| Name | Description | Type | Additional information |
|---|---|---|---|
| Id | integer |
None. |
|
| PP_Clinic_Id | string |
None. |
|
| PP_Prvdr_Rec_Id | integer |
None. |
|
| Recip_Id | string |
None. |
|
| Recip_Lname | string |
None. |
|
| Recip_Fname | string |
None. |
|
| Claim_Id | integer |
None. |
|
| Dos_From | date |
None. |
|
| Dos_To | date |
None. |
|
| Paid_Date | date |
None. |
|
| Diag_Code | string |
None. |
|
| Proc_Code | string |
None. |
|
| Drug_Code | string |
None. |
|
| Drug_Name | string |
None. |
|
| Drug_Quantity | string |
None. |
|
| Drug_Strength | string |
None. |
|
| Prvdr_Rec_Id | integer |
None. |
|
| Remarks | string |
None. |
|
| Oprtnl_Flag | string |
None. |
|
| Created_By | integer |
None. |
|
| Created_Date | date |
None. |
|
| Modified_By | integer |
None. |
|
| Modified_Date | date |
None. |