Default Primary Policy


Field DescriptionField ID
Primary Payer Name@INS1
Primary Policy Group #@INS1GRP
Primary Policy Member ID@INS1MEM
Primary Payer Address 1@INS1ADDR
Primary Payer Address 2@INS1ADDR2
Primary Payer City@INS1CITY
Primary Payer State@INS1STATE
Primary Payer Zip@INS1ZIP
Primary Payer Phone@INS1PH
Primary Payer Copay@PCOP
Primary Policy Co-Insurance@PCOINS
Primary Patient Deductible@PDEDUCT