| Label | Type | Description | Mandatory |
| Household Member(s) | BENEFIT_DELIVERY_SYSTEM_MEMBERS | The household members who are part of the Dental Plan. If you selected 'Individual Child' on the Select Benefit Delivery System Details page, this displays only one child's name. If you selected 'All children in the assistance unit' on the Select Benefit Delivery System Details page, this displays all children in the assistance unit. If you have originally navigated from the New Benefit Delivery System Details page or from the Change link on the Modify Benefit Delivery System Details page, this displays only one child's name. | No |
| Primary Care Provider Name | NAME | The name of the primary care provider the user is searching for. | No |
| County | NAME | The county where the household member resides. This cannot be modified | No |
|
| Search Results |
| Label | Type | Description | Mandatory |
| Name | NAME | The name of the primary care provider you searched for. | No |
| Benefit Delivery System | NAME | The name of the benefit delivery system the household member is part of. If fee for service is available, this will display Fee for Service System. | No |
| Benefit Delivery System Type | ISP_DENTAL_PLAN_TYPE | The type of benefit delivery system, for example, dental plan or fee for service. | No |
|
| Action |
| Label | Type | Description | Mandatory |
|
