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Data Element Name:  Payer Identification Number
SPARCS Data Element Number:  31
Record Positions:  See Group Definition Format-Length:  A/N - 5
Effective Date:  1/1/2003 Revision Date:  January 2003

Definition:

The number which identifies the payer organization associated with this sequence for which the provider might expect some payment of the bill.

Codes and Values:

    1.    Payer Type of Number
Blue Cross Plan Number

Commercial Insurers NAIC, NEIC,DOI, or DOH Number

Medicaid State Agency Assigned number to be determined

Medicare Blue Cross Number or Commercial Insurer NAIC Number depending on intermediary

CHAMPUS NAIC Number

2. Must have been right justified and zero filled.

3. If this field was not applicable it must have contained zeroes.

Edit Applications:
  1. If Source of Payment Code (Data Element 29) is Blue Cross ("G"), then Payer Identification is required and must have been valid in accordance with the Blue Cross and Blue Shield Plan Numbers Appendix L.

  2. If Source of Payment Code (Data Element 29) is Insurance Company ("F"), then Payer Identification is required and must have been a valid numeric.