Segment
X12 EDI Release 00304
To identify information basic to the processing of any claims transaction
Elements
  • BCI011271Industry Code
    AN
    O可选(Optional)
    Min 1 / Max 20

    Code indicating a code from a specific industry code list

  • BCI021336Insurance Type Code
    ID
    O可选(Optional)

    Code identifying the type of insurance policy within a specific insurance program

    Codes (30)
  • BCI03127Reference Number
    AN
    O可选(Optional)
    Min 1 / Max 30

    Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.

  • BCI04156State or Province Code
    ID
    O可选(Optional)
    Min 2 / Max 2

    Code (Standard State/Province) as defined by appropriate government agency.

  • BCI051250Date Time Period Format Qualifier
    ID
    O可选(Optional)

    Code indicating the date format, time format, or date and time format.

    Codes (22)
  • BCI061251Date Time Period
    AN
    O可选(Optional)
    Min 1 / Max 35

    Expression of a date, a time, or range of dates, times or dates and times.

  • BCI07755Report Type Code
    ID
    O可选(Optional)

    Code indicating the title or contents of a document, report or supporting item

    Codes (258)
  • BCI08100Currency Code
    ID
    O可选(Optional)
    Min 3 / Max 3

    Code (Standard ISO) for country in whose currency the charges are specified.