<?xml version="1.0" standalone="yes"?>
<REMINDER_EXCHANGE_FILE_ENTRY>
<PACKAGE_VERSION>2.0P65</PACKAGE_VERSION>
<INDEX_AT>4392</INDEX_AT>
<SOURCE>
<NAME>UPDATE_2_0_433A VA-BENETRAVEL UPDATE</NAME>
<USER>PACKER,REMINDER</USER>
<SITE>FOIA</SITE>
<ENV>NATREM^NATREM^oitausdhctlexa.r02.domain.ext^NATREM:LEXR0TSVR</ENV>
<DATE_PACKED>07/07/2026@04:48:12</DATE_PACKED>
</SOURCE>
<DESCRIPTION><![CDATA[
The following Clinical Reminder items were selected for packing:
REMINDER DIALOG
  VA-BENEFICIARY TRAVEL (BT)
 
REMINDER TERM
  VA-REMINDER UPDATE_2_0_433A
]]></DESCRIPTION>
<KEYWORDS>
</KEYWORDS>
<PACKING ATTRIBUTES><![CDATA[
<ATTRIBUTE>GROUPING DIALOG COMPONENTS</ATTRIBUTE>
]]></PACKING ATTRIBUTES>
<M_ROUTINE>
<ROUTINE_NAME>PXRMCDEF</ROUTINE_NAME>
<CHECKSUM>1411016913</CHECKSUM>
<CODE>
<![CDATA[
PXRMCDEF ;SLC/AGP - Computed findings for Reminder Definition. ;06/30/2020
 ;;2.0;CLINICAL REMINDERS;**4,18,24,26,47,45,42**;Feb 04, 2005
 ;
 ;======================================================
RDEF(DFN,TEST,DATE,VALUE,TEXT) ;Computed finding for returning a Reminder
 ;definition evaluation status.
 I $G(TEST)="" D  Q
 . S TEST=0
 . S ^TMP(PXRMPID,$J,PXRMITEM,"FERROR","CF.VA-REMINDER DEFINITION")="No reminder definition"
 ;New PXRMFFSS and PXRMTDEB so that reminder test function finding
 ;and term output is not corrupted.
 N DEFARR,FIEVAL,NAME,PNAME,RIEN,TEMP,PARAM,PXRMDEBG,PXRMFFSS,PXRMTDEB
 N SAVETMP,OUTTYPE
 S NAME=$P(TEST,U,1)
 I NAME="" D  Q
 . S ^TMP(PXRMPID,$J,PXRMITEM,"FERROR","CF.VA-REMINDER DEFINITION")="No reminder definition."
 I +NAME=NAME S RIEN=+NAME,NAME=$P(^PXD(811.9,RIEN,0),U,1)
 E  S RIEN=+$O(^PXD(811.9,"B",NAME,""))
 I RIEN=0 D  Q
 . S ^TMP(PXRMPID,$J,PXRMITEM,"FERROR","CF.VA-REMINDER DEFINITION")="The reminder definition does not exist."
 I +$P(^PXD(811.9,RIEN,0),U,6)=1 D  Q
 . S ^TMP(PXRMPID,$J,PXRMITEM,"FERROR","CF.VA-REMINDER DEFINITION")="The reminder definition is inactive."
 . S TEST=0
 S PARAM=$P(TEST,U,2),PARAM=$P($G(PARAM),"=",2),SAVETMP=+$P(TEST,U,3),OUTTYPE=$P(TEST,U,4)
 I OUTTYPE="" S OUTTYPE=1
 S TEST=0,DATE=$$NOW^PXRMDATE
 K ^TMP("PXRHM",$J,RIEN)
 S PNAME=$S($P($G(^PXD(811.9,RIEN,0)),U,3)'="":$P(^PXD(811.9,RIEN,0),U,3),1:NAME)
 ;Load the definition into DEFARR.
 D DEF^PXRMLDR(RIEN,.DEFARR)
 D EVAL^PXRM(DFN,.DEFARR,OUTTYPE,0,.FIEVAL,DATE)
 S TEMP=$G(^TMP("PXRHM",$J,RIEN,PNAME))
 I SAVETMP,$G(PXRMSRCFF) D
 . K ^TMP("PXRM BL DATA",$J)
 . M ^TMP("PXRM BL DATA",$J,"FIEVAL")=FIEVAL
 . M ^TMP("PXRM BL DATA",$J,"PXRHM")=^TMP("PXRHM",$J)
 . S ^TMP("PXRM BL DATA",$J,"REMINDER IEN")=RIEN
 . S ^TMP("PXRM BL DATA",$J,"REMINDER NAME")=PNAME
 K ^TMP("PXRHM",$J,RIEN)
 S TEST=$S(TEMP="":0,TEMP["ERROR":0,TEMP["CNBD":0,1:1)
 Q:'TEST
 S TEXT="Reminder: "_NAME
 S VALUE=$P(TEMP,U)
 S VALUE("STATUS")=VALUE
 S VALUE("DUEDATE")=$P(TEMP,U,2)
 S VALUE("LASTDONE")=$P(TEMP,U,3)
 Q:PARAM=""
 I PARAM="DUE DATE",+VALUE("DUEDATE")>0 S DATE=VALUE("DUEDATE")
 I PARAM="LAST DONE",+VALUE("LASTDONE")>0 S DATE=VALUE("LASTDONE")
 Q
 ;
]]>
</CODE>
</M_ROUTINE>
<FILEMAN_FILE>
<FILE_NAME>TIU TEMPLATE FIELD</FILE_NAME>
<FILE_NUMBER>8927.1</FILE_NUMBER>
<POINT_01>VA-BENE TRAV WORD PROCESSING</POINT_01>
<INTERNAL_ENTRY_NUMBER>3539</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3466355718</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
8927.1;+3539,;.01~VA-BENE TRAV WORD PROCESSING
8927.1;+3539,;.02~Word Processing
8927.1;+3539,;.03~NO
8927.1;+3539,;.04~70
8927.1;+3539,;.07~0
8927.1;+3539,;.08~YES
8927.1;+3539,;.09~NO
8927.1;+3539,;.1~2
8927.1;+3539,;.11~0
8927.1;+3539,;.12~0
8927.1;+3539,;.13~0
8927.1;+3539,;.14~0
8927.1;+3539,;.15~0
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>TIU TEMPLATE FIELD</FILE_NAME>
<FILE_NUMBER>8927.1</FILE_NUMBER>
<POINT_01>VA-BENE TRAVEL ELIGIBILITY</POINT_01>
<INTERNAL_ENTRY_NUMBER>15402</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>16368263</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
8927.1;+15402,;.01~VA-BENE TRAVEL ELIGIBILITY
8927.1;+15402,;.02~Hyperlink
8927.1;+15402,;.03~NO
8927.1;+15402,;.04~0
8927.1;+15402,;.05~Beneficiary Travel Eligibility
8927.1;+15402,;.07~0
8927.1;+15402,;.08~NO
8927.1;+15402,;.09~NO
8927.1;+15402,;.1~0
8927.1;+15402,;.11~0
8927.1;+15402,;.12~0
8927.1;+15402,;.13~0
8927.1;+15402,;.14~0
8927.1;+15402,;.15~0
8927.1;+15402,;3~http://vaww.domain.ext/hec/bt/btfaq.asp#1
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-REMINDER UPDATES [C]</POINT_01>
<INTERNAL_ENTRY_NUMBER>8722</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>981639263</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+8722,;.01~VA-REMINDER UPDATES [C]
9999999.64;+8722,;.1~CATEGORY
9999999.64;+8722,;100~LOCAL
9999999.64;+8722,;200~Reminder Updates
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-UPDATE_2_0_433A</POINT_01>
<INTERNAL_ENTRY_NUMBER>45449</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>758843995</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+45449,;.01~VA-UPDATE_2_0_433A
9999999.64;+45449,;.03~VA-REMINDER UPDATES [C]
9999999.64;+45449,;.08~YES
9999999.64;+45449,;.1~FACTOR
9999999.64;+45449,;100~NATIONAL
9999999.64;+45449,;200~Update_2_0_433A
9999999.64;+45449,;201~WP-start~1
VA-UPDATE_2_0_433A
9999999.65;+45450,+45449,;.01~DEC 15, 2025@10:04:16
9999999.65;+45450,+45449,;2~WP-start~1
Copied from VA-UPDATE_2_0_433
9999999.65;+45451,+45449,;.01~DEC 15, 2025@10:04:29
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
45450^1
45451^2
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE MEDICAL REASON ATTENDANT [C]</POINT_01>
<INTERNAL_ENTRY_NUMBER>7093</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1527940886</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+7093,;.01~VA-BENE MEDICAL REASON ATTENDANT [C]
9999999.64;+7093,;.1~CATEGORY
9999999.64;+7093,;100~LOCAL
9999999.64;+7093,;200~Bene Medical Reason Attendant
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE MEDICAL REASON ATTENDANT-NO</POINT_01>
<INTERNAL_ENTRY_NUMBER>7094</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2064746275</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+7094,;.01~VA-BENE MEDICAL REASON ATTENDANT-NO
9999999.64;+7094,;.03~VA-BENE MEDICAL REASON ATTENDANT [C]
9999999.64;+7094,;.08~YES
9999999.64;+7094,;.1~FACTOR
9999999.64;+7094,;100~LOCAL
9999999.64;+7094,;200~Bene Medical Reason Attendant-No
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE MEDICAL REASON ATTENDANT-YES</POINT_01>
<INTERNAL_ENTRY_NUMBER>7095</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2500707373</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+7095,;.01~VA-BENE MEDICAL REASON ATTENDANT-YES
9999999.64;+7095,;.03~VA-BENE MEDICAL REASON ATTENDANT [C]
9999999.64;+7095,;.08~YES
9999999.64;+7095,;.1~FACTOR
9999999.64;+7095,;100~LOCAL
9999999.64;+7095,;200~Bene Medical Reason Attendant-Yes
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE SM DURATION [C]</POINT_01>
<INTERNAL_ENTRY_NUMBER>6567</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3438811770</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+6567,;.01~VA-BENE SM DURATION [C]
9999999.64;+6567,;.1~CATEGORY
9999999.64;+6567,;100~LOCAL
9999999.64;+6567,;200~Bene Sm Duration
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE SM 1 MONTH</POINT_01>
<INTERNAL_ENTRY_NUMBER>9437</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>567444911</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+9437,;.01~VA-BENE SM 1 MONTH
9999999.64;+9437,;.03~VA-BENE SM DURATION [C]
9999999.64;+9437,;.08~YES
9999999.64;+9437,;.1~FACTOR
9999999.64;+9437,;100~LOCAL
9999999.64;+9437,;200~Bene Sm 1 Month
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE NEAREST FACILITY DURATION [C]</POINT_01>
<INTERNAL_ENTRY_NUMBER>6576</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3900798350</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+6576,;.01~VA-BENE NEAREST FACILITY DURATION [C]
9999999.64;+6576,;.1~CATEGORY
9999999.64;+6576,;100~LOCAL
9999999.64;+6576,;200~Bene Nearest Facility Duration
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE SM 2 YEARS</POINT_01>
<INTERNAL_ENTRY_NUMBER>33301</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1434868982</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+33301,;.01~VA-BENE SM 2 YEARS
9999999.64;+33301,;.03~VA-BENE NEAREST FACILITY DURATION [C]
9999999.64;+33301,;.08~YES
9999999.64;+33301,;.1~FACTOR
9999999.64;+33301,;100~NATIONAL
9999999.64;+33301,;200~Bene Travel Special Mode 2 Years
9999999.64;+33301,;201~WP-start~1
 Estimated time frame Veteran will require transportation: 2 Years
9999999.65;+33302,+33301,;.01~MAR 15, 2024@14:31:30
9999999.65;+33302,+33301,;2~WP-start~1
Copied from VA-BENE COMMON CARRIER 2 YEARS
9999999.65;+33303,+33301,;.01~MAR 15, 2024@14:32:37
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
33302^1
33303^2
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE 6 MONTHS</POINT_01>
<INTERNAL_ENTRY_NUMBER>6570</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2811495211</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+6570,;.01~VA-BENE 6 MONTHS
9999999.64;+6570,;.03~VA-BENE SM DURATION [C]
9999999.64;+6570,;.08~YES
9999999.64;+6570,;.1~FACTOR
9999999.64;+6570,;100~LOCAL
9999999.64;+6570,;200~Bene 6 Months
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE SM 3 MONTHS</POINT_01>
<INTERNAL_ENTRY_NUMBER>6571</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3593667988</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+6571,;.01~VA-BENE SM 3 MONTHS
9999999.64;+6571,;.03~VA-BENE SM DURATION [C]
9999999.64;+6571,;.08~YES
9999999.64;+6571,;.1~FACTOR
9999999.64;+6571,;100~LOCAL
9999999.64;+6571,;200~Bene Sm 3 Months
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE SM ONE TIME</POINT_01>
<INTERNAL_ENTRY_NUMBER>6572</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1776818684</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+6572,;.01~VA-BENE SM ONE TIME
9999999.64;+6572,;.03~VA-BENE SM DURATION [C]
9999999.64;+6572,;.08~YES
9999999.64;+6572,;.1~FACTOR
9999999.64;+6572,;100~LOCAL
9999999.64;+6572,;200~Bene Sm One Time
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE SM TYPE [C]</POINT_01>
<INTERNAL_ENTRY_NUMBER>6524</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1999592280</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+6524,;.01~VA-BENE SM TYPE [C]
9999999.64;+6524,;.08~YES
9999999.64;+6524,;.1~CATEGORY
9999999.64;+6524,;100~LOCAL
9999999.64;+6524,;200~Bene Sm Type
9999999.65;+6525,+6524,;.01~JUL 07, 2026@04:36:31
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
6525^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE SM TYPE STRETCHER VAN</POINT_01>
<INTERNAL_ENTRY_NUMBER>47189</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2021098409</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+47189,;.01~VA-BENE SM TYPE STRETCHER VAN
9999999.64;+47189,;.03~VA-BENE SM TYPE [C]
9999999.64;+47189,;.08~YES
9999999.64;+47189,;.1~FACTOR
9999999.64;+47189,;100~NATIONAL
9999999.64;+47189,;200~Bene Sm Type Stretcher Van
9999999.64;+47189,;201~WP-start~1
Special Mode Travel Type Stretcher Van
9999999.65;+47190,+47189,;.01~JUL 07, 2026@04:35:18
9999999.65;+47190,+47189,;2~WP-start~1
Copied from VA-BENE SM TYPE WC
9999999.65;+47191,+47189,;.01~JUL 07, 2026@04:36:12
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
47190^1
47191^2
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE SM TYPE AMBULETTE</POINT_01>
<INTERNAL_ENTRY_NUMBER>47190</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>418445087</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+47190,;.01~VA-BENE SM TYPE AMBULETTE
9999999.64;+47190,;.03~VA-BENE SM TYPE [C]
9999999.64;+47190,;.08~YES
9999999.64;+47190,;.1~FACTOR
9999999.64;+47190,;100~NATIONAL
9999999.64;+47190,;200~Bene Sm Type Ambulette
9999999.64;+47190,;201~WP-start~1
Special Mode Travel Type Ambulette
9999999.65;+47191,+47190,;.01~JUL 07, 2026@04:37:08
9999999.65;+47191,+47190,;2~WP-start~1
Copied from VA-BENE SM TYPE STRETCHER VAN
9999999.65;+47192,+47190,;.01~JUL 07, 2026@04:37:38
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
47191^1
47192^2
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE SM TYPE WC</POINT_01>
<INTERNAL_ENTRY_NUMBER>6525</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>501603756</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+6525,;.01~VA-BENE SM TYPE WC
9999999.64;+6525,;.03~VA-BENE SM TYPE [C]
9999999.64;+6525,;.08~YES
9999999.64;+6525,;.1~FACTOR
9999999.64;+6525,;100~LOCAL
9999999.64;+6525,;200~Bene Sm Type Wc
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE SM TYPE BLS</POINT_01>
<INTERNAL_ENTRY_NUMBER>6542</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2087432844</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+6542,;.01~VA-BENE SM TYPE BLS
9999999.64;+6542,;.03~VA-BENE SM TYPE [C]
9999999.64;+6542,;.08~YES
9999999.64;+6542,;.1~FACTOR
9999999.64;+6542,;100~LOCAL
9999999.64;+6542,;200~Bene Sm Type Bls
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE SM TYPE ALS</POINT_01>
<INTERNAL_ENTRY_NUMBER>6563</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2420838348</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+6563,;.01~VA-BENE SM TYPE ALS
9999999.64;+6563,;.03~VA-BENE SM TYPE [C]
9999999.64;+6563,;.08~YES
9999999.64;+6563,;.1~FACTOR
9999999.64;+6563,;100~LOCAL
9999999.64;+6563,;200~Bene Sm Type Als
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE SM FACILITY TRANSFER [C]</POINT_01>
<INTERNAL_ENTRY_NUMBER>6521</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2720340763</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+6521,;.01~VA-BENE SM FACILITY TRANSFER [C]
9999999.64;+6521,;.1~CATEGORY
9999999.64;+6521,;100~LOCAL
9999999.64;+6521,;200~Bene Sm Facility Transfer
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE SM FACILITY TRANSFER NO</POINT_01>
<INTERNAL_ENTRY_NUMBER>6522</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1442846664</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+6522,;.01~VA-BENE SM FACILITY TRANSFER NO
9999999.64;+6522,;.03~VA-BENE SM FACILITY TRANSFER [C]
9999999.64;+6522,;.08~YES
9999999.64;+6522,;.1~FACTOR
9999999.64;+6522,;100~LOCAL
9999999.64;+6522,;200~Bene Sm Facility Transfer No
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE SM FACILITY TRANSFER YES</POINT_01>
<INTERNAL_ENTRY_NUMBER>6523</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1466445756</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+6523,;.01~VA-BENE SM FACILITY TRANSFER YES
9999999.64;+6523,;.03~VA-BENE SM FACILITY TRANSFER [C]
9999999.64;+6523,;.04~CATEGORY: 
9999999.64;+6523,;.08~YES
9999999.64;+6523,;.1~FACTOR
9999999.64;+6523,;100~LOCAL
9999999.64;+6523,;200~Bene Sm Facility Transfer Yes
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE SM MEDICAL JUSTIFICATION [C]</POINT_01>
<INTERNAL_ENTRY_NUMBER>6573</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2135217453</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+6573,;.01~VA-BENE SM MEDICAL JUSTIFICATION [C]
9999999.64;+6573,;.1~CATEGORY
9999999.64;+6573,;100~LOCAL
9999999.64;+6573,;200~Bene Sm Medical Justification
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE SM MEDICAL JUSTIFICATION YES</POINT_01>
<INTERNAL_ENTRY_NUMBER>6575</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>947924047</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+6575,;.01~VA-BENE SM MEDICAL JUSTIFICATION YES
9999999.64;+6575,;.03~VA-BENE SM MEDICAL JUSTIFICATION [C]
9999999.64;+6575,;.08~YES
9999999.64;+6575,;.1~FACTOR
9999999.64;+6575,;100~LOCAL
9999999.64;+6575,;200~Bene Sm Medical Justification Yes
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE SM MEDICAL JUSTIFICATION NO</POINT_01>
<INTERNAL_ENTRY_NUMBER>6574</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2149629175</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+6574,;.01~VA-BENE SM MEDICAL JUSTIFICATION NO
9999999.64;+6574,;.03~VA-BENE SM MEDICAL JUSTIFICATION [C]
9999999.64;+6574,;.08~NO
9999999.64;+6574,;.1~FACTOR
9999999.64;+6574,;100~LOCAL
9999999.64;+6574,;200~Bene Sm Medical Justification No
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE NEAREST FACILITY 1 MONTH(SC)</POINT_01>
