|
| Code qualifying the Reference Identification |
| May contain organization-specific values: No |
| Category Entries: |
| Receiver Identification Number |
| Version Code - Local |
| Payer Identification Number |
| Submitter Identification Number |
| Health Industry Number |
| National Association of Insurance Commissioners(NAIC) Code |
| State License Number |
| Blue Cross Provider Number |
| Blue Shield Provider Number |
| Medicare Provider Number |
| Medicaid Provider Number |
| Dentist License Number |
| Anesthesia License Number |
| Provider UPIN Number |
| Tricare Identification Number |
| National Association of Boards of Pharmacy Number |
| Provider Commercial Number |
| Provider Plan Network Identification Number |
| Payee Identification |
| Federal Taxpayer's Identification Number |