
| Prompt | Response | Req | Len |
|---|---|---|---|
| Insurance Class Code | Type the code you want or click the magnifying glass to search the table. This code cannot begin with a zero. | ![]() |
6 |
| Description | Type a description of the insurance class code. | 40 | |
| Fee Schedule | Type the code you want or select from the Fee Schedule list. This fee schedule must match the fee schedule stored for any insurance carrier that is assigned this Insurance Class code in the Insurance Carrier Table. | 5 |