| FileMan FileNo | FileMan Filename | Package | 
|---|---|---|
| 161.23 | FEE BASIS CNH AUTHORIZATION RATE | Fee Basis | 
| Package | Total | FileMan Files | 
|---|---|---|
| Fee Basis | 2 | VA FORM 10-7078(#162.4)[.03] FEE BASIS PATIENT(#161)[.04] | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | FROM DATE | 0;1 | DATE | ************************REQUIRED FIELD************************ 
  | 
| .02 | TO DATE | 0;2 | DATE | ************************REQUIRED FIELD************************ 
  | 
| .03 | ASSOCIATED 7078 | 0;3 | POINTER TO VA FORM 10-7078 FILE (#162.4) | ************************REQUIRED FIELD************************ VA FORM 10-7078(#162.4)
  | 
| .04 | PATIENT | 0;4 | POINTER TO FEE BASIS PATIENT FILE (#161) | ************************REQUIRED FIELD************************ FEE BASIS PATIENT(#161)
  | 
| .05 | PER DIEM RATE | 0;5 | NUMBER | ************************REQUIRED FIELD************************ 
  | 
| .06 | CONTRACT | 0;6 | FREE TEXT | 
  |