Third Party Insurers Address Information

For predefined insurers, only the Insurer Account # field can be modified.

Insurer ID

A unique ID for this Insurer.

Insurer Name

The Insurer company name.

Contact

The Contact name associated with this address.

Address; City; State; Postal Code

The insurer’s address.

Report Type

Select the type of reporting method for Third Party Insurance reports.

Insurer Account

If applicable, type in your account number.