| Name | Description | Type | Additional information |
|---|---|---|---|
| claimID | integer |
None. |
|
| treatmentDate | string |
None. |
|
| batchNo | string |
None. |
|
| providerName | string |
None. |
|
| enrolleeName | string |
None. |
|
| enrolleeNo | string |
None. |
|
| employer | string |
None. |