| Name | Description | Type | Additional information |
|---|---|---|---|
| Claimant | string |
None. |
|
| Identifier | string |
None. |
|
| Period |
None. |
||
| Payor | string |
None. |
|
| Status |
None. |
||
| EntryFrom | unsigned integer |
None. |
|
| EntryTo | unsigned integer |
None. |