Prompt | Response | Req | Len |
---|---|---|---|
Employer Code | Type the code you want or click the magnifying glass to search the table. This code cannot begin with a zero. | 8 | |
Employer Name | Type the employer name. | 40 | |
Address Line One | Type the address for this employer. | 40 | |
Address Line Two | Type any additional address information. | 40 | |
Zip Code | Type the five digit zip code or the zip-plus-four. If you type the zip-plus-four CGM webPRACTICE will automatically insert the dash before the last four numbers. If the zip code has been used before, the City and State fields will automatically default with the data previously used. If the zip code has not been used before, the zip code table will automatically store the new entry along with the City and State you type. |
10 | |
City | Type the city for this employer. | 15 | |
State | Select a state from the State list. | 3 | |
Contact Phone | Type the phone number for this employer. | 20 | |
Contact Fax | Type the fax number for this employer. | 20 | |
Contact Name | Type the name of the contact person for this employer. | 30 | |
Insurance Carrier | Type the code you want or click the magnifying glass to search the table. This represents the insurance that the employer provides for the employees. | 5 | |
Webpractice Enabled | Enter a "Y" if this Employer is enabled for Webpractice otherwise "N" | 1 |