Prompt | Response | Req | Len |
---|---|---|---|
Begin with Insurance Carrier | Type the code you want to begin with, click the magnifying glass to search the table or leave the field blank to start with the first code in the table. | 5 | |
End with Insurance Carrier | Type the code you want to end with, click the magnifying glass to search the table or leave the field blank to end with the last code in the table. | 5 | |
Begin with Doctor | Type the code you want to begin with, click the magnifying glass to search the table or leave the field blank to start with the first code in the table. | 5 | |
End with Doctor | Type the code you want to end with, click the magnifying glass to search the table or leave the field blank to end with the last code in the table. | 5 | |
Forms Printed | If you want the report to include the insurance forms that have already been printed, select this check box. | 1 | |
Forms Not Printed | If you want the report to include the insurance forms that have not been printed, select this check box. | 1 | |
Begin with Location | Type the code you want to begin with, click the magnifying glass to search the table or leave the field blank to start with the first code in the table. | 6 | |
End with Location | Type the code you want to end with, click the magnifying glass to search the table or leave the field blank to end with the last code in the table. | 6 | |
Summary Only | If you only want to print a summary, select this check box. | 1 | |
Print for which type of Claim | Select which type of claims to print, Legacy or PDF or Both. | 1 |