| CGM eMEDIX Submitter ID |
Enter the CGM eMEDIX Submitter ID for this database. |
Y |
25 |
| CGM eMEDIX User Name |
Enter the CGM eMEDIX User Name for this database. |
Y |
30 |
| CGM eMEDIX Password |
Enter the CGM eMEDIX Password for this database. |
Y |
30 |
| CGM eMEDIX DSN/TPID |
Enter the CGM eMEDIX DSN/TPID for this database. |
Y |
10 |
| Default Payment Code |
Type the default payment code you want for Payment Portal Payments or click the magnifying glass to search the table. |
Y |
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 |
| ACH Payment Code |
Type the payment code you want for ACH Payment Portal Payments or click the magnifying glass to search the table. |
|
10 |