| FileMan FileNo | FileMan Filename | Package |
|---|---|---|
| 162.95 | FEE BASIS CHECK CANCELLATION REASON | Fee Basis |
| Package | Total | FileMan Files |
|---|---|---|
| Fee Basis | 3 | FEE BASIS PHARMACY INVOICE(#162.1)[#162.11(32)] FEE BASIS PAYMENT(#162)[#162.03(37), #162.04(11)] FEE BASIS INVOICE(#162.5)[50] |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | CANCELLATION REASON | 0;1 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 1 | REASON CODE | 0;2 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 2 | INACTIVATION FLAG | 0;3 | SET |
|