Case, Policy Number (policy 1 or 2)

Insurance Carriers List, Type FECA = OF Medicare = MB Medicaid = MC Blue Cross/Shield = BL Champus = CH ChampsVA = VA Worker's Comp = WC HMO = HM PPO = 12 Default = CI NHIC: If EDI Receiver, Region is NE, then send ZZ.

"If the Claim Responsibility is Primary, this segment will print out Policy Number 1 from the Patient Case in Medisoft. If the Claim Repsonsibility is Secondary, this segment will print out Policy Number 2. If the Claim Repsonsibility is Tertiary, this segment will print out Policy Number 3."

"If this is a Secondary Claim and the Insurance type is "Medicare" in the Insurance Edit window under the EDI/Eligibility tab then this segment will do the following: If the "Medicare Secondary Reason:" is greater than "1" in the Policy 2 tab in the Patient case, then this segment will print that Medicare Secondary Reason field out. If this field is blank in the Policy 2 tab, this segment will print out "47"."