Across
- 4. Late Pay Reminder, Late Pay Notification, Overdue
- 7. Payor Information
- 11. Policy Number (not the OIPA policy number)
- 12. Payor
- 13. Lockbox Payment, Apple Pay
- 14. Pay, Planned Payment
- 15. Policy Number
- 17. Date the payment is applied to the bill, or reversal
Down
- 1. Processing Date
- 2. Effective Date
- 3. Payor
- 5. Billing and Payments
- 6. Identification number (not the policy number)
- 8. Transaction or Open Bill
- 9. Date, Due date of Open Bill
- 10. Regular Recurring EFT/Bankcard, One-time
- 16. Legacy, BA Account Number