Segment
X12 EDI Release 00504
To specify the condition under which insurance coverage is offered
Elements
  • UDA011123Offer Basis Code
    ID
    M必须(Mandatory)

    Code specifying the basis on which the underwriter offers to provide coverage

    Codes (19)
  • UDA02352Description
    AN
    O可选(Optional)
    Min 1 / Max 80

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

  • UDA03673Quantity Qualifier
    ID
    O可选(Optional)

    Code specifying the type of quantity

    Codes (1132)
  • UDA04380Quantity
    R
    O可选(Optional)
    Min 1 / Max 15

    Numeric value of quantity

  • UDA05355Unit or Basis for Measurement Code
    ID
    O可选(Optional)

    Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

    Codes (884)
  • UDA06610Amount
    N
    O可选(Optional)
    Min 1 / Max 15

    Monetary amount

  • UDA07954Percentage as Decimal
    R
    O可选(Optional)
    Min 1 / Max 10

    Percentage expressed as a decimal (e.g., 0.0 through 1.0 represents 0% through 100%)