHCY5 CONTROLLER: AHCY5 COPY-VERSION: 002 DATE-ADDED: 01/03/05 DATE-LAST-CHANGED: 01/03/05 TIME-OF-CHANGE: 11.44.56 NUMBER-OF-CHANGES: 000014 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S REC-STA 00000 00001 C L N N 00001 REC_STA 00001 01 S PROC 00001 00005 C L N N 00001 PROC 00005 01 S TOXOID-IND 00006 00001 C L N N 00001 TOXOID_IND 00001 01 S AMOUNT 00007 00011 N R N N 004 00001 AMOUNT 00011 01 S BEG-DAT 00018 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00026 00008 C L N N 00001 END_DAT 00008 01 S REC-ADDED-DAT 00034 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIM 00042 00008 C L N N 00001 REC_ADDED_TIM 00008 01 S REC-ADDED-USR 00050 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00053 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIM 00061 00008 C L N N 00001 LAST_MOD_TIM 00008 01 S LAST-MOD-USR 00069 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 203 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0

* Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-QNOTES (0003)PROD AUTHOR: AHM35 CONTROLLER: AHM35 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.57.42 NUMBER-OF-CHANGES: 000006 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S CONT 00000 00002 C L N N 00001 CONT 01 S CASE 00002 00009 C L N N 00001 CASE 01 S TXT 00011 00080 C L N N 00020 TXT Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 204 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-QREF (0017)PROD AUTHOR: AHM35 CONTROLLER: AHM35 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000011 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S CONTROL 00000 00010 C L N N 00001 CONTROL 00010 01 S TYPE 00010 00002 C L N N 00001 TYPE 00002 01 S SEQ 00012 00003 C L N N 00001 SEQ 00003 01 S LEN 00015 00003 N R N Y 00001 LEN 00003 01 S TAB 00018 00003 N R N Y 00001 TAB 00003 01 S STAT 00021 00001 C L N N 00001

STAT 00001 01 S LITERL 00022 00020 C L N N 00001 LITERL 00020 01 S VALUE1 00042 00030 C L N N 00001 VALUE1 00030 01 S VALUE2 00072 00030 C L N N 00001 VALUE2 00030 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 205 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-QTR-DAT (0001)PROD AUTHOR: AHC36 CONTROLLER: AHC36 COPY-VERSION: 002 DATE-ADDED: 07/26/00 DATE-LAST-CHANGED: 07/26/00 TIME-OF-CHANGE: 21.56.00 NUMBER-OF-CHANGES: 000008 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S FY 00000 00004 C L N N 00001 FY 00004 01 S QTR 00004 00001 C L N N 00001 QTR 00001 01 S BEG-DAT 00005 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00013 00008 C L N N 00001 END_DAT 00008 01 S LAST-MOD-DAT 00021 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-USR 00029 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 206 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-RATE-CHAR (0005)PROD AUTHOR: AHC03 CONTROLLER: AHC03 COPY-VERSION: 002 DATE-ADDED: 10/28/02 DATE-LAST-CHANGED: 10/28/02 TIME-OF-CHANGE: 14.41.59 NUMBER-OF-CHANGES: 000006

LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S RATE-CD 00000 00004 C L N N 00001 RATE_CD 00004 01 S SEQ-NO 00004 00003 C L N N 00001 SEQ_NO 00003 01 S CHAR-ID 00007 00002 C L N N 00001 CHAR_ID 00002 01 S REF-CD 00009 00003 C L N N 00001 REF_CD 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 207 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-RATE-SCH (0017)PROD AUTHOR: AHM80 CONTROLLER: AHM80 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000014 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA 00000 00001 C L N N 00001 STA 00001 01 S RATE-SCH 00001 00003 C L N N 00001 RATE_SCH 00003 01 S PMT-TYP 00004 00001 C L N N 00001 PMT_TYP 00001 01 S BEG-DAT 00005 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00013 00008 C L N N 00001 END_DAT 00008 01 S DESC 00021 00080 C L N N 00001 DESC 00080 01 S LAST-MOD-DAT 00101 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00109 00006 C L N N 00001

LAST_MOD_TIME 00006 01 S LAST-MOD-USR 00115 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00118 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00126 00006 C L N N 00001 REC_ADDED_TIME 00006 01 S REC-ADDED-USR 00132 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 208 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-RATE-SEQ (0005)PROD AUTHOR: AHC03 CONTROLLER: AHC03 COPY-VERSION: 002 DATE-ADDED: 10/28/02 DATE-LAST-CHANGED: 10/28/02 TIME-OF-CHANGE: 14.41.59 NUMBER-OF-CHANGES: 000010 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S RATE-CD 00000 00004 C L N N 00001 RATE_CD 00004 01 S SEQ-NO 00004 00003 C L N N 00001 SEQ_NO 00003 01 S BEG-DAT 00007 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00015 00008 C L N N 00001 END_DAT 00008 01 S STA-CD 00023 00001 C L N N 00001 STA_CD 00001 01 S REC-ADD-DAT 00024 00008 C L N N 00001 REC_ADD_DAT 00008 01 S REC-ADD-TIM 00032 00006 C L N N 00001 REC_ADD_TIM 00006 01 S REC-ADD-USR 00038 00003 C L N N 00001 REC_ADD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 209 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0

* Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-RCP-BEN (0001)PROD AUTHOR: AHCC6 CONTROLLER: AHCC6 COPY-VERSION: 002 DATE-ADDED: 06/22/07 DATE-LAST-CHANGED: 06/22/07 TIME-OF-CHANGE: 16.13.38 NUMBER-OF-CHANGES: 000015 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S AHCCCS-ID 00001 00009 C L N N 00001 AHCCCS_ID 00009 01 S RCP-LIMIT 00010 00011 N R N Y 002 00001 RCP_LIMIT 00011 01 S AMT-USED 00021 00011 N R N Y 002 00001 AMT_USED 00011 01 S AMT-REMAIN 00032 00011 N R N Y 002 00001 AMT_REMAIN 00011 01 S BEG-DATE 00043 00008 C L N N 00001 BEG_DATE 00008 01 S END-DATE 00051 00008 C L N N 00001 END_DATE 00008 01 S LAST-MOD-USR 00059 00003 C L N N 00001 LAST_MOD_USR 00003 01 S LAST-MOD-DAT 00062 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00070 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S REC-ADDED-DAT 00078 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00086 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00094 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 210 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2

ENTITY-TYPE: TABLE DESC: NAME: RF-RCP-BEN-PKG (0001)PROD AUTHOR: AHC52 CONTROLLER: AHC52 COPY-VERSION: 002 DATE-ADDED: 10/28/02 DATE-LAST-CHANGED: 10/28/02 TIME-OF-CHANGE: 14.41.59 NUMBER-OF-CHANGES: 000018 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S CRTRI-VAL 00000 00003 C L N N 00001 CRTRI_VAL 00003 01 S SERVICE-TYPE 00003 00001 C L N N 00001 SERVICE_TYPE 00001 01 S SERVICE-FROM 00004 00011 C L N N 00001 SERVICE_FROM 00011 01 S SERVICE-TO 00015 00011 C L N N 00001 SERVICE_TO 00011 01 S EMG-IND 00026 00001 C L N N 00001 EMG_IND 00001 01 S PA-IND 00027 00001 C L N N 00001 PA_IND 00001 01 S REVIEW-IND 00028 00001 C L N N 00001 REVIEW_IND 00001 01 S BEG-DAT 00029 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00037 00008 C L N N 00001 END_DAT 00008 01 S STA-IND 00045 00001 C L N N 00001 STA_IND 00001 01 S REC-ADDED-DAT 00046 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00054 00006 C L N N 00001 REC_ADDED_TIME 00006 01 S REC-ADDED-USR 00060 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 211 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-RCP-BEN-PKG (0001)PROD

AUTHOR: AHC52 CONTROLLER: AHC52 COPY-VERSION: 002 DATE-ADDED: 10/28/02 DATE-LAST-CHANGED: 10/28/02 TIME-OF-CHANGE: 14.41.59 NUMBER-OF-CHANGES: 000018 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S LAST-MOD-DAT 00063 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00071 00006 C L N N 00001 LAST_MOD_TIME 00006 01 S LAST-MOD-USR 00077 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 212 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: REVENUE NAME: RF-REV (0019)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000026 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 S END-DAT 00001 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 00008 01 S REV-CD 00009 00004 C L N N 00001 REV_CD REVENUE CODE 00004 01 S BEG-DAT 00013 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 00008 01 S ANC-IND 00021 00001 C L N N 00001 ANC_IND ANCILLARY INDICATOR 00001 01 S CVG-IND 00022 00001 C L N N 00001 CVG_IND COVERAGE INDICATOR 00001 01 S DESC 00023 00080 C L N N 00001 DESC REVENUE DESCRIPTION 00080 01 S MAN-PRC-IND 00103 00001 C L N N 00001

