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    Searchable Payer id code list - Comm, BCBS, MDCR, MDCD

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    Explore each field’s purpose and see precise X12 837P 5010 mappings with real code examples

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HCFA-1500 Box 11b - Other Claim ID

July 27, 2025

Learn how to complete HCFA-1500 Box 11b for Other Claim ID entries, typically used for Workers’ Compensation and other property and casualty claims. Includes X12 837 mapping using REF*Y4 and sample EDI segment.

HCFA-1500 Box 11a - Insured's Date of Birth and Sex

July 27, 2025

Learn how to complete HCFA-1500 Box 11a for the insured’s date of birth and sex, and see how this information maps to the X12 837 format using the DMG segment in Loop 2010BA.

HCFA-1500 Box 11 - Insured's Policy Group or FECA Number

July 25, 2025

Box 11 on the HCFA-1500 form is used to report the insured’s policy group or FECA number. Learn how to complete this field and how it maps to SBR03 in the X12 837 transaction.

HCFA-1500 Box 10d - Claim Codes

July 24, 2025

HCFA‑1500 Box 10d captures NUCC‑approved Claim Condition Codes, such as W2 (duplicate bill) or abortion‑related codes. Learn how these are transmitted in the 837P 5010 HI segment with BG qualifiers

HCFA-1500 Box 10 - Is Patient's Condition Related To

July 23, 2025

HCFA-1500 Box 10 indicates whether a patient’s condition is related to employment, auto, or other accidents. Learn how these fields map to CLM11 in the X12 837 format.

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