0B – ANSI – State License#
1A – ANSI – Blue Cross Provider ID#
1B – ANSI – Blue Shield Provider#
1C – ANSI – Medicare Provider#
ID – ANSI – Medicaid Provider#
IG – ANSI – Provider UPIN#
1H – ANSI – CHAMPUS ID#
1J – ANSI – Facility ID#
B3 – ANSI – Preferred Provider Org
BQ – ANSI – Health Maintenance Org Code#
EI – ANSI – Employers ID#
FH – ANSI – Clinic#
G2 – ANSI – Provider Commercial#
G5 – ANSI – Provider Site#
LU – ANSI – Location#
SY – ANSI – Social Security#
U3 – ANSI – The Social Security# may not be used for
X5 – ANSI – Medicare. Unique Supplier ID# (USIN)
N4 – ANSI – Provider plan Network ID#
ZZ – ANSI – Taxonomy code
