Patient Information fields

Field

Description

First Name

May also include middle name.

The middle name or initial can help a Fulfiller find the requested records. Even small hospitals may have treated dozens of patients with very similar names.

Last Name

Check that the patient’s middle name was not written to this field.

DOB

Date of Birth

MRN

Medical Record Number

More common on requests from payors, such as health insurance companies or Medicare.

SSN

Must be 9 digits.

Claim #

More common on requests from payors, such as health insurance companies or Medicare.

Patient Account / Control #

Contract #

Patient identifier fields that appear only in specific circumstances. For example, a site or a requester may ask us to capture an ID value that is not required in most cases.

MBI

Medicare Beneficiary Identifier