EDI X12 00303 BEN Segment Schema | 知行 EDI 规范查询平台

Elements

BEN01 1130 Primary or Contingent Code
ID
M必须(Mandatory)
Code identifying if the beneficiary is the primary beneficiary or the contingent beneficiary.
Codes (2)
- CContingent
- PPrimary
BEN02 954 Percent
R
O可选(Optional)
Min 1 / Max 10
Percentage expressed as a decimal
BEN03 1069 Individual Relationship Code
ID
O可选(Optional)
Code indicating the relationship between two individuals or entities.
Codes (41)
- 10Foster Child
- 11Son-in-law or Daughter-in-law
- 12Brother-in-law or Sister-in-law
- 13Mother-in-law or Father-in-law
- 14Brother or Sister
- 15Ward
- 17Stepson or Stepdaughter
- 18Self
- 19Child
- 20Employee
- 21Unknown
- 22Handicapped Dependent
- 23Sponsored Dependent
- 24Dependent of a Minor Dependent
- 25Ex-spouse
- 26Guardian
- 27Student
- 28Friend
- 29Significant Other
- 30Both Parents
- 31Court Appointed Guardian
- 32Mother
- 33Father
- 34Other Adult
- 36Emancipated Minor
- 37Agency Representative
- 38Collateral Dependent
- 39Organ Donor
- 40Cadaver Donor
- 41Injured Plaintiff
- 43Child Where Insured Has No Financial Responsibility
- 01Spouse
- 02Son or Daughter
- 03Father or Mother
- 04Grandfather or Grandmother
- 05Grandson or Granddaughter
- 06Uncle or Aunt
- 07Nephew or Niece
- 08Cousin
- 09Adopted Child
- ZZMutually Defined
BEN04 1073 Yes/No Condition or Response Code
ID
O可选(Optional)
Code indicating a Yes or No condition or response.
Codes (3)
- NNo
- UUnknown
- YYes
BEN05 1073 Yes/No Condition or Response Code
ID
O可选(Optional)
Code indicating a Yes or No condition or response.
Codes (3)
- NNo
- UUnknown
- YYes