Payer Information


Field DescriptionField ID
Primary Payer Group Number@IN1GRP
Primary Payer Member Number@IN1MEM
Primary Payer Name@TIN1
Secondary Payer Group Number@IN2GRP
Secondary Payer Member Number@IN2MEM
Secondary Payer Name@TIN2
Primary Payer Address 1@AINADDR1
Primary Payer Address 2@AINADDR2
Primary Payer City@AIN1CITY
Primary Payer Phone@AIN1PH
Primary Payer State@AIN1STATE
Primary Payer Zip Code@AIN1ZIP
Secondary Payer Address 1@AIN2ADDR1
Secondary Payer Address 2@AIN2ADDR2
Secondary Payer City@AIN2CITY
Secondary Payer Phone@AIN2PH
Secondary Payer State@AIN2STATE
Secondary Payer Zip Code@AUB2ZIP