| Name | Description | Type | Additional information |
|---|---|---|---|
| ID | string |
None. |
|
| LOA_DESC | string |
None. |
|
| ORDSEQ | string |
None. |
|
| BENEFIT_CODE | string |
None. |
|
| MAX_AMT | string |
None. |
|
| MIN_AMT | string |
None. |
|
| ACTUAL_AMT | string |
None. |
