| Prompt |
Response |
Req |
Len |
| From Electronic Form |
Select the form type you want to begin
with or leave the field blank to start with the first form type
in the file. |
|
2 |
| Through Electronic Form |
Select the form type you want to end
with or leave the field blank to end with the last form type in
the file. |
|
2 |
| Alpha or Numeric |
Select the option to indicate how you
want the report sorted. |
 |
1 |
| Page Between Carrier |
If you want a blank page to print between
each carrier, select this check box. |
|
1 |
| Print Patient Total |
If you want a total to print for each
patient, select this check box. |
|
1 |