Download HIPAA Authorizer

127
HIPAA Authorizer
[Provider3City] [varchar](25) NULL,
[Provider3State] [char](2) NULL,
[Provider3Zip] [varchar](10) NULL,
[Provider3Contact] [varchar](60) NULL,
[Provider3Telefone] [varchar](20) NULL,
[Provider3Extension] [varchar](10) NULL,
[Provider3Fax] [varchar](20) NULL,
[Provider3Email] [varchar](60) NULL,
[Provider3URL] [varchar](100) NULL,
[Provider3TypeCode] [char](2) NULL,
[Provider3Taxonomy] [varchar](30) NULL,
[Provider3_RejectReason1] [char](2) NULL,
[Provider3_FollowUpCode1] [char](1) NULL,
[Provider3_RejectReason2] [char](2) NULL,
[Provider3_FollowUpCode2] [char](1) NULL,
--[Provider3_RejectReason3] [char](2) NULL,
--[Provider3_FollowUpCode3] [char](1) NULL,
--[Provider3_RejectReason4] [char](2) NULL,
--[Provider3_FollowUpCode4] [char](1) NULL,
--[Provider3_RejectReason5] [char](2) NULL,
--[Provider3_FollowUpCode5] [char](1) NULL,
--[Provider3_RejectReason6] [char](2) NULL,
--[Provider3_FollowUpCode6] [char](1) NULL,
--[Provider3_RejectReason7] [char](2) NULL,
--[Provider3_FollowUpCode7] [char](1) NULL,
--[Provider3_RejectReason8] [char](2) NULL,
© <2013> Martin Scholl Consulting, Inc.