stupidedi 1.3.23 → 1.4.0
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- checksums.yaml +4 -4
- data/README.md +4 -4
- data/Rakefile +17 -92
- data/bin/edi-ed +8 -12
- data/bin/edi-obfuscate +8 -9
- data/bin/edi-pp +31 -25
- data/doc/{Transcribing.md → Defining.md} +0 -0
- data/doc/{unwritten/Parsing.md → Parsing.md} +0 -0
- data/doc/{unwritten/Tokenizing.md → Tokenizing.md} +0 -0
- data/doc/{unwritten/Validating.md → Validating.md} +0 -0
- data/lib/ruby/array.rb +1 -4
- data/lib/ruby/blank.rb +0 -3
- data/lib/ruby/exception.rb +13 -33
- data/lib/ruby/hash.rb +0 -2
- data/lib/ruby/module.rb +1 -3
- data/lib/ruby/object.rb +0 -13
- data/lib/ruby/string.rb +12 -3
- data/lib/ruby/to_d.rb +20 -25
- data/lib/ruby/to_date.rb +0 -3
- data/lib/ruby/to_time.rb +0 -3
- data/lib/ruby/try.rb +0 -3
- data/lib/stupidedi.rb +27 -41
- data/lib/stupidedi/builder.rb +3 -22
- data/lib/stupidedi/color.rb +4 -6
- data/lib/stupidedi/config.rb +77 -69
- data/lib/stupidedi/config/code_list_config.rb +0 -2
- data/lib/stupidedi/config/editor_config.rb +0 -2
- data/lib/stupidedi/config/functional_group_config.rb +3 -2
- data/lib/stupidedi/config/interchange_config.rb +5 -6
- data/lib/stupidedi/config/transaction_set_config.rb +17 -48
- data/lib/stupidedi/contrib.rb +41 -6
- data/lib/stupidedi/editor.rb +0 -3
- data/lib/stupidedi/editor/00401.rb +0 -3
- data/lib/stupidedi/editor/004010.rb +4 -8
- data/lib/stupidedi/editor/004010/N4.rb +0 -4
- data/lib/stupidedi/editor/00501.rb +0 -3
- data/lib/stupidedi/editor/005010.rb +5 -9
- data/lib/stupidedi/editor/005010/N4.rb +0 -4
- data/lib/stupidedi/editor/X12.rb +0 -5
- data/lib/stupidedi/editor/X222-HC837.rb +0 -5
- data/lib/stupidedi/editor/abstract_ed.rb +0 -2
- data/lib/stupidedi/editor/claim_ack.rb +0 -2
- data/lib/stupidedi/editor/implementation_ack.rb +2 -3
- data/lib/stupidedi/editor/interchange_ack.rb +0 -2
- data/lib/stupidedi/editor/result.rb +1 -6
- data/lib/stupidedi/editor/result_set.rb +1 -3
- data/lib/stupidedi/editor/transaction_set_ed.rb +23 -19
- data/lib/stupidedi/editor/transmission_ed.rb +0 -3
- data/lib/stupidedi/either.rb +0 -5
- data/lib/stupidedi/exceptions/invalid_element_error.rb +0 -2
- data/lib/stupidedi/exceptions/invalid_schema_error.rb +0 -2
- data/lib/stupidedi/exceptions/output_error.rb +0 -2
- data/lib/stupidedi/exceptions/parse_error.rb +0 -2
- data/lib/stupidedi/exceptions/stupidedi_error.rb +0 -2
- data/lib/stupidedi/exceptions/tokenize_error.rb +0 -2
- data/lib/stupidedi/exceptions/zipper_error.rb +0 -2
- data/lib/stupidedi/guides.rb +7 -3
- data/lib/stupidedi/inspect.rb +1 -4
- data/lib/stupidedi/interchanges.rb +11 -0
- data/lib/stupidedi/interchanges/00200.rb +12 -0
- data/lib/stupidedi/interchanges/00200/element_defs.rb +104 -0
- data/lib/stupidedi/interchanges/00200/interchange_def.rb +59 -0
- data/lib/stupidedi/interchanges/00200/segment_defs.rb +12 -0
- data/lib/stupidedi/interchanges/00200/segment_defs/IEA.rb +17 -0
- data/lib/stupidedi/interchanges/00200/segment_defs/ISA.rb +31 -0
- data/lib/stupidedi/interchanges/00200/segment_defs/TA1.rb +20 -0
- data/lib/stupidedi/interchanges/00300.rb +12 -0
- data/lib/stupidedi/interchanges/00300/element_defs.rb +105 -0
- data/lib/stupidedi/interchanges/00300/interchange_def.rb +59 -0
- data/lib/stupidedi/interchanges/00300/segment_defs.rb +12 -0
- data/lib/stupidedi/interchanges/00300/segment_defs/IEA.rb +17 -0
- data/lib/stupidedi/interchanges/00300/segment_defs/ISA.rb +31 -0
- data/lib/stupidedi/interchanges/00300/segment_defs/TA1.rb +20 -0
- data/lib/stupidedi/interchanges/00400.rb +12 -0
- data/lib/stupidedi/interchanges/00400/element_defs.rb +97 -0
- data/lib/stupidedi/interchanges/00400/interchange_def.rb +59 -0
- data/lib/stupidedi/interchanges/00400/segment_defs.rb +12 -0
- data/lib/stupidedi/interchanges/00400/segment_defs/IEA.rb +17 -0
- data/lib/stupidedi/interchanges/00400/segment_defs/ISA.rb +31 -0
- data/lib/stupidedi/interchanges/00400/segment_defs/TA1.rb +20 -0
- data/lib/stupidedi/interchanges/00401.rb +12 -0
- data/lib/stupidedi/interchanges/00401/element_defs.rb +96 -0
- data/lib/stupidedi/interchanges/00401/interchange_def.rb +59 -0
- data/lib/stupidedi/interchanges/00401/segment_defs.rb +12 -0
- data/lib/stupidedi/interchanges/00401/segment_defs/IEA.rb +17 -0
- data/lib/stupidedi/interchanges/00401/segment_defs/ISA.rb +31 -0
- data/lib/stupidedi/interchanges/00401/segment_defs/TA1.rb +20 -0
- data/lib/stupidedi/interchanges/00501.rb +12 -0
- data/lib/stupidedi/interchanges/00501/element_defs.rb +130 -0
- data/lib/stupidedi/interchanges/00501/interchange_def.rb +59 -0
- data/lib/stupidedi/interchanges/00501/segment_defs.rb +12 -0
- data/lib/stupidedi/interchanges/00501/segment_defs/IEA.rb +17 -0
- data/lib/stupidedi/interchanges/00501/segment_defs/ISA.rb +31 -0
- data/lib/stupidedi/interchanges/00501/segment_defs/ISB.rb +15 -0
- data/lib/stupidedi/interchanges/00501/segment_defs/ISE.rb +15 -0
- data/lib/stupidedi/interchanges/00501/segment_defs/TA1.rb +20 -0
- data/lib/stupidedi/interchanges/00501/segment_defs/TA3.rb +15 -0
- data/lib/stupidedi/interchanges/element_types.rb +11 -0
- data/lib/stupidedi/interchanges/element_types/separator_val.rb +79 -0
- data/lib/stupidedi/interchanges/element_types/special_val.rb +48 -0
- data/lib/stupidedi/parser.rb +32 -0
- data/lib/stupidedi/parser/builder_dsl.rb +289 -0
- data/lib/stupidedi/parser/constraint_table.rb +488 -0
- data/lib/stupidedi/parser/generation.rb +147 -0
- data/lib/stupidedi/parser/identifier_stack.rb +248 -0
- data/lib/stupidedi/parser/instruction.rb +112 -0
- data/lib/stupidedi/parser/instruction_table.rb +222 -0
- data/lib/stupidedi/parser/navigation.rb +786 -0
- data/lib/stupidedi/parser/state_machine.rb +62 -0
- data/lib/stupidedi/parser/states/abstract_state.rb +325 -0
- data/lib/stupidedi/parser/states/failure_state.rb +69 -0
- data/lib/stupidedi/parser/states/functional_group_state.rb +98 -0
- data/lib/stupidedi/parser/states/initial_state.rb +62 -0
- data/lib/stupidedi/parser/states/interchange_state.rb +93 -0
- data/lib/stupidedi/parser/states/loop_state.rb +80 -0
- data/lib/stupidedi/parser/states/table_state.rb +94 -0
- data/lib/stupidedi/parser/states/transaction_set_state.rb +118 -0
- data/lib/stupidedi/parser/states/transmission_state.rb +59 -0
- data/lib/stupidedi/parser/tokenization.rb +195 -0
- data/lib/stupidedi/reader.rb +0 -2
- data/lib/stupidedi/reader/input.rb +0 -3
- data/lib/stupidedi/reader/input/abstract_input.rb +4 -6
- data/lib/stupidedi/reader/input/delegated_input.rb +0 -5
- data/lib/stupidedi/reader/input/file_input.rb +10 -11
- data/lib/stupidedi/reader/position.rb +13 -8
- data/lib/stupidedi/reader/result.rb +5 -5
- data/lib/stupidedi/reader/segment_dict.rb +0 -3
- data/lib/stupidedi/reader/separators.rb +5 -4
- data/lib/stupidedi/reader/stream_reader.rb +3 -6
- data/lib/stupidedi/reader/token_reader.rb +0 -5
- data/lib/stupidedi/reader/tokens/component_element_tok.rb +4 -4
- data/lib/stupidedi/reader/tokens/composite_element_tok.rb +6 -5
- data/lib/stupidedi/reader/tokens/repeated_element_tok.rb +9 -2
- data/lib/stupidedi/reader/tokens/segment_tok.rb +7 -5
- data/lib/stupidedi/reader/tokens/simple_element_tok.rb +2 -4
- data/lib/stupidedi/schema.rb +17 -20
- data/lib/stupidedi/schema/abstract_def.rb +4 -6
- data/lib/stupidedi/schema/abstract_element_def.rb +35 -0
- data/lib/stupidedi/schema/abstract_element_use.rb +38 -0
- data/lib/stupidedi/schema/abstract_use.rb +6 -4
- data/lib/stupidedi/schema/code_list.rb +6 -5
- data/lib/stupidedi/schema/component_element_use.rb +74 -0
- data/lib/stupidedi/schema/composite_element_def.rb +103 -0
- data/lib/stupidedi/schema/composite_element_use.rb +73 -0
- data/lib/stupidedi/schema/element_req.rb +1 -4
- data/lib/stupidedi/schema/functional_group_def.rb +9 -3
- data/lib/stupidedi/schema/interchange_def.rb +9 -3
- data/lib/stupidedi/schema/loop_def.rb +11 -9
- data/lib/stupidedi/schema/repeat_count.rb +0 -3
- data/lib/stupidedi/schema/segment_def.rb +6 -4
- data/lib/stupidedi/schema/segment_req.rb +2 -3
- data/lib/stupidedi/schema/segment_use.rb +1 -4
- data/lib/stupidedi/schema/simple_element_def.rb +51 -0
- data/lib/stupidedi/schema/simple_element_use.rb +81 -0
- data/lib/stupidedi/schema/syntax_note.rb +1 -12
- data/lib/stupidedi/schema/table_def.rb +55 -18
- data/lib/stupidedi/schema/transaction_set_def.rb +25 -4
- data/lib/stupidedi/sets.rb +0 -3
- data/lib/stupidedi/transaction_sets.rb +14 -0
- data/lib/stupidedi/transaction_sets/002001.rb +11 -0
- data/lib/stupidedi/transaction_sets/002001/implementations.rb +23 -0
- data/lib/stupidedi/transaction_sets/002001/implementations/FA997.rb +66 -0
- data/lib/stupidedi/transaction_sets/002001/implementations/PO830.rb +160 -0
- data/lib/stupidedi/transaction_sets/002001/implementations/SH856.rb +190 -0
- data/lib/stupidedi/transaction_sets/002001/standards.rb +14 -0
- data/lib/stupidedi/transaction_sets/002001/standards/FA997.rb +31 -0
- data/lib/stupidedi/transaction_sets/002001/standards/PO830.rb +45 -0
- data/lib/stupidedi/transaction_sets/002001/standards/SH856.rb +38 -0
- data/lib/stupidedi/transaction_sets/003010.rb +11 -0
- data/lib/stupidedi/transaction_sets/003010/implementations.rb +24 -0
- data/lib/stupidedi/transaction_sets/003010/implementations/PC860.rb +140 -0
- data/lib/stupidedi/transaction_sets/003010/implementations/PO850.rb +132 -0
- data/lib/stupidedi/transaction_sets/003010/implementations/PS830.rb +150 -0
- data/lib/stupidedi/transaction_sets/003010/implementations/RA820.rb +158 -0
- data/lib/stupidedi/transaction_sets/003010/standards.rb +15 -0
- data/lib/stupidedi/transaction_sets/003010/standards/PC860.rb +49 -0
- data/lib/stupidedi/transaction_sets/003010/standards/PO850.rb +49 -0
- data/lib/stupidedi/transaction_sets/003010/standards/PS830.rb +49 -0
- data/lib/stupidedi/transaction_sets/003010/standards/RA820.rb +40 -0
- data/lib/stupidedi/transaction_sets/003040.rb +12 -0
- data/lib/stupidedi/transaction_sets/003040/implementations.rb +21 -0
- data/lib/stupidedi/transaction_sets/003040/implementations/WA142.rb +153 -0
- data/lib/stupidedi/transaction_sets/003040/standards.rb +12 -0
- data/lib/stupidedi/transaction_sets/003040/standards/WA142.rb +53 -0
- data/lib/stupidedi/transaction_sets/003050.rb +12 -0
- data/lib/stupidedi/transaction_sets/003050/implementations.rb +21 -0
- data/lib/stupidedi/transaction_sets/003050/implementations/PO850.rb +77 -0
- data/lib/stupidedi/transaction_sets/003050/standards.rb +12 -0
- data/lib/stupidedi/transaction_sets/003050/standards/PO850.rb +41 -0
- data/lib/stupidedi/transaction_sets/004010.rb +12 -0
- data/lib/stupidedi/transaction_sets/004010/implementations.rb +38 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/AR943.rb +72 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/FA997.rb +65 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/GF990.rb +40 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/IM210.rb +221 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/OW940.rb +98 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/PO850.rb +108 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/PS830.rb +143 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/QM214.rb +106 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/RE944.rb +63 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/SH856.rb +156 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/SM204.rb +391 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/SQ866.rb +103 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/SS862.rb +154 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/SW945.rb +99 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/X091A1-HP835.rb +481 -0
- data/lib/stupidedi/transaction_sets/004010/standards.rb +28 -0
- data/lib/stupidedi/transaction_sets/004010/standards/AR943.rb +34 -0
- data/lib/stupidedi/transaction_sets/004010/standards/FA997.rb +31 -0
- data/lib/stupidedi/transaction_sets/004010/standards/GF990.rb +21 -0
- data/lib/stupidedi/transaction_sets/004010/standards/HP835.rb +61 -0
- data/lib/stupidedi/transaction_sets/004010/standards/IM210.rb +47 -0
- data/lib/stupidedi/transaction_sets/004010/standards/OW940.rb +43 -0
- data/lib/stupidedi/transaction_sets/004010/standards/PO850.rb +50 -0
- data/lib/stupidedi/transaction_sets/004010/standards/PR855.rb +35 -0
- data/lib/stupidedi/transaction_sets/004010/standards/PS830.rb +43 -0
- data/lib/stupidedi/transaction_sets/004010/standards/QM214.rb +41 -0
- data/lib/stupidedi/transaction_sets/004010/standards/RE944.rb +34 -0
- data/lib/stupidedi/transaction_sets/004010/standards/SC832.rb +37 -0
- data/lib/stupidedi/transaction_sets/004010/standards/SH856.rb +40 -0
- data/lib/stupidedi/transaction_sets/004010/standards/SM204.rb +85 -0
- data/lib/stupidedi/transaction_sets/004010/standards/SQ866.rb +32 -0
- data/lib/stupidedi/transaction_sets/004010/standards/SS862.rb +42 -0
- data/lib/stupidedi/transaction_sets/004010/standards/SW945.rb +43 -0
- data/lib/stupidedi/transaction_sets/005010.rb +11 -0
- data/lib/stupidedi/transaction_sets/005010/implementations.rb +88 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X212-HR276.rb +329 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X214-HN277.rb +356 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X220-BE834.rb +15 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X220A1-BE834.rb +623 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X221-HP835.rb +15 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X221A1-HP835.rb +556 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X222-HC837.rb +15 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X222-HC837P.rb +15 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X222A1-HC837.rb +2033 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X222A1-HC837P.rb +15 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X223-HC837.rb +15 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X223-HC837I.rb +15 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X223A1-HC837.rb +15 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X223A2-HC837.rb +2390 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X223A3-HC837.rb +2595 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X231-FA999.rb +15 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X231A1-FA999.rb +106 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X279-HB271.rb +749 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X279-HS270.rb +533 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X279A1-HB271.rb +751 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X279A1-HS270.rb +533 -0
- data/lib/stupidedi/transaction_sets/005010/standards.rb +22 -0
- data/lib/stupidedi/transaction_sets/005010/standards/BE834.rb +171 -0
- data/lib/stupidedi/transaction_sets/005010/standards/FA997.rb +31 -0
- data/lib/stupidedi/transaction_sets/005010/standards/FA999.rb +35 -0
- data/lib/stupidedi/transaction_sets/005010/standards/HB271.rb +95 -0
- data/lib/stupidedi/transaction_sets/005010/standards/HC837.rb +161 -0
- data/lib/stupidedi/transaction_sets/005010/standards/HI278.rb +62 -0
- data/lib/stupidedi/transaction_sets/005010/standards/HN277.rb +71 -0
- data/lib/stupidedi/transaction_sets/005010/standards/HP835.rb +65 -0
- data/lib/stupidedi/transaction_sets/005010/standards/HR276.rb +54 -0
- data/lib/stupidedi/transaction_sets/005010/standards/HS270.rb +50 -0
- data/lib/stupidedi/transaction_sets/005010/standards/RA820.rb +238 -0
- data/lib/stupidedi/transaction_sets/builder.rb +184 -0
- data/lib/stupidedi/transaction_sets/common.rb +8 -0
- data/lib/stupidedi/transaction_sets/common/implementations.rb +11 -0
- data/lib/stupidedi/transaction_sets/common/implementations/element_reqs.rb +37 -0
- data/lib/stupidedi/transaction_sets/common/implementations/segment_reqs.rb +31 -0
- data/lib/stupidedi/transaction_sets/validation.rb +9 -0
- data/lib/stupidedi/transaction_sets/validation/ambiguity.rb +391 -0
- data/lib/stupidedi/transaction_sets/validation/implementation.rb +12 -0
- data/lib/stupidedi/values.rb +0 -1
- data/lib/stupidedi/values/abstract_element_val.rb +0 -4
- data/lib/stupidedi/values/abstract_val.rb +3 -4
- data/lib/stupidedi/values/composite_element_val.rb +3 -8
- data/lib/stupidedi/values/functional_group_val.rb +3 -4
- data/lib/stupidedi/values/interchange_val.rb +3 -4
- data/lib/stupidedi/values/invalid_envelope_val.rb +2 -6
- data/lib/stupidedi/values/invalid_segment_val.rb +16 -9
- data/lib/stupidedi/values/loop_val.rb +3 -4
- data/lib/stupidedi/values/repeated_element_val.rb +5 -7
- data/lib/stupidedi/values/segment_val.rb +7 -11
- data/lib/stupidedi/values/segment_val_group.rb +0 -4
- data/lib/stupidedi/values/simple_element_val.rb +2 -7
- data/lib/stupidedi/values/table_val.rb +3 -4
- data/lib/stupidedi/values/transaction_set_val.rb +3 -4
- data/lib/stupidedi/values/transmission_val.rb +5 -5
- data/lib/stupidedi/version.rb +1 -2
- data/lib/stupidedi/versions.rb +11 -3
- data/lib/stupidedi/versions/002001.rb +14 -0
- data/lib/stupidedi/versions/002001/element_defs.rb +10576 -0
- data/lib/stupidedi/versions/002001/element_reqs.rb +12 -0
- data/lib/stupidedi/versions/002001/element_types.rb +28 -0
- data/lib/stupidedi/versions/002001/element_types/an.rb +11 -0
- data/lib/stupidedi/versions/002001/element_types/dt.rb +11 -0
- data/lib/stupidedi/versions/002001/element_types/float_val.rb +11 -0
- data/lib/stupidedi/versions/002001/element_types/id.rb +11 -0
- data/lib/stupidedi/versions/002001/element_types/nn.rb +11 -0
- data/lib/stupidedi/versions/002001/element_types/tm.rb +11 -0
- data/lib/stupidedi/versions/002001/functional_group_def.rb +24 -0
- data/lib/stupidedi/versions/002001/segment_defs.rb +88 -0
- data/lib/stupidedi/versions/002001/segment_defs/AK1.rb +17 -0
- data/lib/stupidedi/versions/002001/segment_defs/AK2.rb +17 -0
- data/lib/stupidedi/versions/002001/segment_defs/AK3.rb +18 -0
- data/lib/stupidedi/versions/002001/segment_defs/AK4.rb +20 -0
- data/lib/stupidedi/versions/002001/segment_defs/AK5.rb +22 -0
- data/lib/stupidedi/versions/002001/segment_defs/AK9.rb +23 -0
- data/lib/stupidedi/versions/002001/segment_defs/AT7.rb +29 -0
- data/lib/stupidedi/versions/002001/segment_defs/AT8.rb +25 -0
- data/lib/stupidedi/versions/002001/segment_defs/ATH.rb +21 -0
- data/lib/stupidedi/versions/002001/segment_defs/B1.rb +20 -0
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- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-3r.txt +0 -44
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-3r_Clean.txt +0 -26
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-4ar_Clean.txt +0 -28
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-4br_Clean.txt +0 -35
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-5r.txt +0 -60
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-5r_Clean.txt +0 -42
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-6r.txt +0 -40
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-6r_Clean.txt +0 -24
- data/spec/fixtures/X218-RA820/1-bad.txt +0 -31
- data/spec/fixtures/X218-RA820/1-good.txt +0 -25
- data/spec/fixtures/X218-RA820/2-bad.txt +0 -37
- data/spec/fixtures/X218-RA820/2-good.txt +0 -29
- data/spec/fixtures/X218-RA820/3-bad.txt +0 -29
- data/spec/fixtures/X218-RA820/3-good.txt +0 -23
- data/spec/fixtures/X218-RA820/4-bad.txt +0 -36
- data/spec/fixtures/X218-RA820/4-good.txt +0 -27
- data/spec/fixtures/X220-BE834/1-bad.txt +0 -35
- data/spec/fixtures/X220-BE834/1-good.txt +0 -29
- data/spec/fixtures/X220-BE834/10-bad.txt +0 -26
- data/spec/fixtures/X220-BE834/10-good.txt +0 -19
- data/spec/fixtures/X220-BE834/2-bad.txt +0 -31
- data/spec/fixtures/X220-BE834/2-good.txt +0 -23
- data/spec/fixtures/X220-BE834/3-bad.txt +0 -36
- data/spec/fixtures/X220-BE834/3-good.txt +0 -26
- data/spec/fixtures/X220-BE834/4-bad.txt +0 -27
- data/spec/fixtures/X220-BE834/4-good.txt +0 -21
- data/spec/fixtures/X220-BE834/5-bad.txt +0 -26
- data/spec/fixtures/X220-BE834/5-good.txt +0 -17
- data/spec/fixtures/X220-BE834/6-bad.txt +0 -25
- data/spec/fixtures/X220-BE834/6-good.txt +0 -20
- data/spec/fixtures/X220-BE834/7-bad.txt +0 -25
- data/spec/fixtures/X220-BE834/7-good.txt +0 -20
- data/spec/fixtures/X220-BE834/8-bad.txt +0 -25
- data/spec/fixtures/X220-BE834/8-good.txt +0 -20
- data/spec/fixtures/X220-BE834/9-bad.txt +0 -27
- data/spec/fixtures/X220-BE834/9-good.txt +0 -21
- data/spec/fixtures/X221-HP835/1-bad.txt +0 -58
- data/spec/fixtures/X221-HP835/1-good.txt +0 -40
- data/spec/fixtures/X221-HP835/2-bad.txt +0 -51
- data/spec/fixtures/X221-HP835/2-good.txt +0 -40
- data/spec/fixtures/X221-HP835/3a-bad.txt +0 -78
- data/spec/fixtures/X221-HP835/3a-good.txt +0 -49
- data/spec/fixtures/X221-HP835/3b-bad.txt +0 -60
- data/spec/fixtures/X221-HP835/3b-good.txt +0 -32
- data/spec/fixtures/X221-HP835/3c-bad.txt +0 -55
- data/spec/fixtures/X221-HP835/3c-good.txt +0 -34
- data/spec/fixtures/X222-HC837/1-bad.txt +0 -60
- data/spec/fixtures/X222-HC837/1-good.txt +0 -53
- data/spec/fixtures/X222-HC837/10a-bad.txt +0 -52
- data/spec/fixtures/X222-HC837/10a-good.txt +0 -40
- data/spec/fixtures/X222-HC837/10b-bad.txt +0 -99
- data/spec/fixtures/X222-HC837/10b-good.txt +0 -80
- data/spec/fixtures/X222-HC837/10c-bad.txt +0 -105
- data/spec/fixtures/X222-HC837/10c-good.txt +0 -80
- data/spec/fixtures/X222-HC837/11-bad.txt +0 -69
- data/spec/fixtures/X222-HC837/11-good.txt +0 -45
- data/spec/fixtures/X222-HC837/12-bad.txt +0 -73
- data/spec/fixtures/X222-HC837/12-good.txt +0 -51
- data/spec/fixtures/X222-HC837/13-bad.txt +0 -64
- data/spec/fixtures/X222-HC837/13-good.txt +0 -46
- data/spec/fixtures/X222-HC837/3a-bad.txt +0 -83
- data/spec/fixtures/X222-HC837/3a-good.txt +0 -59
- data/spec/fixtures/X222-HC837/3b-bad.txt +0 -97
- data/spec/fixtures/X222-HC837/3b-good.txt +0 -70
- data/spec/fixtures/X222-HC837/3c-bad.txt +0 -95
- data/spec/fixtures/X222-HC837/3c-good.txt +0 -74
- data/spec/fixtures/X222-HC837/4-bad.txt +0 -67
- data/spec/fixtures/X222-HC837/4-good.txt +0 -48
- data/spec/fixtures/X222-HC837/5-bad.txt +0 -73
- data/spec/fixtures/X222-HC837/5-good.txt +0 -60
- data/spec/fixtures/X222-HC837/6-bad.txt +0 -50
- data/spec/fixtures/X222-HC837/6-good.txt +0 -39
- data/spec/fixtures/X222-HC837/7-bad.txt +0 -93
- data/spec/fixtures/X222-HC837/7-good.txt +0 -78
- data/spec/fixtures/X222-HC837/8-bad.txt +0 -64
- data/spec/fixtures/X222-HC837/8-good.txt +0 -52
- data/spec/fixtures/X222-HC837/9-bad.txt +0 -56
- data/spec/fixtures/X222-HC837/9-good.txt +0 -38
- data/spec/fixtures/X223-HC837/1-bad.txt +0 -66
- data/spec/fixtures/X223-HC837/1-good.txt +0 -53
- data/spec/fixtures/X223-HC837/2-bad.txt +0 -69
- data/spec/fixtures/X223-HC837/2-good.txt +0 -60
- data/spec/fixtures/X223-HC837/3-bad.txt +0 -89
- data/spec/fixtures/X223-HC837/3-good.txt +0 -61
- data/spec/fixtures/X223-HC837/4-bad.txt +0 -60
- data/spec/fixtures/X223-HC837/4-good.txt +0 -40
- data/spec/fixtures/X223-HC837/5-bad.txt +0 -75
- data/spec/fixtures/X223-HC837/5-good.txt +0 -58
- data/spec/fixtures/X224-HC837/1-bad.txt +0 -54
- data/spec/fixtures/X224-HC837/1-good.txt +0 -44
- data/spec/fixtures/X224-HC837/2a-bad.txt +0 -52
- data/spec/fixtures/X224-HC837/2a-good.txt +0 -42
- data/spec/fixtures/X224-HC837/2b-bad.txt +0 -67
- data/spec/fixtures/X224-HC837/2b-good.txt +0 -52
- data/spec/fixtures/X224-HC837/3-bad.txt +0 -67
- data/spec/fixtures/X224-HC837/3-good.txt +0 -51
- data/spec/fixtures/X224-HC837/4-bad.txt +0 -49
- data/spec/fixtures/X224-HC837/4-good.txt +0 -40
- data/spec/fixtures/X230-FA997/1-bad.txt +0 -19
- data/spec/fixtures/X230-FA997/1-good.txt +0 -16
- data/spec/fixtures/X231-FA999/1-bad.txt +0 -20
- data/spec/fixtures/X231-FA999/1-good.txt +0 -20
- data/spec/fixtures/X279-HB271/1-bad.txt +0 -36
- data/spec/fixtures/X279-HB271/1-good.txt +0 -30
- data/spec/fixtures/X279-HB271/2-bad.txt +0 -22
- data/spec/fixtures/X279-HB271/2-good.txt +0 -16
- data/spec/fixtures/X279-HB271/3-bad.txt +0 -44
- data/spec/fixtures/X279-HB271/3-good.txt +0 -36
- data/spec/fixtures/X279-HS270/1-bad.txt +0 -29
- data/spec/fixtures/X279-HS270/1-good.txt +0 -23
- data/spec/fixtures/X279-HS270/2-bad.txt +0 -32
- data/spec/fixtures/X279-HS270/2-good.txt +0 -25
- data/spec/spec_helper.rb +0 -55
- data/spec/support/fixtures.rb +0 -26
- data/spec/support/matchers/either_matchers.rb +0 -53
- data/spec/support/matchers/navigation_matchers.rb +0 -247
- data/spec/support/node.rb +0 -41
- data/spec/support/quickcheck.rb +0 -303
- data/spec/support/quickcheck/characters.rb +0 -33
- data/spec/support/quickcheck/property.rb +0 -105
- data/spec/support/quickcheck/serialized_edi.rb +0 -400
- data/spec/support/rcov.rb +0 -41
@@ -0,0 +1,26 @@
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1
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# frozen_string_literal: true
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2
