| Parent File | Name | Number | Package |
|---|---|---|---|
| 9002071.01 | APPEAL TRANSACTION RECORD | 9002071.1431 | Contract Health Management Information System |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | APPEAL TRANSACTION DATE | 0;1 | DATE | ************************REQUIRED FIELD************************
|
| 1 | APPEAL TRANSACTION STATUS | 0;2 | POINTER TO CHS DENIAL STATUS FILE (#9002074) | ************************REQUIRED FIELD************************ CHS DENIAL STATUS(#9002074)
|
| 2 | APPEAL LEVEL | 0;3 | SET | ************************REQUIRED FIELD************************
|
| 3 | APPEAL RESOLVE DATE | 0;4 | DATE | ************************REQUIRED FIELD************************
|
| 4 | APPEAL COMMENTS | 0;5 | FREE TEXT |
|