| Parent File | Name | Number | Package |
|---|---|---|---|
| PATIENT APPLICATIONS(#9000045) | DATE APPLICATION OBTAINED | 9000045.11 | IHS Patient |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | DATE APPLICATION OBTAINED | 0;1 | DATE | ************************REQUIRED FIELD************************
|
| .02 | APPLICATION TYPE | 0;2 | POINTER TO PATIENT APPLICATION TYPES FILE (#9000048) | PATIENT APPLICATION TYPES(#9000048)
|
| .03 | PERSON RECEIVING APPLICATION | 0;3 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
| .04 | OVERALL STATUS OF APPLICATION | 0;4 | SET |
|
| .05 | BENEFIT COORDINATOR CASE | 0;5 | NUMBER |
|
| 110101 | DATE APPLICATION SUBMITTED | 1;0 | DATE Multiple #9000045.1101 | 9000045.1101 |