<INTERNAL_ENTRY_NUMBER>9434</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>287108805</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+9434,;.01~VA-BENE NEAREST FACILITY 1 MONTH(SC)
9999999.64;+9434,;.03~VA-BENE NEAREST FACILITY DURATION [C]
9999999.64;+9434,;.08~YES
9999999.64;+9434,;.1~FACTOR
9999999.64;+9434,;100~LOCAL
9999999.64;+9434,;200~Bene Nearest Facility 1 Month(sc)
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE NEAREST FACILITY 2 YEARS(SC)</POINT_01>
<INTERNAL_ENTRY_NUMBER>33299</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>719057104</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+33299,;.01~VA-BENE NEAREST FACILITY 2 YEARS(SC)
9999999.64;+33299,;.03~VA-BENE NEAREST FACILITY DURATION [C]
9999999.64;+33299,;.08~YES
9999999.64;+33299,;.1~FACTOR
9999999.64;+33299,;100~NATIONAL
9999999.64;+33299,;200~Bene Nearest Facility 2 Year(Specialty Care)
9999999.64;+33299,;201~WP-start~2
Estimated time frame Veteran will require travel to other than nearest 
facility: 2 Years
9999999.65;+33300,+33299,;.01~MAR 15, 2024@14:23:40
9999999.65;+33300,+33299,;2~WP-start~1
Copied from VA-BENE NEAREST FACILITY 2 YEARS(PC)
9999999.65;+33301,+33299,;.01~MAR 15, 2024@14:23:57
9999999.65;+33302,+33299,;.01~MAR 15, 2024@14:30:21
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
33300^1
33301^2
33302^3
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE NEAREST FACILITY 6 MONTHS(SC)</POINT_01>
<INTERNAL_ENTRY_NUMBER>8653</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3551565852</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+8653,;.01~VA-BENE NEAREST FACILITY 6 MONTHS(SC)
9999999.64;+8653,;.03~VA-BENE NEAREST FACILITY DURATION [C]
9999999.64;+8653,;.08~YES
9999999.64;+8653,;.1~FACTOR
9999999.64;+8653,;100~LOCAL
9999999.64;+8653,;200~Bene Nearest Facility 6 Months(sc)
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE NEAREST FACILITY 3 MONTHS(SC)</POINT_01>
<INTERNAL_ENTRY_NUMBER>8650</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3650362225</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+8650,;.01~VA-BENE NEAREST FACILITY 3 MONTHS(SC)
9999999.64;+8650,;.03~VA-BENE NEAREST FACILITY DURATION [C]
9999999.64;+8650,;.08~YES
9999999.64;+8650,;.1~FACTOR
9999999.64;+8650,;100~LOCAL
9999999.64;+8650,;200~Bene Nearest Facility 3 Months(sc)
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE NEAREST FACILITY ONE TIME(SC)</POINT_01>
<INTERNAL_ENTRY_NUMBER>8647</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>704121375</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+8647,;.01~VA-BENE NEAREST FACILITY ONE TIME(SC)
9999999.64;+8647,;.03~VA-BENE NEAREST FACILITY DURATION [C]
9999999.64;+8647,;.08~YES
9999999.64;+8647,;.1~FACTOR
9999999.64;+8647,;100~LOCAL
9999999.64;+8647,;200~Bene Nearest Facility One Time(sc)
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE NEAREST FACILITY SERVICE TYPE [C]</POINT_01>
<INTERNAL_ENTRY_NUMBER>6585</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1625098827</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+6585,;.01~VA-BENE NEAREST FACILITY SERVICE TYPE [C]
9999999.64;+6585,;.1~CATEGORY
9999999.64;+6585,;100~LOCAL
9999999.64;+6585,;200~Bene Nearest Facility Service Type
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE NEAREST FACILITY OTHER/SPEC CARE</POINT_01>
<INTERNAL_ENTRY_NUMBER>6586</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1789783978</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+6586,;.01~VA-BENE NEAREST FACILITY OTHER/SPEC CARE
9999999.64;+6586,;.03~VA-BENE NEAREST FACILITY SERVICE TYPE [C]
9999999.64;+6586,;.08~YES
9999999.64;+6586,;.1~FACTOR
9999999.64;+6586,;100~LOCAL
9999999.64;+6586,;200~Bene Nearest Facility Other/Spec Care
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE NEAREST FACILITY 1 MONTH(MH)</POINT_01>
<INTERNAL_ENTRY_NUMBER>9433</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2432299832</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+9433,;.01~VA-BENE NEAREST FACILITY 1 MONTH(MH)
9999999.64;+9433,;.03~VA-BENE NEAREST FACILITY DURATION [C]
9999999.64;+9433,;.08~YES
9999999.64;+9433,;.1~FACTOR
9999999.64;+9433,;100~LOCAL
9999999.64;+9433,;200~Bene Nearest Facility 1 Month(mh)
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE NEAREST FACILITY ONE TIME(MH)</POINT_01>
<INTERNAL_ENTRY_NUMBER>8648</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2745891167</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+8648,;.01~VA-BENE NEAREST FACILITY ONE TIME(MH)
9999999.64;+8648,;.03~VA-BENE NEAREST FACILITY DURATION [C]
9999999.64;+8648,;.08~YES
9999999.64;+8648,;.1~FACTOR
9999999.64;+8648,;100~LOCAL
9999999.64;+8648,;200~Bene Nearest Facility One Time(mh)
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE NEAREST FACILITY 2 YEARS(MH)</POINT_01>
<INTERNAL_ENTRY_NUMBER>33298</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>4177131618</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+33298,;.01~VA-BENE NEAREST FACILITY 2 YEARS(MH)
9999999.64;+33298,;.03~VA-BENE NEAREST FACILITY DURATION [C]
9999999.64;+33298,;.08~YES
9999999.64;+33298,;.1~FACTOR
9999999.64;+33298,;100~NATIONAL
9999999.64;+33298,;101~OFFICE OF PRIMARY CARE
9999999.64;+33298,;200~Bene Nearest Facility 2 Years(Mental Health)
9999999.64;+33298,;201~WP-start~2
Estimated time frame Veteran will require travel to other than nearest 
facility: 2 Years
9999999.65;+33299,+33298,;.01~MAR 15, 2024@14:20:23
9999999.65;+33299,+33298,;2~WP-start~1
Copied from VA-BENE NEAREST FACILITY 2 YEAR(PC)
9999999.65;+33300,+33298,;.01~MAR 15, 2024@14:20:55
9999999.65;+33301,+33298,;.01~MAR 15, 2024@14:29:37
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
33299^1
33300^2
33301^3
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE NEAREST FACILITY 6 MONTHS(MH)</POINT_01>
<INTERNAL_ENTRY_NUMBER>8654</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1508010844</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+8654,;.01~VA-BENE NEAREST FACILITY 6 MONTHS(MH)
9999999.64;+8654,;.03~VA-BENE NEAREST FACILITY DURATION [C]
9999999.64;+8654,;.08~YES
9999999.64;+8654,;.1~FACTOR
9999999.64;+8654,;100~LOCAL
9999999.64;+8654,;200~Bene Nearest Facility 6 Months(mh)
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE NEAREST FACILITY 3 MONTHS(MH)</POINT_01>
<INTERNAL_ENTRY_NUMBER>8651</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1405544497</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+8651,;.01~VA-BENE NEAREST FACILITY 3 MONTHS(MH)
9999999.64;+8651,;.03~VA-BENE NEAREST FACILITY DURATION [C]
9999999.64;+8651,;.08~YES
9999999.64;+8651,;.1~FACTOR
9999999.64;+8651,;100~LOCAL
9999999.64;+8651,;200~Bene Nearest Facility 3 Months(mh)
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE NEAREST FACILITY MH</POINT_01>
<INTERNAL_ENTRY_NUMBER>6587</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2796720407</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+6587,;.01~VA-BENE NEAREST FACILITY MH
9999999.64;+6587,;.03~VA-BENE NEAREST FACILITY SERVICE TYPE [C]
9999999.64;+6587,;.08~YES
9999999.64;+6587,;.1~FACTOR
9999999.64;+6587,;100~LOCAL
9999999.64;+6587,;200~Bene Nearest Facility MH
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE NEAREST FACILITY PC</POINT_01>
<INTERNAL_ENTRY_NUMBER>6588</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>350039834</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+6588,;.01~VA-BENE NEAREST FACILITY PC
9999999.64;+6588,;.03~VA-BENE NEAREST FACILITY SERVICE TYPE [C]
9999999.64;+6588,;.08~YES
9999999.64;+6588,;.1~FACTOR
9999999.64;+6588,;100~LOCAL
9999999.64;+6588,;200~Bene Nearest Facility PC
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE NEAREST FACILITY 1 MONTH(PC)</POINT_01>
<INTERNAL_ENTRY_NUMBER>9432</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>884736592</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+9432,;.01~VA-BENE NEAREST FACILITY 1 MONTH(PC)
9999999.64;+9432,;.03~VA-BENE NEAREST FACILITY DURATION [C]
9999999.64;+9432,;.08~YES
9999999.64;+9432,;.1~FACTOR
9999999.64;+9432,;100~LOCAL
9999999.64;+9432,;200~Bene Nearest Facility 1 Month(pc)
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE NEAREST FACILITY 2 YEARS(PC)</POINT_01>
<INTERNAL_ENTRY_NUMBER>33297</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1970196187</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+33297,;.01~VA-BENE NEAREST FACILITY 2 YEARS(PC)
9999999.64;+33297,;.03~VA-BENE NEAREST FACILITY DURATION [C]
9999999.64;+33297,;.08~YES
9999999.64;+33297,;.1~FACTOR
9999999.64;+33297,;100~NATIONAL
9999999.64;+33297,;200~Bene Nearest Facility 2 Year(Primary Care)
9999999.64;+33297,;201~WP-start~2
Estimated time frame Veteran will require travel to other than nearest 
facility: 2 Years
9999999.65;+33298,+33297,;.01~MAR 15, 2024@14:13:43
9999999.65;+33298,+33297,;2~WP-start~1
Copied from VA-BENE NEAREST FACILITY 1 YEAR(PC)
9999999.65;+33299,+33297,;.01~MAR 15, 2024@14:16:07
9999999.65;+33300,+33297,;.01~MAR 15, 2024@14:21:07
9999999.65;+33301,+33297,;.01~MAR 15, 2024@14:30
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
33298^1
33299^2
33300^3
33301^4
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE NEAREST FACILITY 6 MONTHS(PC)</POINT_01>
<INTERNAL_ENTRY_NUMBER>8655</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1124290188</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+8655,;.01~VA-BENE NEAREST FACILITY 6 MONTHS(PC)
9999999.64;+8655,;.03~VA-BENE NEAREST FACILITY DURATION [C]
9999999.64;+8655,;.08~YES
9999999.64;+8655,;.1~FACTOR
9999999.64;+8655,;100~LOCAL
9999999.64;+8655,;200~Bene Nearest Facility 6 Months(pc)
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE NEAREST FACILITY 3 MONTHS(PC)</POINT_01>
<INTERNAL_ENTRY_NUMBER>8652</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1227345377</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+8652,;.01~VA-BENE NEAREST FACILITY 3 MONTHS(PC)
9999999.64;+8652,;.03~VA-BENE NEAREST FACILITY DURATION [C]
9999999.64;+8652,;.08~YES
9999999.64;+8652,;.1~FACTOR
9999999.64;+8652,;100~LOCAL
9999999.64;+8652,;200~Bene Nearest Facility 3 Months(pc)
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE NEAREST FACILITY ONE TIME(PC)</POINT_01>
<INTERNAL_ENTRY_NUMBER>8649</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3108756623</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+8649,;.01~VA-BENE NEAREST FACILITY ONE TIME(PC)
9999999.64;+8649,;.03~VA-BENE NEAREST FACILITY DURATION [C]
9999999.64;+8649,;.08~YES
9999999.64;+8649,;.1~FACTOR
9999999.64;+8649,;100~LOCAL
9999999.64;+8649,;200~Bene Nearest Facility One Time(pc)
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE CONSULT REPLY [C]</POINT_01>
<INTERNAL_ENTRY_NUMBER>9278</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>470844171</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+9278,;.01~VA-BENE CONSULT REPLY [C]
9999999.64;+9278,;.1~CATEGORY
9999999.64;+9278,;100~LOCAL
9999999.64;+9278,;200~Bene Consult Reply
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE REPLY-1 MONTH</POINT_01>
<INTERNAL_ENTRY_NUMBER>9436</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2325229090</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+9436,;.01~VA-BENE REPLY-1 MONTH
9999999.64;+9436,;.03~VA-BENE CONSULT REPLY [C]
9999999.64;+9436,;.08~YES
9999999.64;+9436,;.1~FACTOR
9999999.64;+9436,;100~LOCAL
9999999.64;+9436,;200~Bene Reply-1 Month
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE REPLY-CHANGE IN BENEFITS</POINT_01>
<INTERNAL_ENTRY_NUMBER>9281</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1045583807</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+9281,;.01~VA-BENE REPLY-CHANGE IN BENEFITS
9999999.64;+9281,;.03~VA-BENE CONSULT REPLY [C]
9999999.64;+9281,;.08~YES
9999999.64;+9281,;.1~FACTOR
9999999.64;+9281,;100~LOCAL
9999999.64;+9281,;200~Bene Reply-Change In Benefits
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE REPLY-1 YEAR</POINT_01>
<INTERNAL_ENTRY_NUMBER>9286</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>74621131</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+9286,;.01~VA-BENE REPLY-1 YEAR
9999999.64;+9286,;.03~VA-BENE CONSULT REPLY [C]
9999999.64;+9286,;.08~YES
9999999.64;+9286,;.1~FACTOR
9999999.64;+9286,;100~LOCAL
9999999.64;+9286,;200~Bene Reply-1 Year
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE REPLY-6 MONTHS</POINT_01>
<INTERNAL_ENTRY_NUMBER>9285</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>442757283</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+9285,;.01~VA-BENE REPLY-6 MONTHS
9999999.64;+9285,;.03~VA-BENE CONSULT REPLY [C]
9999999.64;+9285,;.08~YES
9999999.64;+9285,;.1~FACTOR
9999999.64;+9285,;100~LOCAL
9999999.64;+9285,;200~Bene Reply-6 Months
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE REPLY-3 MONTHS</POINT_01>
<INTERNAL_ENTRY_NUMBER>9284</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3237333883</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+9284,;.01~VA-BENE REPLY-3 MONTHS
9999999.64;+9284,;.03~VA-BENE CONSULT REPLY [C]
9999999.64;+9284,;.08~YES
9999999.64;+9284,;.1~FACTOR
9999999.64;+9284,;100~LOCAL
9999999.64;+9284,;200~Bene Reply-3 Months
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE REPLY-ONE TIME</POINT_01>
<INTERNAL_ENTRY_NUMBER>9283</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1010953989</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+9283,;.01~VA-BENE REPLY-ONE TIME
9999999.64;+9283,;.03~VA-BENE CONSULT REPLY [C]
9999999.64;+9283,;.08~YES
9999999.64;+9283,;.1~FACTOR
9999999.64;+9283,;100~LOCAL
9999999.64;+9283,;200~Bene Reply-One Time
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE REPLY-2 YEARS</POINT_01>
<INTERNAL_ENTRY_NUMBER>33303</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>765068972</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+33303,;.01~VA-BENE REPLY-2 YEARS
9999999.64;+33303,;.03~VA-BENE CONSULT REPLY [C]
9999999.64;+33303,;.08~YES
9999999.64;+33303,;.1~FACTOR
9999999.64;+33303,;100~NATIONAL
9999999.64;+33303,;200~Bene Travel Consult Reply- Authorized for 2 Years
9999999.64;+33303,;201~WP-start~1
Approved time frame this travel request: 2 Years
9999999.65;+33304,+33303,;.01~MAR 15, 2024@14:41:05
9999999.65;+33304,+33303,;2~WP-start~1
Copied from VA-BENE REPLY-1 YEAR
9999999.65;+33305,+33303,;.01~MAR 15, 2024@14:42:05
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
33304^1
33305^2
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH FACTORS</FILE_NAME>
<FILE_NUMBER>9999999.64</FILE_NUMBER>
<POINT_01>VA-BENE REPLY-APPROVED</POINT_01>
<INTERNAL_ENTRY_NUMBER>9279</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2987850081</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
9999999.64;+9279,;.01~VA-BENE REPLY-APPROVED
9999999.64;+9279,;.03~VA-BENE CONSULT REPLY [C]
9999999.64;+9279,;.08~YES
9999999.64;+9279,;.1~FACTOR
9999999.64;+9279,;100~LOCAL
9999999.64;+9279,;200~Bene Reply-Approved
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER SPONSOR</FILE_NAME>
<FILE_NUMBER>811.6</FILE_NUMBER>
<POINT_01>VETERAN TRANSPORTATION PROGRAM (VTP)</POINT_01>
<INTERNAL_ENTRY_NUMBER>41</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>564473496</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
811.6;+41,;.01~VETERAN TRANSPORTATION PROGRAM (VTP)
811.6;+41,;100~NATIONAL
811.63;+42,+41,;.01~07/07/2026@04:48:20
811.63;+42,+41,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
42^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER COMPUTED FINDINGS</FILE_NAME>
<FILE_NUMBER>811.4</FILE_NUMBER>
<POINT_01>VA-REMINDER DEFINITION</POINT_01>
<INTERNAL_ENTRY_NUMBER>35</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1262865029</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
811.4;+35,;.01~VA-REMINDER DEFINITION
811.4;+35,;.02~PXRMCDEF
811.4;+35,;.03~RDEF
811.4;+35,;.04~VA-Reminder Definition
811.4;+35,;1~WP-start~49
This computed finding will evaluate the reminder definition that is 
specified in the COMPUTED FINDING PARAMETER field. This can be the
internal entry number of the reminder definition or the name that is
used is the NAME field (.01) of the reminder definition, not the PRINT
NAME, additionally the definition must be active. The computed finding
will be false if the reminder evaluation status is CNBD or ERROR, in all
other cases it will be true.
 
