U029_Master

U029_Master - U029_Master

SED API version: 0.14.2 PREVIEW build 3
Model version: 4.0.16

1. Local case numbers

1.1. Local Case Number

1.1.1. Country *

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1.1.2. Case number *

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1.1.3. Institution

1.1.3.1. Institution ID *

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1.1.3.2. Institution Name *

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1.1.Local Case Number

2. General Information *

2.1. Reimbursement request ID *

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2.2. Reimbursement contestation ID *

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2.3. Amended reimbursement request ID *

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2.4. Updated total amount requested *

2.4.1. Amount *

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2.4.2. Currency *

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