DA2 Record Entry Field Locations

Payer Data 3

Number Position Field Name Data Entry Screen
01 1-3 Record Type (Auto Fill)
DA2.02 4-5 Sequence Number Patient List > Insurance button > General tab > Priority
DA2.03 6-22 Patient ID

(See CAO Record Patient ID)

DA2.04 23-52 Insured Address 1 Patient List > Insurance button > [Change] > General tab > Address 1
DA2.05 53-82 Insured Address 2 Patient List > Insurance button > [Change] > General tab > Address 2
DA2.06 83-102 Insured City Patient List > Insurance button > [Change] > General tab > City
DA2.07 103-104 Insured State Patient List >Insurance button > [Change] > General tab > State
DA0.08 105-113 Insured Zip Code Patient List >Insurance button > [Change]General tab > Zip Code
DA2.09 114-123 Patient Telephone Number Patient List > Insurance button > General tab > Area & Telephone
DA2.10 124-131 Insured Retirement Date Patient List > Insurance button > [Change] > Employment tab > Retirement Date
DA2.11 132-129 Insured Spouse Retirement Date (Not Supported)
DA2.12 140-172 Insured Employer Name Patient List > Insurance button > [Change] > Employment tab > Employer Name
DA2.13 173-202 Insured Empoyer Address 1 Patient List > Insurance button > [Change] > Employment tab > Address 1
DA2.14 203-232 Insured Employer Address 2 Patient List >Insurance button > [Change] > Employment tab > Address 2
DA2.15 233-252 Insured Empoyer City Patient List > Insurance button > [Change] > Employment tab > City
DA2.16 253-254 Insured Empoyer State Patient List > Insurance button > [Change] > Employment tab > State
DA2.17 255-263 Insured Empoyer Zip Code Patient List > Insurance button > [Change].Employment tab > Zip Code
DA2.18 264-275 Insured Employer ID Patient List > Insurance button > [Change] > Employment tab > Employee ID
DA2.19 276-320 Filler National (Not Supported)