| Name | Description | Type | Additional information |
|---|---|---|---|
| Name | string |
None. |
|
| PayorPlanCode | string |
None. |
|
| Address | string |
None. |
|
| City | string |
None. |
|
| StateCode | string |
None. |
|
| ZipCode | string |
None. |
|
| PhoneNumber | string |
None. |
|
| FaxNumber | string |
None. |
|
| EmailAddress | string |
None. |
|
| Website | string |
None. |
|
| PayorTypeId | integer |
None. |
|
| UserName | string |
None. |
|
| UserId | string |
None. |