Overview
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(Click an image below to enlarge.)
Plan: New Page / Paper Claim Options Tab
Plan: [name] Page / Paper Claim Options Tab
Field Definitions
Field | Type | Required | Description |
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Field Name | Display Only | No | Corresponds to the box on the claim form that contains the data from the case. Fields are displayed and sorted alphabetically. |
Primary | Varies | Varies | Contain the options of the Field Name that determine what data will be printed in the corresponding boxes for primary claims. By default, all fields are set to its primary and secondary default options. If a field is grayed out, no option is available. |
Secondary | Varies | Varies | Contain the options of the Field Name that determine what data will be printed in the corresponding boxes for secondary claims. By default, all fields are set to its primary and secondary default options. If a field is grayed out, no option is available. |