Segment
X12 EDI Release 00602
To report Health Insurance Tax Advantage Account information
Elements
  • FSA01875Maintenance Type Code
    ID
    M必须(Mandatory)

    Code identifying the specific type of item maintenance

    Codes (128)
  • FSA021202Flexible Spending Account Selection Code
    ID
    O可选(Optional)

    Code indicating selection of a type of Flexible Spending Account

    Codes (5)
  • FSA031203Maintenance Reason Code
    ID
    O可选(Optional)

    Code identifying the reason for the maintenance change

    Codes (118)
  • FSA04C062Tax Advantage Account InformationO可选(Optional)
    1636508
    • FSA04011636Account Relationship Code
      ID
      M必须(Mandatory)

      Code indicating relationship or type of account an entity maintains with a vendor or financial institution

      Codes (30)
    • FSA0402508Account Number
      AN
      O可选(Optional)
      Min 1 / Max 35

      Account number assigned

  • FSA05594Frequency Code
    ID
    O可选(Optional)

    Code indicating frequency or type of activities or actions being reported

    Codes (23)
  • FSA061204Plan Coverage Description
    AN
    O可选(Optional)
    Min 1 / Max 50

    A description or number that identifies the plan or coverage

  • FSA071161Product Option Code
    ID
    O可选(Optional)

    Code indicating an option chosen for the product

    Codes (30)
  • FSA081161Product Option Code
    ID
    O可选(Optional)

    Code indicating an option chosen for the product

    Codes (30)
  • FSA091161Product Option Code
    ID
    O可选(Optional)

    Code indicating an option chosen for the product

    Codes (30)