| FileMan FileNo | FileMan Filename | Package | 
|---|---|---|
| 161.93 | REMITTANCE REMARK | Fee Basis | 
| Package | Total | FileMan Files | 
|---|---|---|
| Fee Basis | 4 | ADJUSTMENT REASON(#161.91)[#161.915(.01)] FEE BASIS PHARMACY INVOICE(#162.1)[#162.15(.01)] FEE BASIS PAYMENT(#162)[#162.08(.01)] FEE BASIS INVOICE(#162.5)[#162.559(.01)] | 
| Package | Total | FileMan Files | 
|---|---|---|
| Fee Basis | 1 | ADJUSTMENT GROUP(#161.92)[#161.933(.01)] | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | CODE | 0;1 | FREE TEXT | ************************REQUIRED FIELD************************ 
  | 
| 1 | STATUS EFFECTIVE DATE | 1;0 | DATE Multiple #161.931 | 161.931 | 
| 2 | DESCRIPTION EFFECTIVE DATE | 2;0 | DATE Multiple #161.932 | 161.932 | 
| 3 | ADJUSTMENT GROUP | 3;0 | POINTER Multiple #161.933 | 161.933
  |