Field Description - Policy Holder Last Name

The Policy Holder Last Name contains the last name of the person who is the policy holder of the insurance plan covering the patient.  The Policy Holder First Name and Initial combined with the Policy Holder Last Name makes up  the policy holder's full name.

Notes:  

• You can view and maintain the Policy Holder Last Name during Patient Entry at the Insurance Window.

• The Policy Holder Last Name prints on HCFA claim forms.

Format:  up to 20 characters