The default date of the finding is the evaluation date; this can be
overridden by appending "^DATE=DUE DATE" or "^DATE=LAST DONE" to the
reminder name. If a last done date cannot be determined then the date
of the finding will be the evaluation date.
 
Examples:
  123
  123^DATE=LAST DONE
  VA-IHD LIPID PROFILE
  VA-IHD LIPID PROFILE^DATE=LAST DONE
  VA-IHD LIPID PROFILE^DATE=DUE DATE
 
The VALUE array, which can be used in a Condition, will contain the
evaluation status, due date, and last done date. The date values
are in VA FileMan format. The variable V is the reminder evaluation
status. Possible values for the reminder evaluation status are:
 CNBD
 CONTRA
 DONE
 DUE NOW
 DUE SOON
 ERROR
 N/A
 NEVER
 REFUSED
 RESOLVED
 
Example of the Value array:
  VALUE("STATUS")="DUE NOW" 
  VALUE("DUEDATE")=3051010.1220 
  VALUE("LASTDONE")=3051010.1220 
 
Condition examples:
  I V="DUE NOW" 
  I V("STATUS")="DUE NOW" 
  I V("DUEDATE")>3051010.1220 
  I V("LASTDONE")=3051010.1220 
  
***WARNING*** This computed finding can be used to evaluate a reminder 
inside of a reminder evaluation - do not have this computed finding 
evaluate the same reminder as the one being evaluated.  
811.4;+35,;5~SINGLE
811.4;+35,;6~YES
811.4;+35,;100~NATIONAL
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER TERM</FILE_NAME>
<FILE_NUMBER>811.5</FILE_NUMBER>
<POINT_01>VA-REMINDER UPDATE_2_0_433A</POINT_01>
<INTERNAL_ENTRY_NUMBER>3463</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>119227243</CHECKSUM>
<SELECTED>YES</SELECTED>
<FILEMAN_FDA>
<![CDATA[
811.5;+3463,;.01~VA-REMINDER UPDATE_2_0_433A
811.5;+3463,;100~NATIONAL
811.52;+3464,+3463,;.01~HF.VA-UPDATE_2_0_433A
811.52;+3464,+3463,;11~0
811.52;+3464,+3463,;15~NO
811.53;+3465,+3463,;.01~07/07/2026@04:48:20
811.53;+3465,+3463,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
3464^1
3465^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER TERM</FILE_NAME>
<FILE_NUMBER>811.5</FILE_NUMBER>
<POINT_01>VA-BENEFICIARY TRAVEL (BT)</POINT_01>
<INTERNAL_ENTRY_NUMBER>1042</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2067656619</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
811.5;+1042,;.01~VA-BENEFICIARY TRAVEL (BT)
811.5;+1042,;100~NATIONAL
811.5;+1042,;101~VETERAN TRANSPORTATION PROGRAM (VTP)
811.52;+1043,+1042,;.01~CF.VA-REMINDER DEFINITION
811.52;+1043,+1042,;9~T-365
811.52;+1043,+1042,;14~I V("STATUS")="DUE NOW"
811.52;+1043,+1042,;22~I $G(V("STATUS"))="DUE NOW"
811.52;+1043,+1042,;23~"STATUS";
811.52;+1043,+1042,;26~VA-BENEFICIARY TRAVEL (BT)
811.53;+1044,+1042,;.01~07/07/2026@04:48:20
811.53;+1044,+1042,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
1043^1
1044^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DEFINITION</FILE_NAME>
<FILE_NUMBER>811.9</FILE_NUMBER>
<POINT_01>VA-BENEFICIARY TRAVEL (BT)</POINT_01>
<INTERNAL_ENTRY_NUMBER>146</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>231691449</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
811.9;+146,;.01~VA-BENEFICIARY TRAVEL (BT)
811.9;+146,;1.2~BENEFICIARY TRAVEL (BT)
811.9;+146,;2~WP-start~2
This reminder defintion is used for branching logic.
Update 04/2018 to add FI(7) to the cohort logic.
811.9;+146,;30~FI(1)&(FI(2)!FI(3)!FI(4)!FI(5)!FI(7)!FI(8))
811.9;+146,;31~FI(1)&(FI(2)!FI(3)!FI(4)!FI(5)!FI(7)!FI(8))
811.9;+146,;32~7
811.9;+146,;33~1;2;3;4;5;7;8
811.9;+146,;34~FI(6)&FF(1)
811.9;+146,;35~FI(6)&FF(1)
811.9;+146,;36~2
811.9;+146,;37~6;FF1
811.9;+146,;40~0
811.9;+146,;42~0
811.9;+146,;60~WP-start~1
***ACTIVE TRAVEL APPROVAL***
811.9;+146,;62~1
811.9;+146,;63~0
811.9;+146,;67~0
811.9;+146,;68~0
811.9;+146,;72~0
811.9;+146,;73~0
811.9;+146,;77~0
811.9;+146,;78~0
811.9;+146,;85~0
811.9;+146,;86~0
811.9;+146,;95~0
811.9;+146,;96~0
811.9;+146,;100~NATIONAL
811.9;+146,;103~R
811.9001;+147,+146,;.01~07/07/2026@04:48:20
811.9001;+147,+146,;2~WP-start~1
Exchange Stub
811.902;+148,+146,;.01~HF.VA-BENE REPLY-APPROVED
811.902;+148,+146,;9~T-365
811.902;+148,+146,;11~0
811.902;+148,+146,;24~0
811.902;+148,+146,;25~0
811.902;+149,+146,;.01~HF.VA-BENE REPLY-ONE TIME
811.902;+149,+146,;4~WP-start~1
ONE TIME TRAVEL APPROVED (30DAYS)
811.902;+149,+146,;9~T-30
811.902;+149,+146,;11~0
811.902;+149,+146,;24~1
811.902;+149,+146,;25~0
811.902;+150,+146,;.01~HF.VA-BENE REPLY-3 MONTHS
811.902;+150,+146,;4~WP-start~1
TRAVEL APPROVED (90DAYS)
811.902;+150,+146,;9~T-90
811.902;+150,+146,;11~0
811.902;+150,+146,;24~1
811.902;+150,+146,;25~0
811.902;+151,+146,;.01~HF.VA-BENE REPLY-6 MONTHS
811.902;+151,+146,;4~WP-start~1
TRAVEL APPROVED (180DAYS)
811.902;+151,+146,;9~T-180
811.902;+151,+146,;11~0
811.902;+151,+146,;24~1
811.902;+151,+146,;25~0
811.902;+152,+146,;.01~HF.VA-BENE REPLY-1 YEAR
811.902;+152,+146,;4~WP-start~1
TRAVEL APPROVED (365DAYS)
811.902;+152,+146,;9~T-365
811.902;+152,+146,;11~0
811.902;+152,+146,;24~1
811.902;+152,+146,;25~0
811.902;+153,+146,;.01~HF.VA-BENE REPLY-CHANGE IN BENEFITS
811.902;+153,+146,;9~T-365
811.902;+153,+146,;11~0
811.902;+153,+146,;24~0
811.902;+153,+146,;25~0
811.902;+154,+146,;.01~HF.VA-BENE REPLY-1 MONTH
811.902;+154,+146,;9~T-30D
811.902;+154,+146,;11~0
811.902;+154,+146,;12~T
811.902;+154,+146,;24~0
811.902;+154,+146,;25~0
811.902;+155,+146,;.01~HF.VA-BENE REPLY-2 YEARS
811.902;+155,+146,;9~T-2Y
811.902;+155,+146,;11~0
811.902;+155,+146,;15~NO
811.902;+155,+146,;24~0
811.902;+155,+146,;25~0
811.925;+156,+146,;.01~1
811.925;+156,+146,;3~MRD(6)'<MRD(1,2,3,4,5,7,8)
811.925;+156,+146,;10~FN(1)'<FN(2)
811.925;+156,+146,;41~0
811.925;+156,+146,;42~0
811.9255;+157,+156,+146,;.01~1
811.9255;+157,+156,+146,;.02~MRD
811.9255;+158,+156,+146,;.01~2
811.9255;+158,+156,+146,;.02~MRD
811.9256;+159,+157,+156,+146,;.01~6
811.9256;+160,+158,+156,+146,;.01~1
811.9256;+161,+158,+156,+146,;.01~2
811.9256;+162,+158,+156,+146,;.01~3
811.9256;+163,+158,+156,+146,;.01~4
811.9256;+164,+158,+156,+146,;.01~5
811.9256;+165,+158,+156,+146,;.01~7
811.9256;+166,+158,+156,+146,;.01~8
811.97;+167,+146,;.01~99Y
811.97;+167,+146,;5~0
811.97;+167,+146,;6~0
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
147^1
148^1
149^2
150^3
151^4
152^5
153^6
154^7
155^8
156^1
157^1
158^2
159^1
160^1
161^2
162^3
163^4
164^5
165^6
166^7
167^2
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH SUMMARY COMPONENT</FILE_NAME>
<FILE_NUMBER>142.1</FILE_NUMBER>
<POINT_01>PCE HEALTH FACTORS SELECTED</POINT_01>
<INTERNAL_ENTRY_NUMBER>203</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1531877056</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
142.1;+203,;.01~PCE HEALTH FACTORS SELECTED
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH SUMMARY COMPONENT</FILE_NAME>
<FILE_NUMBER>142.1</FILE_NUMBER>
<POINT_01>CLINICAL REMINDERS DUE</POINT_01>
<INTERNAL_ENTRY_NUMBER>202</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2238148955</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
142.1;+202,;.01~CLINICAL REMINDERS DUE
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH SUMMARY TYPE</FILE_NAME>
<FILE_NUMBER>142</FILE_NUMBER>
<POINT_01>BENE TRAVEL (ACTIVE APPROVAL)</POINT_01>
<INTERNAL_ENTRY_NUMBER>2205</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1427444882</CHECKSUM>
<SELECTED>YES</SELECTED>
<FILEMAN_FDA>
<![CDATA[
142;+2205,;.01~BENE TRAVEL (ACTIVE APPROVAL)
142;+2205,;.08~yes
142;+2205,;99~67124,27833
142;+2205,;100~4 DIGIT SSN
142.01;+2206,+2205,;.01~10
142.01;+2206,+2205,;1~PCE HEALTH FACTORS SELECTED
142.01;+2206,+2205,;2~1
142.01;+2206,+2205,;3~1Y
142.01;+2206,+2205,;5~Health Factor Select
142.01;+2207,+2205,;.01~5
142.01;+2207,+2205,;1~CLINICAL REMINDERS DUE
142.01;+2207,+2205,;5~REMINDER DUE
142.14;+2208,+2206,+2205,;.01~F.VA-BENE REPLY-ONE TIME
142.14;+2209,+2207,+2205,;.01~C.VA-BENEFICIARY TRAVEL (BT)
142.14;+2210,+2206,+2205,;.01~F.VA-BENE REPLY-3 MONTHS
142.14;+2211,+2206,+2205,;.01~F.VA-BENE REPLY-6 MONTHS
142.14;+2212,+2206,+2205,;.01~F.VA-BENE REPLY-1 YEAR
142.14;+2213,+2206,+2205,;.01~F.VA-BENE REPLY-CHANGE IN BENEFITS
142.14;+2214,+2206,+2205,;.01~F.VA-BENE REPLY-1 MONTH
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
2206^10
2207^5
2208^1
2209^1
2210^2
2211^3
2212^4
2213^5
2214^6
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>HEALTH SUMMARY OBJECTS</FILE_NAME>
<FILE_NUMBER>142.5</FILE_NUMBER>
<POINT_01>BENE TRAVL-BT(ACTIVE APPROVAL)</POINT_01>
<INTERNAL_ENTRY_NUMBER>6600323</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1346129676</CHECKSUM>
<SELECTED>YES</SELECTED>
<FILEMAN_FDA>
<![CDATA[
142.5;+6600323,;.01~BENE TRAVL-BT(ACTIVE APPROVAL)
142.5;+6600323,;.02~BENE TRAVEL (ACTIVE APPROVAL)     
142.5;+6600323,;.03~BENE TRAVEL (ACTIVE APPROVAL)
142.5;+6600323,;.05~YES
142.5;+6600323,;.06~YES
142.5;+6600323,;.07~YES
142.5;+6600323,;.08~YES
142.5;+6600323,;.09~NO
142.5;+6600323,;.1~NO
142.5;+6600323,;.11~NO
142.5;+6600323,;.12~NO
142.5;+6600323,;.13~NO
142.5;+6600323,;.14~NO
142.5;+6600323,;.15~NO
142.5;+6600323,;.16~NO
142.5;+6600323,;.18~JUN 22, 2017@07:28:07
142.5;+6600323,;.19~JUN 22, 2017@09:40:11
142.5;+6600323,;.2~NO
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>TIU DOCUMENT DEFINITION</FILE_NAME>
<FILE_NUMBER>8925.1</FILE_NUMBER>
<POINT_01>BENE TRAVL-BT(ACTIVE APPROVAL)</POINT_01>
<INTERNAL_ENTRY_NUMBER>1101</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>975420460</CHECKSUM>
<SELECTED>YES</SELECTED>
<FILEMAN_FDA>
<![CDATA[
8925.1;+1101,;.01~BENE TRAVL-BT(ACTIVE APPROVAL)
8925.1;+1101,;.03~BENE TRAVL-BT(ACTIVE APPROVAL)
8925.1;+1101,;.04~OBJECT
8925.1;+1101,;.07~ACTIVE
8925.1;+1101,;9~S X=$$TIU^GMTSOBJ(DFN,BENE TRAVL-BT(ACTIVE APPROVAL))
8925.1;+1101,;99~
]]>
</FILEMAN_FDA>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BLANK LINE DIALOG &amp; NOTE</POINT_01>
<INTERNAL_ENTRY_NUMBER>12408</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1078733788</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+12408,;.01~VA-BLANK LINE DIALOG & NOTE
801.41;+12408,;4~dialog element
801.41;+12408,;25~WP-start~1
<br>
801.41;+12408,;35~WP-start~1
\\<br>
801.41;+12408,;51~SUPPRESS
801.41;+12408,;100~LOCAL
801.44;+12409,+12408,;.01~07/07/2026@04:48:20
801.44;+12409,+12408,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
12409^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>PXRM VISIT DATE FORCED TODAY</POINT_01>
<INTERNAL_ENTRY_NUMBER>1455</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>602000215</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+1455,;.01~PXRM VISIT DATE FORCED TODAY
801.41;+1455,;4~forced value
801.41;+1455,;22~T
801.41;+1455,;24~Date:
801.41;+1455,;46~VST_DATE
801.41;+1455,;100~NATIONAL
801.44;+1456,+1455,;.01~07/07/2026@04:48:20
801.44;+1456,+1455,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
1456^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP MEDICAL REASON ATTENDANT NO</POINT_01>
<INTERNAL_ENTRY_NUMBER>10948</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3279278852</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+10948,;.01~VA-BENE TRAV GP MEDICAL REASON ATTENDANT NO
801.41;+10948,;4~dialog group
801.41;+10948,;9~ALL SELECTIONS ARE REQUIRED
801.41;+10948,;13~OTHER
801.41;+10948,;15~HF.VA-BENE MEDICAL REASON ATTENDANT-NO
801.41;+10948,;25~WP-start~1
[ No ]
801.41;+10948,;35~WP-start~2
Veteran does not require the medical aid and/or physical assistance of
another person.
801.41;+10948,;50~HIDE
801.41;+10948,;100~NATIONAL
801.412;+10949,+10948,;.01~5
801.412;+10949,+10948,;2~PXRM VISIT DATE FORCED TODAY
801.44;+10950,+10948,;.01~07/07/2026@04:48:20
801.44;+10950,+10948,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
10949^2
10950^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP MEDICAL REASON ATTENDANT</POINT_01>
<INTERNAL_ENTRY_NUMBER>10941</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3707079306</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+10941,;.01~VA-BENE TRAV GP MEDICAL REASON ATTENDANT
801.41;+10941,;4~dialog group
801.41;+10941,;7~2
801.41;+10941,;9~ALL SELECTIONS ARE REQUIRED
801.41;+10941,;13~OTHER
801.41;+10941,;15~HF.VA-BENE MEDICAL REASON ATTENDANT-YES
801.41;+10941,;25~WP-start~1
[ Yes ]
801.41;+10941,;35~WP-start~2
Veteran requires the medical aid and/or physical assistance of another
person.
801.41;+10941,;50~HIDE
801.41;+10941,;100~NATIONAL
801.412;+10942,+10941,;.01~5
801.412;+10942,+10941,;2~PXRM VISIT DATE FORCED TODAY
801.44;+10943,+10941,;.01~07/07/2026@04:48:20
801.44;+10943,+10941,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
10942^7
10943^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP MEDICAL REASON ATTENDANT YES</POINT_01>
<INTERNAL_ENTRY_NUMBER>10940</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>803137397</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+10940,;.01~VA-BENE TRAV GP MEDICAL REASON ATTENDANT YES
801.41;+10940,;4~dialog group
801.41;+10940,;7~2
801.41;+10940,;9~ONE SELECTION ONLY
801.41;+10940,;13~OTHER
801.41;+10940,;23~YES
801.41;+10940,;25~WP-start~2
Does the Veteran require the medical aid and/or physical assistance of
another person?*
801.41;+10940,;50~SHOW
801.41;+10940,;51~SUPPRESS
801.41;+10940,;100~NATIONAL
801.412;+10941,+10940,;.01~10
801.412;+10941,+10940,;2~VA-BENE TRAV GP MEDICAL REASON ATTENDANT
801.412;+10942,+10940,;.01~20
801.412;+10942,+10940,;2~VA-BENE TRAV GP MEDICAL REASON ATTENDANT NO
801.44;+10943,+10940,;.01~07/07/2026@04:48:20
801.44;+10943,+10940,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
10941^1
10942^2
10943^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP ATTENDANT</POINT_01>
<INTERNAL_ENTRY_NUMBER>10975</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1368906402</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+10975,;.01~VA-BENE TRAV GP ATTENDANT
801.41;+10975,;4~dialog group
801.41;+10975,;6~YES
801.41;+10975,;7~2
801.41;+10975,;25~WP-start~1
ATTENDANT:
801.41;+10975,;35~WP-start~3
\\
BENEFICIARY TRAVEL ATTENDANT:\\
\\
801.41;+10975,;52~INDENT
801.41;+10975,;100~NATIONAL
801.412;+10976,+10975,;.01~10
801.412;+10976,+10975,;2~VA-BENE TRAV GP MEDICAL REASON ATTENDANT YES
801.412;+10977,+10975,;.01~5
801.412;+10977,+10975,;2~PXRM VISIT DATE FORCED TODAY
801.44;+10978,+10975,;.01~07/07/2026@04:48:20
801.44;+10978,+10975,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
10976^6
10977^7
10978^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAVEL MEALS NO</POINT_01>
<INTERNAL_ENTRY_NUMBER>99703</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3977460669</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+99703,;.01~VA-BENE TRAVEL MEALS NO
801.41;+99703,;4~dialog group
801.41;+99703,;9~ALL SELECTIONS ARE REQUIRED
801.41;+99703,;13~OTHER
801.41;+99703,;25~WP-start~1
[ No ]
801.41;+99703,;35~WP-start~1
Veteran does not require meals and/or lodging.
801.41;+99703,;50~HIDE
801.41;+99703,;100~NATIONAL
801.412;+99704,+99703,;.01~5
801.412;+99704,+99703,;2~PXRM VISIT DATE FORCED TODAY
801.44;+99705,+99703,;.01~07/07/2026@04:48:20
801.44;+99705,+99703,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
99704^2
99705^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV MEALS YES</POINT_01>
<INTERNAL_ENTRY_NUMBER>99701</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3337264632</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+99701,;.01~VA-BENE TRAV MEALS YES
801.41;+99701,;4~dialog group
801.41;+99701,;7~2
801.41;+99701,;9~ALL SELECTIONS ARE REQUIRED
801.41;+99701,;13~OTHER
801.41;+99701,;25~WP-start~1
[ Yes ]
801.41;+99701,;35~WP-start~1
The Veteran require meals and/or lodging.
801.41;+99701,;50~HIDE
801.41;+99701,;100~NATIONAL
801.412;+99702,+99701,;.01~5
801.412;+99702,+99701,;2~PXRM VISIT DATE FORCED TODAY
801.44;+99703,+99701,;.01~07/07/2026@04:48:20
801.44;+99703,+99701,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
99702^7
99703^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-GP BENE TRAV MEALS LODGING</POINT_01>
<INTERNAL_ENTRY_NUMBER>99696</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2028775255</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+99696,;.01~VA-GP BENE TRAV MEALS LODGING
801.41;+99696,;4~dialog group
801.41;+99696,;7~2
801.41;+99696,;9~ONE SELECTION ONLY
801.41;+99696,;13~OTHER
801.41;+99696,;23~YES
801.41;+99696,;25~WP-start~6
38 CFR 70.30 Payment Principles \\
(3) The actual cost for meals, lodging, or both, not to exceed 50 percent 
of the amount allowed for government employees under 5 U.S.C. 5702, when 
VA determines that an overnight stay is required.
 
