FileMan FileNo | FileMan Filename | Package |
---|---|---|
161.27 | FEE BASIS SUSPENSION | Fee Basis |
Package | Total | FileMan Files |
---|---|---|
Fee Basis | 5 | ADJUSTMENT REASON(#161.91)[3] FEE BASIS PHARMACY INVOICE(#162.1)[#162.11(7)] FEE NOTIFICATION/REQUEST(#162.2)[14] FEE BASIS PAYMENT(#162)[#162.03(4)] FEE BASIS INVOICE(#162.5)[10] |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | CODE | 0;1 | FREE TEXT | ************************REQUIRED FIELD************************
|
1 | DESCRIPTION | 1;0 | WORD-PROCESSING #161.28 |
|
2 | SHORT DESCRIPTION | 2;1 | FREE TEXT |
|