Codes indicating the relationship , — such as patient, spouse, child, etc. , — of the patient to the identified insured person listed in the first of three Insured’s Name fields.
18 = Patient is named insured1 = Spouse 19 = Natural child/insured financially responsible
43 = Natural child/insured does not have financial responsibility
17 = Step Child4 = Grandparent 5 = Grandchild 7 = Niece or Nephew 10 = Foster Child 15 = Ward of the Court - Court — Patient is ward of the insured as a result of a court order 17 = Step Child 18 = Patient is named insured 19 = Natural Child/insured financially responsible 20 = Employee - Employee — The patient is employed by the named insured .21 = Unknown - Unknown — The patient’s relationship to the named insured is unknown 22 = Handicapped Dependent — Dependent - Dependent child whose coverage extends beyond normal termination age limits as a result of laws or agreements extending coverage .
39 = Organ Donor - Code is used in cases where bill is submitted for care given to organ donor where such care is paid by the receiving patient’s insurance coverage.
40 = Cadaver Donor - Code is used where bill is submitted for procedures performed on cadaver donor where such procedures are paid by the receiving patient’s insurance coverage.
5 = Grandchild
7 = Niece or Nephew41 = Injured Plaintiff - Patient is claiming insurance as a result of injury covered by insured.
23 = Sponsored Dependent - Dependent — Individual not normally covered by insurance coverage but coverage has been specially arranged to include relationships such as grandparent or former spouse that would require further investigation by the payer .24 = Minor Dependent of a Minor Dependent - Dependent — Code is used where patient is a minor and a dependent of another minor who in turn is a dependent, although not a child of the insured .29 = Significant Other 32 = Mother 33 = Father
4 = Grandparent
29 = Significant Other
36 = Emancipated Minor36 = Emancipated Minor 39 = Organ Donor — Code is used in cases where bill is submitted for care given to organ donor where such care is paid by the receiving patient’s insurance coverage 40 = Cadaver Donor — Code is used where bill is submitted for procedures performed on cadaver donor where such procedures are paid by the receiving patient’s insurance coverage 41 = Injured Plaintiff — Patient is claiming insurance as a result of injury covered by insured 43 = Natural Child/insured does not have financial responsibility 53 = Life Partner G8 = Other Relationship | 