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Text File  |  1995-12-18  |  1KB  |  42 lines
  1. 28
  2. Insurance Company Number,0,268,4,0
  3. Insurance Company Name,0,1,30,0
  4. Insurance Company Street,0,31,30,0
  5. Insurance Company Cityline,4,61,32,0
  6. Insurance City,0,61,20,0
  7. Insurance State,0,81,2,0
  8. Insurance Zip Code,0,83,10,0
  9. Insurance Company Phone,3,93,10,0
  10. Insurance Company Contact,0,103,18,0
  11. EMC Record Code,0,121,2,0
  12. Procedure Code Number Set,0,123,1,0
  13. Print Signature On File?,0,124,1,0
  14. Ins. Practice ID Number,0,125,15,0
  15. Delay Secondary Billing?,0,140,1,0
  16. Insurance Print PIN,0,141,1,0
  17. Insurance Plan Name,0,142,30,0
  18. Insurance Type,0,172,1,0
  19. Insurance Claim Print,0,213,1,0
  20. Insurance Fax Phone,0,203,10,0
  21. Ins. Default Payment Code,0,214,10,0
  22. Ins. Default Write-off Code,0,224,10,0
  23. Insurance Address #2,0,234,30,0
  24. EMC Payor Number,0,173,5,0
  25. EMC Sub-ID,0,178,15,0
  26. Extra One,0,193,10,0
  27. Practice City,0,61,20,1
  28. Practice State,0,81,2,1
  29. Practice Zip Code,0,83,10,1
  30. 1
  31. 7,
  32. 9
  33. ,2,,
  34. ,1,,
  35. ,18,,
  36. Insurance Name Match,-30,,
  37. City,-20,,
  38. State,-2,,
  39. ,21,,
  40. Contact Match,-20,,
  41. ,8,,
  42.