Provider code:
<%= card_provider.provider_code %>
Provider line 1:
<%= card_provider.provider_line_1 %>
Provider line 2:
<%= card_provider.provider_line_2 %>
Provider line 3:
<%= card_provider.provider_line_3 %>
Provider line 4:
<%= card_provider.provider_line_4 %>
Provider line 5:
<%= card_provider.provider_line_5 %>
Mail to:
<%= card_provider.mail_to %>
Mail to 2:
<%= card_provider.mail_to_2 %>
Contact line 1:
<%= card_provider.contact_line_1 %>
Contact line 2:
<%= card_provider.contact_line_2 %>
Contact line 3:
<%= card_provider.contact_line_3 %>
Group number:
<%= card_provider.group_number %>
Claim to 1:
<%= card_provider.claim_to_1 %>
Claim to 2:
<%= card_provider.claim_to_2 %>
Claim to 3:
<%= card_provider.claim_to_3 %>
Claim to 4:
<%= card_provider.claim_to_4 %>
Claim to 5:
<%= card_provider.claim_to_5 %>
Claim to 6:
<%= card_provider.claim_to_6 %>
Claim to 7:
<%= card_provider.claim_to_7 %>
Claim to 8:
<%= card_provider.claim_to_8 %>
Claim to 9:
<%= card_provider.claim_to_9 %>
Claim to 10:
<%= card_provider.claim_to_10 %>
Claim to 11:
<%= card_provider.claim_to_11 %>
Provider line 6:
<%= card_provider.provider_line_6 %>
Provider line 7:
<%= card_provider.provider_line_7 %>
Provider line 8:
<%= card_provider.provider_line_8 %>
Provider line 9:
<%= card_provider.provider_line_9 %>
Provider line 10:
<%= card_provider.provider_line_10 %>
Provider line 11:
<%= card_provider.provider_line_11 %>
Rx group:
<%= card_provider.rx_group_id %>
Rx contact:
<%= card_provider.rx_contact %>
Provider lookup 1:
<%= card_provider.provider_lookup_1 %>
Provider lookup 2:
<%= card_provider.provider_lookup_2 %>
Precert 1:
<%= card_provider.precert_1 %>
Precert 2:
<%= card_provider.precert_2 %>
Precert 3:
<%= card_provider.precert_3 %>
Precert 4:
<%= card_provider.precert_4 %>
Precert 5:
<%= card_provider.precert_5 %>
Precert 6:
<%= card_provider.precert_6 %>
Provider line 12:
<%= card_provider.provider_line_12 %>
Claim to 12:
<%= card_provider.claim_to_12 %>