SBR Subscriber Information
To record information specific to the primary insured and the insurance carrier for that insured
Sequence
Element
Name
Type
Requirement
Min
Max
Repeat
Code identifying the insurance carrier's level of responsibility for a payment
of a claim
Codes (15)
Code indicating the relationship between two individuals or entities
SBR02 specifies the relationship to the person insured.
Codes (155)
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
Codes (69)
Code identifying whether there is a coordination of benefits
Codes (9)
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.
Codes (9)
Code indicating the general employment status of an employee/claimant
Codes (91)
Code identifying type of claim
Codes (52)
Code identifying payer types in the most granular way