EDI IHCEBI Interactive Health Care Eligibility Benefit Inquiry Message

This X12 Transaction Set contains the format and establishes the data contents of the Abandoned Property Filings Transaction Set IHCEBI for use within the context of an Electronic Data Interchange (EDI) environment. This transaction set is used to report abandoned property filings information, such as uncashed checks or abandoned bank account balances, to government agencies and may be used by the government agencies to distribute information on abandoned property for publication to the general public. It may also be used to initiate an Electronic Funds Transfer (EFT) payment to transfer the value of the abandoned property to the government agencies.

Segments

Position
Segment
Name
Max use
10
UIH
Interactive Message Header
Mandatory
AtMax 1
To head, identify and specify a message.
20
MSP
Message Purpose
Rel
AtMax 1
To specify the purpose and type of the message.
30
MSR
Message Routing
Rel
AtMax 1
To provide electronic message routing information.
40
RQR
Requester
Rel
AtMax 2
To specify information related to the originator of the message.
50
PVD
Provider
Rel
AtMax 3
To specify provider information.
60
SUB
Subscriber
Rel
AtMax 1
To specify subscriber or insured information.
70
PTT
Patient
Rel
AtMax 1
To provide patient information.
80
ELR
Eligibility Request
Rel
AtMax 5
To inquire about eligibility or benefit information.
90
UIT-I
Interactive Message Trailer
Mandatory
AtMax 1
To end and check the completeness of a message.

Elements

PositionElementNameRequirementTypeMin/MaxRepeat
1Interactive Message IdentifierMandatoryAtMax 1
2
0062
Message Reference NumberRelAlphanumeric1/141
3Dialogue ReferenceRelAtMax 1
4Status of Transfer - InteractiveRelAtMax 1
5Date/time of InitiationRelAtMax 1
6
0035
Test IndicatorRelNumber1/11