| 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 |