Prompt | Response | Req | Len |
---|---|---|---|
Doctor Code | Type the code you want or select from the Doctor list. | 10 | |
Insurance Carrier | Type the code you want or click the magnifying glass to search the table. | 5 | |
Location Code | Type the code you want or select from the Location list. | 20 | |
Group Number | Type the group number for this doctor, insurance carrier and location. | 20 |