| .01 | name(+) | 0;1 | POINTER | 2 | B | The name of the patient who is requesting authorization for obtaining
Fee services. |
| .5 | fee id card number | 4;1 | FREE TEXT | | AE | The number pre-printed on the Fee ID Card assigned (given) to the patient.
The patient can only have one number assigned to him/her at a given time. |
| .6 | fee id card issue date | 4;2 | DATE-TIME | | | The date that the Fee ID Card was issued to the patient. |
| .65 | fee id card expiration date | 4;4 | DATE-TIME | | | This field contains the expiration date for a patient's
ID card. |
| .7 | reason for card number change(+) | 4;3 | FREE TEXT | | | The reason that the patient's Fee ID Card number was changed or terminated. |
| 1 | authorization | 1;0 | MULTIPLE | 161.01 | | This data is related to specific validity periods where the veteran
is authorized to obtain Fee services and the VA will reimburse. |
| 2 | report of contact | 2;0 | MULTIPLE | 161.02 | | Contains information relating to the initial contact between the VA and
a patient's representative, regarding patient treatment at a non-VA
facility. |
| 11 | arch eligibility | ARCHFEE;0 | MULTIPLE | 161.011 | | This field is a Project ARCH (Access Received Closer to Home) Eligibility
multiple. Every time a new update of eligibility data comes in, a new
entry for this multiple is created. |