Segment
X12 EDI Release 00303
To specify the service code or classification the expense will be charged to, and to provide the required expense data.
Elements
  • JIL01235Product/Service ID Qualifier
    ID
    M必须(Mandatory)

    Code identifying the type/source of the descriptive number used in Product/Service ID (234).

    Codes (275)
  • JIL02234Product/Service ID
    AN
    M必须(Mandatory)
    Min 1 / Max 30

    Identifying number for a product or service.

  • JIL03782Monetary Amount
    R
    O可选(Optional)
    Min 1 / Max 15

    Monetary amount.

  • JIL04128Reference Number Qualifier
    ID
    O可选(Optional)

    Code qualifying the Reference Number.

    Codes (755)
  • JIL05127Reference Number
    AN
    O可选(Optional)
    Min 1 / Max 30

    Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.

  • JIL06373Date
    DT
    O可选(Optional)
    Min 6 / Max 6

    Date (YYMMDD).