Does the Veteran require meals and/or lodging?*
801.41;+99696,;50~SHOW
801.41;+99696,;51~SUPPRESS
801.41;+99696,;100~NATIONAL
801.412;+99697,+99696,;.01~10
801.412;+99697,+99696,;2~VA-BENE TRAV MEALS YES
801.412;+99698,+99696,;.01~20
801.412;+99698,+99696,;2~VA-BENE TRAVEL MEALS NO
801.44;+99699,+99696,;.01~07/07/2026@04:48:20
801.44;+99699,+99696,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
99697^1
99698^2
99699^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-GP BENE TRAVEL MEALS AND LODGING</POINT_01>
<INTERNAL_ENTRY_NUMBER>99695</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1872406433</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+99695,;.01~VA-GP BENE TRAVEL MEALS AND LODGING
801.41;+99695,;4~dialog group
801.41;+99695,;6~YES
801.41;+99695,;7~2
801.41;+99695,;25~WP-start~1
MEALS AND/OR LODGING:
801.41;+99695,;35~WP-start~3
\\
MEALS AND/OR LODGING:\\
\\
801.41;+99695,;52~INDENT
801.41;+99695,;100~NATIONAL
801.412;+99696,+99695,;.01~10
801.412;+99696,+99695,;2~VA-GP BENE TRAV MEALS LODGING
801.412;+99697,+99695,;.01~5
801.412;+99697,+99695,;2~PXRM VISIT DATE FORCED TODAY
801.44;+99698,+99695,;.01~07/07/2026@04:48:20
801.44;+99698,+99695,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
99696^6
99697^7
99698^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV OPTIONAL WORD</POINT_01>
<INTERNAL_ENTRY_NUMBER>99694</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1171816633</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+99694,;.01~VA-BENE TRAV OPTIONAL WORD
801.41;+99694,;4~dialog element
801.41;+99694,;25~WP-start~1
{FLD:VA-BENE TRAV WORD PROCESSING}
801.41;+99694,;51~SUPPRESS
801.41;+99694,;100~NATIONAL
801.44;+99695,+99694,;.01~07/07/2026@04:48:20
801.44;+99695,+99694,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
99695^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP OPTIONAL</POINT_01>
<INTERNAL_ENTRY_NUMBER>28488</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2675054988</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28488,;.01~VA-BENE TRAV GP OPTIONAL
801.41;+28488,;4~dialog group
801.41;+28488,;7~2
801.41;+28488,;25~WP-start~1
Additional supporting information if needed:(Optional)
801.41;+28488,;35~WP-start~1
Additional supporting information:
801.41;+28488,;52~INDENT
801.41;+28488,;100~NATIONAL
801.412;+28489,+28488,;.01~10
801.412;+28489,+28488,;2~VA-BENE TRAV OPTIONAL WORD
801.44;+28490,+28488,;.01~07/07/2026@04:48:21
801.44;+28490,+28488,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28489^1
28490^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV SPECIAL MODE TIME 1 MONTH</POINT_01>
<INTERNAL_ENTRY_NUMBER>18221</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3915881009</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+18221,;.01~VA-BENE TRAV SPECIAL MODE TIME 1 MONTH
801.41;+18221,;4~dialog element
801.41;+18221,;13~DONE AT ENCOUNTER
801.41;+18221,;15~HF.VA-BENE SM 1 MONTH
801.41;+18221,;25~WP-start~1
1 Month
801.41;+18221,;35~WP-start~2
\\
Estimated time frame Veteran will require transportation: 1 Month
801.41;+18221,;100~NATIONAL
801.412;+18222,+18221,;.01~5
801.412;+18222,+18221,;2~PXRM VISIT DATE FORCED TODAY
801.44;+18223,+18221,;.01~07/07/2026@04:48:21
801.44;+18223,+18221,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
18222^1
18223^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV SPECIAL MODE TIME 2 YEARS</POINT_01>
<INTERNAL_ENTRY_NUMBER>81268</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1031203699</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+81268,;.01~VA-BENE TRAV SPECIAL MODE TIME 2 YEARS
801.41;+81268,;4~dialog element
801.41;+81268,;13~DONE AT ENCOUNTER
801.41;+81268,;15~HF.VA-BENE SM 2 YEARS
801.41;+81268,;25~WP-start~1
2 years (e.g. - Permanent not likely to improve)
801.41;+81268,;35~WP-start~2
\\
Estimated time frame Veteran will require transportation: 2 Years
801.41;+81268,;100~NATIONAL
801.412;+81269,+81268,;.01~5
801.412;+81269,+81268,;2~PXRM VISIT DATE FORCED TODAY
801.44;+81270,+81268,;.01~07/07/2026@04:48:21
801.44;+81270,+81268,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
81269^1
81270^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV SPECIAL MODE TIME 6 MONTH</POINT_01>
<INTERNAL_ENTRY_NUMBER>28494</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>753822677</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28494,;.01~VA-BENE TRAV SPECIAL MODE TIME 6 MONTH
801.41;+28494,;4~dialog element
801.41;+28494,;13~DONE AT ENCOUNTER
801.41;+28494,;15~HF.VA-BENE 6 MONTHS
801.41;+28494,;25~WP-start~2
6 Months (e.g. - long-term rehab or need through planned surgery and
recovery)
801.41;+28494,;35~WP-start~2
\\
Estimated time frame Veteran will require transportation: 6 Months
801.41;+28494,;100~NATIONAL
801.412;+28495,+28494,;.01~5
801.412;+28495,+28494,;2~PXRM VISIT DATE FORCED TODAY
801.44;+28496,+28494,;.01~07/07/2026@04:48:21
801.44;+28496,+28494,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28495^1
28496^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV SPECIAL MODE TIME 3 MONTH</POINT_01>
<INTERNAL_ENTRY_NUMBER>28495</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3192813469</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28495,;.01~VA-BENE TRAV SPECIAL MODE TIME 3 MONTH
801.41;+28495,;4~dialog element
801.41;+28495,;13~DONE AT ENCOUNTER
801.41;+28495,;15~HF.VA-BENE SM 3 MONTHS
801.41;+28495,;25~WP-start~1
3 Months (e.g. - short-term rehab)
801.41;+28495,;35~WP-start~2
\\
Estimated time frame Veteran will require transportation: 3 Months
801.41;+28495,;100~NATIONAL
801.412;+28496,+28495,;.01~5
801.412;+28496,+28495,;2~PXRM VISIT DATE FORCED TODAY
801.44;+28497,+28495,;.01~07/07/2026@04:48:21
801.44;+28497,+28495,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28496^1
28497^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV SPECIAL MODE TIME ONCE</POINT_01>
<INTERNAL_ENTRY_NUMBER>28496</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3455678478</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28496,;.01~VA-BENE TRAV SPECIAL MODE TIME ONCE
801.41;+28496,;4~dialog element
801.41;+28496,;13~DONE AT ENCOUNTER
801.41;+28496,;15~HF.VA-BENE SM ONE TIME
801.41;+28496,;25~WP-start~2
One Time (Consider requesting longer approval if follow-up care is
required)
801.41;+28496,;35~WP-start~2
\\
Estimated time frame Veteran will require transportation: One Time
801.41;+28496,;100~NATIONAL
801.412;+28497,+28496,;.01~5
801.412;+28497,+28496,;2~PXRM VISIT DATE FORCED TODAY
801.44;+28498,+28496,;.01~07/07/2026@04:48:21
801.44;+28498,+28496,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28497^1
28498^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP SPECIAL MODE TIME</POINT_01>
<INTERNAL_ENTRY_NUMBER>28497</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2596390129</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28497,;.01~VA-BENE TRAV GP SPECIAL MODE TIME
801.41;+28497,;4~dialog group
801.41;+28497,;7~2
801.41;+28497,;9~ONE SELECTION ONLY
801.41;+28497,;23~YES
801.41;+28497,;25~WP-start~1
Estimated time frame Veteran will require transportation:*\\
801.41;+28497,;50~SHOW
801.41;+28497,;51~SUPPRESS
801.41;+28497,;52~NO INDENT
801.41;+28497,;100~NATIONAL
801.412;+28498,+28497,;.01~10
801.412;+28498,+28497,;2~VA-BENE TRAV SPECIAL MODE TIME ONCE
801.412;+28499,+28497,;.01~20
801.412;+28499,+28497,;2~VA-BENE TRAV SPECIAL MODE TIME 3 MONTH
801.412;+28500,+28497,;.01~30
801.412;+28500,+28497,;2~VA-BENE TRAV SPECIAL MODE TIME 6 MONTH
801.412;+28501,+28497,;.01~40
801.412;+28501,+28497,;2~VA-BENE TRAV SPECIAL MODE TIME 2 YEARS
801.412;+28502,+28497,;.01~15
801.412;+28502,+28497,;2~VA-BENE TRAV SPECIAL MODE TIME 1 MONTH
801.44;+28503,+28497,;.01~07/07/2026@04:48:21
801.44;+28503,+28497,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28498^1
28499^2
28500^3
28501^4
28502^5
28503^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV BLANK LINE NOTE ONLY</POINT_01>
<INTERNAL_ENTRY_NUMBER>28487</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2795816333</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28487,;.01~VA-BENE TRAV BLANK LINE NOTE ONLY
801.41;+28487,;4~dialog element
801.41;+28487,;25~WP-start~1
\\
801.41;+28487,;35~WP-start~1
\\
801.41;+28487,;51~SUPPRESS
801.41;+28487,;100~NATIONAL
801.44;+28488,+28487,;.01~07/07/2026@04:48:21
801.44;+28488,+28487,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28488^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP SPECIAL MODE STRETCHER VAN</POINT_01>
<INTERNAL_ENTRY_NUMBER>111374</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2570242000</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+111374,;.01~VA-BENE TRAV GP SPECIAL MODE STRETCHER VAN
801.41;+111374,;4~dialog group
801.41;+111374,;7~2
801.41;+111374,;13~DONE AT ENCOUNTER
801.41;+111374,;15~HF.VA-BENE SM TYPE STRETCHER VAN
801.41;+111374,;25~WP-start~1
STRETCHER VAN (e.g.; Driver Only; NO Medical Attendant; Non-Emergent)
801.41;+111374,;35~WP-start~1
STRETCHER VAN
801.41;+111374,;50~HIDE
801.41;+111374,;52~INDENT
801.41;+111374,;100~NATIONAL
801.412;+111375,+111374,;.01~5
801.412;+111375,+111374,;2~PXRM VISIT DATE FORCED TODAY
801.44;+111376,+111374,;.01~07/07/2026@04:48:21
801.44;+111376,+111374,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
111375^4
111376^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP SPECIAL MODE AMBULETTE</POINT_01>
<INTERNAL_ENTRY_NUMBER>111375</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1312158958</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+111375,;.01~VA-BENE TRAV GP SPECIAL MODE AMBULETTE
801.41;+111375,;4~dialog group
801.41;+111375,;7~2
801.41;+111375,;13~DONE AT ENCOUNTER
801.41;+111375,;15~HF.VA-BENE SM TYPE AMBULETTE
801.41;+111375,;25~WP-start~1
AMBULETTE (e.g.; Driver Only; NO Medical Attendant; Non-Emergent)
801.41;+111375,;35~WP-start~1
AMBULETTE
801.41;+111375,;50~HIDE
801.41;+111375,;52~INDENT
801.41;+111375,;100~NATIONAL
801.412;+111376,+111375,;.01~5
801.412;+111376,+111375,;2~PXRM VISIT DATE FORCED TODAY
801.44;+111377,+111375,;.01~07/07/2026@04:48:21
801.44;+111377,+111375,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
111376^4
111377^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP SPECIAL MODE WHEELCHAIR</POINT_01>
<INTERNAL_ENTRY_NUMBER>28500</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2247242117</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28500,;.01~VA-BENE TRAV GP SPECIAL MODE WHEELCHAIR
801.41;+28500,;4~dialog group
801.41;+28500,;7~2
801.41;+28500,;13~DONE AT ENCOUNTER
801.41;+28500,;15~HF.VA-BENE SM TYPE WC
801.41;+28500,;25~WP-start~1
WHEELCHAIR VAN (e.g.; Driver Only; NO Medical Attendant; Non-Emergent)
801.41;+28500,;35~WP-start~1
WHEELCHAIR VAN
801.41;+28500,;50~HIDE
801.41;+28500,;52~INDENT
801.41;+28500,;100~NATIONAL
801.412;+28501,+28500,;.01~5
801.412;+28501,+28500,;2~PXRM VISIT DATE FORCED TODAY
801.44;+28502,+28500,;.01~07/07/2026@04:48:21
801.44;+28502,+28500,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28501^4
28502^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP SPECIAL MODE BASIC LIFE SUPPORT</POINT_01>
<INTERNAL_ENTRY_NUMBER>28521</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2080479626</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28521,;.01~VA-BENE TRAV GP SPECIAL MODE BASIC LIFE SUPPORT
801.41;+28521,;4~dialog group
801.41;+28521,;7~2
801.41;+28521,;13~DONE AT ENCOUNTER
801.41;+28521,;15~HF.VA-BENE SM TYPE BLS
801.41;+28521,;25~WP-start~2
BASIC LIFE SUPPORT (e.g.; stretcher, Medical Attendant on-board minimal 
medical issues)
801.41;+28521,;35~WP-start~1
BASIC LIFE SUPPORT
801.41;+28521,;50~HIDE
801.41;+28521,;52~INDENT
801.41;+28521,;100~NATIONAL
801.412;+28522,+28521,;.01~5
801.412;+28522,+28521,;2~PXRM VISIT DATE FORCED TODAY
801.44;+28523,+28521,;.01~07/07/2026@04:48:21
801.44;+28523,+28521,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28522^9
28523^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP SPECIAL MODE ADVANCED LIFE SUPPORT</POINT_01>
<INTERNAL_ENTRY_NUMBER>28543</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1437675498</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28543,;.01~VA-BENE TRAV GP SPECIAL MODE ADVANCED LIFE SUPPORT
801.41;+28543,;4~dialog group
801.41;+28543,;7~2
801.41;+28543,;13~DONE AT ENCOUNTER
801.41;+28543,;15~HF.VA-BENE SM TYPE ALS
801.41;+28543,;25~WP-start~2
ADVANCED LIFE SUPPORT (e.g.; High acuity, complex medical issues, 
stretcher, advanced medical attendant on-board)
801.41;+28543,;35~WP-start~1
ADVANCED LIFE SUPPORT
801.41;+28543,;50~HIDE
801.41;+28543,;52~INDENT
801.41;+28543,;100~NATIONAL
801.412;+28544,+28543,;.01~5
801.412;+28544,+28543,;2~PXRM VISIT DATE FORCED TODAY
801.44;+28545,+28543,;.01~07/07/2026@04:48:21
801.44;+28545,+28543,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28544^7
28545^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP SPECIAL MODE TRANSPORT TYPE</POINT_01>
<INTERNAL_ENTRY_NUMBER>28544</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2645186996</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28544,;.01~VA-BENE TRAV GP SPECIAL MODE TRANSPORT TYPE
801.41;+28544,;4~dialog group
801.41;+28544,;6~YES
801.41;+28544,;7~2
801.41;+28544,;9~ONE SELECTION ONLY
801.41;+28544,;25~WP-start~2
\\TYPE OF TRANSPORTATION REQUIRED (as clinically indicated in the 
electronic health record):\\
801.41;+28544,;35~WP-start~2
\\TYPE OF TRANSPORTATION REQUIRED (as clinically indicated in the 
electronic health record):
801.41;+28544,;50~SHOW
801.41;+28544,;51~SUPPRESS
801.41;+28544,;52~INDENT
801.41;+28544,;100~NATIONAL
801.412;+28545,+28544,;.01~10
801.412;+28545,+28544,;2~VA-BENE TRAV GP SPECIAL MODE ADVANCED LIFE SUPPORT
801.412;+28546,+28544,;.01~20
801.412;+28546,+28544,;2~VA-BENE TRAV GP SPECIAL MODE BASIC LIFE SUPPORT
801.412;+28547,+28544,;.01~30
801.412;+28547,+28544,;2~VA-BENE TRAV GP SPECIAL MODE WHEELCHAIR
801.412;+28548,+28544,;.01~40
801.412;+28548,+28544,;2~VA-BENE TRAV GP SPECIAL MODE AMBULETTE
801.412;+28549,+28544,;.01~50
801.412;+28549,+28544,;2~VA-BENE TRAV GP SPECIAL MODE STRETCHER VAN
801.44;+28550,+28544,;.01~07/07/2026@04:48:21
801.44;+28550,+28544,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28545^1
28546^2
28547^3
28548^4
28549^5
28550^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP OPTIONAL INTER-FACILITY TRANSFER NO</POINT_01>
<INTERNAL_ENTRY_NUMBER>28467</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>315123136</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28467,;.01~VA-BENE TRAV GP OPTIONAL INTER-FACILITY TRANSFER NO
801.41;+28467,;4~dialog group
801.41;+28467,;7~2
801.41;+28467,;13~ORDERED
801.41;+28467,;25~WP-start~1
[ No ] please continue the request
801.41;+28467,;35~WP-start~2
\\
This request is not for an inter-facility transfer
801.41;+28467,;50~HIDE
801.41;+28467,;52~INDENT
801.41;+28467,;100~NATIONAL
801.4118;+28468,+28467,;.01~HF.VA-BENE SM FACILITY TRANSFER NO
801.412;+28469,+28467,;.01~5
801.412;+28469,+28467,;2~PXRM VISIT DATE FORCED TODAY
801.412;+28470,+28467,;.01~10
801.412;+28470,+28467,;2~VA-BENE TRAV GP SPECIAL MODE TRANSPORT TYPE
801.412;+28471,+28467,;.01~20
801.412;+28471,+28467,;2~VA-BENE TRAV BLANK LINE NOTE ONLY
801.412;+28472,+28467,;.01~30
801.412;+28472,+28467,;2~VA-BENE TRAV GP SPECIAL MODE TIME
801.412;+28473,+28467,;.01~40
801.412;+28473,+28467,;2~VA-BENE TRAV GP OPTIONAL
801.412;+28474,+28467,;.01~33
801.412;+28474,+28467,;2~VA-BLANK LINE DIALOG & NOTE
801.44;+28475,+28467,;.01~07/07/2026@04:48:21
801.44;+28475,+28467,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28468^1
28469^2
28470^3
28471^4
28472^5
28473^6
28474^7
28475^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP OPTIONAL INTER-FACILITY TRANSFER YES</POINT_01>
<INTERNAL_ENTRY_NUMBER>28468</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1028411746</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28468,;.01~VA-BENE TRAV GP OPTIONAL INTER-FACILITY TRANSFER YES
801.41;+28468,;4~dialog group
801.41;+28468,;7~2
801.41;+28468,;9~ALL SELECTIONS ARE REQUIRED
801.41;+28468,;13~ORDERED
801.41;+28468,;25~WP-start~2
[ Yes ] Please do not complete this note, complete inter-facility transfer
form VA Form 10-2649A9
801.41;+28468,;35~WP-start~2
\\
This request is for an inter-facility transfer.
801.41;+28468,;50~HIDE
801.41;+28468,;52~INDENT
801.41;+28468,;100~NATIONAL
801.4118;+28469,+28468,;.01~HF.VA-BENE SM FACILITY TRANSFER YES
801.412;+28470,+28468,;.01~5
801.412;+28470,+28468,;2~PXRM VISIT DATE FORCED TODAY
801.44;+28471,+28468,;.01~07/07/2026@04:48:21
801.44;+28471,+28468,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28469^1
28470^2
28471^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP OPTIONAL INTER-FACILITY TRANSFER</POINT_01>
<INTERNAL_ENTRY_NUMBER>28469</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>166169079</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28469,;.01~VA-BENE TRAV GP OPTIONAL INTER-FACILITY TRANSFER
801.41;+28469,;4~dialog group
801.41;+28469,;7~2
801.41;+28469,;9~ONE SELECTION ONLY
801.41;+28469,;23~YES
801.41;+28469,;25~WP-start~2
INTER-FACILITY TRANSFER:\\
Is this Special Mode Transport in relation to an Inter-facility Transfer?*
801.41;+28469,;35~WP-start~2
\\
Is this an inter-facility transfer:
801.41;+28469,;50~SHOW
801.41;+28469,;51~SUPPRESS
801.41;+28469,;52~INDENT
801.41;+28469,;100~NATIONAL
801.412;+28470,+28469,;.01~10
801.412;+28470,+28469,;2~VA-BENE TRAV GP OPTIONAL INTER-FACILITY TRANSFER YES
801.412;+28471,+28469,;.01~20
801.412;+28471,+28469,;2~VA-BENE TRAV GP OPTIONAL INTER-FACILITY TRANSFER NO
801.44;+28472,+28469,;.01~07/07/2026@04:48:21
801.44;+28472,+28469,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28470^1
28471^2
28472^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP SPECIAL MODE JUSTIFY NEW YES</POINT_01>
<INTERNAL_ENTRY_NUMBER>10029</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>216418928</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+10029,;.01~VA-BENE TRAV GP SPECIAL MODE JUSTIFY NEW YES
801.41;+10029,;4~dialog group
801.41;+10029,;7~2
801.41;+10029,;13~DONE AT ENCOUNTER
801.41;+10029,;15~HF.VA-BENE SM MEDICAL JUSTIFICATION YES
801.41;+10029,;25~WP-start~1
[ Yes ] Select to continue to Special Mode 
801.41;+10029,;35~WP-start~6
\\
Veteran is not able to transfer into a private vehicle or medically
appropriate common carrier, or requires additional assistance as 
outlined below.
\\
\\
801.41;+10029,;50~HIDE
801.41;+10029,;52~INDENT
801.41;+10029,;100~NATIONAL
801.412;+10030,+10029,;.01~5
801.412;+10030,+10029,;2~PXRM VISIT DATE FORCED TODAY
801.412;+10031,+10029,;.01~15
801.412;+10031,+10029,;2~VA-BENE TRAV GP OPTIONAL INTER-FACILITY TRANSFER
801.44;+10032,+10029,;.01~07/07/2026@04:48:21
801.44;+10032,+10029,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
10030^10
10031^12
10032^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP SPECIAL MODE JUSTIFY NEW NO</POINT_01>
<INTERNAL_ENTRY_NUMBER>28547</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>756523983</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28547,;.01~VA-BENE TRAV GP SPECIAL MODE JUSTIFY NEW NO
801.41;+28547,;4~dialog group
801.41;+28547,;7~2
801.41;+28547,;13~DONE AT ENCOUNTER
801.41;+28547,;15~HF.VA-BENE SM MEDICAL JUSTIFICATION NO
801.41;+28547,;25~WP-start~2
[ No ] Please do not complete this note, refer the Veteran to the
Beneficiary Travel Office
801.41;+28547,;35~WP-start~2
Veteran does not meet the medical justification for special mode 
transportation\\
801.41;+28547,;50~HIDE
801.41;+28547,;52~INDENT
801.41;+28547,;100~NATIONAL
801.412;+28548,+28547,;.01~5
801.412;+28548,+28547,;2~PXRM VISIT DATE FORCED TODAY
801.44;+28549,+28547,;.01~07/07/2026@04:48:21
801.44;+28549,+28547,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28548^2
28549^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP SPECIAL MODE YES/NO ONE ONLY</POINT_01>
<INTERNAL_ENTRY_NUMBER>28550</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2697544443</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28550,;.01~VA-BENE TRAV GP SPECIAL MODE YES/NO ONE ONLY
801.41;+28550,;4~dialog group
801.41;+28550,;7~2
801.41;+28550,;9~ONE SELECTION ONLY
801.41;+28550,;23~YES
801.41;+28550,;25~WP-start~2
\\Does the Veteran meet the criteria form medical justification of special
mode transportation?*
801.41;+28550,;51~SUPPRESS
801.41;+28550,;100~NATIONAL
801.412;+28551,+28550,;.01~10
801.412;+28551,+28550,;2~VA-BENE TRAV GP SPECIAL MODE JUSTIFY NEW NO
801.412;+28552,+28550,;.01~20
801.412;+28552,+28550,;2~VA-BENE TRAV GP SPECIAL MODE JUSTIFY NEW YES
801.44;+28553,+28550,;.01~07/07/2026@04:48:21
801.44;+28553,+28550,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28551^1
28552^2
28553^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP SPECIAL MODE JUSTIFY</POINT_01>
<INTERNAL_ENTRY_NUMBER>28552</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3316543745</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28552,;.01~VA-BENE TRAV GP SPECIAL MODE JUSTIFY
801.41;+28552,;4~dialog group
801.41;+28552,;7~2
801.41;+28552,;25~WP-start~8
MEDICAL JUSTIFICATION (some examples listed below):
   Veteran requires acute medical care during transportation
   Veteran needs to be on a stretcher during transportation
   Veteran requires restraints during transportation 
   Veteran requires direct supervision during transportation 
   Veteran cannot safely be transported or transfer in and out of a
   private vehicle, taxi, bus or other common carrier (public
transportation)\\
801.41;+28552,;35~WP-start~2
\\
MEDICAL JUSTIFICATION
801.41;+28552,;50~SHOW
801.41;+28552,;51~SUPPRESS
801.41;+28552,;52~INDENT
801.41;+28552,;100~NATIONAL
801.412;+28553,+28552,;.01~10
801.412;+28553,+28552,;2~VA-BENE TRAV GP SPECIAL MODE YES/NO ONE ONLY
801.44;+28554,+28552,;.01~07/07/2026@04:48:21
801.44;+28554,+28552,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28553^1
28554^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV SPECIAL MODE</POINT_01>
<INTERNAL_ENTRY_NUMBER>28553</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1809395104</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28553,;.01~VA-BENE TRAV SPECIAL MODE
801.41;+28553,;4~dialog element
801.41;+28553,;25~WP-start~21
This template allows request for Veteran transportation by Special Mode 
(SMT) to VA or VA authorized care and is subject to Beneficiary Travel 
eligibility, medical justification and administrative approval.  
Eligibility determinations are based in the Veteran's clinically 
documented functional abilities and limitations.  Certification of 
clinical eligibility must be signed by a Physician, Physician Assistant 
(PA), Nurse Practitioner (NP), Certified Nurse Practitioner (CNP), 
Clinical Nurse Specialist (CSP), Certified Nurse-Midwife (CNM), 
Psychologist, or other independent medical licensed practitioner. \\
 
