00497
Payor Subscriber ID
2013-03-10
Definition: In the US this field is required for ENVOY Corporation processing, and it identifies the specific office within the insurance carrier that is designated as responsible for the claim. The assigning authority and identifier type code are strongly recommended for all CX data types.
LengthNot specified
12 components
| 1 | R | - | ID Number | |
| 2 | O | - | Identifier Check Digit | |
| 3 | O | Check Digit Scheme | ||
| 4 | C | Assigning Authority | ||
| 5 | R | Identifier Type Code | ||
| 6 | O | - | Assigning Facility | |
| 7 | O | - | Effective Date | |
| 8 | O | - | Expiration Date | |
| 9 | C | - | Assigning Jurisdiction | |
| 10 | C | - | Assigning Agency or Department | |
| 11 | O | - | Security Check | |
| 12 | O | Security Check Scheme |