DATE/TIME | VENDOR | USER ENTERING LEGAL DETERM. | REQUEST STATUS | MEDICAL ENTITLEMENT | DATE OF MEDICAL DETERMINATION | USER ENTERING MEDICAL DETERM. | SUSPENSE CODE | DESCRIPTION OF SUSPENSION | ASSOCIATED 7078 | REFERRING PROVIDER | PERSON WHO CALLED | USER AUDIT | VETERAN | DATE/TIME OF ADMISSION | AUTHORIZED FROM DATE/TIME | ADMITTING DIAGNOSIS | ATTENDING PHYSICIAN | ATTEN.PHYSICIAN PHONE NUMBER | USER ENTERING NOTIFICATION | LEGAL ENTITLEMENT | DATE OF LEGAL DETERMINATION |
---|