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module Stupidedi
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3
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+
module Versions
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4
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+
module FortyTen
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5
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+
module SegmentDefs
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6
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s = Schema
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7
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+
e = ElementDefs
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8
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+
r = ElementReqs
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9
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+
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10
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+
W66 = s::SegmentDef.build(:W66, "Warehouse Carrier Information",
|
11
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+
"",
|
12
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+
e::E146 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
|
13
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+
e::E91 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
|
14
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+
e::E399 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
|
15
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+
e::E400 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
|
16
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+
e::E387 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
|
17
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+
e::E433 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
|
18
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+
e::E434 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
|
19
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+
e::E625 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
|
20
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+
e::E610 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
|
21
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+
e::E140 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
|
22
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+
SyntaxNotes::P.build(8, 9))
|
23
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+
end
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24
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+
end
|
25
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+
end
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26
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+
end
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@@ -0,0 +1,24 @@
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1
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# frozen_string_literal: true
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2
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module Stupidedi
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3
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module Versions
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4
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+
module FortyTen
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5
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module SegmentDefs
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6
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s = Schema
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7
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e = ElementDefs
|
8
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+
r = ElementReqs
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9
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+
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10
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W76 = s::SegmentDef.build(:W76, "Total Shipping Order",
|
11
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"",
|
12
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+
e::E380 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
|
13
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+
e::E81 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
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14
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+
e::E355 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
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15
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e::E183 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
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16
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e::E355 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
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17
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e::E398 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
|
18
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+
SyntaxNotes::P.build(2, 3),
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19
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SyntaxNotes::P.build(4, 5),
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20
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SyntaxNotes::C.build(6, 3))
|
21
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end
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22
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+
end
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23
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+
end
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24
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+
end
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@@ -0,0 +1,14 @@
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1
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# frozen_string_literal: true
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2
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module Stupidedi
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3
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module Versions
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4
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module FortyTen
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5
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module SyntaxNotes
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6
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P = Common::SyntaxNotes::P
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7
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R = Common::SyntaxNotes::R
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8
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E = Common::SyntaxNotes::E
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9
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C = Common::SyntaxNotes::C
|
10
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L = Common::SyntaxNotes::L
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11
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+
end
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12
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+
end
|
13
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+
end
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14
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+
end
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@@ -0,0 +1,14 @@
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1
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# frozen_string_literal: true
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2
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module Stupidedi
|
3
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module Versions
|
4
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+
module FiftyTen
|
5
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autoload :ElementDefs, "stupidedi/versions/005010/element_defs"
|
6
|
+
autoload :ElementReqs, "stupidedi/versions/005010/element_reqs"
|
7
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+
autoload :ElementTypes, "stupidedi/versions/005010/element_types"
|
8
|
+
autoload :FunctionalGroupDef, "stupidedi/versions/005010/functional_group_def"
|
9
|
+
autoload :SegmentDefs, "stupidedi/versions/005010/segment_defs"
|
10
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+
autoload :SegmentReqs, "stupidedi/versions/005010/segment_reqs"
|
11
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+
autoload :SyntaxNotes, "stupidedi/versions/005010/syntax_notes"
|
12
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+
end
|
13
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+
end
|
14
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+
end
|
@@ -0,0 +1,3353 @@
|
|
1
|
+
# frozen_string_literal: true
|
2
|
+
module Stupidedi
|
3
|
+
module Versions
|
4
|
+
module FiftyTen
|
5
|
+
module ElementDefs
|
6
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+
t = ElementTypes
|
7
|
+
r = ElementReqs
|
8
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+
s = Schema
|
9
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+
|
10
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+
E2 = t::Nn.new(:E2 , "Number of Accepted Transaction Sets" , 1, 6, 0)
|
11
|
+
E19 = t::AN.new(:E19 , "City Name" , 2, 30)
|
12
|
+
E26 = t::ID.new(:E26 , "Country Code" , 2, 3,
|
13
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+
s::CodeList.external("5"))
|
14
|
+
E28 = t::Nn.new(:E28 , "Group Control Number" , 1, 9, 0)
|
15
|
+
E61 = t::AN.new(:E61 , "Free-form Information" , 1, 30)
|
16
|
+
E65 = t:: R.new(:E65 , "Height" , 1, 8)
|
17
|
+
E66 = t::ID.new(:E66 , "Identification Code Qualifier" , 1, 2,
|
18
|
+
s::CodeList.build(
|
19
|
+
"1" => s::CodeList.external("16"),
|
20
|
+
"9" => s::CodeList.external("16"),
|
21
|
+
"21" => s::CodeList.external("121"),
|
22
|
+
"24" => "Employer’s Identification Number",
|
23
|
+
"34" => "Social Security Number",
|
24
|
+
"38" => s::CodeList.external("5"),
|
25
|
+
"46" => "Electronic Transmitter Identification Number (ETIN)",
|
26
|
+
"51" => s::CodeList.external("51"),
|
27
|
+
"58" => "@todo",
|
28
|
+
"94" => "Code assigned by the organization that is the ultimate destination of the transaction set",
|
29
|
+
"AC" => "Attachment Control Number",
|
30
|
+
"AD" => "Blue Cross Blue Shield Associtation Plan Code",
|
31
|
+
"BD" => "Blue Cross Provider Number",
|
32
|
+
"BS" => "Blue Shield Provider Number",
|
33
|
+
"C" => "Insured's Changed Unique Identification Number",
|
34
|
+
"C1" => "@todo",
|
35
|
+
"CF" => s::CodeList.external("91"),
|
36
|
+
"CI" => "@todo",
|
37
|
+
"EI" => "@todo",
|
38
|
+
"FA" => "Facility Identification",
|
39
|
+
"FI" => "Federal Taxpayer's Identification Number",
|
40
|
+
"HN" => "Health Insurance Claim (HIC) Number",
|
41
|
+
"II" => "Standard Unique Health Identifier for each Individual in the United States",
|
42
|
+
"LD" => s::CodeList.external("457"),
|
43
|
+
"LE" => s::CodeList.external("102"),
|
44
|
+
"NI" => "National Association of Insurance Commisioners (NAIC) Identification",
|
45
|
+
"MI" => "Member Identification Number",
|
46
|
+
"MC" => "Medicaid Provider",
|
47
|
+
"MR" => "Medicaid Recipient Identification Number",
|
48
|
+
"PC" => "Provider Commercial Number",
|
49
|
+
"PI" => "Payor Identification",
|
50
|
+
"PP" => "Pharmacy Processor Number",
|
51
|
+
"SJ" => s::CodeList.external("22"),
|
52
|
+
"SL" => "State License Number",
|
53
|
+
"SV" => "Service Provider Number",
|
54
|
+
"UP" => "Unique Physician Identification Number (UPIN)",
|
55
|
+
"XV" => s::CodeList.external("540"),
|
56
|
+
"XX" => s::CodeList.external("537"),
|
57
|
+
"ZZ" => "Mutually Defined"))
|
58
|
+
E67 = t::AN.new(:E67 , "Identification Code" , 2, 80)
|
59
|
+
E81 = t:: R.new(:E81 , "Weight" , 1, 10)
|
60
|
+
E93 = t::AN.new(:E93 , "Name" , 1, 60)
|
61
|
+
E96 = t::Nn.new(:E96 , "Number of Included Segments" , 1, 10, 0)
|
62
|
+
E97 = t::Nn.new(:E97 , "Number of Transaction Sets Included" , 1, 6, 0)
|
63
|
+
E98 = t::ID.new(:E98 , "Entity Identifier Code" , 2, 3,
|
64
|
+
s::CodeList.build(
|
65
|
+
"03" => "Dependent",
|
66
|
+
"13" => "Contracted Service Provider",
|
67
|
+
"1G" => "Oncology Center",
|
68
|
+
"1I" => "Preferred Provider Organization (PPO)",
|
69
|
+
"1O" => "Acute Care Hospital",
|
70
|
+
"1P" => "Provider",
|
71
|
+
"1Q" => "Military Facility",
|
72
|
+
"1S" => "Outpatient Surgicenter",
|
73
|
+
"1T" => "Physician, Clinic or Group Practice",
|
74
|
+
"1U" => "Long Term Care Facility",
|
75
|
+
"1V" => "Extended Care Facility",
|
76
|
+
"1W" => "Psychiatric Health Facility",
|
77
|
+
"1X" => "Laboratory",
|
78
|
+
"1Y" => "Retail Pharmacy",
|
79
|
+
"1Z" => "Home Health Care",
|
80
|
+
"2A" => "Federal, State, County or City Facility",
|
81
|
+
"2B" => "Third-Party Administrator",
|
82
|
+
"2D" => "Miscellaneous Health Care Facility",
|
83
|
+
"2E" => "Non-Health Care Miscellaneous Facility",
|
84
|
+
"2I" => "Church Operated Facility",
|
85
|
+
"2J" => "Individial",
|
86
|
+
"2P" => "Public Health Service Facility",
|
87
|
+
"2S" => "Public Health Service Indian Service Facility",
|
88
|
+
"2T" => "Department of Justice Facility",
|
89
|
+
"2Y" => "General Medical and Surgical Facility",
|
90
|
+
"2Z" => "Hospital Unit of an Institution (Prison Hospital, College Infirmary, etc.)",
|
91
|
+
"31" => "Postal Mailing Address",
|
92
|
+
"36" => "Employer",
|
93
|
+
"3A" => "Hospital Unit Within an Institution for the Mentally Retarded",
|
94
|
+
"3B" => "Psychiatric Facility",
|
95
|
+
"3C" => "Tuberculosis and Other Respitory Diseases Facility",
|
96
|
+
"3D" => "Obstetrics and Gynecology Facility",
|
97
|
+
"3E" => "Ear, Eye, Nose and Throat Facility",
|
98
|
+
"3F" => "Rehabilitation Facility",
|
99
|
+
"3G" => "Orthopedic Facility",
|
100
|
+
"3H" => "Chronic Disease Facility",
|
101
|
+
"3I" => "Other Specialty Facility",
|
102
|
+
"3J" => "Children's General Facility",
|
103
|
+
"3K" => "Children's Hospital Unit of an Institution",
|
104
|
+
"3L" => "Children's Psychiatric Facility",
|
105
|
+
"3M" => "Children's Tuberculosis and Other Respitory Diseases Facility",
|
106
|
+
"3N" => "Children's Eye, Ear, Nose and Throat Facility",
|
107
|
+
"3O" => "Children's Rehabilitation Facility",
|
108
|
+
"3P" => "Children's Othropedic Facility",
|
109
|
+
"3Q" => "Children's Chronic Disease Facility",
|
110
|
+
"3R" => "Children's Other Specialty Facility",
|
111
|
+
"3S" => "Institution for Mental Retardation",
|
112
|
+
"3T" => "Alcoholism and Other Chemical Dependency Facility",
|
113
|
+
"3U" => "General Inpatient Care for AIDS/ARC Facility",
|
114
|
+
"3Z" => "Arthritis Treatment Center",
|
115
|
+
"40" => "Receiver",
|
116
|
+
"41" => "Submitter",
|
117
|
+
"45" => "Drop-off Location",
|
118
|
+
"4C" => "Cardiac Catherization Labratory",
|
119
|
+
"4D" => "Open-Heart Surgery Facility",
|
120
|
+
"4F" => "Angioplasty Facility",
|
121
|
+
"4G" => "Chronic Obstructive Pulmonary Disease Service Facility",
|
122
|
+
"4I" => "Trauma Center (Certified)",
|
123
|
+
"4K" => "Fitness Center",
|
124
|
+
"4L" => "Genetic Counseling/Screening Services",
|
125
|
+
"4M" => "Adult Day Care Program Facility",
|
126
|
+
"4O" => "Comprehensive Geriatric Assessment Facility",
|
127
|
+
"4R" => "Geriatric Clinics",
|
128
|
+
"4S" => "Respite Care Facility",
|
129
|
+
"4V" => "Community Health Promotion Facility",
|
130
|
+
"4W" => "Worksite Health Promotion Facility",
|
131
|
+
"4X" => "Hemodialysis Facility",
|
132
|
+
"5B" => "Hisopathology Laboratory",
|
133
|
+
"5S" => "Therapeutic Radioisotope Facility",
|
134
|
+
"5V" => "Diagnostic Radioisotope Facility",
|
135
|
+
"5W" => "Magnetic Resonance Imaging (MRI) Facility",
|
136
|
+
"62" => "Applicant's Employer",
|
137
|
+
"6M" => "Orthopedic Surgery Facility",
|
138
|
+
"6U" => "Cardiac Rehabilitation Program Facility",
|
139
|
+
"6Y" => "Case Manager",
|
140
|
+
"70" => "Prior Incorrect Insured",
|
141
|
+
"71" => "Attending Physician",
|
142
|
+
"72" => "Operating Physician",
|
143
|
+
"73" => "Other Physician",
|
144
|
+
"74" => "Corrected Insured",
|
145
|
+
"75" => "Participant",
|
146
|
+
"77" => "Service Location",
|
147
|
+
"7O" => "Federally Chartered Facility",
|
148
|
+
"80" => "Hospital",
|
149
|
+
"82" => "Rendering Provider",
|
150
|
+
"85" => "Billing Provider",
|
151
|
+
"87" => "Pay-to Provider",
|
152
|
+
"8B" => "Primary Residence",
|
153
|
+
"98" => "Receiver",
|
154
|
+
"9K" => "Key Person",
|
155
|
+
"AG" => "Agent/Agency",
|
156
|
+
"AY" => "Clearinghouse",
|
157
|
+
"BO" => "Broker or Sales Office",
|
158
|
+
"D0" => "Admitting Physician",
|
159
|
+
"DD" => "Assistant Surgeon",
|
160
|
+
"DK" => "Ordering Physician",
|
161
|
+
"DN" => "Referring Provider",
|
162
|
+
"DQ" => "Supervising Physician",
|
163
|
+
"E1" => "Person or Other Entity Legally Responsible for a Child",
|
164
|
+
"EI" => "Executor of Estate",
|
165
|
+
"EXS" => "Ex-spouse",
|
166
|
+
"EY" => "@todo",
|
167
|
+
"FA" => "Facility",
|
168
|
+
"FS" => "Final Scheduled Destination",
|
169
|
+
"G3" => "Clinic",
|
170
|
+
"GB" => "Other Insured",
|
171
|
+
"GP" => "Gateway Provider",
|
172
|
+
"GD" => "Guardian",
|
173
|
+
"GW" => "Group",
|
174
|
+
"HF" => "Healthcare Professional Shortage Area (HPSA) Facility",
|
175
|
+
"HH" => "Home Health Agency",
|
176
|
+
"HK" => "Subscriber",
|
177
|
+
"I3" => "Independent Physicians Association (IPA)",
|
178
|
+
"IL" => "Insured or Subscriber",
|
179
|
+
"IN" => "Insurer",
|
180
|
+
"J6" => "Power of Attorney",
|
181
|
+
"L5" => "Contact",
|
182
|
+
"LI" => "Independent Lab",
|
183
|
+
"LR" => "Legal Representative",
|
184
|
+
"M5" => "Migrant Health Clinic",
|
185
|
+
"M8" => "Educational Institution",
|
186
|
+
"MSC" => "Mammography Screening Center",
|
187
|
+
"ND" => "Next Destination",
|
188
|
+
"O4" => "Factor",
|
189
|
+
"OC" => "Origin Carrier",
|
190
|
+
"OD" => "Doctor of Optometry",
|
191
|
+
"OOP" => "Other Operating Physician",
|
192
|
+
"OX" => "Oxygen Therapy Facility",
|
193
|
+
"P0" => "Patient Facility",
|
194
|
+
"P3" => "Primary Care Provider",
|
195
|
+
"P4" => "Prior Insurance Carrier",
|
196
|
+
"P5" => "Plan Sponsor",
|
197
|
+
"PE" => "Payee",
|
198
|
+
"PTP" => "Pay-to Plan Name",
|
199
|
+
"PR" => "Payer",
|
200
|
+
"PRP" => "Primary Payer",
|
201
|
+
"PW" => "Pickup Address",
|
202
|
+
"QA" => "Pharmacy",
|
203
|
+
"QB" => "Purchase Service Provider",
|
204
|
+
"QC" => "Patient",
|
205
|
+
"QD" => "Responsible Party",
|
206
|
+
"QN" => "Dentist",
|
207
|
+
"QM" => "Dialysis Centers",
|
208
|
+
"QV" => "Group Practice",
|
209
|
+
"R3" => "Next Scheduled Destination",
|
210
|
+
"S1" => "Parent",
|
211
|
+
"S3" => "Custodial Parent",
|
212
|
+
"SEP" => "Secondary Payer",
|
213
|
+
"SJ" => "Service Provider",
|
214
|
+
"TL" => "Testing Laboratory",
|
215
|
+
"TP" => "Primary Taxpayer",
|
216
|
+
"TT" => "Transfer To",
|
217
|
+
"TTP" => "Tertiary Payer",
|
218
|
+
"TU" => "Third Party Repricing Organization (TPO)",
|
219
|
+
"TV" => "Third Party Administrator (TPA)",
|
220
|
+
"TZ" => "Significant Other",
|
221
|
+
"RM" => "@todo",
|
222
|
+
"RW" => "Rural Health Clinic",
|
223
|
+
"S4" => "Skilled Nursing Facility",
|
224
|
+
"UH" => "Nursing Home",
|
225
|
+
"VER" => "Party Performing Verification",
|
226
|
+
"VN" => "Vendor",
|
227
|
+
"VY" => "Organization Completing Configuration Change",
|
228
|
+
"X3" => "Utilitazion Management Origanization",
|
229
|
+
"X4" => "Spouse",
|
230
|
+
"X5" => "Durable Medical Equipment Supplier",
|
231
|
+
"Y2" => "Managed Care Organization",
|
232
|
+
"ZD" => "Party to Receive Reports",
|
233
|
+
"ZZ" => "Mutually Defined"))
|
234
|
+
E100 = t::ID.new(:E100 , "Currency Code" , 3, 3,
|
235
|
+
s::CodeList.external("5"))
|
236
|
+
E107 = t::ID.new(:E107 , "Payment Method Type Code" , 1, 2)
|
237
|
+
E116 = t::ID.new(:E116 , "Postal Code" , 3, 15,
|
238
|
+
s::CodeList.external("51"))
|
239
|
+
E118 = t:: R.new(:E118 , "Rate" , 1, 9)
|
240
|
+
E123 = t::Nn.new(:E123 , "Number of Received Transaction Sets" , 1, 6, 0)
|
241
|
+
E124 = t::AN.new(:E124 , "Application Receiver's Code" , 2, 15)
|
242
|
+
E127 = t::AN.new(:E127 , "Reference Identification" , 1, 50)
|
243
|
+
E128 = t::ID.new(:E128 , "Reference Identification Qualifier" , 2, 3,
|
244
|
+
s::CodeList.build(
|
245
|
+
"00" => "Contracting District Number",
|
246
|
+
"01" => "American Bankers Assoc. (ABA) Transit/Routing Number (Including Check Digit, 9 Digits)",
|
247
|
+
"04" => s::CodeList.external("91"),
|
248
|
+
"0B" => "State License Number",
|
249
|
+
"0F" => "Subscriber Number",
|
250
|
+
"0N" => "@todo",
|
251
|
+
"0K" => "Policy Form Identifying Number",
|
252
|
+
"14" => "@todo",
|
253
|
+
"17" => "Client Reporting Category",
|
254
|
+
"18" => "Plan Number",
|
255
|
+
"19" => "Division Identifier",
|
256
|
+
"1A" => "Blue Cross Provider Number",
|
257
|
+
"1B" => "Blue Shield Provider Number",
|
258
|
+
"1C" => "Medicare Provider Number",
|
259
|
+
"1D" => "Medicaid Provider Number",
|
260
|
+
"1G" => "Provider UPIN Number",
|
261
|
+
"1H" => "CHAMPUS Identification Number",
|
262
|
+
"1J" => "Facility ID Number",
|
263
|
+
"1K" => "Payor's Claim Number",
|
264
|
+
"1L" => "Group or Policy Number",
|
265
|
+
"1S" => "Ambulatory Patient Group (APG) Number",
|
266
|
+
"1W" => "Member Identification Number",
|
267
|
+
"23" => "Client Number",
|
268
|
+
"26" => "Union Number",
|
269
|
+
"28" => "Employee Identification Number",
|
270
|
+
"2F" => "@todo",
|
271
|
+
"2U" => "Payer Identification Number",
|
272
|
+
"38" => "Master Policy Number",
|
273
|
+
"3H" => "Case Number",
|
274
|
+
"3L" => "Branch Identifier",
|
275
|
+
"4A" => "Personal Identification Number (PIN)",
|
276
|
+
"4N" => "Special Payment Reference Number",
|
277
|
+
"49" => "Family Unit Number",
|
278
|
+
"60" => "Account Suffix Code",
|
279
|
+
"6M" => "Application Number",
|
280
|
+
"6O" => "Cross Reference Number",
|
281
|
+
"6P" => "Group Number",
|
282
|
+
"6R" => "Provider Control Number",
|
283
|
+
"82" => "Data Item Description (DID) Reference",
|
284
|
+
"9A" => "Repriced Claim Reference Number",
|
285
|
+
"9B" => "Repriced Line Item Reference Number",
|
286
|
+
"9C" => "Adjusted Repriced Claim Reference Number",
|
287
|
+
"9D" => "Adjusted Repriced Line Item Reference Number",
|
288
|
+
"9F" => "Referral Number",
|
289
|
+
"9K" => "Servicer",
|
290
|
+
"9V" => "Payment Category",
|
291
|
+
"9X" => "Account Category",
|
292
|
+
"A6" => "Provider Identifier",
|
293
|
+
"ABB" => "Personal ID Number",
|
294
|
+
"ABY" => s::CodeList.external("540"),
|
295
|
+
"ACY" => s::CodeList.external("672"),
|
296
|
+
"ALS" => "Alternative List ID",
|
297
|
+
"AP" => "Ambulatory Payment Classification",
|
298
|
+
"APC" => s::CodeList.external("468"),
|
299
|
+
"AZ" => "Health Insurance Policy Number",
|
300
|
+
"BAF" => "Receipt Number",
|
301
|
+
"BB" => "Authorization Number",
|
302
|
+
"BLT" => "Billing Type",
|
303
|
+
"BT" => "Batch Number",
|
304
|
+
"CE" => "Class of Contract Code",
|
305
|
+
"CLI" => "Coverage List ID",
|
306
|
+
"CT" => "Contract Number",
|
307
|
+
"CPT" => s::CodeList.external("133"),
|
308
|
+
"D3" => s::CodeList.external("307"),
|
309
|
+
"D9" => "Claim Number",
|
310
|
+
"DNS" => s::CodeList.external("16"),
|
311
|
+
"DP" => "Department Number",
|
312
|
+
"DU" => "Dependents Information",
|
313
|
+
"DUN" => s::CodeList.external("16"),
|
314
|
+
"DX" => "Department/Agency Number",
|
315
|
+
"E8" => "Service Contract (Coverage) Number",
|
316
|
+
"E9" => "Attachment Code",
|
317
|
+
"EA" => "Medical Record Identification Number",
|
318
|
+
"EL" => "Electronic Device PIN Number",
|
319
|
+
"EI" => "Employer's Identification Number",
|
320
|
+
"EJ" => "Patient Account Number",
|
321
|
+
"EO" => "Submitter Identification Number",
|
322
|
+
"EV" => "Receiver Identification Number",
|
323
|
+
"EW" => "Mammography Certification Number",
|
324
|
+
"F2" => "Version Code - Local",
|
325
|
+
"F4" => "Facility Certification Number",
|
326
|
+
"F5" => "Medicare Version Code",
|
327
|
+
"F6" => "Health Insurance Claim (HIC) Number",
|
328
|
+
"F8" => "Original Reference Number",
|
329
|
+
"FJ" => "Line Item Control Number",
|
330
|
+
"FO" => "Drug Formulary Number",
|
331
|
+
"FY" => "Claim Office Number",
|
332
|
+
"G1" => "Prior Authorization Number",
|
333
|
+
"G2" => "Provider Commercial Number",
|
334
|
+
"G3" => "Predetermination of Benefits Identification Number",
|
335
|
+
"G5" => "Provider Site Number",
|
336
|
+
"GH" => "Identification Card Serial Number",
|
337
|
