Parent File | Name | Number | Package |
---|---|---|---|
SPENDDOWN INFORMATION(#9000047) | DATE REFERRED | 9000047.11 | IHS Patient |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | DATE REFERRED | 0;1 | DATE |
|
.02 | FACILITY REFERRED TO | 0;2 | POINTER TO VENDOR FILE (#9999999.11) | VENDOR(#9999999.11)
|
.05 | BENEFIT COORDINATOR CASE | 0;5 | NUMBER |
|
1101 | DATE EXPENSE REQUESTED | 11;0 | DATE Multiple #9000047.111101 | 9000047.111101
|