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Page Properties


Data ElementRELATIONSHIP_2
Description

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 insured

1 = Spouse

19 = Natural child/insured financially responsible

43 = Natural child/insured does not have financial responsibility

17 = Step Child

4 = 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 Nephew

41 = 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 Minor

36 = 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

TypetextText
Formatvarchar
Length2
Coverage15%
Tip / Notes
Rank056


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