Insurance Information

The Insurance window gives you access to all insurance related information for the insured party. You can update any of the information that appears on this window.

The Insurance window is divided into three main sections:

The following table contains definitions for the Policy Information fields on the patient Insurance window.  

Field Name

 Definition

Insurance Code

This is the identifying code for the payer associated with the order insurance. Type the code of the payer you want to use or click the search icon to search for an insurance.

For more information see To Search for a Payer.

Payer Name

This is the name of the payer associated with the order insurance. This field cannot be changed as it is based on the payer associated with the insurance code.

Member/Policy Number

This is the member or policy number for the insurance. A value must be entered in either the Member/Policy Number field, the Primary Group Number field, or the Plan Identifier field.

Primary Group Number

This is the group number of the policy for the order insurance. A value must be entered in either the Member/Policy Number field, the Primary Group Number field, or the Plan Identifier field.

Plan Identifier

This is an identifier for the plan for the order insurance. A value must be entered in either the Member/Policy Number field, the Primary Group Number field, or the Plan Identifier field.

Group Name

This is an identifying name for the group policy associated with the order insurance.

Effective Date

This is the effective date of the policy for the  insurance. The date must be in MM/DD/YYYY format (e.g., 07/15/2002).

Expiration Date

This is the expiration date of the policy for the insurance. The date must be in MM/DD/YYYY format (e.g., 07/15/2002).

The Insured Information and Insured's Employer Information fields are self-explanatory.  If you select "Self" on Patient relationship to Insured, all the patient demographic information on the previous screen is copied to these section.

The following commands are available through the buttons on the top right portion of the screen:

Orders Tab

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