| Parent File | Name | Number | Package |
|---|---|---|---|
| PATIENT FUNDS(#470) | INCOME SOURCE | 470.05 | Integrated Patient Fund |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | INCOME SOURCE | 0;1 | FREE TEXT |
|
| 1 | PAYEE | 0;2 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 2 | AMOUNT | 0;3 | NUMBER | ************************REQUIRED FIELD************************
|
| 3 | FREQUENCY | 0;4 | SET |
|