Countries and Languages
| Countries | Languages |
|---|---|
| USA | English |
Insurance Provider Information
| Field | Description |
|---|---|
| Insurance Carrier (Payer) | The name of the health insurance carrier. |
| Payer ID/EDI/NEIC | The identifier of the insurance company that provides the coverage. |
Policyholder Information
| Field | Description |
|---|---|
| Member/Subscriber Name (s) | The individual(s) who hold the health insurance policy. |
| Policy ID | The unique identifier assigned to the insurance policy by the health insurance company. |
| Group Number (if present on card) | The unique identifier assigned to a specific group of individuals who are covered under the same insurance policy. |
Insurance Company Address
| Field | Description |
|---|---|
| Insurance PO Box | The address of the insurance company that provides the coverage. |
| Insurance City | The address of the insurance company that provides the coverage. |
| Insurance State | The address of the insurance company that provides the coverage. |
| Insurance Zip | The address of the insurance company that provides the coverage. |
Coverage Information
| Field | Description |
|---|---|
| Coverage Effective Date (if present on card) | The date when the insurance coverage begins. |
Key Fields
- Insurance Carrier
- Member or Subscriber Name
- Policy ID