Service Request Form
##SQL Related Fields Required Fields
o_user username
o_pass password
o_ds server_name
o_db database
ICD10_Table [t_ICD-10_ICD-10_with_GEM_AXIS]
ICD9_Table [t_ICD-10_ICD-9_with_GEM_AXI
##Center Related CLLIST - Saved list name, if blank or omitted then the script will read through DB2
center_name center_npi center_phone center_fax center_contact contact_phone
##Fundsource Eligibility Medicaid
Declared as an array, to use the paramter version include a dash and number after c_el_fs c_el_fs-1 13 c_el_fs-2 210
##MCO Related MCO fundsource mco_fs-1 210
###MCO Names and matching fax numbers
mco_name-1 M-UNITED
mco_name-2 M-SUPIOR
mco_name-3 M-FRSTCR
mco_name-4 M-CIGNA
mco_name-5 M-AMGRP
mco_name-6 M-AETNA
mco_fax_number-1 877-450-6011
mco_fax_number-2 866-469-0725
mco_fax_number-3 866-354-8758
mco_fax_number-4 877-809-0787
mco_fax_number-5 866-877-5229
mco_fax_number-6 855-841-8355