| Label | Type | Description | Mandatory |
| Maximum Co-Payment Limit | CURAM_AMOUNT | The maximum limit above which a family is no longer required to make co-payments when this limit is reached within a specified effective period of time. | No |
| Effective From Date | CURAM_DATE | The date from which the maximum co-payment limit is effective. | No |
| Effective To Date | CURAM_DATE | The date on which the maximum co-payment limit is effective to. | No |
| Total Co-Payment Receipts | CURAM_AMOUNT | The sum of the amount paid value on all co-payment receipt detail records related to the case. | No |
| Co-Payment Limit Reached | CURAM_INDICATOR | Indicator to show whether the co-payment limit has been reached. This value is set when the sum of the amount paid value on all co-payment receipt detail records is greater than or equal to the maximum co-payment limit value. | No |
|
| Receipts |
| Label | Type | Description | Mandatory |
| Household Member | FULL_NAME | The full name and the social security number of the household member for whom the co-payment receipt detail record exists. If the household member does not have a social security number, no number is displayed. | No |
| Amount Paid | CURAM_AMOUNT | The monetary value of the amount paid for the service supplied by the service supplier. | No |
| Date of Service | CURAM_DATE | The date on which the service was provided for which the co-payment was paid. | No |
| Received Date | CURAM_DATE | The date on which the co-payment receipt detail was received by the organization. | No |
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