1792 Changed Identifying Information Code

Code specifying the identification information that changed from a request to a response.

Identifier (ID)
Min 1 / Max 2
1First Name
2Middle Initial
3Last Name
4Name Suffix
5Date of Birth
6Member Identification Number
7Group Number
8Policy Number
9Case Number
BBirth Sequence Number
CChange from Dependent to Subscriber
DChange from Subscriber to Dependent
FProvider Network Status Mismatch - Both In and Out of Network Returned
GProvider Network Status Mismatch - Correct Network Returned
HProvider Network Status Not Determined
IProvider Network Status Not Applicable
ZZMutually Defined

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