Segment
X12 EDI Release 00403
To name the income pursuant to a civil action (judgment, child support, etc.)
Elements
  • CAI011185Public Record or Obligation Code
    ID
    M必须(Mandatory)

    Code defining the nature of public record or civil action obligation

    Codes (21)
  • CAI0293Name
    AN
    M必须(Mandatory)
    Min 1 / Max 60

    Free-form name

  • CAI0393Name
    AN
    O可选(Optional)
    Min 1 / Max 60

    Free-form name

  • CAI04522Amount Qualifier Code
    ID
    O可选(Optional)

    Code to qualify amount

    Codes (1696)
  • CAI05782Monetary Amount
    R
    O可选(Optional)
    Min 1 / Max 18

    Monetary amount

  • CAI06122Rate/Value Qualifier
    ID
    O可选(Optional)

    Code qualifying how to extend charges or interpret value

    Codes (177)
  • CAI07127Reference 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