Special Mode (SMT) includes ambulance, ambulette, air ambulance, 
wheelchair van, or other mode of transportation specifically designed to 
transport disabled persons who cannot otherwise travel safely by common 
carrier (taxi, ride share, bus, airplane, light rail, etc.) or privately 
owned vehicle (POV). \\
 
NOTE: SMT should not be used for convenience of the Veteran and/ or 
family or because Veteran "has no other way to get in".\\
 
This request is subject to Beneficiary Travel eligibility requirements and
administrative approval. {FLD:VA-BENE TRAVEL ELIGIBILITY}
801.41;+28553,;35~WP-start~2
This request is subject to Beneficiary Travel eligibility requirements and
administrative approval.
801.41;+28553,;51~SUPPRESS
801.41;+28553,;100~NATIONAL
801.44;+28554,+28553,;.01~07/07/2026@04:48:21
801.44;+28554,+28553,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28554^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENEFICIARY TRAVEL GP SPECIAL MODES</POINT_01>
<INTERNAL_ENTRY_NUMBER>28554</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1046823550</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28554,;.01~VA-BENEFICIARY TRAVEL GP SPECIAL MODES
801.41;+28554,;4~dialog group
801.41;+28554,;6~YES
801.41;+28554,;7~2
801.41;+28554,;25~WP-start~1
SPECIAL MODE TRANSPORTATION:
801.41;+28554,;35~WP-start~3
\\
BENEFICIARY TRAVEL SPECIAL MODE TRANSPORTATION:\\
\\
801.41;+28554,;50~HIDE
801.41;+28554,;52~INDENT
801.41;+28554,;100~NATIONAL
801.412;+28555,+28554,;.01~10
801.412;+28555,+28554,;2~VA-BENE TRAV SPECIAL MODE
801.412;+28556,+28554,;.01~20
801.412;+28556,+28554,;2~VA-BENE TRAV GP SPECIAL MODE JUSTIFY
801.44;+28557,+28554,;.01~07/07/2026@04:48:21
801.44;+28557,+28554,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28555^1
28556^2
28557^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV NEAREST FACILITY NOTE</POINT_01>
<INTERNAL_ENTRY_NUMBER>99686</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1310833331</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+99686,;.01~VA-BENE TRAV NEAREST FACILITY NOTE
801.41;+99686,;4~dialog element
801.41;+99686,;23~YES
801.41;+99686,;25~WP-start~2
++ NOTE: This must be based on medical justification, long standing 
provider relationship is not a medical justification. ++
801.41;+99686,;51~SUPPRESS
801.41;+99686,;100~NATIONAL
801.44;+99687,+99686,;.01~07/07/2026@04:48:21
801.44;+99687,+99686,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
99687^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP SPECIALTY CARE REASON</POINT_01>
<INTERNAL_ENTRY_NUMBER>28563</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2242209776</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28563,;.01~VA-BENE TRAV GP SPECIALTY CARE REASON
801.41;+28563,;4~dialog group
801.41;+28563,;7~2
801.41;+28563,;9~ONE OR MORE SELECTIONS
801.41;+28563,;13~DONE AT ENCOUNTER
801.41;+28563,;25~WP-start~2
This Veteran requires Other/Specialty Care (SC) at this facility as
opposed to the CBOC or facility nearest to this Veteran's home.
801.41;+28563,;35~WP-start~4
\\
This Veteran requires Other/Specialty Care (SC) at this facility as
opposed to the CBOC or facility nearest to this Veteran's home.
\\
801.41;+28563,;52~INDENT
801.41;+28563,;100~NATIONAL
801.412;+28564,+28563,;.01~10
801.412;+28564,+28563,;2~VA-BENE TRAV NEAREST FACILITY NOTE
801.44;+28565,+28563,;.01~07/07/2026@04:48:21
801.44;+28565,+28563,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28564^1
28565^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV NEAREST FACILITY OTHER ATTESTATION</POINT_01>
<INTERNAL_ENTRY_NUMBER>106233</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3934817015</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+106233,;.01~VA-BENE TRAV NEAREST FACILITY OTHER ATTESTATION
801.41;+106233,;4~dialog group
801.41;+106233,;7~2
801.41;+106233,;9~ALL SELECTIONS ARE REQUIRED
801.41;+106233,;23~YES
801.41;+106233,;25~WP-start~1
++ Below item is required ++
801.41;+106233,;51~SUPPRESS
801.41;+106233,;52~NO INDENT
801.41;+106233,;100~NATIONAL
801.412;+106234,+106233,;.01~5
801.412;+106234,+106233,;2~VA-BENE TRAV GP SPECIALTY CARE REASON
801.44;+106235,+106233,;.01~07/07/2026@04:48:21
801.44;+106235,+106233,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
106234^1
106235^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>PXRM COMMENT</POINT_01>
<INTERNAL_ENTRY_NUMBER>1</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3865933290</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+1,;.01~PXRM COMMENT
801.41;+1,;4~prompt
801.41;+1,;24~Comment:
801.41;+1,;46~COM
801.41;+1,;100~NATIONAL
801.44;+2,+1,;.01~07/07/2026@04:48:21
801.44;+2,+1,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
2^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP SPECIALTY CARE REASON OTHER</POINT_01>
<INTERNAL_ENTRY_NUMBER>99689</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>891439497</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+99689,;.01~VA-BENE TRAV GP SPECIALTY CARE REASON OTHER
801.41;+99689,;4~dialog element
801.41;+99689,;25~WP-start~1
Additional supporting information if needed:(Optional)
801.41;+99689,;35~WP-start~1
Additional supporting information:
801.41;+99689,;100~NATIONAL
801.412;+99690,+99689,;.01~5
801.412;+99690,+99689,;2~PXRM COMMENT
801.412;+99690,+99689,;6~   
801.412;+99690,+99689,;9~YES
801.44;+99691,+99689,;.01~07/07/2026@04:48:21
801.44;+99691,+99689,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
99690^1
99691^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV OTHER FACILITY</POINT_01>
<INTERNAL_ENTRY_NUMBER>10319</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>603754714</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+10319,;.01~VA-BENE TRAV OTHER FACILITY
801.41;+10319,;4~dialog element
801.41;+10319,;25~WP-start~1
Indicate the facility to provide Specialty Medical Care:
801.41;+10319,;35~WP-start~1
The facility providing Other Medical care:
801.41;+10319,;51~SUPPRESS
801.41;+10319,;100~NATIONAL
801.412;+10320,+10319,;.01~10
801.412;+10320,+10319,;2~PXRM COMMENT
801.412;+10320,+10319,;6~Specialty Medical Facility:
801.412;+10320,+10319,;7~NO
801.412;+10320,+10319,;9~YES
801.44;+10321,+10319,;.01~07/07/2026@04:48:21
801.44;+10321,+10319,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
10320^1
10321^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV NEAREST FACILITY OTHER SPECIFY</POINT_01>
<INTERNAL_ENTRY_NUMBER>28564</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3033601272</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28564,;.01~VA-BENE TRAV NEAREST FACILITY OTHER SPECIFY
801.41;+28564,;4~dialog element
801.41;+28564,;25~WP-start~1
Type of Specialty Care:
801.41;+28564,;51~SUPPRESS
801.41;+28564,;100~NATIONAL
801.412;+28565,+28564,;.01~5
801.412;+28565,+28564,;2~PXRM COMMENT
801.412;+28565,+28564,;6~   
801.412;+28565,+28564,;9~YES
801.44;+28566,+28564,;.01~07/07/2026@04:48:21
801.44;+28566,+28564,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28565^1
28566^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV NEAREST FACILITY SPECIALTY CARE TIME 1 MONTH</POINT_01>
<INTERNAL_ENTRY_NUMBER>18219</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>4131180546</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+18219,;.01~VA-BENE TRAV NEAREST FACILITY SPECIALTY CARE TIME 1 MONTH
801.41;+18219,;4~dialog element
801.41;+18219,;13~DONE AT ENCOUNTER
801.41;+18219,;15~HF.VA-BENE NEAREST FACILITY 1 MONTH(SC)
801.41;+18219,;25~WP-start~1
1 Month
801.41;+18219,;35~WP-start~3
\\
Estimated time frame Veteran will require travel to other than nearest 
facility: 1 Month
801.41;+18219,;100~NATIONAL
801.412;+18220,+18219,;.01~5
801.412;+18220,+18219,;2~PXRM VISIT DATE FORCED TODAY
801.44;+18221,+18219,;.01~07/07/2026@04:48:21
801.44;+18221,+18219,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
18220^1
18221^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV NEAREST FACILITY SPECIALTY CARE TIME 2 YEARS</POINT_01>
<INTERNAL_ENTRY_NUMBER>81265</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>185024355</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+81265,;.01~VA-BENE TRAV NEAREST FACILITY SPECIALTY CARE TIME 2 YEARS
801.41;+81265,;4~dialog element
801.41;+81265,;13~DONE AT ENCOUNTER
801.41;+81265,;15~HF.VA-BENE NEAREST FACILITY 2 YEARS(SC)
801.41;+81265,;25~WP-start~1
2 years (e.g. - Permanent not likely to improve)
801.41;+81265,;35~WP-start~3
\\
Estimated time frame Veteran will require travel to other than nearest 
facility: 2 Years
801.41;+81265,;100~NATIONAL
801.412;+81266,+81265,;.01~5
801.412;+81266,+81265,;2~PXRM VISIT DATE FORCED TODAY
801.44;+81267,+81265,;.01~07/07/2026@04:48:21
801.44;+81267,+81265,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
81266^1
81267^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV NEAREST FACILITY SPECIALTY CARE TIME 6 MONTH</POINT_01>
<INTERNAL_ENTRY_NUMBER>28557</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2258681397</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28557,;.01~VA-BENE TRAV NEAREST FACILITY SPECIALTY CARE TIME 6 MONTH
801.41;+28557,;4~dialog element
801.41;+28557,;13~DONE AT ENCOUNTER
801.41;+28557,;15~HF.VA-BENE NEAREST FACILITY 6 MONTHS(SC)
801.41;+28557,;25~WP-start~2
6 Months (e.g. - long-term rehab or need through planned surgery and 
recovery)
801.41;+28557,;35~WP-start~3
\\
Estimated time frame Veteran will require travel to other than nearest 
facility: 6 Months
801.41;+28557,;100~NATIONAL
801.412;+28558,+28557,;.01~5
801.412;+28558,+28557,;2~PXRM VISIT DATE FORCED TODAY
801.44;+28559,+28557,;.01~07/07/2026@04:48:21
801.44;+28559,+28557,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28558^1
28559^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV NEAREST FACILITY SPECIALTY CARE TIME 3 MONTH</POINT_01>
<INTERNAL_ENTRY_NUMBER>28558</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1172029237</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28558,;.01~VA-BENE TRAV NEAREST FACILITY SPECIALTY CARE TIME 3 MONTH
801.41;+28558,;4~dialog element
801.41;+28558,;13~DONE AT ENCOUNTER
801.41;+28558,;15~HF.VA-BENE NEAREST FACILITY 3 MONTHS(SC)
801.41;+28558,;25~WP-start~1
3 Months (e.g. - short-term rehab) 
801.41;+28558,;35~WP-start~3
\\
Estimated time frame Veteran will require travel to other than nearest 
facility: 3 Months
801.41;+28558,;100~NATIONAL
801.412;+28559,+28558,;.01~5
801.412;+28559,+28558,;2~PXRM VISIT DATE FORCED TODAY
801.44;+28560,+28558,;.01~07/07/2026@04:48:21
801.44;+28560,+28558,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28559^1
28560^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV NEAREST FACILITY SPECIALTY CARE TIME ONCE</POINT_01>
<INTERNAL_ENTRY_NUMBER>28559</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>65331023</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28559,;.01~VA-BENE TRAV NEAREST FACILITY SPECIALTY CARE TIME ONCE
801.41;+28559,;4~dialog element
801.41;+28559,;13~DONE AT ENCOUNTER
801.41;+28559,;15~HF.VA-BENE NEAREST FACILITY ONE TIME(SC)
801.41;+28559,;25~WP-start~2
One Time (Consider requesting longer approval if follow-up care is 
required)
801.41;+28559,;35~WP-start~3
\\
Estimated time frame Veteran will require travel to other than nearest 
facility: One Time
801.41;+28559,;100~NATIONAL
801.412;+28560,+28559,;.01~5
801.412;+28560,+28559,;2~PXRM VISIT DATE FORCED TODAY
801.44;+28561,+28559,;.01~07/07/2026@04:48:21
801.44;+28561,+28559,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28560^1
28561^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP NEAREST FACILITY SPECIALTY CARE TIME</POINT_01>
<INTERNAL_ENTRY_NUMBER>28560</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1263361099</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28560,;.01~VA-BENE TRAV GP NEAREST FACILITY SPECIALTY CARE TIME
801.41;+28560,;4~dialog group
801.41;+28560,;7~2
801.41;+28560,;9~ONE SELECTION ONLY
801.41;+28560,;23~YES
801.41;+28560,;25~WP-start~2
Estimated timeframe Veteran will require travel to other than the nearest 
facility:*
801.41;+28560,;50~SHOW
801.41;+28560,;51~SUPPRESS
801.41;+28560,;52~NO INDENT
801.41;+28560,;100~NATIONAL
801.412;+28561,+28560,;.01~10
801.412;+28561,+28560,;2~VA-BENE TRAV NEAREST FACILITY SPECIALTY CARE TIME ONCE
801.412;+28562,+28560,;.01~20
801.412;+28562,+28560,;2~VA-BENE TRAV NEAREST FACILITY SPECIALTY CARE TIME 3 MONTH
801.412;+28563,+28560,;.01~30
801.412;+28563,+28560,;2~VA-BENE TRAV NEAREST FACILITY SPECIALTY CARE TIME 6 MONTH
801.412;+28564,+28560,;.01~40
801.412;+28564,+28560,;2~VA-BENE TRAV NEAREST FACILITY SPECIALTY CARE TIME 2 YEARS
801.412;+28565,+28560,;.01~15
801.412;+28565,+28560,;2~VA-BENE TRAV NEAREST FACILITY SPECIALTY CARE TIME 1 MONTH
801.44;+28566,+28560,;.01~07/07/2026@04:48:22
801.44;+28566,+28560,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28561^1
28562^2
28563^3
28564^4
28565^5
28566^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP NEAREST FACILITY OTHER</POINT_01>
