The following default field codes are automatically created and configured for OnBase:
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Patient Account Number Total Billed Amount Total Benefit Amount Patient Responsibility Claim Number Patient Name - First Patient Name - Middle Patient Name - Last Patient ID Insured Name - First |
Insured Name - Middle Insured Name - Last Insured ID Provider Name - First Provider Name - Middle Provider Name - Last Provider ID Claim Date - Start Claim Date - End Payment Number |
Payment Date Payer Name Payer ID Payee Name Taxpayer ID Service Line Benefit Amount Service Line Date - Start Service Line Date - End Claim Adjustment Reason Code Service Line Adjustment Reason Code |