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|Data Element Name: Policy Number||File Location: Master|
|SPARCS Data Element Number: 39|
|Record Positions: See Group Definition||Format-Length: A/N - 19|
|Effective Date: 1/1/1994||Revision Date:|
|Deniable Data Element: Yes - See Appendix Z for release restrictions.|
The unique identification number assigned by the payer associated with this sequence to identify the patient.
Codes and Values:
|1.||Payer||Type of Number|
|Blue Cross||Information depending on Plan information needs and specific contract
|Commercial Insurers||If group, insured ID number from claim form or ID card was used. If not
available, insured SSN was used. If an individual insurance contract
was involved, policy number was used.
|Medicaid||Medicaid Identification number of the insured or case head Medicaid number
shown on the Medicaid Identification card.
|Medicare||The patient's Medicare HIC number as shown on the Health Insurance Card,
Certificate of Award, Utilization Notice, Temporary Eligibility Notice,
Hospital Transfer Form, or as reported by the Social Security Office.
|CHAMPUS||Information depending on CHAMPUS regulations.
||Must have been left justified and space filled.|
|3.||If this field was not applicable it must have contained blanks.|
- If the Source of Payment (Data Element 38) was Medicare ("C"), Medicaid ("D"), Commercial Insurance ("F"), or Blue Cross ("G"), the Policy Number was required.