Provider Segment

Field #

Field Name

Possible Value or Explanation of Field

465-EY

Provider ID Qualifier

Pharmacist's ID qualifier corresponding to the below number; technically located in the Insurance Plan File (F3) but is not mandatory for most states. NY state requires this number, however it gets populated into this field from the user's file as it's required to input it there for each and individual user.

444-E9

Provider ID

Pharmacist's ID number corresponding to the above number; technically located in the Insurance Plan File (F3) but is not mandatory for most states. NY state requires this number, however it gets populated into this field from the user's file as it's required to input it there for each and individual user.