MAN_PRC_IND MANUAL PRICING INDICATOR 00001 01 S PA-CD 00104 00001 C L N N 00001 PA_CD PRIOR AUTHORIZATION CODE 00001 01 S CRN-DAT 00105 00008 C L N N 00001 CRN_DAT CLAIM RECEIPT DATE 00008 01 S MIN-AGE-DUR 00113 00003 C L N N 00001 MIN_AGE_DUR MINIMUM AGE DURATION 00003 01 S MIN-AGE-TYP 00116 00001 C L N N 00001 MIN_AGE_TYP MINIMUM AGE TYPE 00001 01 S MAX-AGE-DUR 00117 00003 C L N N 00001 MAX_AGE_DUR MAXIMUM AGE DURATION 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 213 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: REVENUE NAME: RF-REV (0019)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000026 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S MAX-AGE-TYP 00120 00001 C L N N 00001 MAX_AGE_TYP MAXIMUM AGE TYPE 00001 01 S SEX 00121 00001 C L N N 00001 SEX SEX CODE 00001 01 S REC-ADDED-DAT 00122 00008 C L N N 00001 REC_ADDED_DAT RECORD ADDED DATE 00008 01 S REC-ADDED-TIME 00130 00008 C L N N 00001 REC_ADDED_TIME RECORD ADDED TIME 00008 01 S REC-ADDED-USR 00138 00003 C L N N 00001 REC_ADDED_USR RECORD ADDED USER 00003 01 S LAST-MOD-DAT 00141 00008 C L N N 00001 LAST_MOD_DAT LAST MODIFIED DATE 00008 01 S LAST-MOD-TIME 00149 00008 C L N N 00001 LAST_MOD_TIME LAST MODIFIED TIME 00008 01 S LAST-MOD-USR 00157 00003 C L N N 00001 LAST_MOD_USR LAST MODIFIED USER ID 00003 01 S PA-CVG-CD 00160 00001 C L N N 00001

PA_CVG_CD NO LONGER IN USE 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 214 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: REVENUE CODES TO BILL TYPES NAME: RF-REV-BILTP (0006)PROD AUTHOR: AHC03 CONTROLLER: AHC03 COPY-VERSION: 002 DATE-ADDED: 01/28/06 DATE-LAST-CHANGED: 01/28/06 TIME-OF-CHANGE: 21.37.13 NUMBER-OF-CHANGES: 000025 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 S REV-CD-FROM 00001 00004 C L N N 00001 REV_CD_FROM BEGINNING REVENUE CODE 00004 01 S REV-CD-TO 00005 00004 C L N N 00001 REV_CD_TO ENDING REVENUE CODE 00004 01 S BIL-TYP-FROM 00009 00003 C L N N 00001 BIL_TYP_FROM BEGINNING BILL TYPE 00003 01 S BIL-TYP-TO 00012 00003 C L N N 00001 BIL_TYP_TO ENDING BILL TYPE 00003 01 S ERR-CD 00015 00004 C L N N 00001 ERR_CD ERROR CODE 00004 01 S REV-3RD-DGT-IND 00019 00001 C L N N 00001 REV_3RD_DGT_IND REVENUE CODE 3RD DIGIT INDICATOR 00001 01 S CVG-IND 00020 00001 C L N N 00001 CVG_IND COVERAGE INDICATOR 00001 01 S UNITS-IND 00021 00001 C L N N 00001 UNITS_IND UNITS REQUIRED INDICATOR 00001 01 S PA-CD 00022 00001 C L N N 00001 PA_CD PRIOR AUTHORIZATION CODE 00001 01 S MED-RVW-IND 00023 00001 C L N N 00001 MED_RVW_IND MEDICAL REVIEW INDICATOR 00001 01 S MAN-PRC-IND 00024 00001 C L N N 00001 MAN_PRC_IND MANUAL PRICING INDICATOR 00001 01 S PROC-IND 00025 00001 C L N N 00001 PROC_IND PROCEDURE INDICATOR 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 215

* Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: REVENUE CODES TO BILL TYPES NAME: RF-REV-BILTP (0006)PROD AUTHOR: AHC03 CONTROLLER: AHC03 COPY-VERSION: 002 DATE-ADDED: 01/28/06 DATE-LAST-CHANGED: 01/28/06 TIME-OF-CHANGE: 21.37.13 NUMBER-OF-CHANGES: 000025 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S BEG-DAT 00026 00008 C L N N 00001 BEG_DAT BEGIN DATE 00008 01 S END-DAT 00034 00008 C L N N 00001 END_DAT END DATE 00008 01 S REC-ADDED-DAT 00042 00008 C L N N 00001 REC_ADDED_DAT RECORD ADDED DATE 00008 01 S REC-ADDED-TIME 00050 00008 C L N N 00001 REC_ADDED_TIME RECORD ADDED TIME 00008 01 S REC-ADDED-USR 00058 00003 C L N N 00001 REC_ADDED_USR RECORD ADDED USER ID 00003 01 S LAST-MOD-DAT 00061 00008 C L N N 00001 LAST_MOD_DAT LAST MODIFIED DATE 00008 01 S LAST-MOD-TIME 00069 00008 C L N N 00001 LAST_MOD_TIME LAST MODIFIED TIME 00008 01 S LAST-MOD-USR 00077 00003 C L N N 00001 LAST_MOD_USR LAST MODIFIED USER ID 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 216 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: REVENUE CODES TO HCPCS PROCEDURES NAME: RF-REV-PROC (0007)PROD AUTHOR: AHM17 CONTROLLER: AHM17 COPY-VERSION: 002 DATE-ADDED: 01/28/06 DATE-LAST-CHANGED: 01/28/06 TIME-OF-CHANGE: 21.37.12 NUMBER-OF-CHANGES: 000017 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS

