Code indentifying the insurance carrier's level of responsibility for a payment of a claim

Code indicating the relationship between two individuals or entities.

SBR02 specifies the relationship to the person insured.

Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.

SBR03 is policy or group number.

Free-form name.

SBR04 is plan name.

Code identifying the type of insurance policy within a specific insurance program

Code identifying whether there is a coordination of benefits

Code indicating a Yes or No condition or response.

SBR07 is destination payer code. A ``Y'' value indicates the payer is the destination payer. An ``N'' value indicates the payer is not the destination payer.

Code showing the general employment status of an employee/claimant.

Code identifying type of claim