{"aaData": [["18", "
Plan Number
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["IG", "
Insurance Policy Number
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["N6", "
Plan Network Identification Number
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["NQ", "
Medicaid Recipient Identification Number
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["9K", "
SERVICER
\n", "
NO
\n", "
2023-09-19 11:16:11
\n", "
0
\n"], ["EI", "
EIN
\n", "
NO
\n", "
2023-09-19 11:16:11
\n", "
0
\n"], ["SY", "
SSN
\n", "
NO
\n", "
2023-09-19 11:16:11
\n", "
0
\n"], ["TJ", "
FEDERAL TAX ID
\n", "
NO
\n", "
2023-09-19 11:16:11
\n", "
0
\n"], ["D3", "
NATIONAL ASSOCIATION OF BOARDS OF PHARMACY NUMBER
\n", "
NO
\n", "
2023-09-19 11:16:11
\n", "
0
\n"], ["PXC", "
Health Care Provider Taxonomy Code
\n", "
NO
\n", "
2023-09-19 11:16:11
\n", "
0
\n"], ["ZZ", "
Taxonomy cody
\n", "
NO
\n", "
2023-09-19 11:16:11
\n", "
0
\n"], ["1L", "
Group or Policy Number
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["HPI", "
Healthcare Financing Administration
\n", "
NO
\n", "
2023-09-19 11:16:11
\n", "
0
\n"], ["1W", "
Member Identification Number
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["49", "
Family Unit Number
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["6P", "
Group Number
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["9F", "
Referral Number
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["A6", "
Employee Identification Number
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["F6", "
Health Insurance Claim (HIC) Number
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["G1", "
Prior Authorization Number
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"]]}