+
"G4" => "Peer Review Organization (PRO) Approval Number",
|
338
|
+
"GE" => "Geographic Number",
|
339
|
+
"HI" => s::CodeList.external("121"),
|
340
|
+
"HJ" => "Identity Card Number",
|
341
|
+
"HPI" => s::CodeList.external("537"),
|
342
|
+
"ICD" => s::CodeList.external("131"),
|
343
|
+
"IF" => "Issue Number",
|
344
|
+
"IG" => "Insurance Policy Number",
|
345
|
+
"IJ" => "Standard Industry Classification (SIC) Code",
|
346
|
+
"JD" => "User Identification",
|
347
|
+
"LOI" => s::CodeList.external("663"),
|
348
|
+
"LU" => "Location Number",
|
349
|
+
"LX" => "Qualified Products List",
|
350
|
+
"M7" => "Medical Assistance Category",
|
351
|
+
"MRC" => s::CodeList.external("844"),
|
352
|
+
"MRN" => "Mother's Medical Record Identification Number",
|
353
|
+
"N5" => "Provider Plan Network Identification Number",
|
354
|
+
"N6" => "Plan Network Identification Number",
|
355
|
+
"N7" => "Facitily Network Identification Number",
|
356
|
+
"NF" => s::CodeList.external("245"),
|
357
|
+
"NQ" => "Medicaid Recipient Identification Number",
|
358
|
+
"NT" => "Administrator's Reference Number",
|
359
|
+
"P4" => "Project Code",
|
360
|
+
"P5" => "Position Code",
|
361
|
+
"PID" => "Program Identification Number",
|
362
|
+
"POL" => "Policy Number",
|
363
|
+
"PQ" => "Payee Indentification",
|
364
|
+
"PSM" => "Credit Card Number",
|
365
|
+
"PXC" => s::CodeList.external("682"),
|
366
|
+
"Q4" => "Prior Identifier Number",
|
367
|
+
"QQ" => "Unit Number",
|
368
|
+
"RB" => "Rate code number",
|
369
|
+
"SOJ" => s::CodeList.external("22"),
|
370
|
+
"SY" => "Social Security Number",
|
371
|
+
"T4" => "Signal Code",
|
372
|
+
"TJ" => "Federal Taxpayer's Identification Number",
|
373
|
+
"TV" => s::CodeList.external("224"),
|
374
|
+
"VY" => "Link Sequence Number",
|
375
|
+
"Y4" => "Agency Claim Number",
|
376
|
+
"WH" => "Master Reference (Link) Number",
|
377
|
+
"X4" => "Clinical Laboratory Improvement Amendment Number",
|
378
|
+
"X9" => "Internal Control Number",
|
379
|
+
"XM" => "Issuer Number",
|
380
|
+
"XX1" => "Special Program Code",
|
381
|
+
"XX2" => "Service Area Code",
|
382
|
+
"XZ" => "Pharmacy Prescription Number",
|
383
|
+
"YY" => "Geographic Key",
|
384
|
+
"ZH" => "Carrier Assigned Reference Number",
|
385
|
+
"ZX" => "County Code",
|
386
|
+
"ZZ" => "Mutually Defined"))
|
387
|
+
E142 = t::AN.new(:E142 , "Application's Sender Code" , 2, 15)
|
388
|
+
E143 = t::ID.new(:E143 , "Transaction Set Identifier Number" , 3, 3,
|
389
|
+
# http://www.x12.org/x12org/docs/editransactions.pdf
|
390
|
+
s::CodeList.build(
|
391
|
+
# X12C Communications & Controls
|
392
|
+
"102" => "Associated Data",
|
393
|
+
"242" => "Data Status Tracking",
|
394
|
+
"815" => "Cryptographic Service Message",
|
395
|
+
"864" => "Text Message",
|
396
|
+
"868" => "Electronic Form Structure",
|
397
|
+
"993" => "Secured Receipt or Acknowledgment",
|
398
|
+
"997" => "Functional Acknowledgment",
|
399
|
+
"999" => "Implementation Acknowledgment",
|
400
|
+
|
401
|
+
# X12F Finance
|
402
|
+
"130" => "Student Educational Record (Transcript)",
|
403
|
+
"131" => "Student Educational Record (Transcript) Acknowledgment",
|
404
|
+
"132" => "Human Resource Information",
|
405
|
+
"133" => "Educational Institution Record",
|
406
|
+
"135" => "Student Aid Origination Record",
|
407
|
+
"138" => "Education Testing and Prospect Request and Report",
|
408
|
+
"139" => "Student Loan Guarantee Result",
|
409
|
+
"144" => "Student Loan Transfer and Status Verification",
|
410
|
+
"146" => "Request for Student Educational Record (Transcript)",
|
411
|
+
"147" => "Response to Request for Student Educational Record (Transcript)",
|
412
|
+
"155" => "Business Credit Report",
|
413
|
+
"188" => "Educational Course Inventory",
|
414
|
+
"189" => "Application for Admission to Educational Institutions",
|
415
|
+
"190" => "Student Enrollment Verification",
|
416
|
+
"191" => "Student Loan Pre-Claims and Claims",
|
417
|
+
"197" => "Real Estate Title Evidence",
|
418
|
+
"198" => "Loan Verification Information",
|
419
|
+
"199" => "Real Estate Settlement Information",
|
420
|
+
"200" => "Mortgage Credit Report",
|
421
|
+
"201" => "Residential Loan Application",
|
422
|
+
"202" => "Secondary Mortgage Market Loan Delivery",
|
423
|
+
"203" => "Secondary Mortgage Market Investor Report",
|
424
|
+
"205" => "Mortgage Note",
|
425
|
+
"206" => "Real Estate Inspection",
|
426
|
+
"245" => "Real Estate Tax Service Response",
|
427
|
+
"248" => "Account Assignment/Inquiry & Service/Status",
|
428
|
+
"259" => "Residential Mortgage Insurance Explanation of Benefits",
|
429
|
+
"260" => "Application for Mortgage Insurance Benefits",
|
430
|
+
"261" => "Real Estate Information Request",
|
431
|
+
"262" => "Real Estate Information Report",
|
432
|
+
"263" => "Residential Mortgage Insurance Application Response",
|
433
|
+
"264" => "Mortgage Loan Default Status",
|
434
|
+
"265" => "Real Estate Title Insurance Services Order",
|
435
|
+
"266" => "Mortgage or Property Record Change Notification",
|
436
|
+
"810" => "Invoice",
|
437
|
+
"811" => "Consolidated Service Invoice/Statement",
|
438
|
+
"812" => "Credit/Debit Adjustment",
|
439
|
+
"814" => "General Request, Response or Confirmation",
|
440
|
+
"819" => "Joint Interest Billing and Operating Expense Statement",
|
441
|
+
"820" => "Payment Order/Remittance Advice",
|
442
|
+
"821" => "Financial Information Reporting",
|
443
|
+
"822" => "Account Analysis",
|
444
|
+
"823" => "Lockbox",
|
445
|
+
"824" => "Application Advice",
|
446
|
+
"827" => "Financial Return Notice",
|
447
|
+
"828" => "Debit Authorization",
|
448
|
+
"829" => "Payment Cancellation Request",
|
449
|
+
"831" => "Application Control Totals",
|
450
|
+
"833" => "Mortgage Credit Report Order",
|
451
|
+
"844" => "Product Transfer Account Adjustment",
|
452
|
+
"849" => "Response to Product Transfer Account Adjustment",
|
453
|
+
"872" => "Residential Mortgage Insurance Application",
|
454
|
+
"880" => "Grocery Products Invoice",
|
455
|
+
|
456
|
+
# X12G Government
|
457
|
+
"103" => "Abandoned Property Filings",
|
458
|
+
"105" => "Business Entity Filings",
|
459
|
+
"113" => "Election Campaign & Lobbyist Reporting",
|
460
|
+
"149" => "Notice of Tax Adjustment or Assessment",
|
461
|
+
"150" => "Tax Rate Notification",
|
462
|
+
"151" => "Electronic Filing of Tax Return Data Acknowledgment",
|
463
|
+
"152" => "Statistical Government Information",
|
464
|
+
"153" => "Unemployment Insurance Tax Claim or Charge Information",
|
465
|
+
"154" => "Secured Interest Filing",
|
466
|
+
"157" => "Notice of Power of Attorney",
|
467
|
+
"158" => "Tax Jurisdiction Sourcing",
|
468
|
+
"175" => "Court and Law Enforcement Notice",
|
469
|
+
"176" => "Court Submission",
|
470
|
+
"179" => "Environmental Compliance Reporting",
|
471
|
+
"185" => "Royalty Regulatory Report",
|
472
|
+
"194" => "Grant or Assistance Application",
|
473
|
+
"195" => "Federal Communications Commission (FCC) License Application",
|
474
|
+
"196" => "Contractor Cost Data Reporting",
|
475
|
+
"249" => "Animal Toxicological Data",
|
476
|
+
"251" => "Pricing Support",
|
477
|
+
"280" => "Voter Registration Information",
|
478
|
+
"283" => "Tax or Fee Exemption Certification",
|
479
|
+
"284" => "Commercial Vehicle Safety Reports",
|
480
|
+
"285" => "Commercial Vehicle Safety and Credentials Information Exchange",
|
481
|
+
"286" => "Commercial Vehicle Credentials",
|
482
|
+
"288" => "Wage Determination",
|
483
|
+
"500" => "Medical Event Reporting",
|
484
|
+
"501" => "Vendor Performance Review",
|
485
|
+
"511" => "Requisition",
|
486
|
+
"517" => "Material Obligation Validation",
|
487
|
+
"521" => "Income or Asset Offset",
|
488
|
+
"527" => "Material Due-In and Receipt",
|
489
|
+
"536" => "Logistics Reassignment",
|
490
|
+
"540" => "Notice of Employment Status",
|
491
|
+
"561" => "Contract Abstract",
|
492
|
+
"567" => "Contract Completion Status",
|
493
|
+
"568" => "Contract Payment Management Report",
|
494
|
+
"650" => "Maintenance Service Order",
|
495
|
+
"805" => "Contract Pricing Proposal",
|
496
|
+
"806" => "Project Schedule Reporting",
|
497
|
+
"813" => "Electronic Filing of Tax Return Data",
|
498
|
+
"826" => "Tax Information Exchange",
|
499
|
+
"836" => "Procurement Notices",
|
500
|
+
"838" => "Trading Partner Profile",
|
501
|
+
"839" => "Project Cost Reporting",
|
502
|
+
"996" => "File Transfer",
|
503
|
+
|
504
|
+
# X12I Transportation
|
505
|
+
"104" => "Air Shipment Information",
|
506
|
+
"106" => "Motor Carrier Rate Proposal",
|
507
|
+
"107" => "Request for Motor Carrier Rate Proposal",
|
508
|
+
"108" => "Response to a Motor Carrier Rate Proposal",
|
509
|
+
"109" => "Vessel Content Details",
|
510
|
+
"110" => "Air Freight Details and Invoice",
|
511
|
+
"120" => "Vehicle Shipping Order",
|
512
|
+
"121" => "Vehicle Service",
|
513
|
+
"125" => "Multilevel Railcar Load Details",
|
514
|
+
"126" => "Vehicle Application Advice",
|
515
|
+
"127" => "Vehicle Baying Order",
|
516
|
+
"128" => "Dealer Information",
|
517
|
+
"129" => "Vehicle Carrier Rate Update",
|
518
|
+
"160" => "Transportation Automatic Equipment Identification",
|
519
|
+
"161" => "Train Sheet",
|
520
|
+
"163" => "Transportation Appointment Schedule Information",
|
521
|
+
"204" => "Motor Carrier Load Tender",
|
522
|
+
"210" => "Motor Carrier Freight Details and Invoice",
|
523
|
+
"211" => "Motor Carrier Bill of Lading",
|
524
|
+
"212" => "Motor Carrier Delivery Trailer Manifest",
|
525
|
+
"213" => "Motor Carrier Shipment Status Inquiry",
|
526
|
+
"214" => "Transportation Carrier Ship. Status Message",
|
527
|
+
"215" => "Motor Carrier Pick-up Manifest",
|
528
|
+
"216" => "Motor Carrier Shipment Pick-up Notification",
|
529
|
+
"217" => "Motor Carrier Loading and Route Guide",
|
530
|
+
"219" => "Logistics Service Request",
|
531
|
+
"220" => "Logistics Service Response",
|
532
|
+
"222" => "Cartage Work Assignment",
|
533
|
+
"223" => "Consolidators Freight Bill and Invoice",
|
534
|
+
"224" => "Motor Carrier Summary Freight Bill Manifest",
|
535
|
+
"225" => "Response to a Cartage Work Assignment",
|
536
|
+
"227" => "Trailer Usage Report",
|
537
|
+
"228" => "Equipment Inspection Report",
|
538
|
+
"240" => "Motor Carrier Package Status",
|
539
|
+
"250" => "Purchase Order Shipment Management Document",
|
540
|
+
"300" => "Reservation (Booking Request) (Ocean)",
|
541
|
+
"301" => "Confirmation (Ocean)",
|
542
|
+
"303" => "Booking Cancellation (Ocean)",
|
543
|
+
"304" => "Shipping Instructions",
|
544
|
+
"309" => "Customs Manifest",
|
545
|
+
"310" => "Freight Receipt and Invoice (Ocean)",
|
546
|
+
"311" => "Canada Customs Information",
|
547
|
+
"312" => "Arrival Notice (Ocean)",
|
548
|
+
"313" => "Shipment Status Inquiry (Ocean)",
|
549
|
+
"315" => "Status Details (Ocean)",
|
550
|
+
"317" => "Delivery/Pickup Order",
|
551
|
+
"319" => "Terminal Information",
|
552
|
+
"322" => "Terminal Operations and Intermodal Ramp Activity",
|
553
|
+
"323" => "Vessel Schedule and Itinerary (Ocean)",
|
554
|
+
"324" => "Vessel Stow Plan (Ocean)",
|
555
|
+
"325" => "Consolidation of Goods in Container",
|
556
|
+
"326" => "Consignment Summary List",
|
557
|
+
"350" => "Customs Status Information",
|
558
|
+
"352" => "U.S. Customs Carrier General Order Status",
|
559
|
+
"353" => "Customs Events Advisory Details",
|
560
|
+
"354" => "U.S. Customs Auto. Manifest Archive Status",
|
561
|
+
"355" => "U.S. Customs Acceptance/Rejection",
|
562
|
+
"356" => "U.S. Customs Permit to Transfer Request",
|
563
|
+
"357" => "U.S. Customs In-Bond Information",
|
564
|
+
"358" => "Customs Consist Information",
|
565
|
+
"359" => "Customs Customer Profile Management",
|
566
|
+
"361" => "Carrier Interchange Agreement (Ocean)",
|
567
|
+
"404" => "Rail Carrier Shipment Information",
|
568
|
+
"410" => "Rail Carrier Freight Details and Invoice",
|
569
|
+
"412" => "Trailer or Container Repair Billing",
|
570
|
+
"414" => "Rail Carhire Settlements",
|
571
|
+
"417" => "Rail Carrier Waybill Interchange",
|
572
|
+
"418" => "Rail Advance Interchange Consist",
|
573
|
+
"419" => "Advance Car Disposition",
|
574
|
+
"420" => "Car Handling Information",
|
575
|
+
"421" => "Estimated Time of Arrival & Car Scheduling",
|
576
|
+
"422" => "Equipment Order",
|
577
|
+
"423" => "Rail Industrial Switch List",
|
578
|
+
"424" => "Rail Carrier Services Settlement",
|
579
|
+
"425" => "Rail Waybill Request",
|
580
|
+
"426" => "Rail Revenue Waybill",
|
581
|
+
"429" => "Railroad Retirement Activity",
|
582
|
+
"431" => "Railroad Station Master File",
|
583
|
+
"432" => "Rail Deprescription",
|
584
|
+
"433" => "Railroad Reciprocal Switch File",
|
585
|
+
"434" => "Railroad Mark Register Update Activity",
|
586
|
+
"435" => "Standard Transportation Commodity Code Master",
|
587
|
+
"436" => "Locomotive Information",
|
588
|
+
"437" => "Railroad Junctions & Interchanges Activity",
|
589
|
+
"440" => "Shipment Weights",
|
590
|
+
"451" => "Railroad Event Report",
|
591
|
+
"452" => "Railroad Problem Log Inquiry or Advice",
|
592
|
+
"453" => "Railroad Service Commitment Advice",
|
593
|
+
"455" => "Railroad Parameter Trace Registration",
|
594
|
+
"456" => "Railroad Equipment Inquiry or Advice",
|
595
|
+
"460" => "Railroad Price Distribution Request or Response",
|
596
|
+
"463" => "Rail Rate Reply",
|
597
|
+
"466" => "Rate Request",
|
598
|
+
"468" => "Rate Docket Journal Log",
|
599
|
+
"470" => "Railroad Clearance",
|
600
|
+
"475" => "Rail Route File Maintenance",
|
601
|
+
"485" => "Ratemaking Action",
|
602
|
+
"486" => "Rate Docket Expiration",
|
603
|
+
"490" => "Rate Group Definition",
|
604
|
+
"492" => "Miscellaneous Rates",
|
605
|
+
"494" => "Rail Scale Rates",
|
606
|
+
"601" => "U.S. Customs Export Shipment Information",
|
607
|
+
"603" => "Transportation Equipment Registration",
|
608
|
+
"715" => "Intermodal Group Loading Plan",
|
609
|
+
"854" => "Shipment Delivery Discrepancy Info.",
|
610
|
+
"858" => "Shipment Information",
|
611
|
+
"859" => "Freight Invoice",
|
612
|
+
"920" => "Loss or Damage Claim - Gen. Commodities",
|
613
|
+
"924" => "Loss or Damage Claim - Motor Vehicle",
|
614
|
+
"925" => "Claim Tracer",
|
615
|
+
"926" => "Claim Status Report and Tracer Reply",
|
616
|
+
"928" => "Automotive Inspection Detail",
|
617
|
+
"980" => "Functional Group Totals",
|
618
|
+
"990" => "Response to a Load Tender",
|
619
|
+
"998" => "Set Cancellation",
|
620
|
+
|
621
|
+
# X12M Supply Chain
|
622
|
+
"101" => "Name and Address Lists",
|
623
|
+
"140" => "Product Registration",
|
624
|
+
"141" => "Product Service Claim Response",
|
625
|
+
"142" => "Product Service Claim",
|
626
|
+
"143" => "Product Service Notification",
|
627
|
+
"159" => "Motion Picture Booking Confirmation",
|
628
|
+
"170" => "Revenue Receipts Statement",
|
629
|
+
"180" => "Return Merchandise Authorization & Notification",
|
630
|
+
"244" => "Product Source Information",
|
631
|
+
"290" => "Cooperative Advertising Agreements",
|
632
|
+
"503" => "Pricing History",
|
633
|
+
"504" => "Clauses and Provisions",
|
634
|
+
"620" => "Excavation Communication",
|
635
|
+
"625" => "Well Information",
|
636
|
+
"753" => "Request For Routing Instructions",
|
637
|
+
"754" => "Routing Instructions",
|
638
|
+
"816" => "Organizational Relationships",
|
639
|
+
"818" => "Commission Sales Report",
|
640
|
+
"830" => "Planning Schedule w/ Release Capability",
|
641
|
+
"832" => "Price/Sales Catalog",
|
642
|
+
"840" => "Request for Quotation",
|
643
|
+
"841" => "Specifications/Technical Information",
|
644
|
+
"842" => "Nonconformance Report",
|
645
|
+
"843" => "Response to Request for Quotation",
|
646
|
+
"845" => "Price Authorization Acknowledgment/Status",
|
647
|
+
"846" => "Inventory Inquiry/Advice",
|
648
|
+
"847" => "Material Claim",
|
649
|
+
"848" => "Material Safety Data Sheet",
|
650
|
+
"850" => "Purchase Order",
|
651
|
+
"851" => "Asset Schedule",
|
652
|
+
"852" => "Product Activity Data",
|
653
|
+
"853" => "Routing and Carrier Instruction",
|
654
|
+
"855" => "Purchase Order Acknowledgment",
|
655
|
+
"856" => "Ship Notice/Manifest",
|
656
|
+
"857" => "Shipment and Billing Notice",
|
657
|
+
"860" => "Purchase Order Change Request - Buyer Initiated",
|
658
|
+
"861" => "Receiving Advice/Acceptance Certificate",
|
659
|
+
"862" => "Shipping Schedule",
|
660
|
+
"863" => "Report of Test Results",
|
661
|
+
"865" => "Purchase Order Change Acknowledgment /Request - Seller Initiated",
|
662
|
+
"866" => "Production Sequence",
|
663
|
+
"867" => "Product Transfer and Resale Report",
|
664
|
+
"869" => "Order Status Inquiry",
|
665
|
+
"870" => "Order Status Report",
|
666
|
+
"873" => "Commodity Movement Services",
|
667
|
+
"874" => "Commodity Movement Services Response",
|
668
|
+
"875" => "Grocery Products Purchase Order",
|
669
|
+
"876" => "Grocery Products Purchase Order Change",
|
670
|
+
"877" => "Manufacturer Coupon Family Code Structure",
|
671
|
+
"878" => "Product Authorization/De-authorization",
|
672
|
+
"879" => "Price Information",
|
673
|
+
"881" => "Manufacturer Coupon Redemption Detail",
|
674
|
+
"882" => "Direct Store Delivery Summary Information",
|
675
|
+
"883" => "Market Development Fund Allocation",
|
676
|
+
"884" => "Market Development Fund Settlement",
|
677
|
+
"885" => "Retail Account Characteristics",
|
678
|
+
"886" => "Customer Call Reporting",
|
679
|
+
"887" => "Coupon Notification",
|
680
|
+
"888" => "Item Maintenance",
|
681
|
+
"889" => "Promotion Announcement",
|
682
|
+
"890" => "Contract & Rebate Management",
|
683
|
+
"891" => "Deduction Research Report",
|
684
|
+
"893" => "Item Information Request",
|
685
|
+
"894" => "Delivery/Return Base Record",
|
686
|
+
"895" => "Delivery/Return Acknowledgment or Adjustment",
|
687
|
+
"896" => "Product Dimension Maintenance",
|
688
|
+
"940" => "Warehouse Shipping Order",
|
689
|
+
"943" => "Warehouse Stock Transfer Shipment Advice",
|
690
|
+
"944" => "Warehouse Stock Transfer Receipt Advice",
|
691
|
+
"945" => "Warehouse Shipping Advice",
|
692
|
+
"947" => "Warehouse Inventory Adjustment Advice",
|
693
|
+
|
694
|
+
# X12N Insurance
|
695
|
+
"100" => "Insurance Plan Description",
|
696
|
+
"111" => "Individual Insurance Policy & Client Info.",
|
697
|
+
"112" => "Property Damage Report",
|
698
|
+
"124" => "Vehicle Damage",
|
699
|
+
"148" => "Report of Injury, Illness, or Incident",
|
700
|
+
"186" => "Insurance Underwriting Requirements Reporting",
|
701
|
+
"187" => "Premium Audit Request and Return",
|
702
|
+
"252" => "Insurance Producer Administration",
|
703
|
+
"255" => "Underwriting Information Services",
|
704
|
+
"256" => "Periodic Compensation",
|
705
|
+
"267" => "Individual Life Annuity & Disability Application",
|
706
|
+
"268" => "Annuity Activity",
|
707
|
+
"269" => "Health Care Benefit Coordination Verification",
|
708
|
+
"270" => "Eligibility, Coverage or Benefit Inquiry",
|
709
|
+
"271" => "Eligibility, Coverage or Benefit Information",
|
710
|
+
"272" => "Property and Casualty Loss Notification",
|
711
|
+
"273" => "Insurance/Annuity Application Status",
|
712
|
+
"274" => "Health Care Provider Information",
|
713
|
+
"275" => "Patient Information",
|
714
|
+
"276" => "Health Care Claim Status Request",
|
715
|
+
"277" => "Health Care Information Status Notification",
|
716
|
+
"278" => "Health Care Services Review Information",
|
717
|
+
"362" => "Cargo Insurance Advice of Shipment",
|
718
|
+
"834" => "Benefit Enrollment and Maintenance",
|
719
|
+
"835" => "Health Care Claim Payment/Advice",
|
720
|
+
"837" => "Health Care Claim"))
|
721
|
+
E156 = t::ID.new(:E156 , "State or Province Code" , 2, 2,
|
722
|
+
s::CodeList.external("22"))
|
723
|
+
E166 = t::AN.new(:E166 , "Address Information" , 1, 55)
|
724
|
+
E212 = t:: R.new(:E212 , "Unit Price" , 1, 17)
|
725
|
+
E234 = t::AN.new(:E234 , "Product/Service ID" , 1, 48)
|
726
|
+
E235 = t::ID.new(:E235 , "Product/Service ID Qualifier" , 2, 2,
|
727
|
+
s::CodeList.build(
|
728
|
+
"AD" => s::CodeList.external("135"),
|
729
|
+
"A5" => s::CodeList.external("22"),
|
730
|
+
"CH" => s::CodeList.external("5"),
|
731
|
+
"CJ" => s::CodeList.external("135"),
|
732
|
+
"DC" => s::CodeList.external("897"),
|
733
|
+
"DX" => s::CodeList.external("131"),
|
734
|
+
"EN" => "EAN/UCC - 13",
|
735
|
+
"EO" => "EAN/UCC - 8",
|
736
|
+
"ER" => s::CodeList.external("576"),
|
737
|
+
"HC" => s::CodeList.external("130"),
|
738
|
+
"HP" => s::CodeList.external("716"),
|
739
|
+
"ID" => s::CodeList.external("131"),
|
740
|
+
"IP" => s::CodeList.external("896"),
|
741
|
+
"IV" => s::CodeList.external("513"),
|
742
|
+
"HI" => "HIBC (Health Care Industry Bar Code) Supplier Labeling Standard Primary Data Message",
|
743
|
+
"LB" => s::CodeList.external("663"),
|
744
|
+
"N1" => s::CodeList.external("240"),
|
745
|
+
"N2" => s::CodeList.external("240"),
|
746
|
+
"N3" => s::CodeList.external("240"),
|
747
|
+
"N4" => s::CodeList.external("240"),
|
748
|
+
"N5" => s::CodeList.external("240"),
|
749
|
+
"N6" => s::CodeList.external("240"),
|
750
|
+
"NU" => s::CodeList.external("132"),
|
751
|
+
"ON" => "Customer Order Number",
|
752
|
+
"TD" => s::CodeList.external("359"),
|
753
|
+
"UI" => "U.P.C. Consumer Package (1-5-5)",
|
754
|
+
"UK" => "GTIN 14-digit Data Structure",
|
755
|
+
"UP" => "UCC - 12",
|
756
|
+
"RB" => s::CodeList.external("132"),
|
757
|
+
"WK" => s::CodeList.external("843"),
|
758
|
+
"ZZ" => "Mutually Defined"))
|
759
|
+
E236 = t::ID.new(:E236 , "Price Identifier Code" , 3, 3)
|
760
|
+
E280 = t:: R.new(:E280 , "Exchange Rate" , 4, 10)
|
761
|
+
E289 = t::Nn.new(:E289 , "Multiple Price Quantity" , 1, 2, 0)
|
762
|
+
E305 = t::ID.new(:E305 , "Transaction Handling Code" , 1, 2,
|
763
|
+
s::CodeList.build(
|
764
|
+
"C" => "Payment Accompanies Remittance Advice",
|
765
|
+
"D" => "Make Payment Only",
|
766
|
+
"H" => "Notification Only",
|
767
|
+
"I" => "Remittance Information Only",
|
768
|
+
"P" => "Prenotification of Future Transfers",
|
769
|
+
"U" => "Split Payment and Remittance",
|
770
|
+
"X" => "Handling Party's Option to Split Payment and Remittance"))
|
771
|
+
E306 = t::ID.new(:E306 , "Action Code" , 1, 2,
|
772
|
+
s::CodeList.build(
|
773
|
+
"1" => "Add",
|
774
|
+
"2" => "Change (Update)",
|
775
|
+
"4" => "Verify",
|
776
|
+
"51" => "Complete",
|
777
|
+
"71" => "Term Expired",
|
778
|
+
"A1" => "Certified in Total",
|
779
|
+
"A2" => "Certified - Partial",
|
780
|
+
"A3" => "Not Certified",
|
781
|
+
"A4" => "Pended",
|
782
|
+
"A6" => "Modified",
|
783
|
+
"C" => "Cancelled",
|
784
|
+
"CT" => "Contact Payer",
|
785
|
+
"NA" => "No Action Required",
|
786
|
+
"RX" => "Replace",
|
787
|
+
"U" => "Reject",
|
788
|
+
"WQ" => "Accept"))
|
789
|
+
E309 = t::ID.new(:E309 , "Location Qualifier" , 1, 2,
|
790
|
+
s::CodeList.build(
|
791
|
+
"60" => "Area",
|
792
|
+
"CY" => "County/Parish",
|
793
|
+
"PQ" => s::CodeList.external("51"),
|
794
|
+
"PR" => s::CodeList.external("51"),
|
795
|
+
"PS" => s::CodeList.external("51"),
|
796
|
+
"RJ" => s::CodeList.external("DOD1")))
|
797
|
+
E310 = t::ID.new(:E310 , "Location Identifier" , 1, 30)
|
798
|
+
E329 = t::AN.new(:E329 , "Transaction Set Control Number" , 4, 9)
|
799
|
+
E332 = t:: R.new(:E332 , "Percent, Decimal Format" , 1, 6)
|
800
|
+
E337 = t::TM.new(:E337 , "Time" , 4, 8)
|
801
|
+
E338 = t:: R.new(:E338 , "Terms Discount Percent" , 1, 6)
|
802
|
+
E350 = t::AN.new(:E350 , "Assigned Identification" , 1, 20)
|
803
|
+
E352 = t::AN.new(:E352 , "Description" , 1, 80)
|
804
|
+
E353 = t::ID.new(:E353 , "Transaction Set Purpose Code" , 2, 2,
|
805
|
+
s::CodeList.build(
|
806
|
+
"00" => "Original",
|
807
|
+
"01" => "Cancellation",
|
808
|
+
"06" => "Confirmation",
|
809
|
+
"08" => "Status",
|
810
|
+
"15" => "Re-Submission",
|
811
|
+
"11" => "Response",
|
812
|
+
"13" => "Request",
|
813
|
+
"18" => "Reissue",
|
814
|
+
"22" => "Information Copy",
|
815
|
+
"49" => "Original - No Response Necessary",
|
816
|
+
"52" => "Response to Historical Inquiry"))
|
817
|
+
E355 = t::ID.new(:E355 , "Unit or Basis for Measurement Code" , 2, 2,
|
818
|
+
s::CodeList.build(
|
819
|
+
"01" => "Actual Pounds",
|
820
|
+
"DA" => "Days",
|
821
|
+
"DH" => "Miles",
|
822
|
+
"DK" => "Kilometers",
|
823
|
+
"F2" => "International Unit",
|
824
|
+
"GR" => "Gram",
|
825
|
+
"LB" => "Pound",
|
826
|
+
"ME" => "Milligram",
|
827
|
+
"MJ" => "Minutes",
|
828
|
+
"ML" => "Milliliter",
|
829
|
+
"MO" => "Months",
|
830
|
+
"UN" => "Units",
|
831
|
+
"WK" => "Week",
|
832
|
+
"VS" => "Visit",
|
833
|
+
"YR" => "Years"))
|
834
|
+
E363 = t::ID.new(:E363 , "Note Reference Code" , 3, 3,
|
835
|
+
s::CodeList.build(
|
836
|
+
"ADD" => "Additional Information",
|
837
|
+
"ALG" => "Allergies",
|
838
|
+
"CER" => "Certification Narrative",
