| Name | Description | Type | Additional information |
|---|---|---|---|
| RoutingCode | string |
None. |
|
| DataSet | string |
None. |
|
| InvoiceNum | string |
None. |
|
| PMAName | string |
None. |
|
| PMAVersion | string |
None. |
|
| MedpraxVersion | string |
None. |