| Name | Description | Type | Additional information |
|---|---|---|---|
| ProviderID | integer |
None. |
|
| AuthorizationTypeID | integer |
None. |
|
| AuthorizationTypeCode | string |
None. |
|
| AuthorizationNumber | string |
None. |
|
| AuthorizationTypeDescription | string |
None. |
|
| ExpirationDate | date |
None. |
|
| Description | string |
None. |
|
| ID | integer |
None. |