|
839
|
+
"DCP" => "Goals, Rehabilitation Potential, or Discharge Plans",
|
840
|
+
"DGN" => "Diagnosis Description",
|
841
|
+
"DME" => "Durable Medical Equipment (DME) and Supplies",
|
842
|
+
"MED" => "Medications",
|
843
|
+
"NTR" => "Nutritional Requirements",
|
844
|
+
"ODT" => "Orders for Disciplines and Treatments",
|
845
|
+
"RHB" => "Functional Limitations, Reason Homebound, or Both",
|
846
|
+
"RLH" => "Reasons Patient Leaves Home",
|
847
|
+
"RNH" => "Times and Reasons Patient Not at Home",
|
848
|
+
"SET" => "Unusual Home, Social Environment, or Both",
|
849
|
+
"SFM" => "Safety Measures",
|
850
|
+
"SPT" => "Supplementary Plan of Treatment",
|
851
|
+
"TPO" => "Third Party Organization Notes",
|
852
|
+
"UPI" => "Updated Information"))
|
853
|
+
E364 = t::AN.new(:E364 , "Communication Number" , 1, 256)
|
854
|
+
E365 = t::ID.new(:E365 , "Communication Number Qualifier" , 2, 2,
|
855
|
+
s::CodeList.build(
|
856
|
+
"AP" => "Alternate Telephone",
|
857
|
+
"BN" => "Beeper Number",
|
858
|
+
"CP" => "Cellular Phone",
|
859
|
+
"ED" => "Electronic Data Interchange Access Number",
|
860
|
+
"EM" => "Electronic Mail",
|
861
|
+
"EX" => "Telephone Extension",
|
862
|
+
"FX" => "Facsimile",
|
863
|
+
"HP" => "Home Phone Number",
|
864
|
+
"TE" => "Telephone",
|
865
|
+
"UR" => "Uniform Resource Locator (URL)",
|
866
|
+
"WP" => "Work Phone Number"))
|
867
|
+
E366 = t::ID.new(:E366 , "Contract Function Code" , 2, 2,
|
868
|
+
s::CodeList.build(
|
869
|
+
"1I" => "Local Contact",
|
870
|
+
"AJ" => "Primary Contact",
|
871
|
+
"AL" => "Alternate Contact",
|
872
|
+
"BI" => "Bill Inquiry Contact",
|
873
|
+
"BL" => "Technical Department",
|
874
|
+
"CN" => "General Contact",
|
875
|
+
"CX" => "Payers Claim Office",
|
876
|
+
"EP" => "Employer Contact",
|
877
|
+
"IC" => "Information Contact",
|
878
|
+
"IP" => "Insured Party",
|
879
|
+
"RP" => "Responsible Person",
|
880
|
+
"PQ" => "Parent or Guardian",
|
881
|
+
"SK" => "School Clerk"))
|
882
|
+
E373 = t::DT.new(:E373 , "Date" , 8, 8)
|
883
|
+
E374 = t::ID.new(:E374 , "Date/Time Qualifier" , 3, 3,
|
884
|
+
s::CodeList.build(
|
885
|
+
"007" => "Effective",
|
886
|
+
"009" => "Process",
|
887
|
+
"011" => "Shipped",
|
888
|
+
"036" => "Expiration",
|
889
|
+
"050" => "Received",
|
890
|
+
"090" => "Report Start",
|
891
|
+
"091" => "Report End",
|
892
|
+
"096" => "Discharge",
|
893
|
+
"102" => "Issue",
|
894
|
+
"139" => "Estimated",
|
895
|
+
"150" => "Service Period Start",
|
896
|
+
"151" => "Service Period End",
|
897
|
+
"152" => "Effective Date of Change",
|
898
|
+
"193" => "Period Start",
|
899
|
+
"194" => "Period End",
|
900
|
+
"196" => "Start",
|
901
|
+
"198" => "Completion",
|
902
|
+
"232" => "Claim Statement Period Start",
|
903
|
+
"233" => "Claim Statement Period End",
|
904
|
+
"286" => "Retirement",
|
905
|
+
"290" => "Coordination of Benefits",
|
906
|
+
"291" => "Plan",
|
907
|
+
"292" => "Benefit",
|
908
|
+
"295" => "Primary Care Provider",
|
909
|
+
"296" => "Initial Disability Period Return To Work",
|
910
|
+
"297" => "Initial Disability Period Last Day Worked",
|
911
|
+
"300" => "Enrollment Signature Date",
|
912
|
+
"301" => "Consolidated Omnibus Budget Reconciliation Act (COBRA) Qualifying Event",
|
913
|
+
"303" => "Maintenance Effective",
|
914
|
+
"304" => "Latest Visit or Consultation",
|
915
|
+
"307" => "Eligibility",
|
916
|
+
"314" => "Disability",
|
917
|
+
"318" => "Added",
|
918
|
+
"336" => "Employment Begin",
|
919
|
+
"337" => "Employment End",
|
920
|
+
"338" => "Medicare Begin",
|
921
|
+
"339" => "Medicare End",
|
922
|
+
"340" => "Consolidated Omnibus Budget Reconciliation Act (COBRA) Begin",
|
923
|
+
"341" => "Consolidated Omnibus Budget Reconciliation Act (COBRA) End",
|
924
|
+
"342" => "Premium Paid to Date Begin",
|
925
|
+
"343" => "Premium Paid to Date End",
|
926
|
+
"344" => "Coordination of Benefits Begin",
|
927
|
+
"345" => "Coordination of Benefits End",
|
928
|
+
"346" => "Plan Begin",
|
929
|
+
"347" => "Plan End",
|
930
|
+
"348" => "Benefit Begin",
|
931
|
+
"349" => "Benefit End",
|
932
|
+
"350" => "Education Begin",
|
933
|
+
"351" => "Education End",
|
934
|
+
"356" => "Eligibility Begin",
|
935
|
+
"357" => "Eligibility End",
|
936
|
+
"360" => "Initial Disability Period Start",
|
937
|
+
"361" => "Initial Disability Period End",
|
938
|
+
"382" => "Enrollment",
|
939
|
+
"383" => "Adjusted Hire",
|
940
|
+
"385" => "Credited Service Begin",
|
941
|
+
"386" => "Credited Service End",
|
942
|
+
"388" => "Payment Cancellation",
|
943
|
+
"393" => "Plan Participation Suspension",
|
944
|
+
"394" => "Rehire",
|
945
|
+
"405" => "Production",
|
946
|
+
"431" => "Onset of Current Symptoms or Illness",
|
947
|
+
"434" => "Statement",
|
948
|
+
"435" => "Admission",
|
949
|
+
"439" => "Accident",
|
950
|
+
"441" => "Prior Placement",
|
951
|
+
"442" => "Date of Birth",
|
952
|
+
"444" => "First Visit or Consultation",
|
953
|
+
"446" => "Replacement",
|
954
|
+
"452" => "Appliance Placement",
|
955
|
+
"453" => "Acute Manifestation of a Chronic Condition",
|
956
|
+
"454" => "Initial Treatment",
|
957
|
+
"455" => "Last X-Ray",
|
958
|
+
"458" => "Certification",
|
959
|
+
"461" => "Last Certification",
|
960
|
+
"463" => "Begin Therapy",
|
961
|
+
"471" => "Prescription",
|
962
|
+
"472" => "Service",
|
963
|
+
"473" => "Medicaid Begin",
|
964
|
+
"474" => "Medicaid End",
|
965
|
+
"484" => "Last Menstrual Period",
|
966
|
+
"523" => "Date of Claim",
|
967
|
+
"539" => "Policy Effective",
|
968
|
+
"540" => "Policy Expiration",
|
969
|
+
"543" => "Last Premium Paid Date",
|
970
|
+
"573" => "Date Claim Paid",
|
971
|
+
"582" => "@todo",
|
972
|
+
"607" => "Certification Revision",
|
973
|
+
"636" => "Date of Last Update",
|
974
|
+
"695" => "Previous Period",
|
975
|
+
"738" => "Most Recent Hemoglobin or Hematocrit or Both",
|
976
|
+
"739" => "Most Recent Serum Creatine",
|
977
|
+
"754" => "Next Payment Due",
|
978
|
+
"771" => "Status",
|
979
|
+
"881" => "Request",
|
980
|
+
"866" => "Examination",
|
981
|
+
"903" => "Application Entry",
|
982
|
+
"AAH" => "Event",
|
983
|
+
"AB4" => "Time Period",
|
984
|
+
"ABC" => "Estimated Date of Birth",
|
985
|
+
"ABW" => "Credit Card Expiration",
|
986
|
+
"AEC" => "Medicare Part A Coverage Effective Date",
|
987
|
+
"AED" => "Medicare Part A Termination Date",
|
988
|
+
"AEG" => "Medicare Part B Coverage Effective Date",
|
989
|
+
"AEH" => "Medicare Part B Termination Date",
|
990
|
+
"AFC" => "Medicare Part D Coverage Effective Date",
|
991
|
+
"AFD" => "Medicare Part D Termination Date"))
|
992
|
+
E380 = t:: R.new(:E380 , "Quantity" , 1, 15)
|
993
|
+
E426 = t::ID.new(:E426 , "Adjustment Reason Code" , 2, 2,
|
994
|
+
s::CodeList.build(
|
995
|
+
"50" => "Late Charge",
|
996
|
+
"51" => "Interest Penalty Charge",
|
997
|
+
"72" => "Authorized Return",
|
998
|
+
"90" => "Early Payment Allowance",
|
999
|
+
"AH" => "Origination Fee",
|
1000
|
+
"AM" => "Applied to Borrower's Account",
|
1001
|
+
"AP" => "Acceleration of Benefits",
|
1002
|
+
"B2" => "Rebate",
|
1003
|
+
"B3" => "Recovery Allowance",
|
1004
|
+
"BD" => "Bad Debt Adjustment",
|
1005
|
+
"BN" => "Bonus",
|
1006
|
+
"C5" => "Temporary Allowance",
|
1007
|
+
"CR" => "Capitation Interest",
|
1008
|
+
"CS" => "Adjustment",
|
1009
|
+
"CT" => "Capitation Payment",
|
1010
|
+
"CV" => "Capital Passthru",
|
1011
|
+
"CW" => "Certified Registered Nurse Anesthetist Passthru",
|
1012
|
+
"DM" => "Direct Medical Education Passthru",
|
1013
|
+
"E3" => "Withholding",
|
1014
|
+
"FB" => "Forwarding Balance",
|
1015
|
+
"FC" => "Fund Allocation",
|
1016
|
+
"GO" => "Graduate Medicale Education Passthru",
|
1017
|
+
"HM" => "Hemophelia Clotting Factor Supplement",
|
1018
|
+
"IP" => "Incentive Premium Payment",
|
1019
|
+
"IR" => "Internal Revenue Service Withholding",
|
1020
|
+
"IS" => "Interim Settlement",
|
1021
|
+
"J1" => "Nonreimbursable",
|
1022
|
+
"L3" => "Penalty",
|
1023
|
+
"L6" => "Interest Owed",
|
1024
|
+
"LE" => "Levy",
|
1025
|
+
"LS" => "Lump Sum",
|
1026
|
+
"OA" => "Organ Acquisition Passthru",
|
1027
|
+
"OB" => "Offset for Affiliated Providers",
|
1028
|
+
"PI" => "Periodic Interim Payment",
|
1029
|
+
"PL" => "Payment Final",
|
1030
|
+
"RA" => "Retro-activity Adjustment",
|
1031
|
+
"RE" => "Return on Equity",
|
1032
|
+
"SL" => "Student Loan Repayment",
|
1033
|
+
"TL" => "Third Party Liability",
|
1034
|
+
"WO" => "Overpayment Recovery",
|
1035
|
+
"WU" => "Unspecified Recovery"))
|
1036
|
+
E429 = t::AN.new(:E429 , "Check Number" , 1, 16)
|
1037
|
+
E443 = t::AN.new(:E443 , "Contract Inquiry Reference" , 1, 20)
|
1038
|
+
E447 = t::AN.new(:E447 , "Loop Identifier Code" , 1, 4)
|
1039
|
+
E449 = t::AN.new(:E449 , "Fixed Format Information" , 1, 80)
|
1040
|
+
E478 = t::ID.new(:E478 , "Credit/Debit Flag Code" , 1, 1,
|
1041
|
+
s::CodeList.build(
|
1042
|
+
"C" => "Credit",
|
1043
|
+
"D" => "Debit",
|
1044
|
+
"ACH" => "Automated Clearing House (ACH)",
|
1045
|
+
"BOP" => "Financial Institution Option",
|
1046
|
+
"CHK" => "Check",
|
1047
|
+
"FWT" => "Federal Reserve Funds/Wire Transfer - Nonrepetitive",
|
1048
|
+
"NON" => "Non-Payment Data"))
|
1049
|
+
E479 = t::ID.new(:E479 , "Functional Identifier Code" , 2, 2,
|
1050
|
+
s::CodeList.build(
|
1051
|
+
"AA" => "Account Analysis (822)",
|
1052
|
+
"AB" => "Logistics Service Request (219)",
|
1053
|
+
"AD" => "Individual Life, Annuity and Disability Application (267)",
|
1054
|
+
"AF" => "Application for Admission to Educational Institutions (189)",
|
1055
|
+
"AG" => "Application Advice (824)",
|
1056
|
+
"AH" => "Logistics Service Response (220)",
|
1057
|
+
"AI" => "Automotive Inspection Detail (928)",
|
1058
|
+
"AK" => "Student Educational Record (Transcript) Acknowledgment (131)",
|
1059
|
+
"AL" => "Set Cancellation (998) and Application Acceptance/Rejection Advice (499)",
|
1060
|
+
"AN" => "Return Merchandise Authorization and Notification (180)",
|
1061
|
+
"AO" => "Income or Asset Offset (521)",
|
1062
|
+
"AR" => "Warehouse Stock Transfer Shipment Advice (943)",
|
1063
|
+
"AS" => "Transportation Appointment Schedule Information (163)",
|
1064
|
+
"AT" => "Animal Toxicological Data (249)",
|
1065
|
+
"AW" => "Warehouse Inventory Adjustment Advice (947)",
|
1066
|
+
"BC" => "Business Credit Report (155)",
|
1067
|
+
"BE" => "Benefit Enrollment and Maintenance (834)",
|
1068
|
+
"BF" => "Business Entity Filings (105)",
|
1069
|
+
"BL" => "Motor Carrier Bill of Lading (211)",
|
1070
|
+
"BS" => "Shipment and Billing Notice (857)",
|
1071
|
+
"CA" => "Purchase Order Change Acknowledgment/Request - Seller Initiated (865)",
|
1072
|
+
"CB" => "Unemployment Insurance Tax Claim or Charge Information (153)",
|
1073
|
+
"CC" => "Clauses and Provisions (504)",
|
1074
|
+
"CD" => "Credit/Debit Adjustment (812)",
|
1075
|
+
"CE" => "Cartage Work Assignment (222)",
|
1076
|
+
"CF" => "Corporate Financial Adjustment Information (844 and 849)",
|
1077
|
+
"CG" => "Administrative Message (994)",
|
1078
|
+
"CH" => "Car Handling Information (420)",
|
1079
|
+
"CI" => "Consolidated Service Invoice/Statement (811)",
|
1080
|
+
"CJ" => "Manufacturer Coupon Family Code Structure (877)",
|
1081
|
+
"CK" => "Manufacturer Coupon Redemption Detail (881)",
|
1082
|
+
"CM" => "Component Parts Content (871)",
|
1083
|
+
"CN" => "Coupon Notification (887)",
|
1084
|
+
"CO" => "Cooperative Advertising Agreements (290)",
|
1085
|
+
"CP" => "Electronic Proposal Information (251, 805)",
|
1086
|
+
"CR" => "Rail Carhire Settlements (414)",
|
1087
|
+
"CS" => "Cryptographic Service Message (815)",
|
1088
|
+
"CT" => "Application Control Totals (831)",
|
1089
|
+
"CV" => "Commercial Vehicle Safety and Credentials Information Exchange (285)",
|
1090
|
+
"D3" => "Contract Completion Status (567)",
|
1091
|
+
"D4" => "Contract Abstract (561)",
|
1092
|
+
"D5" => "Contract Payment Management Report (568)",
|
1093
|
+
"DA" => "Debit Authorization (828)",
|
1094
|
+
"DD" => "Shipment Delivery Discrepancy Information (854)",
|
1095
|
+
"DF" => "Market Development Fund Allocation (883)",
|
1096
|
+
"DI" => "Dealer Information (128)",
|
1097
|
+
"DM" => "Shipper's Car Order (422)",
|
1098
|
+
"DS" => "Data Status Tracking (242)",
|
1099
|
+
"DX" => "Direct Exchange Delivery and Return Information (894, 895)",
|
1100
|
+
"EC" => "Educational Course Inventory (188)",
|
1101
|
+
"ED" => "Student Educational Record (Transcript) (130)",
|
1102
|
+
"EI" => "Railroad Equipment Inquiry or Advice (456)",
|
1103
|
+
"ER" => "Revenue Receipts Statement (170)",
|
1104
|
+
"ES" => "Notice of Employment Status (540)",
|
1105
|
+
"EV" => "Railroad Event Report (451)",
|
1106
|
+
"EX" => "Excavation Communication (620)",
|
1107
|
+
"FA" => "Functional Acknowledgment (997, 999)",
|
1108
|
+
"FB" => "Freight Invoice (859)",
|
1109
|
+
"FC" => "Court and Law Enforcement Information (175, 176)",
|
1110
|
+
"FG" => "Motor Carrier Loading and Route Guide (217)",
|
1111
|
+
"FH" => "Motor Carrier Tariff Information (218)",
|
1112
|
+
"FR" => "Financial Reporting (821, 827)",
|
1113
|
+
"FT" => "File Transfer (996)",
|
1114
|
+
"GB" => "Average Agreement Demurrage (423)",
|
1115
|
+
"GC" => "Damage Claim Transaction Sets (920, 924, 925, 926)",
|
1116
|
+
"GE" => "General Request, Response or Confirmation (814)",
|
1117
|
+
"GF" => "Response to a Load Tender (990)",
|
1118
|
+
"GL" => "Intermodal Group Loading Plan (715)",
|
1119
|
+
"GP" => "Grocery Products Invoice (880)",
|
1120
|
+
"GR" => "Statistical Government Information (152)",
|
1121
|
+
"GT" => "Grant or Assistance Application (194)",
|
1122
|
+
"HB" => "Eligibility, Coverage or Benefit Information (271)",
|
1123
|
+
"HC" => "Health Care Claim (837)",
|
1124
|
+
"HI" => "Health Care Services Review Information (278)",
|
1125
|
+
"HN" => "Health Care Claim Status Notification (277)",
|
1126
|
+
"HP" => "Health Care Claim Payment/Advice (835)",
|
1127
|
+
"HR" => "Health Care Claim Status Request (276)",
|
1128
|
+
"HS" => "Eligibility, Coverage or Benefit Inquiry (270)",
|
1129
|
+
"IA" => "Air Freight Details and Invoice (110, 980)",
|
1130
|
+
"IB" => "Inventory Inquiry/Advice (846)",
|
1131
|
+
"IC" => "Rail Advance Interchange Consist (418)",
|
1132
|
+
"ID" => "Insurance/Annuity Application Status (273)",
|
1133
|
+
"IE" => "Insurance Producer Administration (252)",
|
1134
|
+
"IG" => "Direct Store Delivery Summary Information (882)",
|
1135
|
+
"II" => "Rail Freight Details and Invoice Summary (411)",
|
1136
|
+
"IJ" => "Report of Injury, Illness or Incident (148)",
|
1137
|
+
"IM" => "Motor Carrier Freight Details and Invoice (210, 980)",
|
1138
|
+
"IN" => "Invoice Information (810,819)",
|
1139
|
+
"IO" => "Ocean Shipment Billing Details (310, 312, 980)",
|
1140
|
+
"IP" => "Intermodal Ramp Activity (622)",
|
1141
|
+
"IR" => "Rail Carrier Freight Details and Invoice (410, 980)",
|
1142
|
+
"IS" => "Estimated Time of Arrival and Car Scheduling (421)",
|
1143
|
+
"KM" => "Commercial Vehicle Credentials (286)",
|
1144
|
+
"LA" => "Federal Communications Commission (FCC) License Application (195)",
|
1145
|
+
"LB" => "Lockbox (823)",
|
1146
|
+
"LI" => "Locomotive Information (436)",
|
1147
|
+
"LN" => "Property and Casualty Loss Notification (272)",
|
1148
|
+
"LR" => "Logistics Reassignment (536)",
|
1149
|
+
"LS" => "Asset Schedule (851)",
|
1150
|
+
"LT" => "Student Loan Transfer and Status Verification (144)",
|
1151
|
+
"MA" => "Motor Carrier Summary Freight Bill Manifest (224)",
|
1152
|
+
"MC" => "Request for Motor Carrier Rate Proposal (107)",
|
1153
|
+
"MD" => "Department of Defense Inventory Management (527)",
|
1154
|
+
"ME" => "Mortgage Origination (198, 200, 201, 261, 262, 263, 833, 872)",
|
1155
|
+
"MF" => "Market Development Funds Settlement (884)",
|
1156
|
+
"MG" => "Mortgage Servicing Transaction Sets (203, 206, 260, 264, 266)",
|
1157
|
+
"MH" => "Motor Carrier Rate Proposal (106)",
|
1158
|
+
"MI" => "Motor Carrier Shipment Status Inquiry (213)",
|
1159
|
+
"MJ" => "Secondary Mortgage Market Loan Delivery (202)",
|
1160
|
+
"MK" => "Response to a Motor Carrier Rate Proposal (108)",
|
1161
|
+
"MM" => "Medical Event Reporting (500)",
|
1162
|
+
"MN" => "Mortgage Note (205)",
|
1163
|
+
"MO" => "Maintenance Service Order (650)",
|
1164
|
+
"MP" => "Motion Picture Booking Confirmation (159)",
|
1165
|
+
"MQ" => "Consolidators Freight Bill and Invoice (223)",
|
1166
|
+
"MR" => "Multilevel Railcar Load Details (125)",
|
1167
|
+
"MS" => "Material Safety Data Sheet (848)",
|
1168
|
+
"MT" => "Electronic Form Structure (868)",
|
1169
|
+
"MV" => "Material Obligation Validation (517)",
|
1170
|
+
"MW" => "Rail Waybill Response (427)",
|
1171
|
+
"MX" => "Material Claim (847)",
|
1172
|
+
"MY" => "Response to a Cartage Work Assignment (225)",
|
1173
|
+
"NC" => "Nonconformance Report (842)",
|
1174
|
+
"NL" => "Name and Address Lists (101)",
|
1175
|
+
"NP" => "Notice of Power of Attorney (157)",
|
1176
|
+
"NT" => "Notice of Tax Adjustment or Assessment (149)",
|
1177
|
+
"OC" => "Cargo Insurance Advice of Shipment (362)",
|
1178
|
+
"OG" => "Order Group - Grocery (875, 876)",
|
1179
|
+
"OR" => "Organizational Relationships (816)",
|
1180
|
+
"OW" => "Warehouse Shipping Order (940)",
|
1181
|
+
"PA" => "Price Authorization Acknowledgment/Status (845)",
|
1182
|
+
"PB" => "Railroad Parameter Trace Registration (455)",
|
1183
|
+
"PC" => "Purchase Order Change Request - Buyer Initiated (860)",
|
1184
|
+
"PD" => "Product Activity Data (852)",
|
1185
|
+
"PE" => "Periodic Compensation (256)",
|
1186
|
+
"PF" => "Annuity Activity (268)",
|
1187
|
+
"PG" => "Insurance Plan Description (100)",
|
1188
|
+
"PH" => "Pricing History (503)",
|
1189
|
+
"PI" => "Patient Information (275)",
|
1190
|
+
"PJ" => "Project Schedule Reporting (806)",
|
1191
|
+
"PK" => "Project Cost Reporting (839) and Contractor Cost Data Reporting (196)",
|
1192
|
+
"PL" => "Railroad Problem Log Inquiry or Advice (452)",
|
1193
|
+
"PN" => "Product Source Information (244)",
|
1194
|
+
"PO" => "Purchase Order (850)",
|
1195
|
+
"PQ" => "Property Damage Report (112)",
|
1196
|
+
"PR" => "Purchase Order Acknowledgement (855)",
|
1197
|
+
"PS" => "Planning Schedule with Release Capability (830)",
|
1198
|
+
"PT" => "Product Transfer and Resale Report (867)",
|
1199
|
+
"PU" => "Motor Carrier Shipment Pick-up Notification (216)",
|
1200
|
+
"PV" => "Purchase Order Shipment Management Document (250)",
|
1201
|
+
"PY" => "Payment Cancellation Request (829)",
|
1202
|
+
"QG" => "Product Information (878, 879, 888, 889, 893, 896)",
|
1203
|
+
"QM" => "Transportation Carrier Shipment Status Message (214)",
|
1204
|
+
"QO" => "Ocean Shipment Status Information (313, 315)",
|
1205
|
+
"RA" => "Payment Order/Remittance Advice (820)",
|
1206
|
+
"RB" => "Railroad Clearance (470)",
|
1207
|
+
"RC" => "Receiving Advice/Acceptance Certificate (861)",
|
1208
|
+
"RD" => "Royalty Regulatory Report (185)",
|
1209
|
+
"RE" => "Warehouse Stock Receipt Advice (944)",
|
1210
|
+
"RH" => "Railroad Reciprocal Switch File (433)",
|
1211
|
+
"RI" => "Routing and Carrier Instruction (853)",
|
1212
|
+
"RJ" => "Railroad Mark Register Update Activity (434)",
|
1213
|
+
"RK" => "Standard Transportation Commodity Code Master (435)",
|
1214
|
+
"RL" => "Rail Industrial Switch List (423)",
|
1215
|
+
"RM" => "Railroad Station Master File (431)",
|
1216
|
+
"RN" => "Requisition Transaction (511)",
|
1217
|
+
"RO" => "Ocean Booking Information (300, 301,303)",
|
1218
|
+
"RP" => "Commission Sales Report (818)",
|
1219
|
+
"RQ" => "Request for Quotation (840) and Procurement Notices (836)",
|
1220
|
+
"RR" => "Response to Request For Quotation (843)",
|
1221
|
+
"RS" => "Order Status Information (869, 870)",
|
1222
|
+
"RT" => "Report of Test Results (863)",
|
1223
|
+
"RU" => "Railroad Retirement Activity (429)",
|
1224
|
+
"RV" => "Railroad Junctions and Interchanges Activity (437)",
|
1225
|
+
"RW" => "Rail Revenue Waybill (426)",
|
1226
|
+
"RX" => "Rail Deprescription (432)",
|
1227
|
+
"RY" => "Request for Student Educational Record (Transcript) (146)",
|
1228
|
+
"RZ" => "Response to Request for Student Educational Record (Transcript) (147)",
|
1229
|
+
"SA" => "Air Shipment Information (104)",
|
1230
|
+
"SB" => "Switch Rails (424)",
|
1231
|
+
"SC" => "Price/Sales Catalog (832)",
|
1232
|
+
"SD" => "Student Loan Pre-Claims and Claims (191)",
|
1233
|
+
"SE" => "Shipper's Export Declaration (601)",
|
1234
|
+
"SG" => "SG Receiving Advice - Grocery (885)",
|
1235
|
+
"SH" => "Ship Notice/Manifest (856)",
|
1236
|
+
"SI" => "Shipment Information (858)",
|
1237
|
+
"SJ" => "Transportation Automatic Equipment Identification (160)",
|
1238
|
+
"SL" => "Student Loan Application and Guarantee (135, 139)",
|
1239
|
+
"SM" => "Motor Carrier Load Tender (204)",
|
1240
|
+
"SN" => "Rail Route File Maintenance (475)",
|
1241
|
+
"SO" => "Ocean Shipment Information (304, 306, 309, 311, 317, 319, 321, 322, 323, 324, 325, 350, 352, 353, 354, 355, 356, 357, 358, 361)",
|
1242
|
+
"SP" => "Specifications/Technical Information (841)",
|
1243
|
+
"SQ" => "Production Sequence (866)",
|
1244
|
+
"SR" => "Rail Carrier Shipment Information (404, 419)",
|
1245
|
+
"SS" => "Shipping Schedule (862)",
|
1246
|
+
"ST" => "Railroad Service Commitment Advice (453)",
|
1247
|
+
"SU" => "Account Assignment/Inquiry and Service/Status (248)",
|
1248
|
+
"SV" => "Student Enrollment Verification (190)",
|
1249
|
+
"SW" => "Warehouse Shipping Advice (945)",
|
1250
|
+
"TA" => "Electronic Filing of Tax Return Data Acknowledgment (151)",
|
1251
|
+
"TC" => "Court Submission (176)",
|
1252
|
+
"TD" => "Trading Partner Profile (838)",
|
1253
|
+
"TF" => "Electronic Filing of Tax Return Data (813)",
|
1254
|
+
"TI" => "Tax Information Exchange (826)",
|
1255
|
+
"TM" => "Motor Carrier Delivery Trailer Manifest (212)",
|
1256
|
+
"TN" => "Tax Rate Notification (150)",
|
1257
|
+
"TO" => "Real Estate Title Services (197, 199, 265)",
|
1258
|
+
"TP" => "Rail Rate Transactions (460, 463, 466, 468, 485, 486, 490, 492, 494)",
|
1259
|
+
"TR" => "Train Sheet (161)",
|
1260
|
+
"TS" => "Transportation Services Tender (602)",
|
1261
|
+
"TT" => "Testing Results Request and Report (138)",
|
1262
|
+
"TX" => "Text Message (864)",
|
1263
|
+
"UA" => "Retail Account Characteristics (885)",
|
1264
|
+
"UB" => "Customer Call Reporting (886)",
|
1265
|
+
"UC" => "Uniform Commercial Code Filing (154)",
|
1266
|
+
"UD" => "Deduction Research Report (891)",
|
1267
|
+
"UI" => "Underwriting Information Services (255)",
|
1268
|
+
"UP" => "Motor Carrier Pick-up Manifest (215)",
|
1269
|
+
"UW" => "Insurance Underwriting Requirements Reporting (186)",
|
1270
|
+
"VA" => "Vehicle Application Advice (126)",
|
1271
|
+
"VB" => "Vehicle Baying Order (127)",
|
1272
|
+
"VC" => "Vehicle Shipping Order (120)",
|
1273
|
+
"VD" => "Vehicle Damage (124)",
|
1274
|
+
"VE" => "Vessel Content Details (109)",
|
1275
|
+
"VH" => "Vehicle Carrier Rate Update (129)",
|
1276
|
+
"VI" => "Voter Registration Information (280)",
|
1277
|
+
"VS" => "Vehicle Service (121)",
|
1278
|
+
"WA" => "Product Service Transaction Sets (140, 141, 142, 143)",
|
1279
|
+
"WB" => "Rail Carrier Waybill Interchange (417)",
|
1280
|
+
"WG" => "Vendor Performance Review (501)",
|
1281
|
+
"WI" => "Wage Determination (288)",
|
1282
|
+
"WL" => "Well Information (625)",
|
1283
|
+
"WR" => "Shipment Weights (440)",
|
1284
|
+
"WT" => "Rail Waybill Request (425)"))
|
1285
|
+
E455 = t::ID.new(:E455 , "Responsible Agency Code" , 1, 2,
|
1286
|
+
s::CodeList.build(
|
1287
|
+
"X" => "Accredited Standards Committee X12"))
|
1288
|
+
E480 = t::AN.new(:E480 , "Version / Release / Identifier Code" , 1, 12,
|
1289
|
+
s::CodeList.external("881"))
|
1290
|
+
E481 = t::ID.new(:E481 , "Trace Type Code" , 1, 2,
|
1291
|
+
s::CodeList.build(
|
1292
|
+
"1" => "Current Transaction Trace Numbers",
|
1293
|
+
"2" => "Referenced Transaction Trace Numbers",
|
1294
|
+
"3" => "@todo"))
|
1295
|
+
E499 = t::AN.new(:E499 , "Condition Value" , 1, 10)
|
1296
|
+
E506 = t::ID.new(:E506 , "DFI Identification Number Qualifier" , 2, 2,
|
1297
|
+
s::CodeList.build(
|
1298
|
+
"01" => s::CodeList.external("4"),
|
1299
|
+
"04" => s::CodeList.external("91")))
|
1300
|
+
E507 = t::AN.new(:E507 , "DFI Identification Number" , 3, 12,
|
1301
|
+
s::CodeList.external("60"))
|
1302
|
+
E508 = t::AN.new(:E508 , "Account Number" , 1, 35)
|
1303
|
+
E509 = t::AN.new(:E509 , "Originating Company Identifier" , 10,10)
|
1304
|
+
E510 = t::AN.new(:E510 , "Originating Company Supplemental Code", 9, 9)
|
1305
|
+
E522 = t::ID.new(:E522 , "Amount Qualifier Code" , 1, 3,
|
1306
|
+
s::CodeList.build(
|
1307
|
+
"93" => "Contribution",
|
1308
|
+
"A8" => "Noncovered Charges - Actual",
|
1309
|
+
