The Other Insured sub-category, found under Patient Data, corresponds to the other insured information set within the Patient section of the application.
| Name | Description |
| Address Line 1 | Associated with the first "Address" field. |
| Address Line 2 | Associated with the second "Address" field. |
| Cell Phone | Associated with the "Cell#" field. |
| City | Associated with the "City" field. |
| Associated with the "Email" field. | |
| First Name | Associated with the "First" field. |
| Gender | Displays the selected option in the "Sex" selection field. |
| Home Phone | Associated with the 'Home#" field. |
| Last Name | Associated with the "Last Name" field. |
| Middle Initial | Associated with the "MI" field. |
| State | Associated with the "State" field. |
| Work Extension | Associated with the "Ext" field. |
| Work Phone | Associated with the "Work#" field. |
| Birhtday | Associated with the "Birthdate" field. |
| Relationship | Displays the selected option in the "Patient relationship to the other insured?" selection field. |
| SSN | Associated with the "SS#" field. |
| Zip Code | Associated with the "Zipcode" field. |