Segment
X12 EDI Release 00404
To specify the service code or classification the expense will be charged to and 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 (507)
  • JIL02234Product/Service ID
    AN
    M必须(Mandatory)
    Min 1 / Max 48

    Identifying number for a product or service

  • JIL03782Monetary Amount
    R
    O可选(Optional)
    Min 1 / Max 18

    Monetary amount

  • JIL04128Reference Identification Qualifier
    ID
    O可选(Optional)

    Code qualifying the Reference Identification

    Codes (1682)
  • JIL05127Reference 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

  • JIL06373Date
    DT
    O可选(Optional)
    Min 8 / Max 8

    Date expressed as CCYYMMDD where CC represents the first two digits of the calendar year

  • JIL07522Amount Qualifier Code
    ID
    O可选(Optional)

    Code to qualify amount

    Codes (1718)