The subscriber of the patient's insurance
The guarantor of the account
The carrier name and number
The expiration date of the insurance coverage
The effective date of the insurance coverage
Additional action based on the carrier
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False
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Group policy
Supplemental policy
Commercial policy
None of these
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Automatic
Manual
Other Cov COB
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Supplemental for commercial carriers and Tricare
Supplemental for Medicaid
Medigap for Medigap policies
None
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False
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