Prompt | Response | Req | Len |
---|---|---|---|
Beginning Plan Code | Type the code you want to start with or leave the text box blank to start with the first code in the table. | 5 | |
End with Plan Code | Type the code you want to end with or leave the text box blank to end with the last code in the table. | 5 | |
Insurance Class | Type the code you want to start with or leave the text box blank to start with the first code in the table. | 5 | |
Begin with Insurance Carrier | Type the code you want to end with or leave the text box blank to end with the last code in the table. | 5 | |
End with Insurance Carrier | Type the code you want to start with or leave the text box blank to start with the first code in the table. | 5 | |
Begin with Procedure Code | Type the code you want to end with or leave the text box blank to end with the last code in the table. | 10 | |
End with Procedure Code | Type the date you want the report to start with or click the calendar icon to select a date. | 10 | |
Print from Date | Type the date you want the report to end with or click the calendar icon to select a date. | 10 | |
Print through Date | If you only want to print a summary, select this check box. | 10 | |
Summary Only | If you only want to print a summary, select this check box. | 1 |