SBR Subscriber Information

Batch

To record information specific to the primary insured and the insurance carrier for that insured

Elements

PositionElementNameTypeMin/MaxRepeat
11138Payer Responsibility Sequence Number CodeMandatoryID1/11
21069Individual Relationship CodeOptID2/21
3127Reference IdentificationOptAlphanumeric1/301
493NameOptAlphanumeric1/601
51336Insurance Type CodeOptID1/31
61143Coordination of Benefits CodeOptID1/11
71073Yes/No Condition or Response CodeOptID1/11
8584Employment Status CodeOptID2/21
91032Claim Filing Indicator CodeOptID1/21

Element Details

ID1138
NamePayer Responsibility Sequence Number Code
LengthMin 1 / Max 1
Position1
RequirementMandatory
Codes
  • <>PPrimary
  • <>NUnconfirmed
  • <>TTertiary
  • <>ONoncapitated Agreement
  • <>UUnknown
  • <>SSecondary