<INTERNAL_ENTRY_NUMBER>28565</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1991550099</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28565,;.01~VA-BENE TRAV GP NEAREST FACILITY OTHER
801.41;+28565,;4~dialog group
801.41;+28565,;7~2
801.41;+28565,;13~DONE AT ENCOUNTER
801.41;+28565,;15~HF.VA-BENE NEAREST FACILITY OTHER/SPEC CARE
801.41;+28565,;25~WP-start~2
OTHER: (e.g.; Spinal Cord Injury and Disorders(SCI/D),Blind 
Rehabilitation Center(BRC), etc.)
801.41;+28565,;35~WP-start~3
OTHER: (SPECIALTY CARE)\\
\\
\\
801.41;+28565,;50~HIDE
801.41;+28565,;52~INDENT
801.41;+28565,;100~NATIONAL
801.412;+28566,+28565,;.01~38
801.412;+28566,+28565,;2~VA-BLANK LINE DIALOG & NOTE
801.412;+28567,+28565,;.01~25
801.412;+28567,+28565,;2~VA-BENE TRAV NEAREST FACILITY OTHER ATTESTATION
801.412;+28568,+28565,;.01~40
801.412;+28568,+28565,;2~VA-BENE TRAV GP NEAREST FACILITY SPECIALTY CARE TIME
801.412;+28569,+28565,;.01~20
801.412;+28569,+28565,;2~VA-BENE TRAV NEAREST FACILITY OTHER SPECIFY
801.412;+28570,+28565,;.01~10
801.412;+28570,+28565,;2~VA-BENE TRAV OTHER FACILITY
801.412;+28571,+28565,;.01~5
801.412;+28571,+28565,;2~PXRM VISIT DATE FORCED TODAY
801.412;+28572,+28565,;.01~35
801.412;+28572,+28565,;2~VA-BENE TRAV GP SPECIALTY CARE REASON OTHER
801.44;+28573,+28565,;.01~07/07/2026@04:48:22
801.44;+28573,+28565,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28566^10
28567^11
28568^4
28569^5
28570^6
28571^7
28572^9
28573^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP NEAREST FACILITY MENTAL HEALTH REASON</POINT_01>
<INTERNAL_ENTRY_NUMBER>28572</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2180343237</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28572,;.01~VA-BENE TRAV GP NEAREST FACILITY MENTAL HEALTH REASON
801.41;+28572,;4~dialog group
801.41;+28572,;7~2
801.41;+28572,;9~ONE OR MORE SELECTIONS
801.41;+28572,;13~DONE AT ENCOUNTER
801.41;+28572,;25~WP-start~2
This Veteran requires Mental Health (MH) Care at this facility as opposed
to the CBOC or facility nearest to the Veteran's home.
801.41;+28572,;35~WP-start~3
This Veteran requires Mental Health (MH) Care at this facility as opposed
to the CBOC or facility nearest to the Veteran's home. \\
\\
801.41;+28572,;52~INDENT
801.41;+28572,;100~NATIONAL
801.412;+28573,+28572,;.01~10
801.412;+28573,+28572,;2~VA-BENE TRAV NEAREST FACILITY NOTE
801.44;+28574,+28572,;.01~07/07/2026@04:48:22
801.44;+28574,+28572,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28573^1
28574^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV NEAREST FACILITY MENTAL HEALTH ATTESTATION</POINT_01>
<INTERNAL_ENTRY_NUMBER>106231</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1104501446</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+106231,;.01~VA-BENE TRAV NEAREST FACILITY MENTAL HEALTH ATTESTATION
801.41;+106231,;4~dialog group
801.41;+106231,;7~2
801.41;+106231,;9~ALL SELECTIONS ARE REQUIRED
801.41;+106231,;23~YES
801.41;+106231,;25~WP-start~1
++ Below item is required ++
801.41;+106231,;51~SUPPRESS
801.41;+106231,;52~NO INDENT
801.41;+106231,;100~NATIONAL
801.412;+106232,+106231,;.01~5
801.412;+106232,+106231,;2~VA-BENE TRAV GP NEAREST FACILITY MENTAL HEALTH REASON
801.44;+106233,+106231,;.01~07/07/2026@04:48:22
801.44;+106233,+106231,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
106232^1
106233^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV MH FACILITY</POINT_01>
<INTERNAL_ENTRY_NUMBER>10318</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3117593628</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+10318,;.01~VA-BENE TRAV MH FACILITY
801.41;+10318,;4~dialog element
801.41;+10318,;25~WP-start~1
Indicate the facility that will provide Mental Health Care:
801.41;+10318,;35~WP-start~1
The facility that is requested to provide Mental Health Care is:
801.41;+10318,;51~SUPPRESS
801.41;+10318,;100~NATIONAL
801.412;+10319,+10318,;.01~10
801.412;+10319,+10318,;2~PXRM COMMENT
801.412;+10319,+10318,;6~Mental Health Facility:
801.412;+10319,+10318,;7~NO
801.412;+10319,+10318,;9~YES
801.44;+10320,+10318,;.01~07/07/2026@04:48:22
801.44;+10320,+10318,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
10319^1
10320^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV NEAREST FACILITY MENTAL HEALTH TIME 1 MONTH</POINT_01>
<INTERNAL_ENTRY_NUMBER>18218</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3226421838</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+18218,;.01~VA-BENE TRAV NEAREST FACILITY MENTAL HEALTH TIME 1 MONTH
801.41;+18218,;4~dialog element
801.41;+18218,;13~DONE AT ENCOUNTER
801.41;+18218,;15~HF.VA-BENE NEAREST FACILITY 1 MONTH(MH)
801.41;+18218,;25~WP-start~1
1 Month
801.41;+18218,;35~WP-start~3
\\
Estimated time frame Veteran will require travel to other than nearest 
facility: 1 Month
801.41;+18218,;100~NATIONAL
801.412;+18219,+18218,;.01~5
801.412;+18219,+18218,;2~PXRM VISIT DATE FORCED TODAY
801.44;+18220,+18218,;.01~07/07/2026@04:48:22
801.44;+18220,+18218,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
18219^1
18220^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV NEAREST FACILITY MENTAL HEALTH TIME ONCE</POINT_01>
<INTERNAL_ENTRY_NUMBER>28570</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3210798203</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28570,;.01~VA-BENE TRAV NEAREST FACILITY MENTAL HEALTH TIME ONCE
801.41;+28570,;4~dialog element
801.41;+28570,;13~DONE AT ENCOUNTER
801.41;+28570,;15~HF.VA-BENE NEAREST FACILITY ONE TIME(MH)
801.41;+28570,;25~WP-start~2
One Time (Consider requesting longer approval if follow-up care is 
required)
801.41;+28570,;35~WP-start~3
\\
Estimated time frame Veteran will require travel to other than nearest 
facility: One Time
801.41;+28570,;100~NATIONAL
801.412;+28571,+28570,;.01~5
801.412;+28571,+28570,;2~PXRM VISIT DATE FORCED TODAY
801.44;+28572,+28570,;.01~07/07/2026@04:48:22
801.44;+28572,+28570,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28571^1
28572^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV NEAREST FACILITY MENTAL HEALTH TIME 2 YEARS</POINT_01>
<INTERNAL_ENTRY_NUMBER>81264</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2517299155</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+81264,;.01~VA-BENE TRAV NEAREST FACILITY MENTAL HEALTH TIME 2 YEARS
801.41;+81264,;4~dialog element
801.41;+81264,;13~DONE AT ENCOUNTER
801.41;+81264,;15~HF.VA-BENE NEAREST FACILITY 2 YEARS(MH)
801.41;+81264,;25~WP-start~1
2 years (e.g. - Permanent not likely to improve)
801.41;+81264,;35~WP-start~3
\\
Estimated time frame Veteran will require travel to other than nearest 
facility: 2 Years
801.41;+81264,;100~NATIONAL
801.412;+81265,+81264,;.01~5
801.412;+81265,+81264,;2~PXRM VISIT DATE FORCED TODAY
801.44;+81266,+81264,;.01~07/07/2026@04:48:22
801.44;+81266,+81264,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
81265^1
81266^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV NEAREST FACILITY MENTAL HEALTH TIME 6 MONTH</POINT_01>
<INTERNAL_ENTRY_NUMBER>28568</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>459874498</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28568,;.01~VA-BENE TRAV NEAREST FACILITY MENTAL HEALTH TIME 6 MONTH
801.41;+28568,;4~dialog element
801.41;+28568,;13~DONE AT ENCOUNTER
801.41;+28568,;15~HF.VA-BENE NEAREST FACILITY 6 MONTHS(MH)
801.41;+28568,;25~WP-start~2
6 Months (e.g. - long-term rehab or need through planned surgery and 
recovery)
801.41;+28568,;35~WP-start~3
\\
Estimated time frame Veteran will require travel to other than nearest 
facility: 6 Months
801.41;+28568,;100~NATIONAL
801.412;+28569,+28568,;.01~5
801.412;+28569,+28568,;2~PXRM VISIT DATE FORCED TODAY
801.44;+28570,+28568,;.01~07/07/2026@04:48:22
801.44;+28570,+28568,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28569^1
28570^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV NEAREST FACILITY MENTAL HEALTH TIME 3 MONTH</POINT_01>
<INTERNAL_ENTRY_NUMBER>28569</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2937417420</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28569,;.01~VA-BENE TRAV NEAREST FACILITY MENTAL HEALTH TIME 3 MONTH
801.41;+28569,;4~dialog element
801.41;+28569,;13~DONE AT ENCOUNTER
801.41;+28569,;15~HF.VA-BENE NEAREST FACILITY 3 MONTHS(MH)
801.41;+28569,;25~WP-start~1
3 Months (e.g. - short-term rehab) 
801.41;+28569,;35~WP-start~3
\\
Estimated time frame Veteran will require travel to other than nearest 
facility: 3 Months
801.41;+28569,;100~NATIONAL
801.412;+28570,+28569,;.01~5
801.412;+28570,+28569,;2~PXRM VISIT DATE FORCED TODAY
801.44;+28571,+28569,;.01~07/07/2026@04:48:22
801.44;+28571,+28569,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28570^1
28571^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP NEAREST FACILITY MENTAL HEALTH TIME</POINT_01>
<INTERNAL_ENTRY_NUMBER>28571</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1619027595</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28571,;.01~VA-BENE TRAV GP NEAREST FACILITY MENTAL HEALTH TIME
801.41;+28571,;4~dialog group
801.41;+28571,;7~2
801.41;+28571,;9~ONE SELECTION ONLY
801.41;+28571,;23~YES
801.41;+28571,;25~WP-start~2
Estimated timeframe Veteran will require travel to other than the nearest 
facility:*
801.41;+28571,;50~SHOW
801.41;+28571,;51~SUPPRESS
801.41;+28571,;52~NO INDENT
801.41;+28571,;100~NATIONAL
801.412;+28572,+28571,;.01~20
801.412;+28572,+28571,;2~VA-BENE TRAV NEAREST FACILITY MENTAL HEALTH TIME 3 MONTH
801.412;+28573,+28571,;.01~30
801.412;+28573,+28571,;2~VA-BENE TRAV NEAREST FACILITY MENTAL HEALTH TIME 6 MONTH
801.412;+28574,+28571,;.01~40
801.412;+28574,+28571,;2~VA-BENE TRAV NEAREST FACILITY MENTAL HEALTH TIME 2 YEARS
801.412;+28575,+28571,;.01~10
801.412;+28575,+28571,;2~VA-BENE TRAV NEAREST FACILITY MENTAL HEALTH TIME ONCE
801.412;+28576,+28571,;.01~15
801.412;+28576,+28571,;2~VA-BENE TRAV NEAREST FACILITY MENTAL HEALTH TIME 1 MONTH
801.44;+28577,+28571,;.01~07/07/2026@04:48:22
801.44;+28577,+28571,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28572^2
28573^3
28574^4
28575^5
28576^6
28577^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP NEAREST FACILITY MENTAL HEALTH</POINT_01>
<INTERNAL_ENTRY_NUMBER>28573</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3474494976</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28573,;.01~VA-BENE TRAV GP NEAREST FACILITY MENTAL HEALTH
801.41;+28573,;4~dialog group
801.41;+28573,;7~2
801.41;+28573,;13~DONE AT ENCOUNTER
801.41;+28573,;15~HF.VA-BENE NEAREST FACILITY MH
801.41;+28573,;25~WP-start~1
MENTAL HEALTH:
801.41;+28573,;35~WP-start~1
MENTAL HEALTH:\\
801.41;+28573,;50~HIDE
801.41;+28573,;52~INDENT
801.41;+28573,;100~NATIONAL
801.412;+28574,+28573,;.01~15
801.412;+28574,+28573,;2~VA-BENE TRAV NEAREST FACILITY MENTAL HEALTH ATTESTATION
801.412;+28575,+28573,;.01~30
801.412;+28575,+28573,;2~VA-BENE TRAV GP NEAREST FACILITY MENTAL HEALTH TIME
801.412;+28576,+28573,;.01~10
801.412;+28576,+28573,;2~VA-BENE TRAV MH FACILITY
801.412;+28577,+28573,;.01~5
801.412;+28577,+28573,;2~PXRM VISIT DATE FORCED TODAY
801.412;+28578,+28573,;.01~28
801.412;+28578,+28573,;2~VA-BLANK LINE DIALOG & NOTE
801.44;+28579,+28573,;.01~07/07/2026@04:48:22
801.44;+28579,+28573,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28574^10
28575^4
28576^5
28577^6
28578^9
28579^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV NEAREST FACILITY PRIMARY CARE</POINT_01>
<INTERNAL_ENTRY_NUMBER>28581</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3925644334</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28581,;.01~VA-BENE TRAV NEAREST FACILITY PRIMARY CARE
801.41;+28581,;4~dialog group
801.41;+28581,;7~2
801.41;+28581,;13~DONE AT ENCOUNTER
801.41;+28581,;15~HF.VA-BENE NEAREST FACILITY PC
801.41;+28581,;25~WP-start~2
This Veteran requires Primary Care (PC) at this facility as opposed to the
CBOC or facility nearest to the Veteran's home.
801.41;+28581,;35~WP-start~3
This Veteran requires Primary Care (PC) at this facility as opposed to the
CBOC or facility nearest to the Veteran's home.
\\
801.41;+28581,;52~INDENT
801.41;+28581,;100~NATIONAL
801.412;+28582,+28581,;.01~10
801.412;+28582,+28581,;2~VA-BENE TRAV NEAREST FACILITY NOTE
801.44;+28583,+28581,;.01~07/07/2026@04:48:22
801.44;+28583,+28581,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28582^1
28583^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV NEAREST FACILITY PRIMARY CARE ATTESTATION</POINT_01>
<INTERNAL_ENTRY_NUMBER>106228</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1996905898</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+106228,;.01~VA-BENE TRAV NEAREST FACILITY PRIMARY CARE ATTESTATION
801.41;+106228,;4~dialog group
801.41;+106228,;7~2
801.41;+106228,;9~ALL SELECTIONS ARE REQUIRED
801.41;+106228,;23~YES
801.41;+106228,;25~WP-start~1
++ Below item is required ++
801.41;+106228,;51~SUPPRESS
801.41;+106228,;52~NO INDENT
801.41;+106228,;100~NATIONAL
