Any fields not required for the particular claim being lodged will be greyed out.
![1](drex_bullet_1.png) Request Provider Details
Requesting Provider Number IS The provider number for the requesting provider (allocated by the Medicare).
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DVA Required when Flags > ServiceType is "P" - Pathology
Requesting Provider Type Indicate if the requesting provider is GP or Specialist.
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![2](drex_bullet_2.png) Request Type
Request Type Indication of the type of a request
Options:
P: Pathology
D: Diagnostic Imaging
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![3](drex_bullet_3.png) Request Date
Request Date is the Date the request was issued.
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![4](drex_bullet_4.png) Request Override Code
Request Override Code Indicates why requested services were provided without a request from another practitioner. Must be one of 'L,E,H,N,G,R,V'.
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