Insurance

	Field	Type	Length	Description
1	Record Type ID	String		Indicates the record type. For this record it will always be “Insurance”.
2	ID	ID		Surrogate Key
3	Patient ID	REF		Surrogate key to a patientCorresponds to a (Patient line in the same file set)’s ID value
4	Encounter ID	REF		Surrogate Key to an EncounterCorresponds to a (Encounter line in the same file set)’s ID value
5	Plan Identifier	String	20
6	Plan Name	String	130	practices key Identifier for a patient
7	Group Number	String	20
8	Group Name	String	130
9	Start Date	Date
10	End Date	Date
11	Medicare Card Number	String	20
12	Medicaid Case Name	String	100
13	Medicaid Case Number	String	20
14	Pharmacy Coverage	String	20
15	Comment	String	MAX
16	Sponsor	String	130
17	Policy number	String	20
18	Insurance Company Name	String	120
19	Insurance Company Address	String	160
20	Insurance Company City	String	60
21	Insurance Company State	String	50
22	Insurance Company Postal Code	String	20
23	Insurance Company Phone	String	20
24	Group EMP ID	String	50
25	Group EMP Name	String	120
26	Insured Name	String	120
27	Insured Address	String	160
28	Insured City	String	50
29	Insured State	String	50
30	Insured Postal Code	String	20
31	Insured Phone	String	20
32	Insured Alt Phone	String	20
33	Insured DOB	Date
34	Insured SSN	String	20
35	Insured Gender	String	20
36	Plan Type Term	Term		code\|name\|namespace\|family\|ns desc
37	Rate Code Term	Term		code\|name\|namespace\|family\|ns desc
38	Status Term	Term		code\|name\|namespace\|family\|ns desc
39	Segment Term	Term		code\|name\|namespace\|family\|ns desc
40	Primary Caregiver ID	REF		Surrogate Key to a CaregiverCorresponds to a (Caregiver line in the same file set)’s ID value
41	Insured Relationship Term	Term		code\|name\|namespace\|family\|ns desc
42	Type Term	Term		code\|name\|namespace\|family\|ns desc
43	Patient Identifier	String	128	Used to look up existing patient. Part of Natural Key Identifier. Typically, the source’s or practice’s key Identifier for a patient
44	Patient Record Authority ID	REF		Surrogate Key to a Record Authority.
45	Encounter Identifier	String	128	Used to look up existing encounter. Part of Natural Key Identifier. Typically, the source’s or practice’s key Identifier for an encounter
46	Primary Caregiver Identifier	String	64	Used to look up existing caregiver. Part of Natural Key Identifier. Typically, the source’s or practice’s key Identifier for a caregiver
47	Primary Caregiver Record Authority ID	REF		Surrogate Key to a Record Authority.
48	Inserted Audit Data	Audit		Audit data for when the record was inserted/created
49	Last Modified Audit Data	Audit		Audit data for when the record was last modified
50	Data Source	Data Source	50\|MAX	Code\|Name. See Data Source Format - Source of the data