N-TYPE INSURANCE CO ID (299)    IB DATA ELEMENT DEFINITION (364.5)

Name Value
NAME N-TYPE INSURANCE CO ID
SECURITY LEVEL NATIONAL,NO EDIT
TYPE OF ELEMENT EXTRACTED VIA CODE
ELEMENT CATEGORY INDIVIDUAL ELEMENT
BASE FILE BILL/CLAIMS
EXTRACT CODE S IBXDATA=""
DESCRIPTION
Extracted from a set of codes. Could be 1A=Blue Cross ID-INst;
1B=Blue Shiled ID-Prof;1H=Champus ID;X4=CLIA#;
1A = Blue Cross Number;1B = Blue Shield Number;1C = Medicare Number;
1D = Medicaid Number;1G = UPIN Number;1H = TRICARE ID Number;
G2=Provider Commercail ID;24=Facility Fed Tax ID #;1C=Medicare Part A-Inst
1C=Medicare Part B -Porf;B3=Network ID-HMO;BQ=Network ID-PPO;G5=Provider Site ID
0B=State License;IG=Provider UPIN;EI=Employer's ID;LU=Location Number;
X5=State Industrial Accident Provider Number;FH=Clinic Number;1D=Medicaid