Segment
X12 EDI Release 00401
To provide information on health coverage
Elements
  • HD01875Maintenance Type Code
    ID
    M必须(Mandatory)

    Code identifying the specific type of item maintenance

    Codes (103)
  • HD021203Maintenance Reason Code
    ID
    O可选(Optional)

    Code identifying the reason for the maintenance change

    Codes (109)
  • HD031205Insurance Line Code
    ID
    O可选(Optional)

    Code identifying a group of insurance products

    Codes (49)
  • HD041204Plan Coverage Description
    AN
    O可选(Optional)
    Min 1 / Max 50

    A description or number that identifies the plan or coverage

  • HD051207Coverage Level Code
    ID
    O可选(Optional)

    Code indicating the level of coverage being provided for this insured

    Codes (18)
  • HD06609Count
    N
    O可选(Optional)
    Min 1 / Max 9

    Occurrence counter

  • HD07609Count
    N
    O可选(Optional)
    Min 1 / Max 9

    Occurrence counter

  • HD081209Underwriting Decision Code
    ID
    O可选(Optional)

    Code indicating the decision made by the underwriter

    Codes (7)
  • HD091073Yes/No Condition or Response Code
    ID
    O可选(Optional)

    Code indicating a Yes or No condition or response

    Codes (4)
  • HD101211Drug House Code
    ID
    O可选(Optional)

    Code indicating a drug house with which the insurance plan is affiliated

    Codes (8)
  • HD111073Yes/No Condition or Response Code
    ID
    O可选(Optional)

    Code indicating a Yes or No condition or response

    Codes (4)