File OTH_ELIGIBILITY_PATIENT(33) Data List
OTH PATIENT
OTH STATUS
PENDING AUTH REQ DATE
PENDING REQUEST ENTERED BY
PENDING AUTH SYS DATE/TIME
PENDING AUTH REQUEST FACILITY
PENDING AUTH REQUEST (Y/N)
PEND AUTH CREATION DATE/TIME
OTH 365 DAY CLOCK
ELIGIBILITY CHANGES
DENIED REQUEST