| Label | Type | Description | Mandatory |
| Authorization Reference | REFERENCE_NUMBER | The reference number of the service authorization that authorizes payment for the service delivered. The service authorization entered by a user will be used to search for an existing service authorization. If a service authorization reference number is not included on a service invoice line item, the system will attempt to match against an existing service authorization using information about the client, case, and service. | No |
| Case Reference | REFERENCE_NUMBER | The reference number of the case for which the client is receiving the service. The case reference number entered by a user will be used to search for a case. | No |
| Number of Units | NUMBER_WORK_UNITS | Number of units of the service delivered. | No |
| Unit Amount | CURAM_AMOUNT | The amount invoiced for each unit of the service delivered. | No |
| Amount Invoiced | CURAM_AMOUNT | The total amount invoiced for the service delivered (equals unit amount multiplied by number of units). This information should be entered by the user to ensure accuracy. | No |
|
| Payee Details |
| Label | Type | Description | Mandatory |
| Reference | REFERENCE_NUMBER | The reference number of the provider or provider group who is to be paid for the delivery of the service. If a provider is specified, the provider may or may not have delivered the service. For example, providers within an umbrella provider group may provide the service to clients, but the payment needs to be made to the provider group itself. The reference number entered by a user will be used to search for a registered provider or provider group. | No |
| Name | CONCERN_ROLE_NAME | The name of the provider or provider group who is to be paid for the delivery of the service. If a provider is specified, the provider may or may not have delivered the service. For example, providers within an umbrella provider group may provide the service to clients, but the payment needs to be made to the provider group itself. The name entered by a user will be used to search for a registered provider or provider group. | No |
|
| Provider Details |
| Label | Type | Description | Mandatory |
| Reference Number | REFERENCE_NUMBER | The reference number of the provider who delivered the service to the client of the agency. The reference number entered by a user will be used to search for a registered provider. | No |
| Amount Invoiced | CURAM_AMOUNT | The total amount invoiced for the service delivered (equals unit amount multiplied by number of units). This information should be entered by the user to ensure accuracy. | No |
| Name | CONCERN_ROLE_NAME | The name of the provider who delivered the service to the client of the agency. The name entered by a user will be used to search for a registered provider. | No |
|
| Client Details |
| Label | Type | Description | Mandatory |
| Reference Number | REFERENCE_NO | The reference number of the client to whom the service was delivered. The client reference number entered by a user will be used to search for a registered person. | No |
| First Name | FIRST_FORENAME | The first name of the client to whom the service was delivered. The first name entered by a user will be used to search for a registered person. | No |
| Last Name | MOTHER_BIRTH_SURNAME | The last name of the client to whom the service was delivered. The last name entered by a user will be used to search for a registered person. | No |
| Date of Birth | CURAM_DATE | The date of birth of the client to whom the service was delivered. The date of birth entered by a user will be used to search for a registered person. | No |
|
| Correction Reason |
| Label | Type | Description | Mandatory |
| Correction Reason | COMMENTS | | No |
|
