| Name | Description | Type | Additional information |
|---|---|---|---|
| DataTableNameAuthArchive | string |
None. |
|
| AuthorizationNo | string |
None. |
|
| LineNo | string |
None. |
|
| ConsumerNo | string |
None. |
|
| StartDate | string |
None. |
|
| EndDate | string |
None. |
|
| EmployeeNo | string |
None. |
|
| Rate | string |
None. |
|
| Authorizeby | string |
None. |
|
| AuthQtyType | string |
None. |
|
| AuthQty | string |
None. |
|
| ExternalReferenceID | string |
None. |
|
| MedicaidNo | string |
None. |
|
| ProgramCode | string |
None. |
|
| JACCNo | string |
None. |
|
| ServiceGroupCode | string |
None. |
|
| WebUser | string |
None. |
|
| CreatedBy | string |
None. |
|
| CreatedDateTime | string |
None. |
|
| ApprovalStatus | string |
None. |
|
| ServiceSubType | string |
None. |
|
| LastModifiedDateandTime | string |
None. |
|
| ProviderName | string |
None. |
|
| Parameters | string |
None. |
|
| Active | string |
None. |
|
| BusinessStatus | string |
None. |
|
| SystemStatus | string |
None. |