"AU" => "Coverage Amount",
|
1310
|
+
"B6" => "Allowed Amount",
|
1311
|
+
"B9" => "Co-insurance - Actual",
|
1312
|
+
"C1" => "Co-Payment Amount",
|
1313
|
+
"D" => "Payor Amount Paid",
|
1314
|
+
"D2" => "Deductible Amount",
|
1315
|
+
"D8" => "Discount Amount",
|
1316
|
+
"DY" => "Per Day Limit",
|
1317
|
+
"EAF" => "Amount Owed",
|
1318
|
+
"EBA" => "Expected Expenditure Amount",
|
1319
|
+
"F3" => "Patient Responsibility - Estimated",
|
1320
|
+
"F4" => "Postage Claimed",
|
1321
|
+
"F5" => "Patient Amount Paid",
|
1322
|
+
"FK" => "Other Unlisted Amount",
|
1323
|
+
"GT" => "Goods and Services Tax",
|
1324
|
+
"I" => "Interest",
|
1325
|
+
"JN" => "Employer Contribution",
|
1326
|
+
"KH" => "Deduction Amount",
|
1327
|
+
"N8" => "Miscellaneous Taxes",
|
1328
|
+
"NL" => "Negative Ledger Balance",
|
1329
|
+
"P3" => "Premium Amount",
|
1330
|
+
"T3" => "Total Submitted Charges",
|
1331
|
+
"PB" => "Billed Amount",
|
1332
|
+
"R" => "Spend Down",
|
1333
|
+
"SCT" => "State Care Tax",
|
1334
|
+
"T" => "Tax",
|
1335
|
+
"T2" => "Total Claim Before Taxes",
|
1336
|
+
"YU" => "In Process",
|
1337
|
+
"YY" => "Returned",
|
1338
|
+
"ZK" => "Federal Medicare or Medicaid Payment Mandate Category 1",
|
1339
|
+
"ZL" => "Federal Medicare or Medicaid Payment Mandate Category 2",
|
1340
|
+
"ZM" => "Federal Medicare or Medicaid Payment Mandate Category 3",
|
1341
|
+
"ZN" => "Federal Medicare or Medicaid Payment Mandate Category 4",
|
1342
|
+
"ZO" => "Federal Medicare or Medicaid Payment Mandate Category 5"))
|
1343
|
+
E554 = t::Nn.new(:E554 , "Assigned Number" , 1, 6, 0)
|
1344
|
+
E559 = t::ID.new(:E559 , "Agency Qualifier Code" , 2, 2,
|
1345
|
+
s::CodeList.build(
|
1346
|
+
"LB" => s::CodeList.external("407")))
|
1347
|
+
E569 = t::ID.new(:E569 , "Account Number Qualifier" , 1, 3,
|
1348
|
+
s::CodeList.build(
|
1349
|
+
"DA" => "Demand Deposit",
|
1350
|
+
"SG" => "Savings"))
|
1351
|
+
E584 = t::ID.new(:E584 , "Employment Status Code" , 2, 2,
|
1352
|
+
s::CodeList.build(
|
1353
|
+
"AC" => "Active",
|
1354
|
+
"AE" => "@todo",
|
1355
|
+
"AO" => "Active Military - Overseas",
|
1356
|
+
"AU" => "Active Military - USA",
|
1357
|
+
"AS" => "@todo",
|
1358
|
+
"AT" => "@todo",
|
1359
|
+
"CC" => "@todo",
|
1360
|
+
"DD" => "@todo",
|
1361
|
+
"DI" => "Deceased",
|
1362
|
+
"HD" => "@todo",
|
1363
|
+
"IR" => "@todo",
|
1364
|
+
"FT" => "Full-time",
|
1365
|
+
"L1" => "Leave of Absence",
|
1366
|
+
"LX" => "@todo",
|
1367
|
+
"PE" => "@todo",
|
1368
|
+
"PT" => "Part-time",
|
1369
|
+
"PV" => "Previous",
|
1370
|
+
"RE" => "@todo",
|
1371
|
+
"RM" => "@todo",
|
1372
|
+
"RR" => "@todo",
|
1373
|
+
"RU" => "Retired Military - USA",
|
1374
|
+
"RT" => "Retired",
|
1375
|
+
"TE" => "Terminated"))
|
1376
|
+
E591 = t::ID.new(:E591 , "Payment Method Code" , 3, 3)
|
1377
|
+
E594 = t::ID.new(:E594 , "Frequency Code" , 1, 1,
|
1378
|
+
s::CodeList.build(
|
1379
|
+
"1" => "Weekly",
|
1380
|
+
"2" => "Biweekly",
|
1381
|
+
"3" => "Semimonthly",
|
1382
|
+
"4" => "Monthly",
|
1383
|
+
"6" => "Daily",
|
1384
|
+
"7" => "Annual",
|
1385
|
+
"8" => "Two Calendar Months",
|
1386
|
+
"9" => "Lump-Sum Separation Allowance",
|
1387
|
+
"B" => "Year-to-Date",
|
1388
|
+
"C" => "Single",
|
1389
|
+
"H" => "Hourly",
|
1390
|
+
"Q" => "Quarterly",
|
1391
|
+
"S" => "Semiannual",
|
1392
|
+
"U" => "Unknown"))
|
1393
|
+
E609 = t::Nn.new(:E609 , "Count" , 1, 9, 0)
|
1394
|
+
E615 = t::ID.new(:E615 , "Time Period Qualifier" , 1, 2,
|
1395
|
+
s::CodeList.build(
|
1396
|
+
"6" => "Hour",
|
1397
|
+
"7" => "Day",
|
1398
|
+
"13" => "24 Hours",
|
1399
|
+
"21" => "Years",
|
1400
|
+
"22" => "Service Year",
|
1401
|
+
"23" => "Calendar Year",
|
1402
|
+
"24" => "Year to Date",
|
1403
|
+
"25" => "Contract",
|
1404
|
+
"26" => "Episode",
|
1405
|
+
"27" => "Visit",
|
1406
|
+
"28" => "Outlier",
|
1407
|
+
"29" => "Remaining",
|
1408
|
+
"30" => "Exceeded",
|
1409
|
+
"31" => "Not Exceeded",
|
1410
|
+
"32" => "Lifetime",
|
1411
|
+
"33" => "Lifetime Remaining",
|
1412
|
+
"34" => "Month",
|
1413
|
+
"35" => "Week",
|
1414
|
+
"36" => "Admission"))
|
1415
|
+
E616 = t::Nn.new(:E616 , "Number of Periods" , 1, 3, 0)
|
1416
|
+
E618 = t::ID.new(:E618 , "Implementation Transaction Set Syntax Error Code", 1, 3,
|
1417
|
+
s::CodeList.build(
|
1418
|
+
"1" => "Transaction Set Not Supported",
|
1419
|
+
"2" => "Transaction Set Trailer Missing",
|
1420
|
+
"3" => "Transaction Set Control Number in Header and Trailer Do Not Match",
|
1421
|
+
"4" => "Number of Included Segments Does Not Match Actual Content",
|
1422
|
+
"5" => "One or More Segments in Error",
|
1423
|
+
"6" => "Missing or Invalid Transaction Set Identifier",
|
1424
|
+
"7" => "Missing or Invalid Transaction Set Control Number",
|
1425
|
+
"8" => "Authentication Key Name Unknown",
|
1426
|
+
"9" => "Encryption Key Name Unknown",
|
1427
|
+
"10" => "Requested Service (Authentication or Encrypted) Not Available",
|
1428
|
+
"11" => "Unknown Security Recipient",
|
1429
|
+
"12" => "Incorrect Message Length (Encryption Only)",
|
1430
|
+
"13" => "Message Authentication Code Failed",
|
1431
|
+
"15" => "Unknown Security Originator",
|
1432
|
+
"16" => "Syntax Error in Decrypted Text",
|
1433
|
+
"17" => "Security Not Supported",
|
1434
|
+
"18" => "Transaction Set not in Functional Group",
|
1435
|
+
"19" => "Invalid Transaction Set Implementation Convention Reference",
|
1436
|
+
"23" => "Transaction Set Control Number Not Unique within the Functional Group",
|
1437
|
+
"24" => "S3E Security End Segment Missing for S3S Security Start Segment",
|
1438
|
+
"25" => "S3S Security Start Segment Missing for S3E Security End Segment",
|
1439
|
+
"26" => "S4E Security End Segment Missing for S4S Security Start Segment",
|
1440
|
+
"27" => "S4S Security Start Segment Missing for S4E Security End Segment",
|
1441
|
+
"I5" => "Implementation One or More Segments In Error",
|
1442
|
+
"I6" => "Implementation Convention Not Supported"))
|
1443
|
+
|
1444
|
+
E620 = t::ID.new(:E620 , "Implementation Segment Syntax Error Code", 1, 3,
|
1445
|
+
s::CodeList.build(
|
1446
|
+
"1" => "Unrecognized segment ID",
|
1447
|
+
"2" => "Unexpected segment",
|
1448
|
+
"3" => "Required Segment Missing",
|
1449
|
+
"4" => "Loop Occurs Over Maximum Times",
|
1450
|
+
"5" => "Segment Exceeds Maximum Use",
|
1451
|
+
"6" => "Segment Not in Defined Transaction Set",
|
1452
|
+
"7" => "Segment Not in Proper Sequence",
|
1453
|
+
"8" => "Segment Has Data Element Errors",
|
1454
|
+
"I4" => "Implementation 'Not Used' Segment Present",
|
1455
|
+
"I6" => "Implementation Dependent Segment Missing",
|
1456
|
+
"I7" => "Implementation Loop Occurs Under Minimum Times",
|
1457
|
+
"I8" => "Implementation Segment Below Minimum Use",
|
1458
|
+
"I9" => "Implementation Dependent 'Not Used' Segment Present"))
|
1459
|
+
E621 = t::ID.new(:E621 , "Implementation Data Element Syntax Error Code", 1, 3,
|
1460
|
+
s::CodeList.build(
|
1461
|
+
"1" => "Required Data Element Missing",
|
1462
|
+
"2" => "Conditional Required Data Element Missing",
|
1463
|
+
"3" => "Too Many Data Elements",
|
1464
|
+
"4" => "Data Element Too Short",
|
1465
|
+
"5" => "Data Element Too Long",
|
1466
|
+
"6" => "Invalid Character In Data Element",
|
1467
|
+
"7" => "Invalid Code Value",
|
1468
|
+
"8" => "Invalid Date",
|
1469
|
+
"9" => "Invalid Time",
|
1470
|
+
"10" => "Exclusion Conditional Violated",
|
1471
|
+
"12" => "Too Many Repetitions",
|
1472
|
+
"13" => "Too Many Components",
|
1473
|
+
"I6" => "Code Value Not Used in Implementation",
|
1474
|
+
"I9" => "Implementation Dependent Data Element Missing",
|
1475
|
+
"I10" => "Implementation 'Not Used' Data Element Present",
|
1476
|
+
"I11" => "Implementation Too Few Repetitions",
|
1477
|
+
"I12" => "Implementation Pattern Match Failure",
|
1478
|
+
"I13" => "Implementation Dependent 'Not Used' Data Element Present"))
|
1479
|
+
E623 = t::ID.new(:E623 , "Time Code" , 2, 2,
|
1480
|
+
s::CodeList.external("94"))
|
1481
|
+
E628 = t::AN.new(:E628 , "Hierachical ID Number" , 1, 12)
|
1482
|
+
E639 = t::ID.new(:E639 , "Basis of Unit Price Code" , 2, 2)
|
1483
|
+
E640 = t::ID.new(:E640 , "Transaction Type Code" , 2, 2,
|
1484
|
+
s::CodeList.build(
|
1485
|
+
"18" => "Response - No Further Updates to Follow",
|
1486
|
+
"19" => "Response - Further Updates to Follow",
|
1487
|
+
"31" => "Subrogation Demand",
|
1488
|
+
"CH" => "Chargeable",
|
1489
|
+
"DG" => "Response",
|
1490
|
+
"NO" => "Notice",
|
1491
|
+
"P5" => "Predetermination - Medical",
|
1492
|
+
"P6" => "Predetermination - Dental",
|
1493
|
+
"RD" => "Returns Detail",
|
1494
|
+
"RP" => "Reporting",
|
1495
|
+
"RQ" => "Request",
|
1496
|
+
"RS" => "Response - Additional Response(s) Available",
|
1497
|
+
"RT" => "Spend Down",
|
1498
|
+
"RU" => "Medical Services Reservation",
|
1499
|
+
"TH" => "Receipt Acknowledgement Advice",
|
1500
|
+
"ZW" => "Sort and Segregate Detail"))
|
1501
|
+
E648 = t::ID.new(:E648 , "Price Multiplier Qualifier" , 3, 3)
|
1502
|
+
E649 = t:: R.new(:E649 , "Multiplier" , 1, 10)
|
1503
|
+
E659 = t::ID.new(:E659 , "Basis of Verification Code" , 1, 2)
|
1504
|
+
E669 = t::ID.new(:E669 , "Currency Market/Exchnage Code" , 3, 3)
|
1505
|
+
E673 = t::ID.new(:E673 , "Quantity Qualifier" , 2, 2,
|
1506
|
+
s::CodeList.build(
|
1507
|
+
"8H" => "Minimum",
|
1508
|
+
"90" => "Acknowledged Quantity",
|
1509
|
+
"99" => "Quantity Used",
|
1510
|
+
"AA" => "Unacknowledged Quantity",
|
1511
|
+
"CA" => "Covered - Actual",
|
1512
|
+
"CD" => "Co-insured - Actual",
|
1513
|
+
"CE" => "Covered - Estimated",
|
1514
|
+
"D3" => "Number of Co-insurance Days",
|
1515
|
+
"DB" => "Deductible Blood Units",
|
1516
|
+
"DY" => "Days",
|
1517
|
+
"FA" => "Facility Identification",
|
1518
|
+
"FI" => "Federal Taxpayer's Identification Number",
|
1519
|
+
"DT" => "Dependent Total",
|
1520
|
+
"ET" => "Employee Total",
|
1521
|
+
"FL" => "Units",
|
1522
|
+
"HS" => "Hours",
|
1523
|
+
"II" => "Standard Unique Health Identifier For Each Individual In The United States",
|
1524
|
+
"LA" => "Life-time Reserve - Actual",
|
1525
|
+
"LE" => "Life-time Reserve - Estimated",
|
1526
|
+
"M2" => "Maximum",
|
1527
|
+
"MI" => "Member Identification Number",
|
1528
|
+
"MN" => "Month",
|
1529
|
+
"NE" => "Non-Covered Amount - Estimated",
|
1530
|
+
"NI" => "National Association of Insurance Commissioners (NAIC) Identification",
|
1531
|
+
"NR" => "Not Replaced Blood Units",
|
1532
|
+
"OU" => "Outlier Days",
|
1533
|
+
"P6" => "Number of Services or Procedures",
|
1534
|
+
"PI" => "Payor Identification",
|
1535
|
+
"PP" => "Pharmacy Processor Number",
|
1536
|
+
"PS" => "Prescription",
|
1537
|
+
"PT" => "Patients",
|
1538
|
+
"QA" => "Quantity Approved",
|
1539
|
+
"QC" => "Quantity Disapproved",
|
1540
|
+
"S7" => "Age, High Value",
|
1541
|
+
"S8" => "Age, Low Value",
|
1542
|
+
"SV" => "Service Provider Number",
|
1543
|
+
"TO" => "Total",
|
1544
|
+
"VS" => "Visits",
|
1545
|
+
"XV" => s::CodeList.external("540"),
|
1546
|
+
"XX" => s::CodeList.external("537"),
|
1547
|
+
"YY" => "Years",
|
1548
|
+
"ZK" => "Federal Medicare or Medicaid Payment Mandate Category 1",
|
1549
|
+
"ZL" => "Federal Medicare or Medicaid Payment Mandate Category 2",
|
1550
|
+
"ZM" => "Federal Medicare or Medicaid Payment Mandate Category 3",
|
1551
|
+
"ZN" => "Federal Medicare or Medicaid Payment Mandate Category 4",
|
1552
|
+
"ZO" => "Federal Medicare or Medicaid Payment Mandate Category 5"))
|
1553
|
+
E678 = t::ID.new(:E678 , "Ship/Delivery or Calendar Pattern Code", 1, 2,
|
1554
|
+
s::CodeList.build(
|
1555
|
+
"1" => "1st Week of the Month",
|
1556
|
+
"2" => "2nd Week of the Month",
|
1557
|
+
"3" => "3rd Week of the Month",
|
1558
|
+
"4" => "4th Week of the Month",
|
1559
|
+
"5" => "5th Week of the Month",
|
1560
|
+
"6" => "1st & 3rd Weeks of the Month",
|
1561
|
+
"7" => "2nd & 4th Weeks of the Month",
|
1562
|
+
"8" => "1st Working Day of Period",
|
1563
|
+
"9" => "Last Working Day of Period",
|
1564
|
+
"A" => "Monday through Friday",
|
1565
|
+
"B" => "Monday through Saturday",
|
1566
|
+
"C" => "Monday through Sunday",
|
1567
|
+
"D" => "Monday",
|
1568
|
+
"E" => "Tuesday",
|
1569
|
+
"F" => "Wednesday",
|
1570
|
+
"G" => "Thursday",
|
1571
|
+
"H" => "Friday",
|
1572
|
+
"J" => "Saturday",
|
1573
|
+
"K" => "Sunday",
|
1574
|
+
"L" => "Monday through Thursday",
|
1575
|
+
"M" => "Immediately",
|
1576
|
+
"N" => "As Directed",
|
1577
|
+
"O" => "Daily Mon. through Fri.",
|
1578
|
+
"P" => "1/2 Mon. & 1/2 Thurs.",
|
1579
|
+
"Q" => "1/2 Tues. & 1/2 Thurs.",
|
1580
|
+
"R" => "1/2 Wed. & 1/2 Fri.",
|
1581
|
+
"S" => "Once Anytime Mon. through Fri.",
|
1582
|
+
"SG" => "Tuesday through Friday",
|
1583
|
+
"SL" => "Monday, Tuesday and Thursday",
|
1584
|
+
"SP" => "MOnday, Tuesday and Friday",
|
1585
|
+
"SX" => "Wednesday and Thursday",
|
1586
|
+
"SY" => "Monday, Wednesday and Thursday",
|
1587
|
+
"SZ" => "Tuesday, Thursday and Friday",
|
1588
|
+
"SGT" => "uesday through Friday",
|
1589
|
+
"SLM" => "onday, Tuesday and Thursday",
|
1590
|
+
"SPM" => "onday, Tuesday and Friday",
|
1591
|
+
"SXW" => "ednesday and Thursday",
|
1592
|
+
"SYM" => "onday, Wednesday and Thursday",
|
1593
|
+
"SZT" => "uesday, Thursday and Friday",
|
1594
|
+
"T" => "1/2 Tue. & 1/2 Fri.",
|
1595
|
+
"U" => "1/2 Mon. & 1/2 Wed.",
|
1596
|
+
"V" => "1/3 Mon., 1/3 Wed., 1/3 Fri.",
|
1597
|
+
"W" => "Whenever Necessary",
|
1598
|
+
"X" => "1/2 By Wed., Bal. By Fri.",
|
1599
|
+
"Y" => "None (Also Used to Cancel or Override a Previous Pattern)"))
|
1600
|
+
E679 = t::ID.new(:E679 , "Ship/Delivery Pattern Time Code" , 1, 1,
|
1601
|
+
s::CodeList.build(
|
1602
|
+
"A" => "1st Shift (Normal Working Hours)",
|
1603
|
+
"B" => "2nd Shift",
|
1604
|
+
"C" => "3rd Shift",
|
1605
|
+
"D" => "A.M.",
|
1606
|
+
"E" => "P.M.",
|
1607
|
+
"F" => "As Directed",
|
1608
|
+
"G" => "Any Shift",
|
1609
|
+
"Y" => "None (Also Used to Cancel or Override a Previous Pattern)"))
|
1610
|
+
E687 = t::ID.new(:E687 , "Class of Trade Code" , 2, 2)
|
1611
|
+
E704 = t::ID.new(:E704 , "Paperwork/Report Action Code" , 1, 2)
|
1612
|
+
|
1613
|
+
# @note Copied from an unverified source
|
1614
|
+
E706 = t::ID.new(:E706 , "Entity Relation Code" , 2, 2)
|
1615
|
+
E715 = t::ID.new(:E715 , "Functional Group Acknowledgment Code" , 1, 1,
|
1616
|
+
s::CodeList.build(
|
1617
|
+
"A" => "Accepted",
|
1618
|
+
"E" => "Accepted, But Errors Were Noted",
|
1619
|
+
"M" => "Rejected, Message Authentication Code (MAC) Failed",
|
1620
|
+
"P" => "Partially Accepted, At Least One Transaction Set Was Rejected",
|
1621
|
+
"R" => "Rejected",
|
1622
|
+
"W" => "Rejected, Assurance Failed Validity Tests",
|
1623
|
+
"X" => "Rejected, Content After Decryption Could Not Be Analyzed"))
|
1624
|
+
E716 = t::ID.new(:E716 , "Functional Group Syntax Error Code" , 1, 3,
|
1625
|
+
s::CodeList.build(
|
1626
|
+
"1" => "Functional Group Not Supported",
|
1627
|
+
"2" => "Functional Group Version Not Supported",
|
1628
|
+
"3" => "Functional Group Trailer Missing",
|
1629
|
+
"4" => "Group Control Number in the Functional Group Header and Trailer Do Not Agree",
|
1630
|
+
"5" => "Number of Included Transaction Sets Does Not Match Actual Count",
|
1631
|
+
"6" => "Group Control Number Violates Syntax",
|
1632
|
+
"10" => "Authentication Key Name Unknown",
|
1633
|
+
"11" => "Encryption Key Name Unknown",
|
1634
|
+
"12" => "Requested Service (Authentication or Encryption) Not Available",
|
1635
|
+
"13" => "Unknown Security Recipient",
|
1636
|
+
"14" => "Unknown Security Originator",
|
1637
|
+
"15" => "Syntax Error in Decrypted Text",
|
1638
|
+
"16" => "Security Not Supported",
|
1639
|
+
"17" => "Incorrect Message Length (Encryption Only)",
|
1640
|
+
"18" => "Message Authentication Code Failed",
|
1641
|
+
"19" => "Functional Group Control Number not Unique within Interchange",
|
1642
|
+
"23" => "S3E Security End Segment Missing for S3S Security Start Segment",
|
1643
|
+
"24" => "S3S Security Start Segment Missing for S3E Security End Segment",
|
1644
|
+
"25" => "S4E Security End Segment Missing for S4S Security Start Segment",
|
1645
|
+
"26" => "S4S Security Start Segment Missing for S4E Security End Segment"))
|
1646
|
+
E717 = t::ID.new(:E717 , "Transaction Set Acknowledgment Code" , 1, 1,
|
1647
|
+
s::CodeList.build(
|
1648
|
+
"A" => "Accepted",
|
1649
|
+
"E" => "Accepted But Errors Were Reported",
|
1650
|
+
"M" => "Rejected, Message Authentication Code (MAC) Failed",
|
1651
|
+
"R" => "Rejected",
|
1652
|
+
"W" => "Rejected, Assurance Failed Validity Tests",
|
1653
|
+
"X" => "Rejected, Content After Decryption Could Not Be Analyzed"))
|
1654
|
+
E718 = t::ID.new(:E718 , "Transaction Set Syntax Error Code" , 1, 3)
|
1655
|
+
E719 = t::Nn.new(:E719 , "Segment Position in Transaction Set" , 1, 10, 0)
|
1656
|
+
E720 = t::ID.new(:E720 , "Segment Syntax Error Code" , 1, 3)
|
1657
|
+
E721 = t::ID.new(:E721 , "Segment ID Code" , 2, 3,
|
1658
|
+
s::CodeList.external("77"))
|
1659
|
+
E722 = t::Nn.new(:E722 , "Element Position in Segment" , 1, 2, 0)
|
1660
|
+
E723 = t::ID.new(:E723 , "Data Element Syntax Error Code" , 1, 3)
|
1661
|
+
E724 = t::AN.new(:E724 , "Copy of Bad Data Element" , 1, 99)
|
1662
|
+
E725 = t::Nn.new(:E725 , "Data Element Reference Number" , 1, 4, 0)
|
1663
|
+
E734 = t::AN.new(:E734 , "Hierarchical Parent ID Number" , 1, 12)
|
1664
|
+
E735 = t::ID.new(:E735 , "Hierarchical Level Code" , 1, 2,
|
1665
|
+
s::CodeList.build(
|
1666
|
+
"19" => "Provider of Service",
|
1667
|
+
"20" => "Information Source",
|
1668
|
+
"21" => "Information Receiver",
|
1669
|
+
"22" => "Subscriber",
|
1670
|
+
"23" => "Dependent",
|
1671
|
+
"EV" => "Event",
|
1672
|
+
"PT" => "Patient",
|
1673
|
+
"SS" => "Services"))
|
1674
|
+
E736 = t::ID.new(:E736 , "Hierarchical Child Code" , 1, 1,
|
1675
|
+
s::CodeList.build(
|
1676
|
+
"0" => "No Subordinate HL Segment in This Hierarchical Structure",
|
1677
|
+
"1" => "Additional Subordinate HL Data Segment in This Hierarchical Structure"))
|
1678
|
+
E737 = t::ID.new(:E737 , "Measurement Reference ID Code" , 2, 2,
|
1679
|
+
s::CodeList.build(
|
1680
|
+
"OG" => "Original",
|
1681
|
+
"TR" => "Test Results"))
|
1682
|
+
E738 = t::ID.new(:E738 , "Measurement Qualifier" , 2, 2,
|
1683
|
+
s::CodeList.build(
|
1684
|
+
"HT" => "Height",
|
1685
|
+
"R1" => "Hemoglobin",
|
1686
|
+
"R2" => "Hematocrit",
|
1687
|
+
"R3" => "Epoetin Starting Dosage",
|
1688
|
+
"R4" => "Creatinine"))
|
1689
|
+
E739 = t:: R.new(:E739 , "Measurement Value" , 1, 20)
|
1690
|
+
E740 = t:: R.new(:E740 , "Range Minimum" , 1, 20)
|
1691
|
+
E741 = t:: R.new(:E741 , "Range Maximum" , 1, 20)
|
1692
|
+
E752 = t::ID.new(:E752 , "Surface/Layer/Position Code" , 2, 2)
|
1693
|
+
E753 = t::ID.new(:E753 , "Measurement Method or Device" , 2, 4)
|
1694
|
+
E755 = t::ID.new(:E755 , "Report Type Code" , 2, 2,
|
1695
|
+
s::CodeList.build(
|
1696
|
+
"03" => "Report Justifying Treatment Beyond Utilization Guidelines",
|
1697
|
+
"04" => "Drugs Administered",
|
1698
|
+
"05" => "Treatment Diagnosis",
|
1699
|
+
"06" => "Initial Assesment",
|
1700
|
+
"07" => "Functional Goals",
|
1701
|
+
"08" => "Plan of Treatment",
|
1702
|
+
"09" => "Progress Report",
|
1703
|
+
"10" => "Continued Treatment",
|
1704
|
+
"11" => "Chemical Analysis",
|
1705
|
+
"13" => "Certified Test Report",
|
1706
|
+
"15" => "Justification for Admission",
|
1707
|
+
"21" => "Recovery Plan",
|
1708
|
+
"48" => "Social Security Benefit Letter",
|
1709
|
+
"55" => "Rental Agreement",
|
1710
|
+
"59" => "Benefit Letter",
|
1711
|
+
"77" => "Support Data for Verification",
|
1712
|
+
"A3" => "Allergies/Sensitivies Document",
|
1713
|
+
"A4" => "Autopsy Report",
|
1714
|
+
"AM" => "Ambulance Certification",
|
1715
|
+
"AS" => "Admission Summary",
|
1716
|
+
"B2" => "Prescription",
|
1717
|
+
"B3" => "Physician Order",
|
1718
|
+
"B4" => "Referral Form",
|
1719
|
+
"BR" => "Benchmark Testing Results",
|
1720
|
+
"BS" => "Baseline",
|
1721
|
+
"BT" => "Blanket Test Results",
|
1722
|
+
"CB" => "Chiropractic Justification",
|
1723
|
+
"CK" => "Conset Form(s)",
|
1724
|
+
"CT" => "Certification",
|
1725
|
+
"D2" => "Drug Profile Document",
|
1726
|
+
"DA" => "Dental Models",
|
1727
|
+
"DB" => "Durable Medical Equipment Prescription",
|
1728
|
+
"DG" => "Diagnostic Report",
|
1729
|
+
"DJ" => "Discharge Monitoring Report",
|
1730
|
+
"DS" => "Discharge Summary",
|
1731
|
+
"EB" => "Explanation of Benefits (Coordination of Benefits or Medicare Secondary Payer)",
|
1732
|
+
"FM" => "Family Medical History Document",
|
1733
|
+
"HC" => "Health Cerification",
|
1734
|
+
"HR" => "Health Clinic Records",
|
1735
|
+
"I5" => "Immunization Record",
|
1736
|
+
"IR" => "State School Immunization Records",
|
1737
|
+
"LA" => "Laboratory Results",
|
1738
|
+
"M1" => "Medical Record Attachment",
|
1739
|
+
"MT" => "Models",
|
1740
|
+
"NN" => "Nursing Notes",
|
1741
|
+
"OB" => "Operative Note",
|
1742
|
+
"OC" => "Oxygen Content Averaging Report",
|
1743
|
+
"OD" => "Orders and Treatments Document",
|
1744
|
+
"OE" => "Objective Physical Examination (including vital signs) Document",
|
1745
|
+
"OX" => "Oxygen Therapy Certification",
|
1746
|
+
"OZ" => "Support Data for Claim",
|
1747
|
+
"P4" => "Pathology Report",
|
1748
|
+
"P5" => "Patient Medical History Document",
|
1749
|
+
"P6" => "Periodontal Charts",
|
1750
|
+
"PE" => "Parenteral or Enteral Certification",
|
1751
|
+
"PN" => "Physical Therapy Notes",
|
1752
|
+
"PO" => "Prosthetics or Orthotic Certification",
|
1753
|
+
"PQ" => "Paramedical Results",
|
1754
|
+
"PY" => "Physician's Report",
|
1755
|
+
"PZ" => "Physical Therapy Certification",
|
1756
|
+
"RB" => "Radiology Films",
|
1757
|
+
"RR" => "Radiology Reports",
|
1758
|
+
"RT" => "Report of Tests and Analysis Report",
|
1759
|
+
"RX" => "Renewable Oxygen Content Averaging Report",
|
1760
|
+
"SG" => "Symptoms Document",
|
1761
|
+
"V5" => "Death Notification",
|
1762
|
+
"XP" => "Photographs"))
|
1763
|
+
E756 = t::ID.new(:E756 , "Report Transmission Code" , 1, 2,
|
1764
|
+
s::CodeList.build(
|
1765
|
+
"AA" => "Available on Request at Provider Site",
|
1766
|
+
"AB" => "Previously Submitted to Payer",
|
1767
|
+
"AD" => "Certification Included in this Claim",
|
1768
|
+
"AF" => "Narrative Segment Included in this Claim",
|
1769
|
+
"AG" => "No Documentation is Required",
|
1770
|
+
"BM" => "By Mail",
|
1771
|
+
"EL" => "Electronically Only",
|
1772
|
+
"EM" => "E-Mail",
|
1773
|
+
"FT" => "File Transfer",
|
1774
|
+
"FX" => "By Fax",
|
1775
|
+
"NS" => "Not Specified",
|
1776
|
+
"OL" => "On-Line",
|
1777
|
+
"VO" => "Voice"))
|
1778
|
+
E757 = t::Nn.new(:E757 , "Report Copies Needed" , 1, 2, 0)
|
1779
|
+
E782 = t:: R.new(:E782 , "Monetary Amount" , 1, 18)
|
1780
|
+
E786 = t::ID.new(:E786 , "Security Level Code" , 2, 2,
|
1781
|
+
s::CodeList.build(
|
1782
|
+
"00" => "Company Non-Classified",
|
1783
|
+
"01" => "Company Internal Use Only",
|
1784
|
+
"02" => "Company Confidential",
|
1785
|
+
"03" => "Company Confidential, Restricted (Need to Know)",
|
1786
|
+
"04" => "Company Registered (Signature Required)",
|
1787
|
+
"05" => "Personal",
|
1788
|
+
"06" => "Supplier Proprietary",
|
1789
|
+
"09" => "Company Defined (Trading Partner Level)",
|
1790
|
+
"11" => "Competition Sensitive",
|
1791
|
+
"20" => "Court Restricted",
|
1792
|
+
"21" => "Juvenile Record Restricted",
|
1793
|
+
"90" => "Government Non-Classified",
|
1794
|
+
"92" => "Government Confidential",
|
1795
|
+
"93" => "Government Secret",
|
1796
|
+
"94" => "Government Top Secret",
|
1797
|
+
"99" => "Government Defined (Trading Partner Level)",
|
1798
|
+
"ZZ" => "Mutually Defined"))
|
1799
|
+
E799 = t::AN.new(:E799 , "Version Identifier" , 1, 30)
|
1800
|
+
E812 = t::ID.new(:E812 , "Payment Format Code" , 3, 3,
|
1801
|
+
s::CodeList.build(
|
1802
|
+
"CCP" => "Cash Concentration/Disbursement plus Addenda (CCD+)(ACH)",
|
1803
|
+
"CTX" => "Corporate Trade Exchange (CTX) (ACH)"))
|
1804
|
+
E875 = t::ID.new(:E875 , "Maintenance Type Code" , 3, 3,
|
1805
|
+
s::CodeList.build(
|
1806
|
+
"001" => "Change",
|
1807
|
+
"002" => "Delete",
|
1808
|
+
"021" => "Addition",
|
1809
|
+
"024" => "Cancellation or Termination",
|
1810
|
+
"025" => "Reinstatement",
|
1811
|
+
"026" => "Correction",
|
1812
|
+
"030" => "Audit or Compare",
|
1813
|
+
"032" => "Employee Information Not Applicable"))
|
1814
|
+
E889 = t::ID.new(:E889 , "Follow-up Action Code" , 1, 1,
|
1815
|
+
s::CodeList.build(
|
1816
|
+
"C" => "Please Correct and Resubmit",
|
1817
|
+
"N" => "Resubmission Not Allowed",
|
1818
|
+
"P" => "Please Resubmit Original Transaction",
|
1819
|
+
"R" => "Resubmission Allowed",
|
1820
|
+
"S" => "Do Not Resubmit; Inquiry Initiated to a Third Party",
|
1821
|
+
"W" => "Please Wait 30 Days and Resubmit",
|
