United States Health Information Knowledgebase


Other Payer ID Qualifier

Name:Other Payer ID Qualifier
Definition:Code qualifying the 'Other Payer ID' (340-7C).
Type:Data Element
Registration Authority:National Council for Prescription Drug Programs
Source:National Council for Prescription Drug Programs
Values for: Other Payer ID Qualifier
Value Value Meaning
1C Medicare Number-A number that identifies the federal program providing health insurance for people aged 65 and older and for disabled people of all ages.
1D Medicaid Number-A number that identifies a program, financed jointly by the federal government and the states, that provides health coverage for mostly low-income women and children as well as nursing-home care for low-income elderly.
01 Standard Unique Health Plan Identifier-Code indicating that the information is the HIPAA mandated Health Plan Identifier (HPID) or the Other Entity Identifier (OEID) established in 45 CFR 162 Subpart E.
02 Health Industry Number (HIN)-A 9 digit alphanumeric number used to identify health care entities such as veterinarians, animal clinics, and health care provider facilities. The number is assigned by HIBCC.
03 Bank Information Number (BIN) Card Issuer ID or Bank ID Number assigned by ANSI used for network routing. Now defined by ANSI as the Issuer Identification Number (IIN). This may also be the Processor ID, assigned by NCPDP.
04 National Association of Insurance Commissioners (NAIC)-A unique number for each company that does business in the United States as assigned by NAIC. A company may have multiple NAIC Codes to represent subsidiary companies under a main company.
05 Medicare Carrier Number-A number assigned by the carrier or intermediary which administers the Medicare health insurance program.
99 Other-Different from those implied or specified.
Blank Not Specified
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