EDI Dictionary

Transaction Sets Segments

EDI-Dictionary

4010

837 Health Care Claim

CR2-430

CR2 Chiropractic Certification

Opt

AtMax 5

To supply information related to the chiropractic service rendered to a patient

Elements

Position	Element	Name		Type	Min/Max	Repeat

1	609	Count	Rel	Number	1/9	Exact 1
2	380	Quantity	Rel	Decimal	1/15	Exact 1
3	1367	Subluxation Level Code	Rel	ID	2/3	Exact 1
4	1367	Subluxation Level Code	Opt	ID	2/3	Exact 1
5	355	Unit or Basis for Measurement Code	Rel	ID	2/2	Exact 1
6	380	Quantity	Rel	Decimal	1/15	Exact 1
7	380	Quantity	Opt	Decimal	1/15	Exact 1
8	1342	Nature of Condition Code	Opt	ID	1/1	Exact 1
9	1073	Yes/No Condition or Response Code	Opt	ID	1/1	Exact 1
10	352	Description	Opt	Alphanumeric	1/80	Exact 1
11	352	Description	Opt	Alphanumeric	1/80	Exact 1
12	1073	Yes/No Condition or Response Code	Opt	ID	1/1	Exact 1

Element Details

ID609

NameCount

LengthMin 1 / Max 9

Position1

RequirementRel