Medicare qualifier list code and definition

Qualifier List

0B - State License Number
1A - Blue Cross Provider Number
1B - Blue Shield Provider Number
1C - Medicare Provider Number
1D - Medicaid Provider Number
1G - Provider UPIN Number
1H - Campus Identification Number
1J - Facility ID Number
B3 - Preferred Provider Organization Number BQ - Health Maintenance Organization Code Number EI - Employer's Identification Number FH - Clinic Number
G2 - Provider Commercial Number
G5 - Provider Site Number
LU - Location Number
SY - Social Security Number
U3 - Unique Supplier Identification Number
X5 - State Industrial Accident Provider Number

This information is typed into the PINS field (under Insurance).

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