| Parent File | Name | Number | Package |
|---|---|---|---|
| FEE BASIS UNAUTHORIZED CLAIMS(#162.7) | EXTENSIONS | 162.701 | Fee Basis |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | EXTENSION ENTERED DATE/TIME | 0;1 | DATE |
|
| .02 | ENTERED BY | 0;2 | POINTER TO NEW PERSON FILE (#200) | ************************REQUIRED FIELD************************ NEW PERSON(#200)
|
| .03 | FOR STATUS | 0;3 | POINTER TO FEE BASIS UNAUTHORIZED CLAIMS STATUS FILE (#162.92) | ************************REQUIRED FIELD************************ FEE BASIS UNAUTHORIZED CLAIMS STATUS(#162.92)
|
| .04 | EXTENSION DATE | 0;4 | DATE | ************************REQUIRED FIELD************************
|
| .05 | COMMENTS | 1;1 | FREE TEXT |
|