File 2507_EXAM(396.4) Data List
| EXAM REFERENCE NUMBER |
2507 REQUEST |
EXAM TYPE |
STATUS |
WORK SHEET PRINTED |
DATE OF EXAM |
EXAMINING PHYSICIAN |
FEE EXAM |
EXAM PLACE |
DOCTOR'S ELECTRONIC SIGNATURE |
INSUFFICIENT REASON |
ORIGINAL PROVIDER |
CAPRI TEMPLATE ID |
CONTRACTOR |
DATE TRANSFERRED TO CONTRACTOR |
DATE RECEIVED FROM CONTRACTOR |
REMARKS SENT TO CONTRACTOR |
CANCELLATION DATE/TIME |
CANCELED BY |
CANCELLATION REASON |
CANCELLATION COMMENTS |
DATE TRANSFERRED OUT |
TRANSFERRED OUT BY |
TRANSFERRED OUT TO |
DATE TRANSFERRED IN |
DATE RETURNED TO OWNER SITE |
EXAM RESULTS |
EXAM RESULTS RTF |
EXAM RESULTS XML |
XML DAS CONFIRMATION |
XML TRANSMISSION DATE/TIME |
TIU DOCUMENT ID |
INSUFFICIENT REMARKS |
DATE TRANSCRIPTION COMPLETE |