| Field Description | Field ID |
| Secondary Payer Name | @INS2 |
| Secondary Policy Group # | @INS2GRP |
| Secondary Policy Member ID | @INS2MEM |
| Secondary Payer Address 1 | @INS2ADDR |
| Secondary Payer Address 2 | @INS2ADDR2 |
| Secondary Payer City | @INS2CITY |
| Secondary Payer State | @INS2STATE |
| Secondary Payer Zip | @INS2ZIP |
| Secondary Payer Phone | @INS2PH |
| Secondary Payer Copay | @SCOP |
| Secondary Policy Co-Insurance | @SCOINS |
| Secondary Patient Deductible | @SDEDUCT |