801.412;+106229,+106228,;.01~5
801.412;+106229,+106228,;2~VA-BENE TRAV NEAREST FACILITY PRIMARY CARE
801.44;+106230,+106228,;.01~07/07/2026@04:48:22
801.44;+106230,+106228,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
106229^1
106230^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV PC FACILITY</POINT_01>
<INTERNAL_ENTRY_NUMBER>10317</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1601308553</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+10317,;.01~VA-BENE TRAV PC FACILITY
801.41;+10317,;4~dialog element
801.41;+10317,;25~WP-start~1
Indicate the facility that will provide Primary Care:
801.41;+10317,;35~WP-start~1
The facility that is requested to provide Primary Care is:
801.41;+10317,;51~SUPPRESS
801.41;+10317,;100~NATIONAL
801.412;+10318,+10317,;.01~10
801.412;+10318,+10317,;2~PXRM COMMENT
801.412;+10318,+10317,;6~Primary Care Facility:
801.412;+10318,+10317,;9~YES
801.44;+10319,+10317,;.01~07/07/2026@04:48:22
801.44;+10319,+10317,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
10318^1
10319^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV NEAREST FACILITY PRIMARY CARE TIME 1 MONTH</POINT_01>
<INTERNAL_ENTRY_NUMBER>18217</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>4255869629</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+18217,;.01~VA-BENE TRAV NEAREST FACILITY PRIMARY CARE TIME 1 MONTH
801.41;+18217,;4~dialog element
801.41;+18217,;13~DONE AT ENCOUNTER
801.41;+18217,;15~HF.VA-BENE NEAREST FACILITY 1 MONTH(PC)
801.41;+18217,;25~WP-start~1
1 Month
801.41;+18217,;35~WP-start~3
\\
Estimated time frame Veteran will require travel to other than nearest 
facility: 1 Month
801.41;+18217,;100~NATIONAL
801.412;+18218,+18217,;.01~5
801.412;+18218,+18217,;2~PXRM VISIT DATE FORCED TODAY
801.44;+18219,+18217,;.01~07/07/2026@04:48:22
801.44;+18219,+18217,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
18218^1
18219^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV NEAREST FACILITY PRIMARY CARE TIME 2 YEAR</POINT_01>
<INTERNAL_ENTRY_NUMBER>81261</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3209405675</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+81261,;.01~VA-BENE TRAV NEAREST FACILITY PRIMARY CARE TIME 2 YEAR
801.41;+81261,;4~dialog element
801.41;+81261,;13~DONE AT ENCOUNTER
801.41;+81261,;15~HF.VA-BENE NEAREST FACILITY 2 YEARS(PC)
801.41;+81261,;25~WP-start~1
2 years (e.g. - Permanent not likely to improve)
801.41;+81261,;35~WP-start~3
\\
Estimated time frame Veteran will require travel to other than nearest 
facility: 2 Years
801.41;+81261,;100~NATIONAL
801.412;+81262,+81261,;.01~5
801.412;+81262,+81261,;2~PXRM VISIT DATE FORCED TODAY
801.44;+81263,+81261,;.01~07/07/2026@04:48:22
801.44;+81263,+81261,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
81262^1
81263^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV NEAREST FACILITY PRIMARY CARE TIME 6 MONTH</POINT_01>
<INTERNAL_ENTRY_NUMBER>28576</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1931035923</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28576,;.01~VA-BENE TRAV NEAREST FACILITY PRIMARY CARE TIME 6 MONTH
801.41;+28576,;4~dialog element
801.41;+28576,;13~DONE AT ENCOUNTER
801.41;+28576,;15~HF.VA-BENE NEAREST FACILITY 6 MONTHS(PC)
801.41;+28576,;25~WP-start~2
6 Months (e.g. - long-term rehab or need through planned surgery and 
recovery)
801.41;+28576,;35~WP-start~3
\\
Estimated time frame Veteran will require travel to other than nearest 
facility: 6 Months
801.41;+28576,;100~NATIONAL
801.412;+28577,+28576,;.01~5
801.412;+28577,+28576,;2~PXRM VISIT DATE FORCED TODAY
801.44;+28578,+28576,;.01~07/07/2026@04:48:22
801.44;+28578,+28576,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28577^1
28578^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV NEAREST FACILITY PRIMARY CARE TIME 3 MONTH</POINT_01>
<INTERNAL_ENTRY_NUMBER>28577</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>113684821</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28577,;.01~VA-BENE TRAV NEAREST FACILITY PRIMARY CARE TIME 3 MONTH
801.41;+28577,;4~dialog element
801.41;+28577,;13~DONE AT ENCOUNTER
801.41;+28577,;15~HF.VA-BENE NEAREST FACILITY 3 MONTHS(PC)
801.41;+28577,;25~WP-start~1
3 Months (e.g. - short-term rehab) 
801.41;+28577,;35~WP-start~3
\\
Estimated time frame Veteran will require travel to other than nearest 
facility: 3 Months
801.41;+28577,;100~NATIONAL
801.412;+28578,+28577,;.01~5
801.412;+28578,+28577,;2~PXRM VISIT DATE FORCED TODAY
801.44;+28579,+28577,;.01~07/07/2026@04:48:22
801.44;+28579,+28577,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28578^1
28579^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV NEAREST FACILITY PRIMARY CARE TIME ONCE</POINT_01>
<INTERNAL_ENTRY_NUMBER>17580</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2771112457</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+17580,;.01~VA-BENE TRAV NEAREST FACILITY PRIMARY CARE TIME ONCE
801.41;+17580,;4~dialog element
801.41;+17580,;13~DONE AT ENCOUNTER
801.41;+17580,;15~HF.VA-BENE NEAREST FACILITY ONE TIME(PC)
801.41;+17580,;25~WP-start~2
One Time (Consider requesting longer approval if follow-up care is 
required)
801.41;+17580,;35~WP-start~3
\\
Estimated time frame Veteran will require travel to other than nearest 
facility: One Time
801.41;+17580,;100~NATIONAL
801.412;+17581,+17580,;.01~5
801.412;+17581,+17580,;2~PXRM VISIT DATE FORCED TODAY
801.44;+17582,+17580,;.01~07/07/2026@04:48:22
801.44;+17582,+17580,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
17581^1
17582^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP NEAREST FACILITY PRIMARY CARE TIME</POINT_01>
<INTERNAL_ENTRY_NUMBER>28579</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2507303940</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28579,;.01~VA-BENE TRAV GP NEAREST FACILITY PRIMARY CARE TIME
801.41;+28579,;4~dialog group
801.41;+28579,;7~2
801.41;+28579,;9~ONE SELECTION ONLY
801.41;+28579,;23~YES
801.41;+28579,;25~WP-start~2
Estimated timeframe Veteran will require travel to other than the nearest 
facility:*
801.41;+28579,;50~SHOW
801.41;+28579,;51~SUPPRESS
801.41;+28579,;52~NO INDENT
801.41;+28579,;100~NATIONAL
801.412;+28580,+28579,;.01~10
801.412;+28580,+28579,;2~VA-BENE TRAV NEAREST FACILITY PRIMARY CARE TIME ONCE
801.412;+28581,+28579,;.01~20
801.412;+28581,+28579,;2~VA-BENE TRAV NEAREST FACILITY PRIMARY CARE TIME 3 MONTH
801.412;+28582,+28579,;.01~30
801.412;+28582,+28579,;2~VA-BENE TRAV NEAREST FACILITY PRIMARY CARE TIME 6 MONTH
801.412;+28583,+28579,;.01~40
801.412;+28583,+28579,;2~VA-BENE TRAV NEAREST FACILITY PRIMARY CARE TIME 2 YEAR
801.412;+28584,+28579,;.01~15
801.412;+28584,+28579,;2~VA-BENE TRAV NEAREST FACILITY PRIMARY CARE TIME 1 MONTH
801.44;+28585,+28579,;.01~07/07/2026@04:48:22
801.44;+28585,+28579,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28580^1
28581^2
28582^3
28583^4
28584^5
28585^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP NEAREST FACILITY PRIMARY CARE</POINT_01>
<INTERNAL_ENTRY_NUMBER>28582</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2564614997</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28582,;.01~VA-BENE TRAV GP NEAREST FACILITY PRIMARY CARE
801.41;+28582,;4~dialog group
801.41;+28582,;7~2
801.41;+28582,;25~WP-start~1
PRIMARY CARE:
801.41;+28582,;35~WP-start~1
PRIMARY CARE:\\
801.41;+28582,;50~HIDE
801.41;+28582,;52~INDENT
801.41;+28582,;100~NATIONAL
801.412;+28583,+28582,;.01~30
801.412;+28583,+28582,;2~VA-BENE TRAV GP NEAREST FACILITY PRIMARY CARE TIME
801.412;+28584,+28582,;.01~5
801.412;+28584,+28582,;2~VA-BENE TRAV PC FACILITY
801.412;+28585,+28582,;.01~25
801.412;+28585,+28582,;2~VA-BLANK LINE DIALOG & NOTE
801.412;+28586,+28582,;.01~8
801.412;+28586,+28582,;2~VA-BENE TRAV NEAREST FACILITY PRIMARY CARE ATTESTATION
801.44;+28587,+28582,;.01~07/07/2026@04:48:22
801.44;+28587,+28582,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28583^3
28584^4
28585^7
28586^8
28587^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV GP NEAREST FACILITY SELECT</POINT_01>
<INTERNAL_ENTRY_NUMBER>28583</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>642252731</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28583,;.01~VA-BENE TRAV GP NEAREST FACILITY SELECT
801.41;+28583,;4~dialog group
801.41;+28583,;7~2
801.41;+28583,;9~ONE SELECTION ONLY
801.41;+28583,;23~NO
801.41;+28583,;25~WP-start~1
Please select type of care:*
801.41;+28583,;35~WP-start~2
\\
Type of care:
801.41;+28583,;50~SHOW
801.41;+28583,;51~SUPPRESS
801.41;+28583,;52~INDENT
801.41;+28583,;100~NATIONAL
801.412;+28584,+28583,;.01~10
801.412;+28584,+28583,;2~VA-BENE TRAV GP NEAREST FACILITY PRIMARY CARE
801.412;+28585,+28583,;.01~20
801.412;+28585,+28583,;2~VA-BENE TRAV GP NEAREST FACILITY MENTAL HEALTH
801.412;+28586,+28583,;.01~30
801.412;+28586,+28583,;2~VA-BENE TRAV GP NEAREST FACILITY OTHER
801.44;+28587,+28583,;.01~07/07/2026@04:48:22
801.44;+28587,+28583,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28584^1
28585^2
28586^3
28587^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENE TRAV NEAREST FACILITY</POINT_01>
<INTERNAL_ENTRY_NUMBER>28584</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1456955821</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28584,;.01~VA-BENE TRAV NEAREST FACILITY
801.41;+28584,;4~dialog element
801.41;+28584,;25~WP-start~2
This request is subject to Beneficiary Travel eligibility requirements and
administrative approval. {FLD:VA-BENE TRAVEL ELIGIBILITY}
801.41;+28584,;35~WP-start~2
This request is subject to Beneficiary Travel eligibility requirements and
administrative approval.
801.41;+28584,;51~SUPPRESS
801.41;+28584,;100~NATIONAL
801.44;+28585,+28584,;.01~07/07/2026@04:48:22
801.44;+28585,+28584,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28585^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENEFICIARY TRAVEL GP NEAREST FACILITY</POINT_01>
<INTERNAL_ENTRY_NUMBER>28585</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>3535388683</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+28585,;.01~VA-BENEFICIARY TRAVEL GP NEAREST FACILITY
801.41;+28585,;4~dialog group
801.41;+28585,;6~YES
801.41;+28585,;7~2
801.41;+28585,;25~WP-start~1
NEAREST FACILITY:
801.41;+28585,;35~WP-start~3
\\
BENEFICIARY TRAVEL NEAREST FACILITY:\\
\\
801.41;+28585,;50~HIDE
801.41;+28585,;52~INDENT
801.41;+28585,;100~NATIONAL
801.412;+28586,+28585,;.01~10
801.412;+28586,+28585,;2~VA-BENE TRAV NEAREST FACILITY
801.412;+28587,+28585,;.01~30
801.412;+28587,+28585,;2~VA-BENE TRAV GP NEAREST FACILITY SELECT
801.44;+28588,+28585,;.01~07/07/2026@04:48:22
801.44;+28588,+28585,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
28586^1
28587^3
28588^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENEFICIARY TRAVEL(BT) (COPY1)</POINT_01>
<INTERNAL_ENTRY_NUMBER>18013</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1356489753</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+18013,;.01~VA-BENEFICIARY TRAVEL(BT) (COPY1)
801.41;+18013,;4~dialog group
801.41;+18013,;9~ONE OR MORE SELECTIONS
801.41;+18013,;23~YES
801.41;+18013,;25~WP-start~14
The Beneficiary Travel Program requires medical determinations for the 
following:\\
\\ 
1.  Appropriate mode of transport\\
2.  Distance to the closest facility which can provide care\\
3.  Decision for provided meals and/or lodging during travel \\
4.  Correct income threshold of eligibility based on means for certain
disabled Veterans\\
5.  Ability to terminate the Beneficiary Travel benefit of eligible 
persons when counterproductive to therapy\\
\\ 
This program facilitates a collaborative relationship between Beneficiary 
Travel administrative staff and clinical staff to communicate the medical
necessity for the below Beneficiary Travel circumstances .\\
801.41;+18013,;51~SUPPRESS
801.41;+18013,;100~NATIONAL
801.412;+18014,+18013,;.01~20
801.412;+18014,+18013,;2~VA-BENEFICIARY TRAVEL GP NEAREST FACILITY
801.412;+18015,+18013,;.01~30
801.412;+18015,+18013,;2~VA-BENEFICIARY TRAVEL GP SPECIAL MODES
801.412;+18016,+18013,;.01~70
801.412;+18016,+18013,;2~VA-GP BENE TRAVEL MEALS AND LODGING
801.412;+18017,+18013,;.01~60
801.412;+18017,+18013,;2~VA-BENE TRAV GP ATTENDANT
801.412;+18018,+18013,;.01~10
801.412;+18018,+18013,;2~VA-BLANK LINE DIALOG & NOTE
801.44;+18019,+18013,;.01~07/07/2026@04:48:22
801.44;+18019,+18013,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
18014^2
18015^3
18016^5
18017^6
18018^8
18019^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VAL-BENEFICIARY TRAVEL(BT)ALTERNATE TEXT</POINT_01>
<INTERNAL_ENTRY_NUMBER>18015</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>1298058282</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+18015,;.01~VAL-BENEFICIARY TRAVEL(BT)ALTERNATE TEXT
801.41;+18015,;4~dialog group
801.41;+18015,;6~YES
801.41;+18015,;23~YES
801.41;+18015,;25~WP-start~11
Select this option:
To proceed entering a New Beneficiary Travel request, after speaking to a
member of the Travel Office.
 
