COB Coordination of Benefits

To supply information on coordination of benefits

Position: COB-01 · Element: 1138 · Name: Payer Responsibility Sequence Number Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: 1

Code identifying the insurance carrier's level of responsibility for a payment of a claim

Position: COB-02 · Element: 127 · Name: Reference Identification · Type: String (AN) · Requirement: Optional · Min: 1 · Max: 50 · Repeat: 1

Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

COB02 is the policy number.

Position: COB-03 · Element: 1143 · Name: Coordination of Benefits Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: 1

Code identifying whether there is a coordination of benefits

Position: COB-04 · Element: 1365 · Name: Service Type Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 2 · Repeat: 9

Code identifying the classification of service