The original claim will have a version number of 0, with the next version being assigned a 1, and each subsequent version being incremented by 1 for that service line. MC006 Insured Group 1/1/2003 Text 30 Group or policy number not – or Policy the number that uniquely Number identifies the subscriber. MC007 Subscriber 1/1/2003 Text 9 Subscriber’s social security Social Security number Number Leave blank if unavailable. MC008 Plan Specific 1/1/2003 Text 80 Plan assigned contract number Contract Leave blank if contract number Number = subscriber’s social security number. MC009 Member Suffix 1/1/2003 Text 20 Uniquely numbers the member or Sequence within the contract. Number MC010 Member 1/1/2003 Text 50 Member’s social security Identification number Code Leave blank if unavailable. MC011 Individual 1/1/2003 Text 2 Member’s relationship to Relationship insured Code Refer to Appendix A MC012 Member Gender 1/1/2003 Text 1 Refer to Appendix A
The original claim will have a version number of 0, with the next version being assigned a 1, and each subsequent version being incremented by 1 for that service line. MC006 Insured Group or Policy Number 1/1/2003 Text 30 Group or policy number – not the number that uniquely identifies the subscriber. MC007 Subscriber Social Security Number 1/1/2003 Text 9 Subscriber’s social security number Leave blank if unavailable. MC008 Plan Specific Contract Number 1/1/2003 Text 80 Plan assigned contract number Leave blank if contract number = subscriber’s social security number. MC009 Member Suffix or Sequence Number 1/1/2003 Text 20 Uniquely numbers the member within the contract. MC010 Member Identification Code 1/1/2003 Text 50 Member’s social security number Leave blank if unavailable. MC011 Individual Relationship Code 1/1/2003 Text 2 Member’s relationship to insured Refer to Appendix A MC012 Member Gender 1/1/2003 Text 1 Refer to Appendix A