| DIC(36,D0,0) | 
| FIELD NUMBER | 
ACCESS | 
FIELD DESCRIPTION | 
FIELD NAME | 
LOCATION | 
 
.01 | 
Write w/Fileman | 
It may be necessary to add a new insurance company when
filing a new patient policy.
 
 | 
NAME | 
0;1 | 
 
 | 
 | 
DIC(36,D0,.11) | 
| FIELD NUMBER | 
ACCESS | 
FIELD NAME | 
LOCATION | 
 
.111 | 
Write w/Fileman | 
STREET ADDRESS [LINE 1] | 
.11;1 | 
.112 | 
Write w/Fileman | 
STREET ADDRESS [LINE 2] | 
.11;2 | 
.114 | 
Write w/Fileman | 
CITY | 
.11;4 | 
.115 | 
Write w/Fileman | 
STATE | 
.11;5 | 
.116 | 
Write w/Fileman | 
ZIP CODE | 
.11;6 | 
 
 | 
Update of the insurance company address.
 
 | 
DIC(36,D0,.13) | 
| FIELD NUMBER | 
ACCESS | 
FIELD DESCRIPTION | 
FIELD NAME | 
LOCATION | 
 
.131 | 
Write w/Fileman | 
Update of the insurance company phone number.
 
 | 
PHONE NUMBER | 
.13;1 | 
 
 | 
 |