| Name | Description |
| Payer ID | Displays the unique identifier of this charge's tertiary payer. |
| Group # | Displays the Group Number associated with this charge's patient and with the charge's tertiary payer. |
| Member ID | Displays the member ID associated with this charge's patient and with the charge's tertiary payer. |
| Name | Displays the name of this charge's tertiary payer. |
| Payer Type | Displays the payer type of this charge's tertiary payer. |
| Payment Date | Displays the payment date on the charge by the payer currently set as the tertiary payer. |
| Contract Amount
| Displays the charge amount based on the Contract Amount agreed upon by the payer currently set as the tertiary payer. |
| Tertiary Balance | Displays the charge balance if the tertiary payer is currently being billed for this charge. Otherwise, this field will display $0.00 |
| Tertiary Paid Amount | Displays the sum of all payments made on the charge by the payer currently set as the tertiary payer. |