Employer Information

The Employer Information section contains information about the employer for the patient or guarantor or insurance. If you do not want to enter any employer information for the patient, click Cancel to proceed with registering the patient. You can elect to bypass the Employer screen during the registration process by selecting the Bypass Employer Screen check box in the Patient Information section of the CGM webPRACTICE Default Values function.



Data Field Information
Prompt Response Req Len
Employer Code Type the code you want or click the magnifying glass to search the table. 8
Employer Name This field is informational only and reflects the employer's name as it is stored in the Employer Code Table.   40
Address Line One This field is informational only and reflects the employer's address as it is stored in the Employer Code Table.   40
Address Line Two This field is informational only and reflects any additional address information for the employer as it is stored in the Employer Code Table.   40
City This field is informational only and reflects the employer's city as it is stored in the Employer Code Table.   30
State This field is informational only and reflects the employer's state as it is stored in the Employer Code Table.   3
Zip Code This field is informational only and reflects the employer's zip code as it is stored in the Employer Code Table.   10
Contact Name This field is informational only and reflects the contact name for the employer as it is stored in the Employer Code Table.   30
Contact Phone This field is informational only and reflects the phone number for the contact person for the employer as it is stored in the Employer Code Table.   20
Contact Fax This field is informational only and reflects the fax number for the contact person for the employer as it is stored in the Employer Code Table.   20
Employee Phone Type the employee's work telephone number and extension.   20
Employee Fax Type the employee's work fax number.   20
Occupation Type the employee's occupation.   40
Hire Date Type the date the employee began working for this employer or click the calendar icon to select a date.   10
Termination Date Type the date the employee was terminated from this employer, if applicable, or click the calendar icon to select a date.   10
Supervisor Type the name of the employee's supervisor.   30
Comments Type any applicable comment for this employer record.   50
Comments Type any additional applicable comment for this employer record.   50
Employee Relationship Select the option to indicate if this is the patient's employer, the guarantor's employer or the insured's employer. 1

After you have entered and saved the employer information, you will have the option to enter another employer. If you click Yes, another Employer Information screen will display. If you are done entering employers, click No.