{{ setupHeader(['common','datatables','datatables-colreorder','datatables-dt','datatables-bs']) }}
| {{ 'Name'|xlt}} | {{ 'Address'|xlt}} | {{ 'City, State, ZIP'|xlt}} | {{ 'Phone'|xlt}} | {{ 'Fax'|xlt}} | {{ 'Payer ID'|xlt}} | {{ 'Default X12 Partner'|xlt}} | {{ 'Deactivated'|xlt}} |
|---|---|---|---|---|---|---|---|
| {{insurancecompany.name|text}} | {{insurancecompany.line1|text}} {{insurancecompany.line2|text}} | {{insurancecompany.city|text}} {{insurancecompany.state|upper|text}} {{insurancecompany.zip|text}} | {{insurancecompany.phone|text}} | {{insurancecompany.fax|text}} | {{insurancecompany.cms_id|text}} | {{insurancecompany.x12_default_partner_name|text}} | {% if insurancecompany.inactive == 1%}{{ 'Yes'|xlt}}{% endif %} |
| {{ 'No Insurance Companies Found'|xlt}} |