File RECORD_OF_PROS_APPLIANCE_REPAIR(660) Data List

ENTRY DATE	PATIENT NAME	REQUEST DATE	DELIVERY DATE	PFSS ACCOUNT REFERENCE	PFSS CHARGE ID	LATEST PSAS HCPCS	LATEST QTY	LATEST TOTAL COST	LATEST ORDERING PROVIDER	PFSS ACCOUNT FLAG	PFSS CHARGE FLAG	FORM REQUESTED ON	SOURCE	ACTION	TOTAL COST	HISTORICAL DATA	REMARKS	RETURNED STATUS	RETURN STATUS DATE	*STATUS FLAG	PATIENT NOTIFICATION FLAG	TYPE OF TRANSACTION	DELIVERY VERIFICATION DATE	DELIVERY VERIFICATION STATUS	LOT NUMBER	*PRODUCT LINE	TRANSACTION	DESCRIPTION	DELIVER TO	DATE REQUIRED	INITIATOR	EXTENDED DESCRIPTION	INVENTORY POINT	PRIMARY ICD DIAGNOSIS CODE	PRIMARY AGENT ORANGE EXPOSURE	PRIMARY IONIZED RADIATION	PRIMARY SERVICE-CONNECTED	PRIMARY ENVIRONMENTAL CONT.	PRIMARY MST	PRIMARY HEAD/NECK CANCER	PRIMARY COMBAT VET	SECONDARY ICD DIAGNOSIS CODE 1	SECONDARY AGENT ORANGE 1	SECONDARY IONIZED RADIATION 1	SECONDARY SERVICE-CONNECTED 1	SECONDARY ENVIRONMENTAL CONT 1	SECONDARY MST 1	SECONDARY HEAD/NECK CANCER 1	SECONDARY COMBAT VET 1	SECONDARY ICD DIAGNOSIS 2	SECONDARY AGENT ORANGE 2	SECONDARY IONIZED RADIATION 2	SECONDARY SERVICE-CONNECTED 2	SECONDARY ENVIR. CONT. 2	SECONDARY MST 2	SECONDARY HEAD/NECK CANCER 2	SECONDARY COMBAT VET 2	SECONDARY ICD DIAGNOSIS 3	SECONDARY AGENT ORANGE 3	SECONDARY IONIZED RADIATION 3	SECONDARY SERVICE-CONNECTED 3	SECONDARY ENVIRON. CONT. 3	SECONDARY MST 3	SECONDARY HEAD/NECK CANCER 3	SECONDARY COMBAT VET 3	OIF/OEF	USER WHO EDIT	DATE EDITED	HCPCS/ITEM	HCPCS/ITEM DESCRIPTION	EXCLUDE/WAIVER	CONTRACT #	NUMBER OF BIDS	DATE OF SERVICE	ITEM	HCPCS	VENDOR TRACKING NUMBER	BANK AUTHORIZATION NUMBER	PSAS HCPCS	STOCK ISSUE	CPT MODIFIER	DATE CPT MODIFIER EXTRACTED	HCPCS-ICD9 CODING FLAG	CODING FLAG DATE	HIGH TECH ITEM	REQUESTING STATION	ECMS ACTIONUID	UNIQUE ITEM ID	TOTAL LABOR HOURS	TOTAL LABOR COST	TOTAL MATERIAL COST	TOTAL LAB COST	QTY	COMPLETION DATE	LAB REMARKS	AMIS NEW CODE	SHIP/DEL	PICKUP/DEL	AMIS DATE	PATIENT CATEGORY	SPECIAL CATEGORY	ADMIN REPAIR AMIS CODE	AMIS GROUPER	SOURCE OF PROCUREMENT	VENDOR	RECEIVING STATION	WORK ORDER NUMBER	2529-3	FREE TEXT WO #	LAB AMIS DATE	ORTHOTICS LAB CODE	ORTHOTICS LAB REPAIR CODE	RESTORATION LAB CODE	RESTORATIONS LAB REPAIR CODE	UNIT OF ISSUE	AMIS FLAG	STATION	SUSPENSE DATE	SUSPENSE STATION	PCE	DATE SENT TO PCE	SUSPENSE STATUS	DATE RX WRITTEN	INITIAL ACTION DATE	TYPE OF REQUEST	SUSPENSE REQUESTOR	CONSULT REQUEST SERVICE	PROVISIONAL DIAGNOSIS	SUSPENSE ICD	CONSULT	WORK FOR OTHER STATION	NO ADMIN COUNT	NO LAB COUNT	BACKLOG DATE	HISTORICAL ITEM	DALC REFERENCE NUMBER	DALC BILL DATE	DALC ORDERING STATION	SERIAL NBR	PRODUCT DESCRIPTION	PRODUCT MODEL	HISTORICAL STATION	HISTORICAL VENDOR	HISTORICAL VENDOR PHONE	HISTORICAL STREET ADD	HISTORICAL CITY	HISTORICAL STATE	HISTORICAL ZIP	HISTORICAL RECORD