| FileMan FileNo | FileMan Filename | Package | 
|---|---|---|
| 161.26 | FEE BASIS PATIENT MRA | Fee Basis | 
| Package | Total | FileMan Files | 
|---|---|---|
| Registration | 1 | PATIENT(#2)[.01] | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | NAME | 0;1 | POINTER TO PATIENT FILE (#2) | ************************REQUIRED FIELD************************ PATIENT(#2)
  | 
| 1 | STATUS | 0;2 | SET | ************************REQUIRED FIELD************************ 
 
  | 
| 2 | POINTER TO AUTHORIZATION NODE | 0;3 | NUMBER | ************************REQUIRED FIELD************************ 
  | 
| 3 | TYPE | 0;4 | SET | ************************REQUIRED FIELD************************ 
 
  | 
| 4 | DATE TRANSMITTED | 0;5 | DATE | 
  | 
| 5 | AUTH. FROM DATE CHANGED | 0;6 | SET | 
 
  | 
| 6 | SHORT TERM MRA | 0;7 | SET | 
 
  |