OR
 
To exit this process so that you can contact the Travel Staff, select the 
"Finish Button" and then sign this Progress Note that you have started.
\\
Please contact the Travel Office at (***ADD LOCAL TRAVEL OFFICE PHONE 
NUMBER HERE***) for assistance with this Veteran's Travel needs.
801.41;+18015,;50~HIDE
801.41;+18015,;51~SUPPRESS
801.41;+18015,;100~LOCAL
801.412;+18016,+18015,;.01~5
801.412;+18016,+18015,;2~VA-BENEFICIARY TRAVEL(BT) (COPY1)
801.44;+18017,+18015,;.01~07/07/2026@04:48:22
801.44;+18017,+18015,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
18016^1
18017^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VAL-BENE TRAVEL GP (BT)REPLACEMENT-ACTIVE APPROVAL</POINT_01>
<INTERNAL_ENTRY_NUMBER>17716</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>4153739985</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+17716,;.01~VAL-BENE TRAVEL GP (BT)REPLACEMENT-ACTIVE APPROVAL
801.41;+17716,;4~dialog group
801.41;+17716,;9~NONE OR ONE SELECTION
801.41;+17716,;23~NO
801.41;+17716,;25~WP-start~8
|BENE TRAVL-BT(ACTIVE APPROVAL)|
 
This Veteran has a Active Travel Approval on file, please contact the 
Beneficiary Travel Office at (***ADD LOCAL TRAVEL OFFICE PHONE NUMBER 
HERE***) to set-up travel needs.
\\
\\
**********************************************************\\
801.41;+17716,;50~SHOW
801.41;+17716,;51~SUPPRESS
801.41;+17716,;100~LOCAL
801.412;+17717,+17716,;.01~5
801.412;+17717,+17716,;2~VAL-BENEFICIARY TRAVEL(BT)ALTERNATE TEXT
801.44;+17718,+17716,;.01~07/07/2026@04:48:22
801.44;+17718,+17716,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
17717^2
17718^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENEFICIARY TRAVEL(BT)</POINT_01>
<INTERNAL_ENTRY_NUMBER>10969</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2927862390</CHECKSUM>
<SELECTED>NO</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+10969,;.01~VA-BENEFICIARY TRAVEL(BT)
801.41;+10969,;4~dialog group
801.41;+10969,;9~ONE OR MORE SELECTIONS
801.41;+10969,;23~YES
801.41;+10969,;25~WP-start~9
Beneficiary Travel Version 5.2\\
 
The Beneficiary Travel Program requires medical justification for the 
following:\\
   1. Appropriate mode of transportation 
   2. Distance to the closest facility which can provide the required care
   3. Decision for meal and or/ lodging
   4. Ability to terminate the Beneficiary Travel benefit of eligible
      persons when counterproductive to therapy 
801.41;+10969,;50~SHOW
801.41;+10969,;51~SUPPRESS
801.41;+10969,;100~NATIONAL
801.41143;+10970,+10969,;.01~1
801.41143;+10970,+10969,;1~RT.VA-BENEFICIARY TRAVEL (BT)
801.41143;+10970,+10969,;2~TRUE
801.41143;+10970,+10969,;3~REPLACE
801.41143;+10970,+10969,;4~VAL-BENE TRAVEL GP (BT)REPLACEMENT-ACTIVE APPROVAL
801.412;+10971,+10969,;.01~20
801.412;+10971,+10969,;2~VA-BENEFICIARY TRAVEL GP NEAREST FACILITY
801.412;+10972,+10969,;.01~30
801.412;+10972,+10969,;2~VA-BENEFICIARY TRAVEL GP SPECIAL MODES
801.412;+10973,+10969,;.01~60
801.412;+10973,+10969,;2~VA-BENE TRAV GP ATTENDANT
801.412;+10974,+10969,;.01~70
801.412;+10974,+10969,;2~VA-GP BENE TRAVEL MEALS AND LODGING
801.412;+10975,+10969,;.01~10
801.412;+10975,+10969,;2~VA-BLANK LINE DIALOG & NOTE
801.44;+10976,+10969,;.01~07/07/2026@04:48:22
801.44;+10976,+10969,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
10970^1
10971^2
10972^3
10973^6
10974^7
10975^8
10976^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<FILEMAN_FILE>
<FILE_NAME>REMINDER DIALOG</FILE_NAME>
<FILE_NUMBER>801.41</FILE_NUMBER>
<POINT_01>VA-BENEFICIARY TRAVEL (BT)</POINT_01>
<INTERNAL_ENTRY_NUMBER>10919</INTERNAL_ENTRY_NUMBER>
<CHECKSUM>2991380701</CHECKSUM>
<SELECTED>YES</SELECTED>
<FILEMAN_FDA>
<![CDATA[
801.41;+10919,;.01~VA-BENEFICIARY TRAVEL (BT)
801.41;+10919,;4~reminder dialog
801.41;+10919,;100~NATIONAL
801.41;+10919,;112~TRUE
801.412;+10920,+10919,;.01~10
801.412;+10920,+10919,;2~VA-BENEFICIARY TRAVEL(BT)
801.44;+10921,+10919,;.01~07/07/2026@04:48:22
801.44;+10921,+10919,;2~WP-start~1
Exchange Stub
]]>
</FILEMAN_FDA>
<IEN_ROOT>
<![CDATA[
10920^3
10921^1
]]>
</IEN_ROOT>
</FILEMAN_FILE>
<INDEX>
<NUMBER_OF_COMPONENTS>141</NUMBER_OF_COMPONENTS>
<COMPONENT>
<M_ROUTINE_START>25</M_ROUTINE_START>
<ROUTINE_CODE_END>80</ROUTINE_CODE_END>
<ROUTINE_CODE_START>30</ROUTINE_CODE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>105</FDA_END>
<FDA_START>93</FDA_START>
<FILE_START>84</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>132</FDA_END>
<FDA_START>118</FDA_START>
<FILE_START>109</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>148</FDA_END>
<FDA_START>145</FDA_START>
<FILE_START>136</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>172</FDA_END>
<FDA_START>161</FDA_START>
<FILE_START>152</FILE_START>
<IEN_ROOT_END>178</IEN_ROOT_END>
<IEN_ROOT_START>177</IEN_ROOT_START>
</COMPONENT>
<COMPONENT>
<FDA_END>194</FDA_END>
<FDA_START>191</FDA_START>
<FILE_START>182</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>212</FDA_END>
<FDA_START>207</FDA_START>
<FILE_START>198</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>230</FDA_END>
<FDA_START>225</FDA_START>
<FILE_START>216</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>246</FDA_END>
<FDA_START>243</FDA_START>
<FILE_START>234</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>264</FDA_END>
<FDA_START>259</FDA_START>
<FILE_START>250</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>280</FDA_END>
<FDA_START>277</FDA_START>
<FILE_START>268</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>304</FDA_END>
<FDA_START>293</FDA_START>
<FILE_START>284</FILE_START>
<IEN_ROOT_END>310</IEN_ROOT_END>
<IEN_ROOT_START>309</IEN_ROOT_START>
</COMPONENT>
<COMPONENT>
<FDA_END>328</FDA_END>
<FDA_START>323</FDA_START>
<FILE_START>314</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>346</FDA_END>
<FDA_START>341</FDA_START>
<FILE_START>332</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>364</FDA_END>
<FDA_START>359</FDA_START>
<FILE_START>350</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>382</FDA_END>
<FDA_START>377</FDA_START>
<FILE_START>368</FILE_START>
<IEN_ROOT_END>387</IEN_ROOT_END>
<IEN_ROOT_START>387</IEN_ROOT_START>
</COMPONENT>
<COMPONENT>
<FDA_END>411</FDA_END>
<FDA_START>400</FDA_START>
<FILE_START>391</FILE_START>
<IEN_ROOT_END>417</IEN_ROOT_END>
<IEN_ROOT_START>416</IEN_ROOT_START>
</COMPONENT>
<COMPONENT>
<FDA_END>441</FDA_END>
<FDA_START>430</FDA_START>
<FILE_START>421</FILE_START>
<IEN_ROOT_END>447</IEN_ROOT_END>
<IEN_ROOT_START>446</IEN_ROOT_START>
</COMPONENT>
<COMPONENT>
<FDA_END>465</FDA_END>
<FDA_START>460</FDA_START>
<FILE_START>451</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>483</FDA_END>
<FDA_START>478</FDA_START>
<FILE_START>469</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>501</FDA_END>
<FDA_START>496</FDA_START>
<FILE_START>487</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>517</FDA_END>
<FDA_START>514</FDA_START>
<FILE_START>505</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>535</FDA_END>
<FDA_START>530</FDA_START>
<FILE_START>521</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>554</FDA_END>
<FDA_START>548</FDA_START>
<FILE_START>539</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>570</FDA_END>
<FDA_START>567</FDA_START>
<FILE_START>558</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>588</FDA_END>
<FDA_START>583</FDA_START>
<FILE_START>574</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>606</FDA_END>
<FDA_START>601</FDA_START>
<FILE_START>592</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>624</FDA_END>
<FDA_START>619</FDA_START>
<FILE_START>610</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>650</FDA_END>
<FDA_START>637</FDA_START>
<FILE_START>628</FILE_START>
<IEN_ROOT_END>657</IEN_ROOT_END>
<IEN_ROOT_START>655</IEN_ROOT_START>
</COMPONENT>
<COMPONENT>
<FDA_END>675</FDA_END>
<FDA_START>670</FDA_START>
<FILE_START>661</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>693</FDA_END>
<FDA_START>688</FDA_START>
<FILE_START>679</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>711</FDA_END>
<FDA_START>706</FDA_START>
<FILE_START>697</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>727</FDA_END>
<FDA_START>724</FDA_START>
<FILE_START>715</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>745</FDA_END>
<FDA_START>740</FDA_START>
<FILE_START>731</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>763</FDA_END>
<FDA_START>758</FDA_START>
<FILE_START>749</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>781</FDA_END>
<FDA_START>776</FDA_START>
<FILE_START>767</FILE_START>
</COMPONENT>
<COMPONENT>
<FDA_END>808</FDA_END>
<FDA_START>794</FDA_START>
<FILE_START>785</FILE_START>
<IEN_ROOT_END>815</IEN_ROOT_END>
<IEN_ROOT_START>813</IEN_ROOT_START>
</COMPONENT>
<COMPONENT>
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