| .02 | 
Direct Global Read & w/Fileman | 
The name of your facility from the Institution file.
 
 | 
FACILITY NAME | 
0;2 | 
1.05 | 
Direct Global Read & w/Fileman | 
The facility federal tax ID number.
 
 | 
FEDERAL TAX NUMBER | 
1;5 | 
19;.02 | 
Direct Global Read & w/Fileman | 
The Pay- To Provider name.
 
 | 
PAY-TO PROVIDER NAME | 
19;0-0;2 | 
19;1.01 | 
Direct Global Read & w/Fileman | 
Pay-to Provider Street Address 1
 
 | 
Street Address 1. | 
19;0-1;1 | 
19;1.02 | 
Direct Global Read & w/Fileman | 
Pay-To Provider Street Address 2
 
 | 
Street Address 2 | 
19;0-1;2 | 
19;1.03 | 
Direct Global Read & w/Fileman | 
Pay-To Provider City.
 
 | 
City | 
19;0-1;3 | 
19;1.04 | 
Direct Global Read & w/Fileman | 
Pay-To Provider State.
 
 | 
State | 
19;0-1;4 | 
11.03 | 
Direct Global Read & w/Fileman | 
The default Pay-To Provider
 
 | 
Default Pay-To Provider | 
11;3 | 
19;1.05 | 
Direct Global Read & w/Fileman | 
The Pay-To Provider zip code.
 
 | 
Pay-To Provider Zip Code | 
19;0-1;5 |