| Name | Description | Type | Additional information |
|---|---|---|---|
| BilledAmt | integer |
None. |
|
| MAPayable | integer |
None. |
|
| PatPayable | integer |
None. |
|
| MAPatReimb | integer |
None. |
|
| Overcharge | integer |
None. |
|
| Discount | integer |
None. |
|
| MedicalAidRate | integer |
None. |