| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | bt patient(+) | 0;1 | POINTER | 2 | B | This is the Beneficiary Travel Patient associated with Alternate Income. |
| 1 | alternate income | 1;0 | MULTIPLE | 392.91 | This is a multiple containing alternate income date, alternate income amount, alternate income reason, and alternate income expiration date. |
Not Referenced