| Name | Description | Type | Additional information |
|---|---|---|---|
| OrderID | integer |
None. |
|
| InsuranceID | integer |
None. |
|
| InsuranceTypeID | integer |
None. |
|
| Name | string |
None. |
|
| FirstName | string |
None. |
|
| MiddleName | string |
None. |
|
| LastName | string |
None. |
|
| RelationToPatient | string |
None. |
|
| DOB | date |
None. |
|
| InsuranceName | string |
None. |
|
| PolicyNumber | string |
None. |
|
| GroupNumber | string |
None. |
|
| EffectiveDate | date |
None. |
|
| InsurancePlan | string |
None. |
|
| Address | string |
None. |
|
| City | string |
None. |
|
| State | string |
None. |
|
| Zip | string |
None. |
|
| Phone | string |
None. |
|
| PAuthNumber | string |
None. |
|
| Cost | decimal number |
None. |
|
| PONumber | string |
None. |
|
| MedicaidNumber | string |
None. |
|
| MedicareNumber | string |
None. |
|
| CreatedBy | integer |
None. |
|
| InsuredAddress | string |
None. |
|
| InsuredCity | string |
None. |
|
| InsuredState | string |
None. |
|
| InsuredZip | string |
None. |
|
| InsuredPhone | string |
None. |