# | Name | Location | Type | Details | Index | Description |
---|---|---|---|---|---|---|
.01 | name(+) | 0;1 | FREE TEXT | B | This field is used to contain the name of the non-patient sponsor. | |
.02 | date of birth | 0;2 | DATE-TIME | This field contains the sponsor's date of birth. This date may be used to print on claim forms submitted to the Tricare fiscal intermediary. | ||
.03 | social security number | 0;3 | FREE TEXT | This field contains the sponsor's social security number. This field may be used to print on claim forms submitted to the Tricare fiscal intermediary. |