Segment
X12 EDI Release 00504
To supply flexible spending account information
Elements
  • FSA01875Maintenance Type Code
    ID
    M必须(Mandatory)

    Code identifying the specific type of item maintenance

    Codes (124)
  • FSA021202Flexible Spending Account Selection Code
    ID
    O可选(Optional)

    Code indicating selection of a type of Flexible Spending Account

    Codes (5)
  • FSA031203Maintenance Reason Code
    ID
    O可选(Optional)

    Code identifying the reason for the maintenance change

    Codes (118)
  • FSA04508Account Number
    AN
    O可选(Optional)
    Min 1 / Max 35

    Account number assigned

  • FSA05594Frequency Code
    ID
    O可选(Optional)

    Code indicating frequency or type of activities or actions being reported

    Codes (23)
  • FSA061204Plan Coverage Description
    AN
    O可选(Optional)
    Min 1 / Max 50

    A description or number that identifies the plan or coverage

  • FSA071161Product Option Code
    ID
    O可选(Optional)

    Code indicating an option chosen for the product

    Codes (30)
  • FSA081161Product Option Code
    ID
    O可选(Optional)

    Code indicating an option chosen for the product

    Codes (30)
  • FSA091161Product Option Code
    ID
    O可选(Optional)

    Code indicating an option chosen for the product

    Codes (30)