00435
Insured's Group Emp ID
2020-01-06
Definition: This field holds the group employer ID for the insured's insurance. 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 |