Add New
Page Header Name / Inner Page Name
Insurance Company
Contract
Plans
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Download CSV File
cloud_upload
Drag & drop or
Browse
CSV file
Add New Insurance Company
Ins. Company ID
Ins. Company Name Thai
*
Ins. Company Name English
Contact Person 1
Contact Person 2
Email ID
Head Quarters
Address Line 1
*
Address Line 2
Address Line 3 (Tambon)
City
State
Postal Code
Country
Telephone
*
Mobile
Email ID
*
Business Office
Address Line 1
Address Line 2
Address Line 3 (Tambon)
City
State
Postal Code
Country
Telephone
Mobile
Email ID
Invoice Address
Address Line 1
Address Line 2
Address Line 3 (Tambon)
City
State
Postal Code
Country
Telephone
Mobile
Email ID
Payment Details
Tax ID
Sales Person (Hospital)
Bulk Upload
Download CSV File
cloud_upload
Drag & drop or
Browse
CSV file
Add New Contract
Insurance Company
*
Contract ID
*
Company Contract Name English
*
Company Contract Name Thai
*
Note
Contract Start Date
*
Contract End Date
*
Bulk Upload
Download CSV File
cloud_upload
Drag & drop or
Browse
CSV file
Add New Plan
Insurance Company
*
Contract
*
Select
Plan ID
*
Plan Name English
*
Plan Name Thai
*
Override
Yes
No
Price Parameter
*
Round Up
Round Down
N/A
Total Billable Price To Be Calculated Based On Price Parameter
Note
Plan Start Date
*
Plan End Date
*