File PROSTHETIC_2529_3(664.1) Data List

DATE PATIENT STATION REQUESTING STATION SUSPENSE RECORD ELIGIBILITY STATUS SPECIAL CATEGORY OTHER DESCRIPTION DATE REQUIRED RECEIVING STATION TRANSACTION TYPE RETURN DATE CANCELLATION REMARKS RETURN TO LAB REASON WARD LOCATION PHYSICIAN DIAGNOSIS TREATING SPECIALTY PHYSICIAN EXTENSION REQUESTING OFFICIAL APPROVING OFFICIAL TECHNICIAN STATUS REQUESTOR DATE APPROVING DATE DATE ASSIGNED SOURCE OF PROCUREMENT DATE DELIVERED INSPECTING OFFICIAL COMPLETED BY CLOSE-OUT DATE DELIVERY STATUS TOTAL MATERIALS COST TOTAL COST ASSIGNED BY NO ADMIN COUNT AUDIT DATE JOB # COUNT AMIS GROUPER NO LAB COUNT DATE ITEM RECEIVED NO COUNT WORK ORDER WORK ORDER NUMBER DISABILITY CODE ITEM CANCELLED BY CANCEL DATE RETURNED BY