1822
|
+
"X" => "Please Wait 10 Days and Resubmit",
|
1823
|
+
"Y" => "Do Not Resubmit; We Will Hold Your Request and Respond Again Shortly"))
|
1824
|
+
E901 = t::ID.new(:E901 , "Reject Reason Code" , 2, 2,
|
1825
|
+
s::CodeList.build(
|
1826
|
+
"04" => "Authorization Quantity Exceeded",
|
1827
|
+
"15" => "Required Application Data Missing",
|
1828
|
+
"33" => "Input Errors",
|
1829
|
+
"35" => "Out of Network",
|
1830
|
+
"41" => "Authorization/Access Restrictions",
|
1831
|
+
"42" => "Unable to Respond at Current Time",
|
1832
|
+
"43" => "Invalid/Missing Provider Identification",
|
1833
|
+
"44" => "Invalid/Missing Provider Name",
|
1834
|
+
"45" => "Invalid/Missing Provider Specialty",
|
1835
|
+
"46" => "Invalid/Missing Provider Phone Number",
|
1836
|
+
"47" => "Invalid/Missing Provider State",
|
1837
|
+
"48" => "Invalid/Missing Referring Provider Identification Number",
|
1838
|
+
"49" => "Provider is Not Primary Care Physician",
|
1839
|
+
"50" => "Provider Ineligible for Inquiries",
|
1840
|
+
"51" => "Provider Not on File",
|
1841
|
+
"52" => "Service Dates Not Within Provider Plan Enrollment",
|
1842
|
+
"53" => "Inquired Benefit Inconsistent with Provider Type",
|
1843
|
+
"54" => "Inappropriate Product/Service ID Qualifier",
|
1844
|
+
"55" => "Inappropriate Product/Service ID",
|
1845
|
+
"56" => "Inappropriate Date",
|
1846
|
+
"57" => "Invalid/Missing Date(s) of Service",
|
1847
|
+
"58" => "Invalid/Missing Date-of-Birth",
|
1848
|
+
"60" => "Date of Birth Follows Date(s) of Service",
|
1849
|
+
"61" => "Date of Death Preceeds Date(s) of Service",
|
1850
|
+
"62" => "Date of Service Not Within Allowable Inquiry Period",
|
1851
|
+
"63" => "Date of Service in Future",
|
1852
|
+
"64" => "Invalid/Missing Patient ID",
|
1853
|
+
"65" => "Invalid/Missing Patient Name",
|
1854
|
+
"66" => "Invalid/Missing Patient Gender Code",
|
1855
|
+
"67" => "Patient Not Found",
|
1856
|
+
"68" => "Duplicate Patient ID Number",
|
1857
|
+
"69" => "Inconsistent with Patient's Age",
|
1858
|
+
"70" => "Inconsistent with Patient's Gender",
|
1859
|
+
"71" => "Patient Birth Date Does Not Match That for the Patient on the Database",
|
1860
|
+
"72" => "Invalid/Missing Subscriber/Insured ID",
|
1861
|
+
"73" => "Invalid/Missing Subscriber/Insured Name",
|
1862
|
+
"74" => "Invalid/Missing Subscriber/Insured Gender Code",
|
1863
|
+
"75" => "Subscribed/Insured Not Found",
|
1864
|
+
"76" => "Duplicate Subscriber/Insured ID Number",
|
1865
|
+
"77" => "Subscriber Found, Patient Not Found",
|
1866
|
+
"78" => "Subscriber/Insured Not in Group/Plan Identified",
|
1867
|
+
"79" => "Invalid Participant Identification",
|
1868
|
+
"80" => "No Response Received - Transaction Terminated",
|
1869
|
+
"95" => "Patient Not Eligible",
|
1870
|
+
"97" => "Invalid or Missing Provider Address",
|
1871
|
+
"98" => "Experimental Service or Procedure",
|
1872
|
+
"AA" => "Authorization Number Not Found",
|
1873
|
+
"AE" => "Requires Primary Care Physician Authorization",
|
1874
|
+
"AF" => "Invalid/Missing Diagnosis Code(s)",
|
1875
|
+
"AG" => "Invalid/Missing Procedure Code(s)",
|
1876
|
+
"AO" => "Additional Patient Condition Information Required",
|
1877
|
+
"CI" => "Certification Information Does Not Match Patient",
|
1878
|
+
"E8" => "Requires Medical Review",
|
1879
|
+
"IA" => "Invalid Authorization Number Format",
|
1880
|
+
"IP" => "Inappropriate Provider Role",
|
1881
|
+
"MA" => "Missing Authorization Number",
|
1882
|
+
"NC" => "No Certification Information Found",
|
1883
|
+
"T1" => "Cannot Identify Provider as TPO (Third Party Organization) Participant",
|
1884
|
+
"T2" => "Cannot Identify Payer as TPO (Third Party Organization) Participant",
|
1885
|
+
"T3" => "Cannot Identify Insured as TPO (Third Party Organization) Participant",
|
1886
|
+
"T4" => "Payer Name or Identifier Missing",
|
1887
|
+
"T5" => "Certification Information Missing",
|
1888
|
+
"T6" => "Claim does not contain enough information for re-pricing"))
|
1889
|
+
E923 = t::ID.new(:E923 , "Prognosis Code" , 1, 1,
|
1890
|
+
s::CodeList.build(
|
1891
|
+
"1" => "Poor",
|
1892
|
+
"2" => "Guarded",
|
1893
|
+
"3" => "Fair",
|
1894
|
+
"4" => "Good",
|
1895
|
+
"5" => "Very Good",
|
1896
|
+
"6" => "Excellent",
|
1897
|
+
"7" => "Less than 6 Months to Live",
|
1898
|
+
"8" => "Terminal"))
|
1899
|
+
E933 = t::AN.new(:E933 , "Free-form Message Text" , 1, 264)
|
1900
|
+
E934 = t::AN.new(:E934 , "Printer Carriage Control Code" , 2, 2)
|
1901
|
+
E935 = t::ID.new(:E935 , "Measurement Significance Code" , 2, 2)
|
1902
|
+
E936 = t::ID.new(:E936 , "Measurement Attribute Code" , 2, 2)
|
1903
|
+
E954 = t:: R.new(:E954 , "Percentage as Decimal" , 1, 10)
|
1904
|
+
E1005 = t::ID.new(:E1005, "Hierarchical Structure Code" , 4, 4,
|
1905
|
+
s::CodeList.build(
|
1906
|
+
"0007" => "Information Source, Information Receiver, Subscriber, Dependent, Event, Services",
|
1907
|
+
"0010" => "Information Source, Information Receiver, Provider of Service, Subscriber, Dependent",
|
1908
|
+
"0019" => "Information Source, Subscriber, Dependent",
|
1909
|
+
"0022" => "Information Source, Information Receiver, Subscriber, Dependent",
|
1910
|
+
"0085" => "Information Source, Information Receiver, Provider of Service, Patient"))
|
1911
|
+
E1018 = t:: R.new(:E1018, "Exponent" , 1, 15)
|
1912
|
+
E1028 = t::AN.new(:E1028, "Claim Submitter's Identifier" , 1, 38)
|
1913
|
+
E1029 = t::ID.new(:E1029, "Claim Status Code" , 1, 2,
|
1914
|
+
s::CodeList.build(
|
1915
|
+
"1" => "Processed as Primary",
|
1916
|
+
"2" => "Processed as Secondary",
|
1917
|
+
"3" => "Processed as Tertiary",
|
1918
|
+
"4" => "Denied",
|
1919
|
+
"19" => "Processed as Primary, Forwarded to Additional Payer(s)",
|
1920
|
+
"20" => "Processed as Secondary, Forwarded to Additional Payer(s)",
|
1921
|
+
"21" => "Processed as Tertiary, Forwarded to Additional Payer(s)",
|
1922
|
+
"22" => "Reversal of Previous Payment",
|
1923
|
+
"23" => "Not Our Claim, Forwarded to Additional Payer(s)",
|
1924
|
+
"25" => "Predetermination Pricing Only - No Payment"))
|
1925
|
+
E1032 = t::ID.new(:E1032, "Claim Filing Indicator Code" , 1, 2,
|
1926
|
+
s::CodeList.build(
|
1927
|
+
"11" => "Other Non-Federal Programs",
|
1928
|
+
"12" => "Preferred Provider Organization (PPO)",
|
1929
|
+
"13" => "Point of Service (POS)",
|
1930
|
+
"14" => "Exclusive Provider Organization (EPO)",
|
1931
|
+
"15" => "Indemnity Insurance",
|
1932
|
+
"16" => "Health Maintenance Organization (HMO) Medicare Risk",
|
1933
|
+
"17" => "Dentail Maintenance Organization",
|
1934
|
+
"AM" => "Automobile Medical",
|
1935
|
+
"BL" => "Blue Cross/Blue Shield",
|
1936
|
+
"CH" => "Champus",
|
1937
|
+
"CI" => "Commercial Insurance Co.",
|
1938
|
+
"DS" => "Disability",
|
1939
|
+
"FI" => "Federal Employees Program",
|
1940
|
+
"HM" => "Health Maintenance Organization",
|
1941
|
+
"LM" => "Liability Medical",
|
1942
|
+
"MA" => "Medicare Part A",
|
1943
|
+
"MB" => "Medicare Part B",
|
1944
|
+
"MC" => "Medicaid",
|
1945
|
+
"ME" => "Medicare Advantage Plan",
|
1946
|
+
"OF" => "Other Federal Program",
|
1947
|
+
"TV" => "Title V",
|
1948
|
+
"UK" => "Unknown",
|
1949
|
+
"VA" => "Veterans Affairs Plan",
|
1950
|
+
"WC" => "Worker's Compensation Health Claim",
|
1951
|
+
"ZZ" => "Mutually Defined"))
|
1952
|
+
E1033 = t::ID.new(:E1033, "Claim Adjustment Group Code" , 1, 12,
|
1953
|
+
s::CodeList.build(
|
1954
|
+
"CO" => "Contractual Obligations",
|
1955
|
+
"CR" => "Corrections and Reversals",
|
1956
|
+
"OA" => "Other adjustments",
|
1957
|
+
"PI" => "Payor Initiated Reductions",
|
1958
|
+
"PR" => "Patient Responsibility"))
|
1959
|
+
E1034 = t::ID.new(:E1034, "Claim Adjustment Reason Code" , 1, 5,
|
1960
|
+
s::CodeList.external("139"))
|
1961
|
+
E1035 = t::AN.new(:E1035, "Name Last or Organization Name" , 1, 60)
|
1962
|
+
E1036 = t::AN.new(:E1036, "Name First" , 1, 35)
|
1963
|
+
E1037 = t::AN.new(:E1037, "Name Middle" , 1, 25)
|
1964
|
+
E1038 = t::AN.new(:E1038, "Name Prefix" , 1, 10)
|
1965
|
+
E1039 = t::AN.new(:E1039, "Name Suffix" , 1, 10)
|
1966
|
+
E1048 = t::ID.new(:E1048, "Business Function Code" , 1, 3)
|
1967
|
+
E1065 = t::ID.new(:E1065, "Entity Type Qualifier" , 1, 1,
|
1968
|
+
s::CodeList.build(
|
1969
|
+
"1" => "Person",
|
1970
|
+
"2" => "Non-Person Entity"))
|
1971
|
+
E1066 = t::ID.new(:E1066, "Citizenship Status Code" , 1, 2)
|
1972
|
+
E1067 = t::ID.new(:E1067, "Marital Status Code" , 1, 1,
|
1973
|
+
s::CodeList.build(
|
1974
|
+
"A" => "Common Law",
|
1975
|
+
"B" => "Registered Domestic Partner",
|
1976
|
+
"C" => "Not Applicable",
|
1977
|
+
"D" => "Divorced",
|
1978
|
+
"I" => "Single",
|
1979
|
+
"K" => "Unknown",
|
1980
|
+
"M" => "Married",
|
1981
|
+
"R" => "Unreported",
|
1982
|
+
"S" => "Separated",
|
1983
|
+
"U" => "Unmarried (Single or Divorced or Widowed)",
|
1984
|
+
"W" => "Widowed",
|
1985
|
+
"X" => "Legally Separated"))
|
1986
|
+
E1068 = t::ID.new(:E1068, "Gender Code" , 1, 1,
|
1987
|
+
s::CodeList.build(
|
1988
|
+
"F" => "Female",
|
1989
|
+
"M" => "Male",
|
1990
|
+
"U" => "Unknown"))
|
1991
|
+
E1069 = t::ID.new(:E1069, "Individual Relationship Code" , 2, 2,
|
1992
|
+
s::CodeList.build(
|
1993
|
+
"01" => "Spouse",
|
1994
|
+
"03" => "Father or Mother",
|
1995
|
+
"04" => "Grandfather or Grandmother",
|
1996
|
+
"05" => "Grandson or Granddaughter",
|
1997
|
+
"06" => "Uncle or Aunt",
|
1998
|
+
"07" => "Nephew or Niece",
|
1999
|
+
"08" => "Cousin",
|
2000
|
+
"09" => "Adopted Child",
|
2001
|
+
"10" => "Foster Child",
|
2002
|
+
"11" => "Son-in-law or Daughter-in-law",
|
2003
|
+
"12" => "Brother-in-law or Sister-in-law",
|
2004
|
+
"13" => "Mother-in-law or Father-in-law",
|
2005
|
+
"14" => "Brother or Sister",
|
2006
|
+
"15" => "Ward",
|
2007
|
+
"16" => "Stepparent",
|
2008
|
+
"17" => "Stepson or Stepdaughter",
|
2009
|
+
"18" => "Self",
|
2010
|
+
"19" => "Child",
|
2011
|
+
"20" => "Employee",
|
2012
|
+
"21" => "Unknown",
|
2013
|
+
"22" => "Handicapped Dependent",
|
2014
|
+
"23" => "Sponsored Dependent",
|
2015
|
+
"24" => "Dependent of a Minor Dependent",
|
2016
|
+
"25" => "Ex-spouse",
|
2017
|
+
"26" => "Guardian",
|
2018
|
+
"29" => "Signficant Other",
|
2019
|
+
"31" => "Court Appointed Guardian",
|
2020
|
+
"32" => "Mother",
|
2021
|
+
"33" => "Father",
|
2022
|
+
"34" => "Other Adult",
|
2023
|
+
"38" => "Collateral Dependent",
|
2024
|
+
"39" => "Organ Donor",
|
2025
|
+
"40" => "Cadaver Donor",
|
2026
|
+
"41" => "Injured Plaintiff",
|
2027
|
+
"43" => "Child Where Insured Has No Financial Responsibility",
|
2028
|
+
"53" => "Life Partner",
|
2029
|
+
"60" => "Annuitant",
|
2030
|
+
"D2" => "Trustee",
|
2031
|
+
"G8" => "Other Relationship",
|
2032
|
+
"G9" => "Other Relative"))
|
2033
|
+
E1073 = t::ID.new(:E1073, "Yes/No Condition or Response Code" , 1, 1,
|
2034
|
+
s::CodeList.build(
|
2035
|
+
"N" => "No",
|
2036
|
+
"U" => "Unknown",
|
2037
|
+
"Y" => "Yes",
|
2038
|
+
"W" => "Not Applicable"))
|
2039
|
+
E1109 = t::ID.new(:E1109, "Race or Ethnicity Code" , 1, 1)
|
2040
|
+
E1136 = t::ID.new(:E1136, "Code Category" , 2, 2,
|
2041
|
+
s::CodeList.build(
|
2042
|
+
"07" => "Ambulance Certification",
|
2043
|
+
"09" => "Durable Medical Equipment Certification",
|
2044
|
+
"12" => "Medicare Secondary Working Aged Beneficiary or Spouse with Employer Group Health Plan",
|
2045
|
+
"13" => "Medicare Secondary End-Stage Renal Disease Beneficiary in Mandated Coordination Period with an Employer's Group Health Plan",
|
2046
|
+
"14" => "Medicare Secondary, No-fault Insurance including Auto is Primary",
|
2047
|
+
"15" => "Medicare Secondary Worker's Compensation",
|
2048
|
+
"16" => "Medicare Secondary Public Health Service (PHS) or Other Federal Agency",
|
2049
|
+
"41" => "Medicare Secondary Blank Lung",
|
2050
|
+
"42" => "Medicare Secondary Veteran's Administration",
|
2051
|
+
"43" => "Medicare Secondary Disabled Beneficiary Under Age 65 with Large Group Health Plan (LGHP)",
|
2052
|
+
"44" => "Nature of Injury",
|
2053
|
+
"47" => "Medicare Secondary, Other Liability Insurance is Primary",
|
2054
|
+
"70" => "Hospice",
|
2055
|
+
"75" => "Functional Limitations",
|
2056
|
+
"E1" => "Spectacle Lenses",
|
2057
|
+
"E2" => "Contact Lenses",
|
2058
|
+
"E3" => "Spectacle Frames",
|
2059
|
+
"ZZ" => "Mutually Defined"))
|
2060
|
+
E1137 = t::AN.new(:E1137, "Medical Code Value" , 1, 15)
|
2061
|
+
E1138 = t::ID.new(:E1138, "Payer Responsibility Sequence" , 1, 1,
|
2062
|
+
s::CodeList.build(
|
2063
|
+
"P" => "Primary",
|
2064
|
+
"S" => "Secondary",
|
2065
|
+
"T" => "Tertiary",
|
2066
|
+
"U" => "Unknown",
|
2067
|
+
"A" => "Payer Responsibility Four",
|
2068
|
+
"B" => "Payer Responsibility Five",
|
2069
|
+
"C" => "Payer Responsibility Six",
|
2070
|
+
"D" => "Payer Responsibility Seven",
|
2071
|
+
"E" => "Payer Responsibility Eight",
|
2072
|
+
"F" => "Payer Responsibility Nine",
|
2073
|
+
"G" => "Payer Responsibility Ten",
|
2074
|
+
"H" => "Payer Responsibility Eleven",
|
2075
|
+
"N" => "Unconfirmed"))
|
2076
|
+
E1143 = t::ID.new(:E1143, "Coordination of Benefits Code" , 1, 1,
|
2077
|
+
s::CodeList.build(
|
2078
|
+
"1" => "Coordination of Benefits",
|
2079
|
+
"5" => "Unknown",
|
2080
|
+
"6" => "No Coordination of Benefits"))
|
2081
|
+
E1146 = t::ID.new(:E1146, "Disability Type Code" , 1, 1,
|
2082
|
+
s::CodeList.build(
|
2083
|
+
"1" => "Short Term Disability",
|
2084
|
+
"2" => "Long Term Disability",
|
2085
|
+
"3" => "Permanent or Total Disability",
|
2086
|
+
"4" => "No Disability"))
|
2087
|
+
E1149 = t::ID.new(:E1149, "Occupation Code" , 4, 6)
|
2088
|
+
E1154 = t::ID.new(:E1154, "Work Intensity Code" , 1, 1)
|
2089
|
+
E1161 = t::ID.new(:E1161, "Product Option Code" , 1, 2)
|
2090
|
+
E1165 = t::ID.new(:E1165, "Confidentiality Code" , 1, 1,
|
2091
|
+
s::CodeList.build(
|
2092
|
+
"R" => "Restricted Access",
|
2093
|
+
"U" => "Unrestricted Access"))
|
2094
|
+
E1166 = t::ID.new(:E1166, "Contract Type Code" , 2, 2,
|
2095
|
+
s::CodeList.build(
|
2096
|
+
"01" => "Diagnosis Related Group (DRG)",
|
2097
|
+
"02" => "Per Diem",
|
2098
|
+
"03" => "Variable Per Diem",
|
2099
|
+
"04" => "Flat",
|
2100
|
+
"05" => "Captitated",
|
2101
|
+
"06" => "Percent",
|
2102
|
+
"09" => "Other"))
|
2103
|
+
E1167 = t:: R.new(:E1167, "Sample Selection Modulus" , 1, 6)
|
2104
|
+
E1176 = t::ID.new(:E1176, "Employment Class Code" , 2, 3,
|
2105
|
+
s::CodeList.build(
|
2106
|
+
"01" => "Union",
|
2107
|
+
"02" => "Non-Union",
|
2108
|
+
"03" => "Executive",
|
2109
|
+
"04" => "Non-Executive",
|
2110
|
+
"05" => "Management",
|
2111
|
+
"06" => "Non-Management",
|
2112
|
+
"07" => "Hourly",
|
2113
|
+
"08" => "Salaried",
|
2114
|
+
"09" => "Administrative",
|
2115
|
+
"10" => "Non-Administrative",
|
2116
|
+
"11" => "Exempt",
|
2117
|
+
"12" => "Non-Exempt",
|
2118
|
+
"17" => "Highly Compensated",
|
2119
|
+
"18" => "Key-Employee",
|
2120
|
+
"19" => "Bargaining",
|
2121
|
+
"20" => "Non-Bargaining",
|
2122
|
+
"21" => "Owner",
|
2123
|
+
"22" => "President",
|
2124
|
+
"23" => "Vice President"))
|
2125
|
+
E1201 = t::ID.new(:E1201, "Information Status Code" , 1, 1,
|
2126
|
+
s::CodeList.build(
|
2127
|
+
"A" => "Partial",
|
2128
|
+
"C" => "Current",
|
2129
|
+
"L" => "Latest",
|
2130
|
+
"O" => "Oldest",
|
2131
|
+
"P" => "Prior",
|
2132
|
+
"S" => "Second Most Current",
|
2133
|
+
"T" => "Third Most Current"))
|
2134
|
+
|
2135
|
+
E1203 = t::ID.new(:E1203, "Maintenance Reason Code" , 2, 3,
|
2136
|
+
s::CodeList.build(
|
2137
|
+
"01" => "Divorce",
|
2138
|
+
"02" => "Birth",
|
2139
|
+
"03" => "Death",
|
2140
|
+
"04" => "Retirement",
|
2141
|
+
"05" => "Adoption",
|
2142
|
+
"06" => "Strike",
|
2143
|
+
"07" => "Termination of Benefits",
|
2144
|
+
"08" => "Termination of Employment",
|
2145
|
+
"09" => "Consolidation Omnibus Budget Reconciliation Act (COBRA)",
|
2146
|
+
"10" => "Consolidation Omnibus Budget Reconciliation Act (COBRA) Premium Paid",
|
2147
|
+
"11" => "Surviving Spouse",
|
2148
|
+
"14" => "Voluntary Withdrawal",
|
2149
|
+
"15" => "Primary Care Provider (PCP) Change",
|
2150
|
+
"16" => "Quit",
|
2151
|
+
"17" => "Fired",
|
2152
|
+
"18" => "Suspended",
|
2153
|
+
"20" => "Active",
|
2154
|
+
"21" => "Disability",
|
2155
|
+
"22" => "Plan Change",
|
2156
|
+
"25" => "Change in Identifying Data Elements",
|
2157
|
+
"26" => "Declined Coverage",
|
2158
|
+
"27" => "Pre-Enrollment",
|
2159
|
+
"28" => "Initial Enrollment",
|
2160
|
+
"29" => "Benefit Selection",
|
2161
|
+
"31" => "Legal Separation",
|
2162
|
+
"32" => "Marriage",
|
2163
|
+
"33" => "Personnel Data",
|
2164
|
+
"37" => "Leave of Absence with Benefits",
|
2165
|
+
"38" => "Leave of Absence without Benefits",
|
2166
|
+
"39" => "Lay Off with Benefits",
|
2167
|
+
"40" => "Lay Off without Benefits",
|
2168
|
+
"41" => "Re-enrollment",
|
2169
|
+
"43" => "Change of Location",
|
2170
|
+
"46" => "Current Customer Information File in Error",
|
2171
|
+
"59" => "Non Payment",
|
2172
|
+
"AA" => "Dissatisfaction with Office Staff",
|
2173
|
+
"AB" => "Dissatisfaction with Medical Care/Services Rendered",
|
2174
|
+
"AC" => "Inconvenient Office Location",
|
2175
|
+
"AD" => "Dissatisfaction with Office Hours",
|
2176
|
+
"AE" => "Unable to Schedule Appointments in a Timely Manner",
|
2177
|
+
"AF" => "Dissatisfaction with Physician's Referral Policy",
|
2178
|
+
"AG" => "Less Respect and Attention Time Given than to Other Patients",
|
2179
|
+
"AH" => "Patient Moved to a New Location",
|
2180
|
+
"AI" => "No Reason Given",
|
2181
|
+
"AJ" => "Appointment Times not Met in a Timely Manner",
|
2182
|
+
"AL" => "Algorithm Assigned Benefit Selection",
|
2183
|
+
"EC" => "Member Benefit Selection",
|
2184
|
+
"XN" => "Notification Only",
|
2185
|
+
"XT" => "Transfer"))
|
2186
|
+
E1204 = t::AN.new(:E1204, "Plan Coverage Description" , 1, 50)
|
2187
|
+
E1205 = t::ID.new(:E1205, "Insurance Line Code" , 2, 3,
|
2188
|
+
s::CodeList.build(
|
2189
|
+
"AG" => "Preventative Care/Wellness",
|
2190
|
+
"AH" => "24 Hour Care",
|
2191
|
+
"AJ" => "Medicare Risk",
|
2192
|
+
"AK" => "Mental Health",
|
2193
|
+
"DCP" => "Dental Capitation",
|
2194
|
+
"DEN" => "Dental",
|
2195
|
+
"EPO" => "Exclusive Provider Organization",
|
2196
|
+
"FAC" => "Facility",
|
2197
|
+
"HE" => "Hearing",
|
2198
|
+
"HLT" => "Health",
|
2199
|
+
"HMO" => "Health Maintenance Organization",
|
2200
|
+
"LTC" => "Long-Term Care",
|
2201
|
+
"LTD" => "Long-Term Disability",
|
2202
|
+
"MM" => "Major Medical",
|
2203
|
+
"MOD" => "Mail Order Drug",
|
2204
|
+
"PDG" => "Prescription Drug",
|
2205
|
+
"POS" => "Point of Service",
|
2206
|
+
"PPO" => "Preferred Provider Organization",
|
2207
|
+
"PRA" => "Practitioners",
|
2208
|
+
"STD" => "Short-Term Disability",
|
2209
|
+
"UR" => "Utilization Review",
|
2210
|
+
"VIS" => "Vision"))
|
2211
|
+
E1207 = t::ID.new(:E1207, "Coverage Level Code" , 3, 3,
|
2212
|
+
s::CodeList.build(
|
2213
|
+
"CHD" => "Children Only",
|
2214
|
+
"DEP" => "Dependents Only",
|
2215
|
+
"E1D" => "Employee and One Dependent",
|
2216
|
+
"E2D" => "Employee and Two Dependents",
|
2217
|
+
"E3D" => "Employee and Three Dependents",
|
2218
|
+
"E5D" => "Employee and One or More Dependents",
|
2219
|
+
"E6D" => "Employee and Two or More Dependents",
|
2220
|
+
"E7D" => "Employee and Three or More Dependents",
|
2221
|
+
"E8D" => "Employee and Four or More Dependents",
|
2222
|
+
"E9D" => "Employee and Five or More Dependents",
|
2223
|
+
"ECH" => "Employee and Children",
|
2224
|
+
"EMP" => "Employee Only",
|
2225
|
+
"ESP" => "Employee and Spouse",
|
2226
|
+
"FAM" => "Family",
|
2227
|
+
"IND" => "Individual",
|
2228
|
+
"SPC" => "Spouse and Children",
|
2229
|
+
"SPO" => "Spouse Only",
|
2230
|
+
"TWO" => "Two Party"))
|
2231
|
+
E1209 = t::ID.new(:E1209, "Underwriting Decision Code" , 1, 1)
|
2232
|
+
E1211 = t::ID.new(:E1211, "Drug House Code" , 2, 3)
|
2233
|
+
E1212 = t::ID.new(:E1212, "Health-Related Code" , 1, 1,
|
2234
|
+
s::CodeList.build(
|
2235
|
+
"N" => "None",
|
2236
|
+
"S" => "Substance Abuse",
|
2237
|
+
"T" => "Tobacco Use",
|
2238
|
+
"U" => "Unknown",
|
2239
|
+
"X" => "Tobacco Use and Substance Abuse"))
|
2240
|
+
E1213 = t::ID.new(:E1213, "Current Health Condition Code" , 1, 1)
|
2241
|
+
E1214 = t::AN.new(:E1214, "Salary Grade" , 1, 5)
|
2242
|
+
E1215 = t::ID.new(:E1215, "Identification Card Type Code" , 1, 1,
|
2243
|
+
s::CodeList.build(
|
2244
|
+
"D" => "Dental Insurance",
|
2245
|
+
"H" => "Health Insurance",
|
2246
|
+
"P" => "Prescription Drug Service Drug Insurance"))
|
2247
|
+
E1216 = t::ID.new(:E1216, "Benefit Status Code" , 1, 1,
|
2248
|
+
s::CodeList.build(
|
2249
|
+
"A" => "Active",
|
2250
|
+
"C" => "Consolidated Omnibus Budget Reconciliation Act (COBRA)",
|
2251
|
+
"S" => "Surviving Insured",
|
2252
|
+
"T" => "Tax Equity and Fiscal Responsibility Act (TEFRA)"))
|
2253
|
+
E1218 = t::ID.new(:E1218, "Benefit Status Code" , 1, 1,
|
2254
|
+
s::CodeList.build(
|
2255
|
+
"A" => "Medicare Part A",
|
2256
|
+
"B" => "Medicare Part B",
|
2257
|
+
"C" => "Medicare Part A and B",
|
2258
|
+
"D" => "Medicare",
|
2259
|
+
"E" => "No Medicare",
|
2260
|
+
"F" => "Medicare Part D",
|
2261
|
+
"G" => "Medicare Part A and D",
|
2262
|
+
"H" => "Medicare Part B and D",
|
2263
|
+
"I" => "Medicare Part A, B, and D"))
|
2264
|
+
E1219 = t::ID.new(:E1219, "Consolidated Omnibus Budget Reconciliation Act (COBRA) Qualifying", 1, 2,
|
2265
|
+
s::CodeList.build(
|
2266
|
+
"1" => "Termination of Employment",
|
2267
|
+
"2" => "Reduction of work hours",
|
2268
|
+
"3" => "Medicare",
|
2269
|
+
"4" => "Death",
|
2270
|
+
"5" => "Divorce",
|
2271
|
+
"6" => "Separation",
|
2272
|
+
"7" => "Ineligible Child",
|
2273
|
+
"8" => "Bankruptcy of Retiree's Former Employer (26 U.S.C. 4980B(f)(3)(F))",
|
2274
|
+
"9" => "Layoff",
|
2275
|
+
"10" => "Leave of Absence",
|
2276
|
+
"ZZ" => "Mutually Defined"))
|
2277
|
+
E1220 = t::ID.new(:E1220, "Student Status Code" , 1, 1,
|
2278
|
+
s::CodeList.build(
|
2279
|
+
"F" => "Full-time",
|
2280
|
+
"N" => "Not a Student",
|
2281
|
+
"P" => "Part-time"))
|
2282
|
+
E1221 = t::ID.new(:E1221, "Provider Code" , 1, 3,
|
2283
|
+
s::CodeList.build(
|
2284
|
+
"AD" => "Admitting",
|
2285
|
+
"AS" => "Assistant Surgeon",
|
2286
|
+
"AT" => "Attending",
|
2287
|
+
"BI" => "Billing",
|
2288
|
+
"CO" => "Consulting",
|
2289
|
+
"CV" => "Covering",
|
2290
|
+
"H" => "Hospital",
|
2291
|
+
"HH" => "Home Health Care",
|
2292
|
+
"LA" => "Laboratory",
|
2293
|
+
"OP" => "Operating",
|
2294
|
+
"OR" => "Ordering",
|
2295
|
+
"OT" => "Other Physician",
|
2296
|
+
"P1" => "Pharmacist",
|
2297
|
+
"P2" => "Pharmacy",
|
2298
|
+
"PC" => "Primary Care Physician",
|
2299
|
+
"PE" => "Performing",
|
2300
|
+
"R" => "Rural Health Clinic",
|
2301
|
+
"RF" => "Referring",
|
2302
|
+
"SB" => "Submitting",
|
2303
|
+
"SK" => "Skilled Nursing Facility",
|
2304
|
+
"SU" => "Supervising"))
|
2305
|
+
E1222 = t::AN.new(:E1222, "Provider Specialty Code" , 1, 3)
|
2306
|
+
|
2307
|
+
# @note Copied from an unverified source
|
2308
|
+
E1223 = t::ID.new(:E1223, "Provider Organization Code" , 3, 3)
|
2309
|
+
E1250 = t::ID.new(:E1250, "Date Time Period Format Qualifier" , 2, 3,
|
2310
|
+
s::CodeList.build(
|
2311
|
+
"CC" => "First Two Digits of Year Expressed in Format CCYY",
|
2312
|
+
"CD" => "Month and Year Expressed in Format MMMYYY",
|
2313
|
+
"CM" => "Date in Format CCYYMM",
|
2314
|
+
"CQ" => "Date in Format CCYYQ",
|
2315
|
+
"CY" => "Year Expressed in Format CCYY",
|
2316
|
+
"D6" => "Date Expressed in Format YYMMDD",
|
2317
|
+
"D8" => "Date Expressed in Format CCYYMMDD",
|
2318
|
+
"DA" => "Range of Dates within a Single Month Expressed in Format DD-DD",
|
2319
|
+
"DB" => "Date Expressed in Format MMDDCCYY",
|
2320
|
+
"DD" => "Day of Month in Numeric Format",
|
2321
|
+
"DDT" => "Range of Dates and Time Expressed in Format CCYYMMDD-CCYYMMDDHHMM",
|
2322
|
+
"DT" => "Date and Time Expressed in Format CCYYMMDDHHMM",
|
2323
|
+
"DTD" => "Range of Dates and Time Expressed in Format CCYYMMDDHHMM-CCYYMMDD",
|
2324
|
+
"DTS" => "Range of Date and Time Expressed in Format CCYYMMDDHHMMSS-CCYYMMDDHHMMSS",
|
2325
|
+
"EH" => "Last Digit of Year and Julian Date Expressed in Format YDDD",
|
2326
|
+
"KA" => "Date Expressed in Format YYMMMDD",
|
2327
|
+
"MD" => "Month of Year and Day of Month Expressed in Format MMDD",
|
2328
|
+
"MM" => "Month of Year in Numeric Format",
|
2329
|
+
"RD" => "Range of Dates Expressed in Format MMDDCCYY-MMDDCCYY",
|
2330
|
+
"RD2" => "Range of Years Expressed in Format YY-YY",
|
2331
|
+
"RD4" => "Range of Years Expressed in Format CCYY-CCYY",
|
2332
|
+
"RD5" => "Range of Years and Months Expressed in Format CCYYMM-CCYYMM",
|
2333
|
+
"RD6" => "Range of Dates Expressed in Format YYMMDD-YYMMDD",
|
2334
|
+
"RD8" => "Range of Dates Expressed in Format CCYYMMDD-CCYYMMDD",
|
2335
|
+