01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 S REV-CD-FROM 00001 00004 C L N N 00001 REV_CD_FROM BEGINNING REVENUE CODE 00004 01 S REV-CD-TO 00005 00004 C L N N 00001 REV_CD_TO ENDING REVENUE CODE 00004 01 S PROC-FROM 00009 00005 C L N N 00001 PROC_FROM BEGINNING PROCEDURE CODE 00005 01 S PROC-TO 00014 00005 C L N N 00001 PROC_TO ENDING PROCEDURE CODE 00005 01 S BEG-DAT 00019 00008 C L N N 00001 BEG_DAT BEGIN DATE 00008 01 S END-DAT 00027 00008 C L N N 00001 END_DAT END DATE 00008 01 S LAST-MOD-DAT 00035 00008 C L N N 00001 LAST_MOD_DAT LAST MODIFIED DATE 00008 01 S LAST-MOD-TIME 00043 00006 C L N N 00001 LAST_MOD_TIME LAST MODIFIED TIME 00006 01 S LAST-MOD-USR 00049 00003 C L N N 00001 LAST_MOD_USR LAST MODIFIED USER ID 00003 01 S REC-ADDED-DAT 00052 00008 C L N N 00001 REC_ADDED_DAT RECORD ADDED DATE 00008 01 S REC-ADDED-TIME 00060 00006 C L N N 00001 REC_ADDED_TIME RECORD ADDED TIME 00006 01 S REC-ADDED-USR 00066 00003 C L N N 00001 REC_ADDED_USR RECORD ADDED USER ID 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 217 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: REINSURANCE THRESHOLD NAME: RF-RIN-THR (0017)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000015 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001

STA_CD STATUS CODE 00001 01 S CURR-YEAR 00001 00004 C L N N 00001 CURR_YEAR CURRENT YEAR 00004 01 S PPL-FROM 00005 00007 C L N N 00001 PPL_FROM POPULATON FROM 00007 01 S PPL-TO 00012 00007 C L N N 00001 PPL_TO POPULATION TO 00007 01 S RIN-THR 00019 00008 N R N N 002 00001 RIN_THR REINSURANCE THRESHHOLD 00008 01 S BEG-DAT 00027 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 00008 01 S END-DAT 00035 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 00008 01 S REC-ADDED-DAT 00043 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00051 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00059 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00062 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00070 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00078 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 218 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: RECIPIENT ACTIVITY NAME: RF-RP-ACT (0017)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000016 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 S ACT-CD 00001 00002 C L N N 00001

ACT_CD ACTION CODE 00002 01 S DESC 00003 00040 C L N N 00001 DESC DESCRIPTION 00040 01 S ACT-TYP 00043 00001 C L N N 00001 ACT_TYP ACTION TYPE 00001 01 S RETRO-IND 00044 00001 C L N N 00001 RETRO_IND RETROACTIVE INDICATOR 00001 01 S BEG-DAT 00045 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00053 00008 C L N N 00001 END_DAT 00008 01 S REC-ADDED-DAT 00061 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00069 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00077 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00080 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00088 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00096 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 219 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-RP-PARM (0005)PROD AUTHOR: AHM81 CONTROLLER: AHM81 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.25.55 NUMBER-OF-CHANGES: 000036 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S TRANS-ID 00000 00006 C L N N 00001 TRANS_ID 01 S SEQ-NUM 00006 00005 C L N N 00001 SEQ_NUM 01 S UNIQUE-NUM 00011 00005 C L N N 00001

