Segment
X12 EDI Release 00404
To specify account information
Elements
  • ACT01508Account Number
    AN
    M必须(Mandatory)
    Min 1 / Max 35

    Account number assigned

  • ACT0293Name
    AN
    O可选(Optional)
    Min 1 / Max 60

    Free-form name

  • ACT0366Identification Code Qualifier
    ID
    O可选(Optional)

    Code designating the system/method of code structure used for Identification Code (67)

    Codes (239)
  • ACT0467Identification Code
    AN
    O可选(Optional)
    Min 2 / Max 80

    Code identifying a party or other code

  • ACT05569Account Number Qualifier
    ID
    O可选(Optional)

    Code indicating the type of account

    Codes (46)
  • ACT06508Account Number
    AN
    O可选(Optional)
    Min 1 / Max 35

    Account number assigned

  • ACT07352Description
    AN
    O可选(Optional)
    Min 1 / Max 80

    A free-form description to clarify the related data elements and their content

  • ACT08107Payment Method Code
    ID
    O可选(Optional)

    Code identifying type of payment procedures

    Codes (37)
  • ACT091216Benefit Status Code
    ID
    O可选(Optional)

    The type of coverage under which benefits are paid

    Codes (6)