Prompt | Response | Req | Len |
---|---|---|---|
CGM eMEDIX Submitter ID | Enter the CGM eMEDIX Submitter ID for this database. | 25 | |
CGM eMEDIX User Name | Enter the CGM eMEDIX User Name for this database. | 30 | |
CGM eMEDIX Password | Enter the CGM eMEDIX Password for this database. | 30 | |
CGM eMEDIX DSN/TPID | Enter the CGM eMEDIX DSN/TPID for this database. | 10 | |
Default Payment Code | Type the default payment code you want for Payment Portal Payments or click the magnifying glass to search the table. | 10 | |
Mastercard Payment Code | Type the payment code you want for Mastercard Payment Portal Payments or click the magnifying glass to search the table. | 10 | |
Visa Payment Code | Type the payment code you want for Visa Payment Portal Payments or click the magnifying glass to search the table. | 10 | |
American Express Payment Code | Type the payment code you want for American Express Payment Portal Payments or click the magnifying glass to search the table. | 10 | |
Discover Card Payment Code | Type the payment code you want for Discover Card Payment Portal Payments or click the magnifying glass to search the table. | 10 |