UNIQUE_NUM 01 S AGE-FROM 00016 00003 C L N N 00001 AGE_FROM 01 S AGE-TO 00019 00003 C L N N 00001 AGE_TO 01 S ELG-KEY-CD-FROM 00022 00003 C L N N 00001 ELG_KEY_CD_FROM 01 S ELG-KEY-CD-TO 00025 00003 C L N N 00001 ELG_KEY_CD_TO 01 S RATE-CD-TO 00028 00004 C L N N 00001 RATE_CD_TO 01 S RATE-CD-FROM 00032 00004 C L N N 00001 RATE_CD_FROM 01 S SEX 00036 00001 C L N N 00001 SEX 01 S RACE 00037 00002 C L N N 00001 RACE 01 S RVN-IND 00039 00001 C L N N 00001 RVN_IND 01 S HHO-IND 00040 00001 C L N N 00001 HHO_IND Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 220 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-RP-PARM (0005)PROD AUTHOR: AHM81 CONTROLLER: AHM81 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.25.55 NUMBER-OF-CHANGES: 000036 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S HP-ID 00041 00006 C L N N 00001 HP_ID 01 S CTRT-TYP 00047 00001 C L N N 00001 CTRT_TYP 01 S CTY-SER-AREA-CD 00048 00002 C L N N 00001 CTY_SER_AREA_CD 01 S ASN-PR-ID-TYP 00050 00002 C L N N 00001

ASN_PR_ID_TYP 01 S PR-ID 00052 00006 C L N N 00001 PR_ID 01 S CARE-LVL-CD 00058 00003 C L N N 00001 CARE_LVL_CD 01 S CTY 00061 00002 C L N N 00001 CTY 01 S MDC-CVG 00063 00001 C L N N 00001 MDC_CVG 01 S SPC1 00064 00002 C L N N 00001 SPC1 01 S SPC2 00066 00002 C L N N 00001 SPC2 01 S SPC3 00068 00002 C L N N 00001 SPC3 01 S USR-REQUEST-NUM 00070 00005 C L N N 00001 USR_REQUEST_NUM 01 S EFF-FROM-DAT 00075 00008 C L N N 00001 EFF_FROM_DAT Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 221 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-RP-PARM (0005)PROD AUTHOR: AHM81 CONTROLLER: AHM81 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.25.55 NUMBER-OF-CHANGES: 000036 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S ELG-TYP 00083 00001 C L N N 00001 ELG_TYP 01 S ZIP-FROM 00084 00009 C L N N 00001 ZIP_FROM 01 S ZIP-TO 00093 00009 C L N N 00001 ZIP_TO 01 S DATE-REC-ADDED 00102 00008 C L N N 00001 DATE_REC_ADDED 01 S LAST-MOD-USR 00110 00003 C L N N 00001

LAST_MOD_USR 01 S EFF-THRU-DAT 00113 00008 C L N N 00001 EFF_THRU_DAT 01 S DAT-IND 00121 00001 C L N N 00001 DAT_IND Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 222 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-RPT-ID (0006)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 12/05/03 DATE-LAST-CHANGED: 12/05/03 TIME-OF-CHANGE: 10.25.55 NUMBER-OF-CHANGES: 000019 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 01 S RPT-ID 00001 00004 C L N N 00001 RPT_ID REPORT IDENTIFICATION 01 S DUE-DAT 00005 00008 C L N N 00001 DUE_DAT DUE DATE 01 S DESC 00013 00080 C L N N 00001 DESC REPORT ID DESCRIPTION 01 S BEG-DAT 00093 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGIN DATE 01 S END-DAT 00101 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 01 S LAST-MOD-DAT 00109 00008 C L N N 00001 LAST_MOD_DAT 01 S LAST-MOD-TIME 00117 00008 C L N N 00001 LAST_MOD_TIME 01 S LAST-MOD-USR 00125 00003 C L N N 00001 LAST_MOD_USR 01 S REC-ADDED-DAT 00128 00008 C L N N 00001 REC_ADDED_DAT 01 S REC-ADDED-TIME 00136 00008 C L N N 00001 REC_ADDED_TIME 01 S REC-ADDED-USR 00144 00003 C L N N 00001

REC_ADDED_USR Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 223 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-RSKCH-VAL (0005)PROD AUTHOR: AHC03 CONTROLLER: AHC03 COPY-VERSION: 002 DATE-ADDED: 10/28/02 DATE-LAST-CHANGED: 10/28/02 TIME-OF-CHANGE: 14.41.59 NUMBER-OF-CHANGES: 000011 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S CHAR-ID 00000 00002 C L N N 00001 CHAR_ID 00002 01 S REF-CD 00002 00003 C L N N 00001 REF_CD 00003 01 S SEQ-NO 00005 00008 C L N N 00001 SEQ_NO 00008 01 S FROM-VAL 00013 00009 C L N N 00001 FROM_VAL 00009 01 S TO-VAL 00022 00009 C L N N 00001 TO_VAL 00009 01 S DESC 00031 00030 C L N N 00001 DESC 00030 01 S REC-ADD-DAT 00061 00008 C L N N 00001 REC_ADD_DAT 00008 01 S REC-ADD-TIM 00069 00006 C L N N 00001 REC_ADD_TIM 00006 01 S REC-ADD-USR 00075 00003 C L N N 00001 REC_ADD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 224 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-SMIB-TRAN (0017)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000016

LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S TRAN-CD 00001 00004 C L N N 00001 TRAN_CD 00004 01 S TRAN-DESC 00005 00080 C L N N 00001 TRAN_DESC 00080 01 S DB-CR-IND 00085 00001 C L N N 00001 DB_CR_IND 00001 01 S TRAN-ORG-CD 00086 00001 C L N N 00001 TRAN_ORG_CD 00001 01 S PART-TYP 00087 00001 C L N N 00001 PART_TYP 00001 01 S BEG-DAT 00088 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00096 00008 C L N N 00001 END_DAT 00008 01 S LAST-MOD-DAT 00104 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00112 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00120 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00123 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00131 00008 C L N N 00001 REC_ADDED_TIME 00008 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 225 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-SMIB-TRAN (0017)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000016 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE.............

SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S REC-ADDED-USR 00139 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 226 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-SSR-STAT (0017)PROD AUTHOR: AHM19 CONTROLLER: AHM19 COPY-VERSION: 002 DATE-ADDED: 08/30/02 DATE-LAST-CHANGED: 08/30/02 TIME-OF-CHANGE: 16.41.15 NUMBER-OF-CHANGES: 000012 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S SSR-STAT-CODE 00000 00003 C L N N 00001 SSR_STAT_CODE 00003 01 S ACT-INDICATOR 00003 00001 C L N N 00001 ACT_INDICATOR 00001 01 S SSR-STAT-DESC 00004 00030 C L N N 00001 SSR_STAT_DESC 00030 01 S LAST-MOD-DAT 00034 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00042 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00050 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00053 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00061 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00069 00003 C L N N 00001 REC_ADDED_USR 00003 01 S STA-CD 00072 00001 C L N N 00001 STA_CD 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 227 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0

* Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-STATE (0007)PROD AUTHOR: AHC03 CONTROLLER: AHC03 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000004 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S ST-CD 00000 00002 C L N N 00001 ST_CD 00002 01 S ST-TITLE 00002 00016 C L N N 00001 ST_TITLE 00016 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 228 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: STANDARD CASE PLAN NAME: RF-STD-CS-PLN (0017)PROD AUTHOR: AHM43 CONTROLLER: AHM43 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000015 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 S TASK-SER-NUM 00001 00004 C L N N 00001 TASK_SER_NUM TASK SERVICE NUMBER 00004 01 S EST-DAY-CPLT 00005 00003 C L N N 00001 EST_DAY_CPLT ESTIMATED DAY TO COMPLETE TASK 00003 01 S DOC-TYP 00008 00004 C L N N 00001 DOC_TYP DOCUMENT TYPE 00004 01 S DESC 00012 00080 C L N N 00001 DESC STD CASE PLAN DESCRIPTION 00080 01 S BEG-DAT 00092 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 00008 01 S END-DAT 00100 00008 C L N N 00001

END_DAT CODE EFFECTIVE ENDING DATE 00008 01 S LAST-MOD-DAT 00108 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00116 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00124 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00127 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00135 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00143 00003 C L N N 00001 REC_ADDED_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 229 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-STD-SVC (0018)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000016 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S SVC-FROM 00001 00011 C L N N 00001 SVC_FROM 00011 01 S SVC-TO 00012 00011 C L N N 00001 SVC_TO 00011 01 S SER-TYP 00023 00001 C L N N 00001 SER_TYP 00001 01 S ENTITY-TYP 00024 00003 C L N N 00001 ENTITY_TYP 00003 01 S BEG-DAT 00027 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00035 00008 C L N N 00001 END_DAT 00008 01 S ENT-IND 00043 00001 C L N N 00001

ENT_IND 00001 01 S REC-ADDED-DAT 00044 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00052 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00060 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00063 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00071 00008 C L N N 00001 LAST_MOD_TIME 00008 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 230 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-STD-SVC (0018)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000016 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S LAST-MOD-USR 00079 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 231 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-TABLE (0003)PROD AUTHOR: AHC03 CONTROLLER: AHC03 COPY-VERSION: 002 DATE-ADDED: 12/04/03 DATE-LAST-CHANGED: 12/04/03 TIME-OF-CHANGE: 15.12.35 NUMBER-OF-CHANGES: 000010 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S TBL-ID 00000 00005 C L N N 00001

TBL_ID 00005 01 S TBL-TYP 00005 00002 C L N N 00001 TBL_TYP 00002 01 S MAND-ERR 00007 00004 C L N N 00001 MAND_ERR 00004 01 S VLD-ERR 00011 00004 C L N N 00001 VLD_ERR 00004 01 S NUM-ERR 00015 00004 C L N N 00001 NUM_ERR 00004 01 S LAST-MOD-DAT 00019 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-USR 00027 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 232 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-THR-CLS (0017)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000013 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD 00001 01 S THR-CLS 00001 00006 C L N N 00001 THR_CLS 00006 01 S DESC 00007 00080 C L N N 00001 DESC 00080 01 S BEG-DAT 00087 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00095 00008 C L N N 00001 END_DAT 00008 01 S REC-ADDED-DAT 00103 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00111 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00119 00003 C L N N 00001

REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00122 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00130 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00138 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 233 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-TPL-CAR (0005)PROD AUTHOR: AHC36 CONTROLLER: AHC36 COPY-VERSION: 002 DATE-ADDED: 12/08/05 DATE-LAST-CHANGED: 12/08/05 TIME-OF-CHANGE: 17.43.42 NUMBER-OF-CHANGES: 000017 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S TPL-CD 00000 00005 C L N N 00001 TPL_CD 00005 01 S CAR-NAME 00005 00030 C L N N 00001 CAR_NAME 00030 01 S MDC-A-IND 00035 00001 C L N N 00001 MDC_A_IND 00001 01 S MDC-B-IND 00036 00001 C L N N 00001 MDC_B_IND 00001 01 S LAST-MOD-DAT 00037 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00045 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00053 00003 C L N N 00001 LAST_MOD_USR 00003 01 C CLAIM-SVC-TYP 00056 00006 C L N N 00001 CLAIM_SVC_TYP 02 S HOSPITAL CLAIM-SVC-TYP 00056 00001 C L N N 00001 HOSPITAL 00001 02 S MEDICAL CLAIM-SVC-TYP 00057 00001 C L N N 00001 MEDICAL 00001 02 S DENTAL CLAIM-SVC-TYP 00058 00001 C L N N 00001

DENTAL 00001 02 S VISION CLAIM-SVC-TYP 00059 00001 C L N N 00001 VISION 00001 02 S PHARMACY CLAIM-SVC-TYP 00060 00001 C L N N 00001 PHARMACY 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 234 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-TPL-CAR (0005)PROD AUTHOR: AHC36 CONTROLLER: AHC36 COPY-VERSION: 002 DATE-ADDED: 12/08/05 DATE-LAST-CHANGED: 12/08/05 TIME-OF-CHANGE: 17.43.42 NUMBER-OF-CHANGES: 000017 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 02 S NOT-TPL CLAIM-SVC-TYP 00061 00001 C L N N 00001 NOT_TPL 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 235 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-TPL-CAR-ID (0003)PROD AUTHOR: AHCY5 CONTROLLER: AHCY5 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000024 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA 00000 00001 C L N N 00001 STA 00001 01 S CAR-ID 00001 00010 C L N N 00001 CAR_ID 00010 01 S NAIC-CD 00011 00005 C L N N 00001 NAIC_CD 00005 01 S CAR-NAME 00016 00025 C L N N 00001

CAR_NAME 00025 01 C BUS-ADDRESS 00041 00088 C L N N 00001 BUS_ADDRESS 02 S STR-1 BUS-ADDRESS 00041 00025 C L N N 00001 STR_1 00025 02 S STR-2 BUS-ADDRESS 00066 00025 C L N N 00001 STR_2 00025 02 S CITY BUS-ADDRESS 00091 00025 C L N N 00001 CITY 00025 02 S STATE BUS-ADDRESS 00116 00002 C L N N 00001 STATE 00002 02 S ZIP BUS-ADDRESS 00118 00009 C L N N 00001 ZIP 00009 02 S CTY BUS-ADDRESS 00127 00002 C L N N 00001 CTY 00002 01 S BUS-PHO 00129 00010 C L N N 00001 BUS_PHO 00010 01 S CAR-TYP 00139 00001 C L N N 00001 CAR_TYP 00001 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 236 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-TPL-CAR-ID (0003)PROD AUTHOR: AHCY5 CONTROLLER: AHCY5 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000024 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S TRB-INS-IND 00140 00001 C L N N 00001 TRB_INS_IND 00001 01 S BEG-DAT 00141 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00149 00008 C L N N 00001 END_DAT 00008 01 S REC-ADDED-DAT 00157 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00165 00008 C L N N 00001

REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00173 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00176 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00184 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00192 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 237 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-TRACK (0002)PROD AUTHOR: AHC36 CONTROLLER: AHC36 COPY-VERSION: 002 DATE-ADDED: 07/02/01 DATE-LAST-CHANGED: 07/02/01 TIME-OF-CHANGE: 13.47.04 NUMBER-OF-CHANGES: 000008 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S USR-ID 00000 00003 C L N N 00001 USR_ID 00003 01 S SEQ-NUM 00003 00002 N R N N 00001 SEQ_NUM 00002 01 S TRAN-ID 00005 00005 C L N N 00001 TRAN_ID 00005 01 S FUNC 00010 00001 C L N N 00001 FUNC 00001 01 S FILTER-VALUES 00011 00080 C L N N 00001 FILTER_VALUES 00080 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 238 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-TRIBE (0018)PROD AUTHOR: AHMB5 CONTROLLER: AHMB5 COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000014

LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA 00000 00001 C L N N 00001 STA 00001 01 S TRIBE-CD 00001 00002 C L N N 00001 TRIBE_CD TRIBE CODE 00002 01 S DESC 00003 00040 C L N N 00001 DESC DESCRIPTION 00040 01 S HP-ID 00043 00006 C L N N 00001 HP_ID HEALTH PLAN ID 00006 01 S BEG-DAT 00049 00008 C L N N 00001 BEG_DAT 00008 01 S END-DAT 00057 00008 C L N N 00001 END_DAT 00008 01 S REC-ADDED-DAT 00065 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00073 00008 C L N N 00001 REC_ADDED_TIME 00008 01 S REC-ADDED-USR 00081 00003 C L N N 00001 REC_ADDED_USR 00003 01 S LAST-MOD-DAT 00084 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00092 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00100 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 239 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: NAME: RF-VENDOR (0001)PROD AUTHOR: AHC36 CONTROLLER: AHC36 COPY-VERSION: 002 DATE-ADDED: 05/03/00 DATE-LAST-CHANGED: 05/03/00 TIME-OF-CHANGE: 22.32.25 NUMBER-OF-CHANGES: 000007 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS

01 S VEND-ID 00000 00011 C L N N 00001 VEND_ID 00011 01 S VEND-NM 00011 00040 C L N N 00001 VEND_NM 00040 01 S STA 00051 00001 C L N N 00001 STA 00001 01 S LAST-MOD-DAT 00052 00008 C L N N 00001 LAST_MOD_DAT 00008 01 S LAST-MOD-USR 00060 00003 C L N N 00001 LAST_MOD_USR 00003 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 240 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: ZIP CODE NAME: RF-ZIP (0017)PROD AUTHOR: MDF CONTROLLER: MDF COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000016 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S STA-CD 00000 00001 C L N N 00001 STA_CD STATUS CODE 00001 01 C ZIP-CODE 00001 00009 C L N N 00001 ZIP_CODE ZIP CODE 02 S ZIP-1 ZIP-CODE 00001 00005 C L N N 00001 ZIP_1 5 DIGIT PORTION OF ZIP 00005 02 S ZIP-2 ZIP-CODE 00006 00004 C L N N 00001 ZIP_2 ZIP +4 PORTION OF ZIP 00004 01 S CTY 00010 00002 C L N N 00001 CTY COUNTY CODE 00002 01 S BEG-DAT 00012 00008 C L N N 00001 BEG_DAT CODE EFFECTIVE BEGINNING DATE 00008 01 S END-DAT 00020 00008 C L N N 00001 END_DAT CODE EFFECTIVE ENDING DATE 00008 01 S RESERV-NAME 00028 00001 C L N N 00001 RESERV_NAME 00001 01 S LAST-MOD-DAT 00029 00008 C L N N 00001

LAST_MOD_DAT 00008 01 S LAST-MOD-TIME 00037 00008 C L N N 00001 LAST_MOD_TIME 00008 01 S LAST-MOD-USR 00045 00003 C L N N 00001 LAST_MOD_USR 00003 01 S REC-ADDED-DAT 00048 00008 C L N N 00001 REC_ADDED_DAT 00008 01 S REC-ADDED-TIME 00056 00008 C L N N 00001 REC_ADDED_TIME 00008 Date: 09/12/2007 Time: 19.35.58 ********************************************************* Page: 241 * Advantage CA-Datacom Database Datadictionary Option * Security Level: 1 * Field Report * Version: 11.0 * Copyright 2004 Computer Associates International, Inc.* User: AHC10 ********************************************************* DD Base: 2 ENTITY-TYPE: TABLE DESC: ZIP CODE NAME: RF-ZIP (0017)PROD AUTHOR: MDF CONTROLLER: MDF COPY-VERSION: 002 DATE-ADDED: 03/07/06 DATE-LAST-CHANGED: 03/07/06 TIME-OF-CHANGE: 15.27.03 NUMBER-OF-CHANGES: 000016 LV C FIELD-NAME...................... PARENT-NAME..................... DISPL LNGTH T J N S DEC RPFAC VALUE............. SQLNAME......................... DESCRIPTION......................... LANGUAGE-COMMENT.................... PRECI ALC-NAME COMPILER-NAME................. O DS 01 S REC-ADDED-USR 00064 00003 C L N N 00001 REC_ADDED_USR 00003