Guarantor tab>change account type to dual insurance>save. Primary insurance is associated with the primary guarantor. Secondary insurance information is associated with the secondary guarantor. On the patient information page, make sure the relationship of the patient to the guarantor is correct, and choose what kind of coverage each patient has according to who is the primary and who is the secondary on the account. If the secondary guarantor has coverage for himself first, then select "Primary coverage is thru secondary insurance." If the secondary guarantor is not covered by the primary's insurance, then select "Primary does not apply".