Code identifying 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 information as defined for a particular Transaction Set or as specified by the Reference Identification 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