View Insurance ID Patterns

1 In the menu bar, click Utilities > Billing Edits.

Note: The Utilities menu does not appear for contracted phlebotomists. For PSC employees and IOPs, it might not appear for some labs.

2 In the Performing Site list, click the lab associated with the carrier whose insurance ID patterns you want to view.

3 In the Legal Entity list, click the legal entity that the billing system uses for financial reporting.

If the lab has only one legal entity, only one item appears in this list.

4 In the Insurance Carrier list, click the appropriate carrier.

The Third Party Forms Code area displays the identifier used for the carrier, and the bottom of the page displays the patterns used for the selected carrier’s insurance IDs, group numbers or date of injury (for workers' compensation claims), and referring physicians' provider IDs (if applicable). If these patterns are not available, a message to that effect appears on the page.

All insurance IDs are presented as 25-character strings, all group numbers are presented as 10‑ or 17-character strings, and all dates of injury are presented as 6-character strings. The actual total number of possible characters appears in parentheses after the pattern. The patterns are presented using the following characters:

Character	Description
A	Required alphabetic character
N	Required numeric character
X	Required alphabetic or numeric character
!	Optional numeric character
@	Optional alphabetic character
*	Optional alphabetic or numeric character
B	No character (blank)

For example, if a particular carrier’s insurance ID consists of three required alphabetic characters, three required numeric characters, and three optional alphabetic or numeric characters, the Insurance ID column would display AAANNN***BBBBBBBBBBBBBBBB(6-9).