Segment
X12 EDI Release 00305
To supply beneficiary, co-participant, and owner information
Elements
Code indicating the relationship between two individuals or entities.
Codes (50)- 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
- 45Widow
- 46Widower
- 47State Fund
- 48Stepfather
- 49Stepmother
- 50Foster Parent
- 51Emergency Contact
- 52Employer
- 53Life Partner
- 01Spouse
- 02Son or Daughter
- 03Father or Mother
- 04Grandfather or Grandmother
- 05Grandson or Granddaughter
- 06Uncle or Aunt
- 07Nephew or Niece
- 08Cousin
- 09Adopted Child
- ZZMutually Defined
Code defining the type of ownership.
Codes (26)- 10Terminated
- 11Shared
- 12Undesignated
- 13Lessee
- 14Contract for Deed Purchaser
- 15Life Estate
- 16Joint Contractual Liability
- 17Joint Ownership
- 18Nonapplicant Spouse
- 19Participant
- 20Maker (With Co-maker)
- 21Co-maker
- 22Borrower
- 23Co-borrower
- 24Borrower and Co-borrower
- 25Joint with Spouse
- 26Joint with Non-Spouse
- 01Sole (Individual)
- 02Joint Ownership or Obligation in Severalty
- 03Joint Owner or Obligation with the Right of Survivorship
- 04Trust
- 05Custodial
- 06Corporate
- 07Partnership
- 08Authorized User
- 09On Behalf Of