Segment
X12 EDI Release 00403
To supply additional demographic identification
Elements
  • DMA01127Reference Identification
    AN
    O可选(Optional)
    Min 1 / Max 50

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

  • DMA02156State or Province Code
    ID
    O可选(Optional)
    Min 2 / Max 2

    Code (Standard State/Province) as defined by appropriate government agency

  • DMA03127Reference Identification
    AN
    O可选(Optional)
    Min 1 / Max 50

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

  • DMA04156State or Province Code
    ID
    O可选(Optional)
    Min 2 / Max 2

    Code (Standard State/Province) as defined by appropriate government agency

  • DMA051268Applicant Type Code
    ID
    O可选(Optional)

    Code indicating the type of applicant

    Codes (3)
  • DMA0683Code For Licensing, Certification, Registration, or Accreditation Agency
    ID
    O可选(Optional)

    Code identifying a licensing, certification, registration, or accreditation agency.

    Codes (17)
  • DMA0726Country Code
    ID
    O可选(Optional)
    Min 2 / Max 3

    Code identifying the country

  • DMA08819Language Code
    ID
    O可选(Optional)
    Min 2 / Max 3

    Code designating the language used in text, from a standard code list maintained by the International Standards Organization (ISO 639)

  • DMA09546Status Code
    ID
    O可选(Optional)

    Code identifying the status of a business transaction, such as a claim, policy, real estate, or securities transaction

    Codes (181)