"RDM" => "Range of Dates Expressed in Format YYMMDD-MMDD",
|
2336
|
+
"RDT" => "Range of Date and Time Expressed in Format CCYYMMDDHHMM-CCYYMMDDHHMM",
|
2337
|
+
"RMD" => "Range of Months and Days Expressed in Format MMDD-MMDD",
|
2338
|
+
"RMY" => "Range of Years and Months Expressed in Format YYMM-YYMM",
|
2339
|
+
"RTM" => "Range of Time Expressed in Format HHMM-HHMM",
|
2340
|
+
"RTS" => "Date and Time Expressed in Format CCYYMMDDHHMMSS",
|
2341
|
+
"TC" => "Julian Date Expressed in Format DDD",
|
2342
|
+
"TM" => "Time Expressed in Format HHMM",
|
2343
|
+
"TQ" => "Date Expressed in Format MMYY",
|
2344
|
+
"TR" => "Date and Time Expressed in Format DDMMYYHHMM",
|
2345
|
+
"TS" => "Time Expressed in Format HHMMSS",
|
2346
|
+
"TT" => "Date Expressed in Format MMDDYY",
|
2347
|
+
"TU" => "Date EXpressed in Format YYDDD",
|
2348
|
+
"UN" => "Unstructured",
|
2349
|
+
"YM" => "Year and Month Expressed in Format YYMM",
|
2350
|
+
"YMM" => "Range of Year and Month Expressed in Format CCYYMM-MMM",
|
2351
|
+
"YY" => "Last Two Digits of Year Expressed in Format CCYY"))
|
2352
|
+
E1251 = t::AN.new(:E1251, "Date Time Period" , 1, 35)
|
2353
|
+
E1270 = t::ID.new(:E1270, "Code List Qualifier Code" , 1, 3,
|
2354
|
+
s::CodeList.build(
|
2355
|
+
"65" => s::CodeList.external("508"),
|
2356
|
+
"68" => s::CodeList.external("682"),
|
2357
|
+
"AAA" => s::CodeList.external("662"),
|
2358
|
+
"AAU" => s::CodeList.external("131"),
|
2359
|
+
"AAW" => s::CodeList.external("133"),
|
2360
|
+
"AAX" => s::CodeList.external("131"),
|
2361
|
+
"AAY" => s::CodeList.external("135"),
|
2362
|
+
"ABF" => s::CodeList.external("897"),
|
2363
|
+
"ABJ" => s::CodeList.external("897"),
|
2364
|
+
"ABK" => s::CodeList.external("897"),
|
2365
|
+
"ABN" => s::CodeList.external("897"),
|
2366
|
+
"ABU" => s::CodeList.external("897"),
|
2367
|
+
"ABV" => s::CodeList.external("897"),
|
2368
|
+
"ADD" => s::CodeList.external("897"),
|
2369
|
+
"APR" => s::CodeList.external("897"),
|
2370
|
+
"AS" => s::CodeList.external("656"),
|
2371
|
+
"ASD" => s::CodeList.external("897"),
|
2372
|
+
"ATD" => s::CodeList.external("897"),
|
2373
|
+
"CAH" => s::CodeList.external("843"),
|
2374
|
+
"BBQ" => s::CodeList.external("896"),
|
2375
|
+
"BBR" => s::CodeList.external("896"),
|
2376
|
+
"BE" => s::CodeList.external("132"),
|
2377
|
+
"BF" => s::CodeList.external("131"),
|
2378
|
+
"BG" => s::CodeList.external("132"),
|
2379
|
+
"BH" => s::CodeList.external("132"),
|
2380
|
+
"BI" => s::CodeList.external("132"),
|
2381
|
+
"BK" => s::CodeList.external("131"),
|
2382
|
+
"BJ" => s::CodeList.external("131"),
|
2383
|
+
"BN" => s::CodeList.external("131"),
|
2384
|
+
"BO" => s::CodeList.external("130"),
|
2385
|
+
"BP" => s::CodeList.external("130"),
|
2386
|
+
"BQ" => s::CodeList.external("131"),
|
2387
|
+
"BR" => s::CodeList.external("131"),
|
2388
|
+
"BT" => s::CodeList.external("407"),
|
2389
|
+
"BU" => s::CodeList.external("407"),
|
2390
|
+
"BUR" => s::CodeList.external("971"),
|
2391
|
+
"BS" => s::CodeList.external("133"),
|
2392
|
+
"DD" => s::CodeList.external("131"),
|
2393
|
+
"DR" => s::CodeList.external("229"),
|
2394
|
+
"EK" => s::CodeList.external("407"),
|
2395
|
+
"GR" => s::CodeList.external("284"),
|
2396
|
+
"GS" => s::CodeList.external("407"),
|
2397
|
+
"GU" => s::CodeList.external("407"),
|
2398
|
+
"GW" => s::CodeList.external("407"),
|
2399
|
+
"HE" => s::CodeList.external("411"),
|
2400
|
+
"HI" => s::CodeList.external("121"),
|
2401
|
+
"HO" => s::CodeList.external("537"),
|
2402
|
+
"JO" => s::CodeList.external("135"),
|
2403
|
+
"JP" => s::CodeList.external("135"),
|
2404
|
+
"LOI" => s::CodeList.external("663"),
|
2405
|
+
"NI" => s::CodeList.external("284"), # or s::CodeList.external("407")
|
2406
|
+
"NUB" => s::CodeList.external("132"),
|
2407
|
+
"NDC" => s::CodeList.external("240"),
|
2408
|
+
"PR" => s::CodeList.external("131"),
|
2409
|
+
"PB" => s::CodeList.external("407"),
|
2410
|
+
"REC" => s::CodeList.external("860"),
|
2411
|
+
"RET" => s::CodeList.external("859"),
|
2412
|
+
"RM" => s::CodeList.external("973"),
|
2413
|
+
"RX" => s::CodeList.external("530"),
|
2414
|
+
"S" => s::CodeList.external("327"),
|
2415
|
+
"SD" => s::CodeList.external("131"),
|
2416
|
+
"SJ" => s::CodeList.external("407"),
|
2417
|
+
"SL" => s::CodeList.external("407"),
|
2418
|
+
"TC" => s::CodeList.external("359"),
|
2419
|
+
"TD" => s::CodeList.external("131"),
|
2420
|
+
"TQ" => s::CodeList.external("135"),
|
2421
|
+
"UT" => s::CodeList.external("528"),
|
2422
|
+
"ZZ" => "Mutually Defined"))
|
2423
|
+
E1271 = t::AN.new(:E1271, "Industry Code" , 1, 30,
|
2424
|
+
s::CodeList.external("508"))
|
2425
|
+
E1330 = t::ID.new(:E1330, "Dosage Form Code" , 2, 3,
|
2426
|
+
s::CodeList.build(
|
2427
|
+
"10" => "Tablet",
|
2428
|
+
"20" => "Capsule",
|
2429
|
+
"30" => "Lozenge or Troche",
|
2430
|
+
"31" => "Internal Powder",
|
2431
|
+
"43" => "Injectable Lyophilized Powder",
|
2432
|
+
"60" => "Elixir",
|
2433
|
+
"61" => "Suspension",
|
2434
|
+
"62" => "Syrup",
|
2435
|
+
"63" => "Solution",
|
2436
|
+
"64" => "Emulsion",
|
2437
|
+
"67" => "Liquid",
|
2438
|
+
"69" => "Rectal Cream or Ointment",
|
2439
|
+
"70" => "Rectal Suppository",
|
2440
|
+
"71" => "Vaginal Suppository",
|
2441
|
+
"73" => "Vaginal Cream",
|
2442
|
+
"75" => "Urethral Suppository",
|
2443
|
+
"76" => "Enema",
|
2444
|
+
"78" => "Vaginal Ointment",
|
2445
|
+
"80" => "External Ointment",
|
2446
|
+
"81" => "External Cream",
|
2447
|
+
"86" => "External Powder"))
|
2448
|
+
E1303 = t::ID.new(:E1303, "Use of Language Indicator" , 1, 2,
|
2449
|
+
s::CodeList.build(
|
2450
|
+
"5" => "Language Reading",
|
2451
|
+
"6" => "Language Writing",
|
2452
|
+
"7" => "Language Speaking",
|
2453
|
+
"8" => "Native Language"))
|
2454
|
+
E1314 = t::ID.new(:E1314, "Admission Source Code" , 1, 1,
|
2455
|
+
s::CodeList.external("230"))
|
2456
|
+
E1315 = t::ID.new(:E1315, "Admission Type Code" , 1, 1,
|
2457
|
+
s::CodeList.external("231"))
|
2458
|
+
E1316 = t::ID.new(:E1316, "Ambulance Transport Code" , 1, 1,
|
2459
|
+
s::CodeList.build(
|
2460
|
+
"I" => "Initial Trip",
|
2461
|
+
"R" => "Return Trip",
|
2462
|
+
"T" => "Transfer Trip",
|
2463
|
+
"X" => "Round Trip"))
|
2464
|
+
E1317 = t::ID.new(:E1317, "Ambulance Transport Reason Code" , 1, 1,
|
2465
|
+
s::CodeList.build(
|
2466
|
+
"A" => "Patient was transported to nearest facility for care of symptoms, complaints, or both",
|
2467
|
+
"B" => "Patient was transported for the benefit of a preferred physician",
|
2468
|
+
"C" => "Patient was transported for the nearness of family members",
|
2469
|
+
"D" => "Patient was transported for the care of a specialist or for availability of specialized equipment",
|
2470
|
+
"E" => "Patient Transferred to Rehabilitation Facility"))
|
2471
|
+
E1321 = t::ID.new(:E1321, "Condition Indicator" , 2, 3,
|
2472
|
+
s::CodeList.build(
|
2473
|
+
"00" => "Patient was transported in an emergency situation",
|
2474
|
+
"01" => "Patient was admitted to a hospital",
|
2475
|
+
"02" => "Patient was bed confined before the ambulance service",
|
2476
|
+
"03" => "Patient was bed confined after the ambulance service",
|
2477
|
+
"04" => "Patient was moved by stretcher",
|
2478
|
+
"05" => "Patient was unconscious or in shock",
|
2479
|
+
"06" => "Patient was transported in an emergency situation",
|
2480
|
+
"07" => "Patient had to be physically restrained",
|
2481
|
+
"08" => "Patient had visible hemorrhaging",
|
2482
|
+
"09" => "Ambulance service was medically necessary",
|
2483
|
+
"10" => "Patient is ambulatory",
|
2484
|
+
"11" => "Ambulation is Impaired and Walking Aid is Used for Therapy or Mobility",
|
2485
|
+
"12" => "Patient is confined to a bed or chair",
|
2486
|
+
"14" => "Ambulation is Impaired and Walking Aid is Used for Mobility",
|
2487
|
+
"15" => "Patient Condition Requires Positioning of the Body or Attachments Which Would Not be Feasible With the Use of an Ordinary Bed",
|
2488
|
+
"16" => "Patient needs a trapeze bar to sit up due to respiratory condition or change body positions for other medical reasons",
|
2489
|
+
"17" => "Patient's Ability to Breathe is Severely Impaired",
|
2490
|
+
"18" => "Patient condition requires frequent and/or immediate changes in body positions",
|
2491
|
+
"19" => "Patient can operate controls",
|
2492
|
+
"20" => "Siderails Are to be Attached to a Hospital Bed Owned by the Beneficiary",
|
2493
|
+
"21" => "Patient owns equipment",
|
2494
|
+
"22" => "Mattress or Siderails are Being Used with Prescribed Medically Necessary Hospital Bed Owned by the Beneficiary",
|
2495
|
+
"23" => "Patient Needs Lift to Get In or Out of Bed or to Assist in Transfer from Bed to Wheelchair",
|
2496
|
+
"24" => "Patient has an orthopedic impairment requiring traction equipment which prevents ambulation during period of use",
|
2497
|
+
"25" => "Item has been prescribed as part of a planned regimen of treatment in patient home",
|
2498
|
+
"27" => "Patient or a care-giver has been instructed in use of equipment",
|
2499
|
+
"29" => "A 6-7 hour nocturnal study documents 30 episodes of apnea each lasting more than 10 seconds",
|
2500
|
+
"30" => "Without the equipment, the patient would require surgery",
|
2501
|
+
"31" => "Patient has had a total knee replacement",
|
2502
|
+
"32" => "Patient has intractable lymphedema of the extremities",
|
2503
|
+
"33" => "Patient is in a nursing home",
|
2504
|
+
"35" => "This Feeding is the Only Form of Nutritional Intake for This Patient",
|
2505
|
+
"37" => "Oxygen delivery equipment is stationary",
|
2506
|
+
"38" => "Certification signed by the physician is on file at the supplier's office",
|
2507
|
+
"39" => "Patient Has Mobilizing Respiratory Tract Secretions",
|
2508
|
+
"40" => "Patient or Caregiver is Capable of Using the Equipment Without Technical or Professional Supervision",
|
2509
|
+
"41" => "Patient or Caregiver is Unable to Propel or Lift a Standard Weight Wheelchair",
|
2510
|
+
"42" => "Patient Requires Leg Elevation for Edema or Body Alignment",
|
2511
|
+
"43" => "Patient Weight or Usage Needs Necessitate a Heavy Duty Wheelchair",
|
2512
|
+
"44" => "Patient Requires Reclining Function of a Wheelchair",
|
2513
|
+
"45" => "Patient is Unable to Operate a Wheelchair Manually",
|
2514
|
+
"46" => "Patient or Caregiver Requires Side Transfer into Wheelchair, Commode or Other",
|
2515
|
+
"58" => "Durable Medical Equipment (DME) Purchased New",
|
2516
|
+
"59" => "Durable Medical Equipment (DME) Is Under Warranty",
|
2517
|
+
"5A" => "Treatment is rendered related to the terminal illness",
|
2518
|
+
"5P" => "Replacement",
|
2519
|
+
"60" => "Transportation Was To the Nearest Facility",
|
2520
|
+
"65" => "Open",
|
2521
|
+
"68" => "Severe",
|
2522
|
+
"69" => "Moderate",
|
2523
|
+
"9D" => "Lack of Appropriate Facility within Reasonable Distance to Treat Patient in the Event of Complications",
|
2524
|
+
"9E" => "Sudden Onset of Disorientation",
|
2525
|
+
"9F" => "Sudden Onset of Severe, Incapacitating Pain",
|
2526
|
+
"9H" => "Patient Requires Intensive IV Therapy",
|
2527
|
+
"9J" => "Patient Requires Protective Isolation",
|
2528
|
+
"9K" => "Patient Requires Frequent Monitoring",
|
2529
|
+
"AA" => "Amputation",
|
2530
|
+
"AL" => "Ambulation Limitations",
|
2531
|
+
"ATR" => "Atrophy",
|
2532
|
+
"AV" => "Available - Not Used",
|
2533
|
+
"BL" => "Bowel Limitations, Bladder Limitations, or both (Incontinence)",
|
2534
|
+
"BPD" => "Beneficiary is Partially Dependent",
|
2535
|
+
"BTD" => "Beneficiary is Totally Dependent",
|
2536
|
+
"BR" => "Bedrest BRP (Bathroom Privileges)",
|
2537
|
+
"CA" => "Cane Required",
|
2538
|
+
"CB" => "Complete Bedrest",
|
2539
|
+
"CM" => "Comatose",
|
2540
|
+
"CNJ" => "Cumulative Injury",
|
2541
|
+
"CO" => "Contracture",
|
2542
|
+
"CR" => "Crutches Required",
|
2543
|
+
"DX" => "Unable to Respond",
|
2544
|
+
"DY" => "Dyspnea with Minimal Exertion",
|
2545
|
+
"EL" => "Endurance Limitations",
|
2546
|
+
"EP" => "Exercises Prescribed",
|
2547
|
+
"F3" => "Inactive",
|
2548
|
+
"HL" => "Hearing Limitations",
|
2549
|
+
"IH" => "Independent at Home",
|
2550
|
+
"L1" => "General Standard of 20 Degree or .5 Diopter Sphere or Cylinder Change Met",
|
2551
|
+
"L2" => "Replacement Due to Loss or Theft",
|
2552
|
+
"L3" => "Replacement Due to Breakage or Damage",
|
2553
|
+
"L4" => "Replacement Due to Patient Preference",
|
2554
|
+
"L5" => "Replacement Due to Medical Reason",
|
2555
|
+
"LB" => "Legally Blind",
|
2556
|
+
"LE" => "Lethargic",
|
2557
|
+
"NU" => "Not Used",
|
2558
|
+
"NR" => "No Restrictions",
|
2559
|
+
"OL" => "Other Limitation",
|
2560
|
+
"PA" => "Paralysis",
|
2561
|
+
"PAR" => "Paraplegia",
|
2562
|
+
"PW" => "Partial Weight Bearing",
|
2563
|
+
"S2" => "Under Treatment",
|
2564
|
+
"S9" => "Atypical Functional Condition",
|
2565
|
+
"SL" => "Speech Limitations",
|
2566
|
+
"ST" => "New Services Requested",
|
2567
|
+
"TNJ" =>"Traumatic Injury",
|
2568
|
+
"TR" => "Transfer to Bed, or Chair, or Both",
|
2569
|
+
"UT" => "Up as Tolerated",
|
2570
|
+
"WA" => "Walker Required",
|
2571
|
+
"WR" => "Wheelchair Required",
|
2572
|
+
"ZV" => "Replacement Item"))
|
2573
|
+
E1322 = t::ID.new(:E1322, "Certification Type Code" , 1, 1,
|
2574
|
+
s::CodeList.build(
|
2575
|
+
"1" => "Appeal - Immediate",
|
2576
|
+
"2" => "Appeal - Standard",
|
2577
|
+
"3" => "Cancel",
|
2578
|
+
"4" => "Extension",
|
2579
|
+
"I" => "Initial",
|
2580
|
+
"N" => "Reconsideration",
|
2581
|
+
"R" => "Renewal",
|
2582
|
+
"S" => "Revised"))
|
2583
|
+
E1325 = t::ID.new(:E1325, "Claim Frequency Type Code" , 1, 1,
|
2584
|
+
s::CodeList.external("235"))
|
2585
|
+
E1327 = t::ID.new(:E1327, "Copay Status Code" , 1, 1,
|
2586
|
+
s::CodeList.build(
|
2587
|
+
"0" => "Copay exempt"))
|
2588
|
+
E1328 = t::Nn.new(:E1328, "Diagnosis Code Pointer" , 1, 2, 0)
|
2589
|
+
E1331 = t::AN.new(:E1331, "Facility Code Value" , 1, 2)
|
2590
|
+
# S237
|
2591
|
+
E1332 = t::ID.new(:E1332, "Facility Code Qualifier" , 1, 2,
|
2592
|
+
s::CodeList.build(
|
2593
|
+
"A" => s::CodeList.external("236"),
|
2594
|
+
"B" => s::CodeList.external("237")))
|
2595
|
+
E1333 = t::ID.new(:E1333, "Record Format Code" , 1, 2)
|
2596
|
+
E1334 = t::ID.new(:E1334, "Professional Shortage Area Code" , 1, 1)
|
2597
|
+
E1335 = t::ID.new(:E1335, "Insulin Type Code" , 1, 3)
|
2598
|
+
E1336 = t::ID.new(:E1336, "Insurance Type Code" , 1, 3,
|
2599
|
+
s::CodeList.build(
|
2600
|
+
"02" => "Physically Handicapped Children's Program",
|
2601
|
+
"03" => "Special Federal Funding",
|
2602
|
+
"05" => "Disability",
|
2603
|
+
"09" => "Second Opinion or Surgery",
|
2604
|
+
"12" => "Medicare Secondary Working Aged Beneficiary or Spouse with Employer Group Health Plan",
|
2605
|
+
"13" => "Medicare Secondary End-Stage Renal Disease Beneficiary in the Mandated Coordination Period",
|
2606
|
+
"14" => "Medicare Secondary, No-fault Insurance including Auto is Primary",
|
2607
|
+
"15" => "Medicare Secondary Worker's Compensation",
|
2608
|
+
"16" => "Medicare Secondary Public Health Service (PHS) or Other Federal Agency",
|
2609
|
+
"41" => "Medicare Secondary Blank Lung",
|
2610
|
+
"42" => "Medicare Secondary Veteran's Administration",
|
2611
|
+
"43" => "Medicare Secondary Disabled Beneficiary Under Age 65 with Large Group Health Plan (LGHP)",
|
2612
|
+
"47" => "Medicare Secondary, Other Liability Insurance is Primary",
|
2613
|
+
"AP" => "Auto Insurance Policy",
|
2614
|
+
"C1" => "Commercial",
|
2615
|
+
"CO" => "Consolidated Omnibus Budget Reconciliation Act (COBRA)",
|
2616
|
+
"CP" => "Medicare Conditionally Primary",
|
2617
|
+
"D" => "Disability",
|
2618
|
+
"DB" => "Disability Benefits",
|
2619
|
+
"EP" => "Exclusive Provider Organization",
|
2620
|
+
"FF" => "Family or Friends",
|
2621
|
+
"GP" => "Group Policy",
|
2622
|
+
"HM" => "Health Maintenance Organization (HMO)",
|
2623
|
+
"HN" => "Health Maintenance Organization (HMO) - Medicare Risk",
|
2624
|
+
"HS" => "Special Low Income Medicare Beneficiary",
|
2625
|
+
"IN" => "Indemnity",
|
2626
|
+
"IP" => "Individual Policy",
|
2627
|
+
"LC" => "Long Term Care",
|
2628
|
+
"LD" => "Long Term Policy",
|
2629
|
+
"LI" => "Life Insurance",
|
2630
|
+
"LT" => "Litigation",
|
2631
|
+
"MA" => "Medicare Part A",
|
2632
|
+
"MB" => "Medicare Part B",
|
2633
|
+
"MC" => "Medicaid",
|
2634
|
+
"MH" => "Medigap Part A",
|
2635
|
+
"MI" => "Medigap Part B",
|
2636
|
+
"MP" => "Medicare Primary",
|
2637
|
+
"OT" => "Other",
|
2638
|
+
"PE" => "Property Insurance - Personal",
|
2639
|
+
"PL" => "Personal",
|
2640
|
+
"PP" => "Personal Payment (Cash - No Insurance)",
|
2641
|
+
"PR" => "Preferred Provider Organization (PPO)",
|
2642
|
+
"PS" => "Point of Service (POS)",
|
2643
|
+
"QM" => "Qualified Medicare Beneficiary",
|
2644
|
+
"RP" => "Property Insurance - Real",
|
2645
|
+
"SP" => "Supplemental Policy",
|
2646
|
+
"TF" => "Tax Equity Fiscal Responsibility Act (TEFRA)",
|
2647
|
+
"WC" => "Workers Compensation",
|
2648
|
+
"WU" => "Wrap Up Policy"))
|
2649
|
+
E1337 = t::ID.new(:E1337, "Level of Care Code" , 1, 1,
|
2650
|
+
s::CodeList.build(
|
2651
|
+
"1" => "Skilled Nursing Facility (SNF)",
|
2652
|
+
"2" => "Intermediate Care Facility (ICF)",
|
2653
|
+
"3" => "Intermediate Care Facility - Mentally Retarded (ICF-MR)",
|
2654
|
+
"4" => "Chronic Disease Hospital (CD)",
|
2655
|
+
"5" => "Intermediate Care Facility (ICF) Level II",
|
2656
|
+
"6" => "Special Skilled Nursing Facility (SNF)",
|
2657
|
+
"7" => "Nursing Facility (NF)",
|
2658
|
+
"8" => "Hospice"))
|
2659
|
+
E1338 = t::ID.new(:E1338, "Level of Service Code" , 1, 3)
|
2660
|
+
E1339 = t::AN.new(:E1339, "Procedure Modifier" , 2, 2)
|
2661
|
+
E1340 = t::ID.new(:E1340, "Multiple Procedure Code" , 1, 2)
|
2662
|
+
E1341 = t::AN.new(:E1341, "National or Local Assigned Review" , 1, 2)
|
2663
|
+
E1342 = t::ID.new(:E1342, "Nature of Condition Code" , 1, 1,
|
2664
|
+
s::CodeList.build(
|
2665
|
+
"A" => "Acute Condition",
|
2666
|
+
"C" => "Chronic Condition",
|
2667
|
+
"D" => "Non-acute",
|
2668
|
+
"E" => "Non-Life Threatening",
|
2669
|
+
"F" => "Routine",
|
2670
|
+
"G" => "Symptomatic",
|
2671
|
+
"M" => "Acute Manifestation of a Chronic Condition"))
|
2672
|
+
E1343 = t::ID.new(:E1343, "Non-Institutional Claim Type Code" , 1, 2)
|
2673
|
+
E1345 = t::ID.new(:E1345, "Nursing Home Residential Status Code" , 1, 1)
|
2674
|
+
E1348 = t::ID.new(:E1348, "Oxygen Equipment Type Code" , 1, 1,
|
2675
|
+
s::CodeList.build(
|
2676
|
+
"A" => "Concentrator",
|
2677
|
+
"B" => "Liquid Stationary",
|
2678
|
+
"C" => "Gaseous Stationary",
|
2679
|
+
"D" => "Liquid Portable",
|
2680
|
+
"E" => "Gaseous Portable",
|
2681
|
+
"O" => "Other"))
|
2682
|
+
E1351 = t::ID.new(:E1351, "Patient Signature Source Code" , 1, 1,
|
2683
|
+
s::CodeList.build(
|
2684
|
+
"P" => "Signature generated by provider because the patient was not physically present for services"))
|
2685
|
+
E1352 = t::ID.new(:E1352, "Patient Status Code" , 1, 2,
|
2686
|
+
s::CodeList.external("239"))
|
2687
|
+
E1354 = t::ID.new(:E1354, "Diagnosis Related Group (DRG) Code" , 1, 4,
|
2688
|
+
s::CodeList.external("229"))
|
2689
|
+
E1358 = t::ID.new(:E1358, "Prosthesis, Crown, or Inlay Code" , 1, 1,
|
2690
|
+
s::CodeList.build(
|
2691
|
+
"I" => "Initial Placement",
|
2692
|
+
"R" => "Replacement"))
|
2693
|
+
E1359 = t::ID.new(:E1359, "Provider Accept Assignment Code" , 1, 1,
|
2694
|
+
s::CodeList.build(
|
2695
|
+
"A" => "Assigned",
|
2696
|
+
"B" => "Assigned Accepted on Clinical Lab Services Only",
|
2697
|
+
"C" => "Not Assigned"))
|
2698
|
+
E1360 = t::ID.new(:E1360, "Provider Agreement Code" , 1, 1)
|
2699
|
+
E1361 = t::ID.new(:E1361, "Oral Cavity Designation Code" , 1, 3,
|
2700
|
+
s::CodeList.external("135"))
|
2701
|
+
E1362 = t::ID.new(:E1362, "Related-Causes Code" , 2, 3,
|
2702
|
+
s::CodeList.build(
|
2703
|
+
"AA" => "Auto Accident",
|
2704
|
+
"EM" => "Employment",
|
2705
|
+
"OA" => "Other Accident"))
|
2706
|
+
E1363 = t::ID.new(:E1363, "Release of Information Code" , 1, 1,
|
2707
|
+
s::CodeList.build(
|
2708
|
+
"I" => "Informed Consent to Release Medical Information for Conditions or Diagnoses Regulated by Federal Statutes",
|
2709
|
+
"Y" => "Yes, Provider has a Signed Statement Permitting Release of Medical Billing Data Related to a Claim"))
|
2710
|
+
E1364 = t::ID.new(:E1364, "Review Code" , 1, 2)
|
2711
|
+
E1365 = t::ID.new(:E1365, "Service Type Code" , 1, 2,
|
2712
|
+
s::CodeList.build(
|
2713
|
+
"1" => "Medical Care",
|
2714
|
+
"2" => "Surgical",
|
2715
|
+
"3" => "Consultation",
|
2716
|
+
"4" => "Diagnostic X-Ray",
|
2717
|
+
"5" => "Diagnostic Lab",
|
2718
|
+
"6" => "Radiation Therapy",
|
2719
|
+
"7" => "Anesthesia",
|
2720
|
+
"8" => "Surgical Assistance",
|
2721
|
+
"9" => "Other Medical",
|
2722
|
+
"10" => "Blood Charges",
|
2723
|
+
"11" => "Used Durable Medical Equipment",
|
2724
|
+
"12" => "Durable Medical Equipment Purchase",
|
2725
|
+
"13" => "Ambulatory Service Center Facility",
|
2726
|
+
"14" => "Renal Supplies in the Home",
|
2727
|
+
"15" => "Alternate Method Dialysis",
|
2728
|
+
"16" => "Chronic Renal Disease (CRD) Equipment",
|
2729
|
+
"17" => "Pre-Admission Testing",
|
2730
|
+
"18" => "Durable Medical Equipment Rental",
|
2731
|
+
"19" => "Pneumonia Vaccine",
|
2732
|
+
"20" => "Second Surgical Opinion",
|
2733
|
+
"21" => "Third Surgical Opinion",
|
2734
|
+
"22" => "Social Work",
|
2735
|
+
"23" => "Diagnostic Dental",
|
2736
|
+
"24" => "Periodontics",
|
2737
|
+
"25" => "Restorative",
|
2738
|
+
"26" => "Endodontics",
|
2739
|
+
"27" => "Maxillofacial Prosthetics",
|
2740
|
+
"28" => "Adjunctive Dental Services",
|
2741
|
+
"30" => "Health Benefit Plan Coverage",
|
2742
|
+
"32" => "Plan Waiting Period",
|
2743
|
+
"33" => "Chiropractic",
|
2744
|
+
"34" => "Chiropractic Office Visits",
|
2745
|
+
"35" => "Dental Care",
|
2746
|
+
"36" => "Dental Crowns",
|
2747
|
+
"37" => "Dental Accident",
|
2748
|
+
"38" => "Orthodontics",
|
2749
|
+
"39" => "Prosthodontics",
|
2750
|
+
"40" => "Oral Surgery",
|
2751
|
+
"41" => "Routine (Preventive) Dental",
|
2752
|
+
"42" => "Home Health Care",
|
2753
|
+
"43" => "Home Health Prescriptions",
|
2754
|
+
"44" => "Home Health Visits",
|
2755
|
+
"45" => "Hospice",
|
2756
|
+
"46" => "Respite Care",
|
2757
|
+
"47" => "Hospital",
|
2758
|
+
"48" => "Hospital - Inpatient",
|
2759
|
+
"49" => "Hospital - Room and Board",
|
2760
|
+
"50" => "Hospital - Outpatient",
|
2761
|
+
"51" => "Hospital - Emergency Accident",
|
2762
|
+
"52" => "Hospital - Emergency Medical",
|
2763
|
+
"53" => "Hospital - Ambulatory Surgical",
|
2764
|
+
"54" => "Long Term Care",
|
2765
|
+
"55" => "Major Medical",
|
2766
|
+
"56" => "Medically Related Transportation",
|
2767
|
+
"57" => "Air Transportation",
|
2768
|
+
"58" => "Cabulance",
|
2769
|
+
"59" => "Licensed Ambulance",
|
2770
|
+
"60" => "General Benefits",
|
2771
|
+
"61" => "In-vitro Fertilization",
|
2772
|
+
"62" => "MRI/CAT Scan",
|
2773
|
+
"63" => "Donor Procedures",
|
2774
|
+
"64" => "Acupuncture",
|
2775
|
+
"65" => "Newborn Care",
|
2776
|
+
"66" => "Pathology",
|
2777
|
+
"67" => "Smoking Cessation",
|
2778
|
+
"68" => "Well Baby Care",
|
2779
|
+
"69" => "Maternity",
|
2780
|
+
"70" => "Transplants",
|
2781
|
+
"71" => "Audiology Exam",
|
2782
|
+
"72" => "Inhalation Therapy",
|
2783
|
+
"73" => "Diagnostic Medical",
|
2784
|
+
"74" => "Private Duty Nursing",
|
2785
|
+
"75" => "Prosthetic Device",
|
2786
|
+
"76" => "Dialysis",
|
2787
|
+
"77" => "Otological Exam",
|
2788
|
+
"78" => "Chemotherapy",
|
2789
|
+
"79" => "Allergy Testing",
|
2790
|
+
"80" => "Immunizations",
|
2791
|
+
"AN" => "Routine Exam",
|
2792
|
+
"AO" => "Lenses",
|
2793
|
+
"AQ" => "Nonmedically Necessary Physical",
|
2794
|
+
"AR" => "Experimental Drug Therapy",
|
2795
|
+
"B1" => "Burn Care",
|
2796
|
+
"B2" => "Brand Name Prescription Drug - Formulary",
|
2797
|
+
"B3" => "Brand Name Prescription Drug - Non-Formulary",
|
2798
|
+
"BA" => "Independent Medical Evaluation",
|
2799
|
+
"BB" => "Partial Hospitalization (Psychiatric)",
|
2800
|
+
"BC" => "Day Care (Psychiatric)",
|
2801
|
+
"BD" => "Cognitive Therapy",
|
2802
|
+
"BE" => "Massage Therapy",
|
2803
|
+
"BF" => "Pulmonary Rehabilitation",
|
2804
|
+
"BG" => "Cardiac Rehabilitation",
|
2805
|
+
"BH" => "Pediatric",
|
2806
|
+
"BI" => "Nursery",
|
2807
|
+
"BJ" => "Skin",
|
2808
|
+
"BK" => "Orthopedic",
|
2809
|
+
"BL" => "Cardiac",
|
2810
|
+
"BM" => "Lymphatic",
|
2811
|
+
"BN" => "Gastrointestinal",
|
2812
|
+
"BP" => "Endocrine",
|
2813
|
+
"BQ" => "Neurology",
|
2814
|
+
"BR" => "Eye",
|
2815
|
+
"BS" => "Invasive Procedures",
|
2816
|
+
"BT" => "Gynecological",
|
2817
|
+
"BU" => "Obstetrical",
|
2818
|
+
"BV" => "Obstetrical/Gynecological",
|
2819
|
+
"BW" => "Mail Order Prescription Drug: Brand Name",
