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The following table describes the Data Repository fields for Case Management information.
| Data Fields | Description |
|---|---|
| Accident Description | Accident description |
| Auth Number | Authorization number |
| Case Contact Address 1 | Address of case contact |
| Case Contact Address 2 | Address of case contact |
| Case Contact City | City of case contact |
| Case Contact Name | Case contact's name |
| Case Contact Phone | Case contact's number |
| Case Contact Phone Ext | Extension of case contact's address |
| Case Contact State | State associated with case contact's address |
| Case Contact Zip | ZIP code associated with case contact's address |
| Case Description | Case description |
| Case Employer Full Name | Full name of the case employer |
| Case Number | Case number |
| Case Status | Case status |
| Cond Related to Emp | Cond related to employer |
| Disabled From | Disabled from |
| Disabled To | Disabled to |
| Effective Date | Effective date |
| Expiration Date | Expiration date |
| Guarantor | Name of the guarantor |
| Guarantor with Prefix/Suffix | Name of the guarantor with prefix, such as Mr. and suffix, such as Jr. |
| Light Work From | Light work from |
| Light Work To | Light work to |
| Litigation Date | Litigation date |
| MRI Date | MRI date |
| Occur Code | Occur code |
| Occur State | Occur state |
| Onset Date | Onset date |
| Onset Time | Onset time |
| Patient Type | Patient type |
| Payers | Payers |
| PT Protocol | PT protocol |
| Referring Physician | Referring physician |
| Release Of Info | Release of information |
| Return to Work | Return To work |
| Same Sim Date | Same Sim date |
| Surgery Date | Surgery date |