|
2820
|
+
"BX" => "Mail Order Prescription Drug: Generic",
|
2821
|
+
"BY" => "Physician Visit - Office: Sick",
|
2822
|
+
"BZ" => "Physician Visit - Office: Well",
|
2823
|
+
"C1" => "Coronary Care",
|
2824
|
+
"CA" => "Private Duty Nursing - Inpatient",
|
2825
|
+
"CB" => "Private Duty Nursing - Home",
|
2826
|
+
"CC" => "Surgical Benefits - Professional (Physician)",
|
2827
|
+
"CD" => "Surgical Benefits - Facility",
|
2828
|
+
"CE" => "Mental Health Provider - Inpatient",
|
2829
|
+
"CF" => "Mental Health Provider - Outpatient",
|
2830
|
+
"CG" => "Mental Health Facility - Inpatient",
|
2831
|
+
"CH" => "Mental Health Facility - Outpatient",
|
2832
|
+
"CI" => "Substance Abuse Facility - Inpatient",
|
2833
|
+
"CJ" => "Substance Abuse Facility - Outpatient",
|
2834
|
+
"81" => "Routine Physical",
|
2835
|
+
"82" => "Family Planning",
|
2836
|
+
"83" => "Infertility",
|
2837
|
+
"84" => "Abortion",
|
2838
|
+
"85" => "AIDS",
|
2839
|
+
"86" => "Emergency Services",
|
2840
|
+
"87" => "Cancer",
|
2841
|
+
"88" => "Pharmacy",
|
2842
|
+
"89" => "Free Standing Prescription Drug",
|
2843
|
+
"90" => "Mail Order Prescription Drug",
|
2844
|
+
"91" => "Brand Name Prescription Drug",
|
2845
|
+
"92" => "Generic Prescription Drug",
|
2846
|
+
"93" => "Podiatry",
|
2847
|
+
"94" => "Podiatry - Office Visits",
|
2848
|
+
"95" => "Podiatry - Nursing Home Visits",
|
2849
|
+
"96" => "Professional (Physician)",
|
2850
|
+
"97" => "Anesthesiologist",
|
2851
|
+
"98" => "Professional (Physician) Visit - Office",
|
2852
|
+
"99" => "Professional (Physician) Visit - Inpatient",
|
2853
|
+
"A0" => "Professional (Physician) Visit - Outpatient",
|
2854
|
+
"A1" => "Professional (Physician) Visit - Nursing Home",
|
2855
|
+
"A2" => "Professional (Physician) Visit - Skilled Nursing Facility",
|
2856
|
+
"A3" => "Professional (Physician) Visit - Home",
|
2857
|
+
"A4" => "Psychiatric",
|
2858
|
+
"A5" => "Psychiatric - Room and Board",
|
2859
|
+
"A6" => "Psychotherapy",
|
2860
|
+
"A7" => "Psychiatric - Inpatient",
|
2861
|
+
"A8" => "Psychiatric - Outpatient",
|
2862
|
+
"A9" => "Rehabilitation",
|
2863
|
+
"AA" => "Rehabilitation - Room and Board",
|
2864
|
+
"AB" => "Rehabilitation - Inpatient",
|
2865
|
+
"AC" => "Rehabilitation - Outpatient",
|
2866
|
+
"AD" => "Occupational Therapy",
|
2867
|
+
"AE" => "Physical Medicine",
|
2868
|
+
"AF" => "Speech Therapy",
|
2869
|
+
"AG" => "Skilled Nursing Care",
|
2870
|
+
"AH" => "Skilled Nursing Care - Room and Board",
|
2871
|
+
"AI" => "Substance Abuse",
|
2872
|
+
"AJ" => "Alcoholism",
|
2873
|
+
"AK" => "Drug Addiction",
|
2874
|
+
"AL" => "Vision (Optometry)",
|
2875
|
+
"AM" => "Frames",
|
2876
|
+
"CK" => "Screening X-ray",
|
2877
|
+
"CL" => "Screening laboratory",
|
2878
|
+
"CM" => "Mammogram, High Risk Patient",
|
2879
|
+
"CN" => "Mammogram, Low Risk Patient",
|
2880
|
+
"CO" => "Flu Vaccination",
|
2881
|
+
"CP" => "Eyewear and Eyewear Accessories",
|
2882
|
+
"CQ" => "Case Management",
|
2883
|
+
"DG" => "Dermatology",
|
2884
|
+
"DM" => "Durable Medical Equipment",
|
2885
|
+
"DS" => "Diabetic Supplies",
|
2886
|
+
"GF" => "Generic Prescription Drug - Formulary",
|
2887
|
+
"GN" => "Generic Prescription Drug - Non-Formulary",
|
2888
|
+
"GY" => "Allergy",
|
2889
|
+
"IC" => "Intensive Care",
|
2890
|
+
"MH" => "Mental Health",
|
2891
|
+
"NI" => "Neonatal Intensive Care",
|
2892
|
+
"ON" => "Oncology",
|
2893
|
+
"PT" => "Physical Therapy",
|
2894
|
+
"PU" => "Pulmonary",
|
2895
|
+
"RN" => "Renal",
|
2896
|
+
"RT" => "Residential Psychiatric Treatment",
|
2897
|
+
"TC" => "Transitional Care",
|
2898
|
+
"TN" => "Transitional Nursery Care",
|
2899
|
+
"UC" => "Urgent Care"))
|
2900
|
+
E1366 = t::ID.new(:E1366, "Special Program Code" , 2, 3,
|
2901
|
+
s::CodeList.build(
|
2902
|
+
"01" => "Early & Periodic Screening, Diagnosis, and Treatment (EPSDT) or Child Health Assessment Program (CHAP)",
|
2903
|
+
"02" => "Physically Handicapped Children's Program",
|
2904
|
+
"03" => "Special Federal Funding",
|
2905
|
+
"05" => "Disability",
|
2906
|
+
"09" => "Second Opinion or Surgery"))
|
2907
|
+
E1367 = t::ID.new(:E1367, "Sublaxation Level Code" , 2, 3,
|
2908
|
+
s::CodeList.build(
|
2909
|
+
"C1" => "Cervical 1",
|
2910
|
+
"C2" => "Cervical 2",
|
2911
|
+
"C3" => "Cervical 3",
|
2912
|
+
"C4" => "Cervical 4",
|
2913
|
+
"C5" => "Cervical 5",
|
2914
|
+
"C6" => "Cervical 6",
|
2915
|
+
"C7" => "Cervical 7",
|
2916
|
+
"CO" => "Coccyx",
|
2917
|
+
"IL" => "Ilium",
|
2918
|
+
"L1" => "Lumbar 1",
|
2919
|
+
"L2" => "Lumbar 2",
|
2920
|
+
"L3" => "Lumbar 3",
|
2921
|
+
"L4" => "Lumbar 4",
|
2922
|
+
"OC" => "Occiput",
|
2923
|
+
"SA" => "Sacrum",
|
2924
|
+
"T1" => "Thoracic 1",
|
2925
|
+
"T10" => "Thoracic 10",
|
2926
|
+
"T11" => "Thoracic 11",
|
2927
|
+
"T12" => "Thoracic 12",
|
2928
|
+
"T2" => "Thoracic 2",
|
2929
|
+
"T3" => "Thoracic 3",
|
2930
|
+
"T4" => "Thoracic 4",
|
2931
|
+
"T5" => "Thoracic 5",
|
2932
|
+
"T6" => "Thoracic 6",
|
2933
|
+
"T7" => "Thoracic 7",
|
2934
|
+
"T8" => "Thoracic 8",
|
2935
|
+
"T9" => "Thoracic 9"))
|
2936
|
+
E1368 = t::ID.new(:E1368, "Tooth Status Code" , 1, 2,
|
2937
|
+
s::CodeList.build(
|
2938
|
+
"E" => "To Be Extracted",
|
2939
|
+
"I" => "Impacted",
|
2940
|
+
"M" => "Missing",
|
2941
|
+
"X" => "Extracted"))
|
2942
|
+
E1369 = t::ID.new(:E1369, "Tooth Surface Code" , 1, 2,
|
2943
|
+
s::CodeList.build(
|
2944
|
+
"B" => "Buccal",
|
2945
|
+
"D" => "Distal",
|
2946
|
+
"F" => "Facial",
|
2947
|
+
"I" => "Incisal",
|
2948
|
+
"L" => "Lingual",
|
2949
|
+
"M" => "Mesial",
|
2950
|
+
"O" => "Occlusal"))
|
2951
|
+
E1371 = t:: R.new(:E1371, "Unit Rate" , 1, 10)
|
2952
|
+
E1382 = t::ID.new(:E1382, "Oxygen Delivery System Code" , 1, 1,
|
2953
|
+
s::CodeList.build(
|
2954
|
+
"A" => "Nasal Cannula",
|
2955
|
+
"B" => "Oxygen Conserving Device",
|
2956
|
+
"C" => "Oxygen Conserving Device with Oxygen Pulse System",
|
2957
|
+
"D" => "Oxygen Conserving Device with Resevoir System",
|
2958
|
+
"E" => "Transtrachael Catheter"))
|
2959
|
+
E1383 = t::ID.new(:E1383, "Claim Submission Reason Code" , 2, 2,
|
2960
|
+
s::CodeList.build(
|
2961
|
+
"08" => "@todo",
|
2962
|
+
"PB" => "Predetermination of Dental Benefits"))
|
2963
|
+
E1384 = t::ID.new(:E1384, "Patient Location Code" , 1, 1)
|
2964
|
+
E1390 = t::ID.new(:E1390, "Eligibility or Benefit Information Code", 1, 2,
|
2965
|
+
s::CodeList.build(
|
2966
|
+
"1" => "Active Coverage",
|
2967
|
+
"2" => "Active - Full Risk Capitation",
|
2968
|
+
"3" => "Active - Services Capitated",
|
2969
|
+
"4" => "Active - Services Capitated to Primary Care Physician",
|
2970
|
+
"5" => "Active - Pending Investigation",
|
2971
|
+
"6" => "Inactive",
|
2972
|
+
"7" => "Inactive - Pending Eligibility Update",
|
2973
|
+
"8" => "Inactive - Pending Investigation",
|
2974
|
+
"A" => "Co-Insurance",
|
2975
|
+
"B" => "Co-Payment",
|
2976
|
+
"C" => "Deductible",
|
2977
|
+
"CB" => "Coverage Basis",
|
2978
|
+
"D" => "Benefit Description",
|
2979
|
+
"E" => "Exclusions",
|
2980
|
+
"F" => "Limitations",
|
2981
|
+
"G" => "Out of Pocket (Stop Loss)",
|
2982
|
+
"H" => "Unlimited",
|
2983
|
+
"I" => "Non-Covered",
|
2984
|
+
"J" => "Cost Containment",
|
2985
|
+
"K" => "Reserve",
|
2986
|
+
"L" => "Primary Care Provider",
|
2987
|
+
"M" => "Pre-existing Condition",
|
2988
|
+
"MC" => "Managed Care Coordinator",
|
2989
|
+
"N" => "Services Restricted to Following Provider",
|
2990
|
+
"O" => "Not Deemed a Medical Necessity",
|
2991
|
+
"P" => "Benefit Disclaimer",
|
2992
|
+
"Q" => "Second Surgical Opinion Required",
|
2993
|
+
"R" => "Other or Additional Payor",
|
2994
|
+
"S" => "Prior Year(s) History",
|
2995
|
+
"T" => "Card(s) Reported Lost/Stolen",
|
2996
|
+
"U" => "Contact Following Entity for Eligibility or Benefit Information",
|
2997
|
+
"V" => "Cannot Process",
|
2998
|
+
"W" => "Other Source of Data",
|
2999
|
+
"X" => "Health Care Facility",
|
3000
|
+
"Y" => "Spend Down"))
|
3001
|
+
E1403 = t::ID.new(:E1403, "Implant Type Code" , 1, 1,
|
3002
|
+
s::CodeList.build(
|
3003
|
+
"1" => "Pulse Generator",
|
3004
|
+
"2" => "Arterial Lead",
|
3005
|
+
"3" => "Ventricular Lead",
|
3006
|
+
"4" => "Implantable Cardioverter Defibrillator (ICDs)",
|
3007
|
+
"5" => "Implantable Cardiac Pacemaker (ICPs)",
|
3008
|
+
"6" => "Cardiac Resynchronization Therapy Devices (CRTs)",
|
3009
|
+
"7" => "Pacing Leads",
|
3010
|
+
"8" => "Pacing Battery",
|
3011
|
+
"9" => "Coronary Stent",
|
3012
|
+
"A" => "Peripheral Stent",
|
3013
|
+
"B" => "Heart Valve",
|
3014
|
+
"C" => "Ventricular-Assist Device",
|
3015
|
+
"D" => "Implantable Heart Monitor",
|
3016
|
+
"E" => "Knee",
|
3017
|
+
"F" => "Hip",
|
3018
|
+
"G" => "Shoulder",
|
3019
|
+
"H" => "Elbow",
|
3020
|
+
"I" => "Ankle",
|
3021
|
+
"J" => "Toe",
|
3022
|
+
"K" => "Finger",
|
3023
|
+
"L" => "Spinal",
|
3024
|
+
"M" => "Orthobiologic",
|
3025
|
+
"N" => "Tissue",
|
3026
|
+
"O" => "Facial",
|
3027
|
+
"P" => "Dental",
|
3028
|
+
"Q" => "Opthalmic",
|
3029
|
+
"R" => "Gynecologic",
|
3030
|
+
"S" => "Urogynecologic",
|
3031
|
+
"T" => "Drug",
|
3032
|
+
"U" => "Otolaryngeal",
|
3033
|
+
"V" => "Cochlear",
|
3034
|
+
"W" => "Cosmetic",
|
3035
|
+
"X" => "Gastroenterologic",
|
3036
|
+
"Y" => "Urologic",
|
3037
|
+
"Z" => "Other"))
|
3038
|
+
E1401 = t::ID.new(:E1401, "Implant Status Code" , 1, 1,
|
3039
|
+
s::CodeList.build(
|
3040
|
+
"1" => "Implanted",
|
3041
|
+
"2" => "Explanted"))
|
3042
|
+
E1470 = t::Nn.new(:E1470, "Number" , 1, 9, 0)
|
3043
|
+
E1473 = t::ID.new(:E1473, "Pricing Methodology" , 2, 2,
|
3044
|
+
s::CodeList.build(
|
3045
|
+
"00" => "Zero Pricing (Not Covered Under Contract)",
|
3046
|
+
"01" => "Priced as Billed at 100%",
|
3047
|
+
"02" => "Priced at the Standard Fee Schedule",
|
3048
|
+
"03" => "Priced at a Contractual Percentage",
|
3049
|
+
"04" => "Bundled Pricing",
|
3050
|
+
"05" => "Peer Review Pricing",
|
3051
|
+
"06" => "Per Diem Pricing",
|
3052
|
+
"07" => "Flat Rate Pricing",
|
3053
|
+
"08" => "Combination Pricing",
|
3054
|
+
"09" => "Maternity Pricing",
|
3055
|
+
"10" => "Other Pricing",
|
3056
|
+
"11" => "Lower of Cost",
|
3057
|
+
"12" => "Ratio of Cost",
|
3058
|
+
"13" => "Cost Reimbursed",
|
3059
|
+
"14" => "Adjustment Pricing"))
|
3060
|
+
E1476 = t::ID.new(:E1476, "Language Proficiency Indicator" , 1, 1)
|
3061
|
+
E1514 = t::ID.new(:E1514, "Delay Reason Code" , 1, 2,
|
3062
|
+
s::CodeList.build(
|
3063
|
+
"1" => "Proof of Eligibility Unknown or Unavailable",
|
3064
|
+
"2" => "Litigation",
|
3065
|
+
"3" => "Authorization Delays",
|
3066
|
+
"4" => "Delay in Certifying Provider",
|
3067
|
+
"5" => "Delay in Shipping Billing Forms",
|
3068
|
+
"6" => "Delay in Delivery of Custom-made Appliances",
|
3069
|
+
"7" => "Third Party Processing Delay",
|
3070
|
+
"8" => "Delay in Eligibility Determination",
|
3071
|
+
"9" => "Original Claim Rejected or Denied Due to a Reason Unrelated to the Billing Limitation Rules",
|
3072
|
+
"10" => "Administration Delay in the Prior Approval Process",
|
3073
|
+
"11" => "Other",
|
3074
|
+
"15" => "Natural Disaster"))
|
3075
|
+
E1525 = t::ID.new(:E1525, "Request Category Code" , 1, 2,
|
3076
|
+
s::CodeList.build(
|
3077
|
+
"AR" => "Admission Review",
|
3078
|
+
"HS" => "Health Services Review",
|
3079
|
+
"IN" => "Individual",
|
3080
|
+
"SC" => "Specialty Care Review"))
|
3081
|
+
E1526 = t::ID.new(:E1526, "Policy Compliance Code" , 1, 2,
|
3082
|
+
s::CodeList.build(
|
3083
|
+
"1" => "Procedure Followed (Compliance)",
|
3084
|
+
"2" => "Not Followed - Call Not Made (Non-Compliance Call Not Made)",
|
3085
|
+
"3" => "Not Medically Necessary (Non-Compliance Non-Medically Necessary)",
|
3086
|
+
"4" => "Not Followed Other (Non-Compliance Other)",
|
3087
|
+
"5" => "Emergency Admit to Non-Network Hospital"))
|
3088
|
+
E1527 = t::ID.new(:E1527, "Exception Code" , 1, 2,
|
3089
|
+
s::CodeList.build(
|
3090
|
+
"1" => "Non-Network Professional Provider in Network Hospital",
|
3091
|
+
"2" => "Emergency Care",
|
3092
|
+
"3" => "Services or Specialist not in Network",
|
3093
|
+
"4" => "Out-of-Service Area",
|
3094
|
+
"5" => "State Mandates",
|
3095
|
+
"6" => "Other"))
|
3096
|
+
E1528 = t::Nn.new(:E1528, "Component Data Element Position in Composite", 1, 2, 0)
|
3097
|
+
E1595 = t::ID.new(:E1595, "Government Service Affilition Code" , 1, 1,
|
3098
|
+
s::CodeList.build(
|
3099
|
+
"A" => "Air Force",
|
3100
|
+
"B" => "Air Force Reserves",
|
3101
|
+
"C" => "Army",
|
3102
|
+
"D" => "Army Reserves",
|
3103
|
+
"E" => "Coast Guard",
|
3104
|
+
"F" => "Marine Corps",
|
3105
|
+
"G" => "Marine Corps Reserves",
|
3106
|
+
"H" => "National Guard",
|
3107
|
+
"I" => "Navy",
|
3108
|
+
"J" => "Navy Reserves",
|
3109
|
+
"K" => "Other",
|
3110
|
+
"L" => "Peace Corp",
|
3111
|
+
"M" => "Regular Armed Forces",
|
3112
|
+
"N" => "Reserves",
|
3113
|
+
"O" => "U.S. Public Health Service",
|
3114
|
+
"Q" => "Foreign Military",
|
3115
|
+
"R" => "American Red Cross",
|
3116
|
+
"S" => "Department of Defense",
|
3117
|
+
"U" => "United Services Organization",
|
3118
|
+
"W" => "Military Sealift Command"))
|
3119
|
+
E1596 = t::ID.new(:E1596, "Military Service Rank" , 1, 1,
|
3120
|
+
s::CodeList.build(
|
3121
|
+
"A1" => "Admiral",
|
3122
|
+
"A2" => "Airman",
|
3123
|
+
"A3" => "Airman First Class",
|
3124
|
+
"B1" => "Basic Airman",
|
3125
|
+
"B2" => "Brigadier General",
|
3126
|
+
"C1" => "Captain",
|
3127
|
+
"C2" => "Chief Master Sergeant",
|
3128
|
+
"C3" => "Chief Petty Officer",
|
3129
|
+
"C4" => "Chief Warrant",
|
3130
|
+
"C5" => "Colonel",
|
3131
|
+
"C6" => "Commander",
|
3132
|
+
"C7" => "Commodore",
|
3133
|
+
"C8" => "Corporal",
|
3134
|
+
"C9" => "Corporal Specialist 4",
|
3135
|
+
"E1" => "Ensign",
|
3136
|
+
"F1" => "First Lieutenant",
|
3137
|
+
"F2" => "First Sergeant",
|
3138
|
+
"F3" => "First Sergeant-Master Sergeant",
|
3139
|
+
"F4" => "Fleet Admiral",
|
3140
|
+
"G1" => "General",
|
3141
|
+
"G4" => "Gunnery Sergeant",
|
3142
|
+
"L1" => "Lance Corporal",
|
3143
|
+
"L2" => "Lieutenant",
|
3144
|
+
"L3" => "Lieutenant Colonel",
|
3145
|
+
"L4" => "Lieutenant Commander",
|
3146
|
+
"L5" => "Lieutenant General",
|
3147
|
+
"L6" => "Lieutenant Junior Grade",
|
3148
|
+
"M1" => "Major",
|
3149
|
+
"M2" => "Major General",
|
3150
|
+
"M3" => "Master Chief Petty Officer",
|
3151
|
+
"M4" => "Master Gunnery Sergeant Major",
|
3152
|
+
"M5" => "Master Sergeant",
|
3153
|
+
"M6" => "Master Sergeant Specialist 8",
|
3154
|
+
"P1" => "Petty Officer First Class",
|
3155
|
+
"P2" => "Petty Officer Second Class",
|
3156
|
+
"P3" => "Petty Officer Third Class",
|
3157
|
+
"P4" => "Private",
|
3158
|
+
"P5" => "Private First Class",
|
3159
|
+
"R1" => "Rear Admiral",
|
3160
|
+
"R2" => "Recruit",
|
3161
|
+
"S1" => "Seaman",
|
3162
|
+
"S2" => "Seaman Apprentice",
|
3163
|
+
"S3" => "Seaman Recruit",
|
3164
|
+
"S4" => "Second Lieutenant",
|
3165
|
+
"S5" => "Senior Chief Petty Officer",
|
3166
|
+
"S6" => "Senior Master Sergeant",
|
3167
|
+
"S7" => "Sergeant",
|
3168
|
+
"S8" => "Sergeant First Class Specialist 7",
|
3169
|
+
"S9" => "Sergeant Major Specialist 9",
|
3170
|
+
"SA" => "Sergeant Specialist 5",
|
3171
|
+
"SB" => "Staff Sergeant",
|
3172
|
+
"SC" => "Staff Sergeant Specialist 6",
|
3173
|
+
"T1" => "Technical Sergeant",
|
3174
|
+
"V1" => "Vice Admiral",
|
3175
|
+
"W1" => "Warrant Officer"))
|
3176
|
+
E1686 = t::Nn.new(:E1686, "Repeating Data Element Position" , 1, 4, 0)
|
3177
|
+
E1701 = t::ID.new(:E1701, "Eligibility Reason Code" , 1, 1,
|
3178
|
+
s::CodeList.build(
|
3179
|
+
"0" => "Age",
|
3180
|
+
"1" => "Disability",
|
3181
|
+
"2" => "End Stage Renal Disease (ESRD)"))
|
3182
|
+
E1705 = t::AN.new(:E1705, "Implementation Convention Reference" , 1, 35)
|
3183
|
+
E1715 = t::ID.new(:E1715, "Country Subdivision Code" , 1, 3,
|
3184
|
+
s::CodeList.external("5"))
|
3185
|
+
# E1773 = t::ID.new(:E1774, "Claim Authorization Code" , 1, 2,
|
3186
|
+
# s::CodeList.build(
|
3187
|
+
# "1" => "Immediate/Urgent Care",
|
3188
|
+
# "2" => "Services Rendered in a Retroactive Period",
|
3189
|
+
# "3" => "Emergency Care",
|
3190
|
+
# "4" => "Client Has Temporary Medicaid",
|
3191
|
+
# "5" => "Request from County for Second Opinion to Determine if Recipient Can Work",
|
3192
|
+
# "6" => "Request for Override Pending",
|
3193
|
+
# "7" => "Special Handling",
|
3194
|
+
# "Z" => "Mutually Defined"))
|
3195
|
+
E9998 = t::AN.new(:E9998, "Context Reference" , 1, 35)
|
3196
|
+
E9999 = t::AN.new(:E9999, "Context Name" , 1, 35)
|
3197
|
+
|
3198
|
+
C001 = Schema::CompositeElementDef.build(:C001,
|
3199
|
+
"Composite Unit of Measure",
|
3200
|
+
"To identify a composite unit of measure",
|
3201
|
+
E355 .component_use(r::Mandatory),
|
3202
|
+
E1018.component_use(r::Optional),
|
3203
|
+
E649 .component_use(r::Optional),
|
3204
|
+
E355 .component_use(r::Optional),
|
3205
|
+
E1018.component_use(r::Optional),
|
3206
|
+
E649 .component_use(r::Optional),
|
3207
|
+
E355 .component_use(r::Optional),
|
3208
|
+
E1018.component_use(r::Optional),
|
3209
|
+
E649 .component_use(r::Optional),
|
3210
|
+
E355 .component_use(r::Optional),
|
3211
|
+
E1018.component_use(r::Optional), # If not used, value is interpreted as 1
|
3212
|
+
E649 .component_use(r::Optional), # If not used, value is interpreted as 1
|
3213
|
+
E355 .component_use(r::Optional),
|
3214
|
+
E1018.component_use(r::Optional), # If not used, value is interpreted as 1
|
3215
|
+
E649 .component_use(r::Optional)) # If not used, value is interpreted as 1
|
3216
|
+
|
3217
|
+
# @note Copied from an unverified internet source
|
3218
|
+
C002 = Schema::CompositeElementDef.build(:C002,
|
3219
|
+
"Actions Indicated",
|
3220
|
+
"",
|
3221
|
+
E704.component_use(r::Mandatory),
|
3222
|
+
E704.component_use(r::Optional),
|
3223
|
+
E704.component_use(r::Optional),
|
3224
|
+
E704.component_use(r::Optional),
|
3225
|
+
E704.component_use(r::Optional))
|
3226
|
+
C003 = Schema::CompositeElementDef.build(:C003,
|
3227
|
+
"Composite Medical Procedure Identifier",
|
3228
|
+
"To identify a procedure by its standardized codes and applicable modifiers",
|
3229
|
+
E235 .component_use(r::Mandatory),
|
3230
|
+
E234 .component_use(r::Mandatory), # Qualified by C003-01
|
3231
|
+
E1339.component_use(r::Optional),
|
3232
|
+
E1339.component_use(r::Optional),
|
3233
|
+
E1339.component_use(r::Optional),
|
3234
|
+
E1339.component_use(r::Optional),
|
3235
|
+
E352 .component_use(r::Optional),
|
3236
|
+
E234 .component_use(r::Optional)) # Qualified by C003-01
|
3237
|
+
C004 = Schema::CompositeElementDef.build(:C004,
|
3238
|
+
"Composite Diagnosis Code Pointer",
|
3239
|
+
"To identify one or more diagnosis code pointers",
|
3240
|
+
E1328.component_use(r::Mandatory),
|
3241
|
+
E1328.component_use(r::Optional),
|
3242
|
+
E1328.component_use(r::Optional),
|
3243
|
+
E1328.component_use(r::Optional))
|
3244
|
+
C005 = Schema::CompositeElementDef.build(:C005,
|
3245
|
+
"Tooth Surface",
|
3246
|
+
"To identify one or more tooth surface codes",
|
3247
|
+
E1369.component_use(r::Mandatory),
|
3248
|
+
E1369.component_use(r::Optional),
|
3249
|
+
E1369.component_use(r::Optional),
|
3250
|
+
E1369.component_use(r::Optional),
|
3251
|
+
E1369.component_use(r::Optional))
|
3252
|
+
C006 = Schema::CompositeElementDef.build(:C006,
|
3253
|
+
"Oral Cavity Designation",
|
3254
|
+
"To identify one or more areas of oral cavity",
|
3255
|
+
E1361.component_use(r::Mandatory),
|
3256
|
+
E1361.component_use(r::Optional),
|
3257
|
+
E1361.component_use(r::Optional),
|
3258
|
+
E1361.component_use(r::Optional),
|
3259
|
+
E1361.component_use(r::Optional))
|
3260
|
+
C022 = Schema::CompositeElementDef.build(:C022,
|
3261
|
+
"Health Care Code Information",
|
3262
|
+
"To send health care codes and their associated dates, amounts and quantities",
|
3263
|
+
E1270.component_use(r::Mandatory),
|
3264
|
+
E1271.component_use(r::Mandatory),
|
3265
|
+
E1250.component_use(r::Relational),
|
3266
|
+
E1251.component_use(r::Relational),
|
3267
|
+
E782 .component_use(r::Optional),
|
3268
|
+
E380 .component_use(r::Optional),
|
3269
|
+
E799 .component_use(r::Optional),
|
3270
|
+
E1271.component_use(r::Relational),
|
3271
|
+
E1073.component_use(r::Relational),
|
3272
|
+
SyntaxNotes::P.build(3, 4),
|
3273
|
+
SyntaxNotes::E.build(8, 9))
|
3274
|
+
C023 = Schema::CompositeElementDef.build(:C023,
|
3275
|
+
"Health Care Service Location Information",
|
3276
|
+
"To provide information that identifies the place of service or the type of bill related to the location at which a health care service was rendered",
|
3277
|
+
E1331 .component_use(r::Mandatory),
|
3278
|
+
E1332 .component_use(r::Optional),
|
3279
|
+
E1325 .component_use(r::Optional))
|
3280
|
+
C024 = Schema::CompositeElementDef.build(:C024,
|
3281
|
+
"Related Causes Information",
|
3282
|
+
"To identify one or more related causes and associated state or country information",
|
3283
|
+
E1362.component_use(r::Mandatory),
|
3284
|
+
E1362.component_use(r::Optional),
|
3285
|
+
E1362.component_use(r::Optional),
|
3286
|
+
E156 .component_use(r::Optional),
|
3287
|
+
E26 .component_use(r::Optional))
|
3288
|
+
C030 = Schema::CompositeElementDef.build(:C030,
|
3289
|
+
"Position in Segment",
|
3290
|
+
"Code indicating the relative position of the simple data element or composite data structure in error within a segment, count beginning with 1 for the position immediately following the segment ID; additionally, indicating the relative position of a repeating structure in error, count beginning with 1 for the position immediately following the preceding element separator; additionally indicating the relative position of a component of a composite data structure in error, count beginning with 1 for the position following the preceding element or repetition separator",
|
3291
|
+
E722 .component_use(r::Mandatory),
|
3292
|
+
E1528.component_use(r::Optional),
|
3293
|
+
E1686.component_use(r::Optional))
|
3294
|
+
|
3295
|
+
# @note Copied from an unverified source
|
3296
|
+
C035 = Schema::CompositeElementDef.build(:C035,
|
3297
|
+
"Provider Specialty Information",
|
3298
|
+
"",
|
3299
|
+
E1222.component_use(r::Mandatory),
|
3300
|
+
E559 .component_use(r::Optional),
|
3301
|
+
E1073.component_use(r::Optional))
|
3302
|
+
C040 = Schema::CompositeElementDef.build(:C040,
|
3303
|
+
"Reference Identifier",
|
3304
|
+
"To identify one or more reference numbers or identification numbers as specified by the Reference Qualifier",
|
3305
|
+
E128 .component_use(r::Mandatory),
|
3306
|
+
E127 .component_use(r::Mandatory),
|
3307
|
+
E128 .component_use(r::Relational),
|
3308
|
+
E127 .component_use(r::Relational),
|
3309
|
+
E128 .component_use(r::Relational),
|
3310
|
+
E127 .component_use(r::Relational),
|
3311
|
+
SyntaxNotes::P.build(3, 4),
|
3312
|
+
SyntaxNotes::P.build(5, 6))
|
3313
|
+
C042 = Schema::CompositeElementDef.build(:C042,
|
3314
|
+
"Adjustment Identifier",
|
3315
|
+
"To provide the category and identifying reference information for an adjustment",
|
3316
|
+
E426 .component_use(r::Mandatory),
|
3317
|
+
E127 .component_use(r::Optional))
|
3318
|
+
C043 = Schema::CompositeElementDef.build(:C043,
|
3319
|
+
"Health Care Claim Status",
|
3320
|
+
"Used to convey status of the entire claim or a specific service line",
|
3321
|
+
E1271.component_use(r::Mandatory),
|
3322
|
+
E1271.component_use(r::Mandatory),
|
3323
|
+
E98 .component_use(r::Optional),
|
3324
|
+
E1270.component_use(r::Optional))
|
3325
|
+
|
3326
|
+
# @note Copied from unverified source
|
3327
|
+
C052 = Schema::CompositeElementDef.build(:C052,
|
3328
|
+
"Medicare Status Code",
|
3329
|
+
"To provide Medicare coverage and associated reason for Medicare eligibility",
|
3330
|
+
E1218.component_use(r::Mandatory),
|
3331
|
+
E1701.component_use(r::Optional),
|
3332
|
+
E1701.component_use(r::Optional),
|
3333
|
+
E1701.component_use(r::Optional))
|
3334
|
+
C056 = Schema::CompositeElementDef.build(:C056,
|
3335
|
+
"Composite Race or Ethnicity Information",
|
3336
|
+
"",
|
3337
|
+
E1109.component_use(r::Optional),
|
3338
|
+
E1270.component_use(r::Relational),
|
3339
|
+
E1271.component_use(r::Relational))
|
3340
|
+
C998 = Schema::CompositeElementDef.build(:C998,
|
3341
|
+
"Context Identification",
|
3342
|
+
"Holds information to identify a context",
|
3343
|
+
E9999.component_use(r::Mandatory),
|
3344
|
+
E9998.component_use(r::Optional))
|
3345
|
+
C999 = Schema::CompositeElementDef.build(:C999,
|
3346
|
+
"Reference in Segment",
|
3347
|
+
"To hold the reference number of a data element and optionally component data element within a composite",
|
3348
|
+
E725.component_use(r::Mandatory),
|
3349
|
+
E725.component_use(r::Mandatory))
|
3350
|
+
end
|
3351
|
+
end
|
3352
|
+
end
|
3353
|
+
end
|