Zenbridge
Transaction SetsSegments

EDI IHCEBR Interactive Health Care Eligibility Benefit Information Message

This X12 Transaction Set contains the format and establishes the data contents of the Abandoned Property Filings Transaction Set IHCEBR 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 1
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
ELG
Eligibility Response
Rel
AtMax 25
To provide eligibility or response information.
90
COO
Coordination of Benefits
Rel
AtMax 15
To provide coordination of benefit information.
100
PCP
Primary Care Provider
Rel
AtMax 5
To specify primary care provider information.
110
FBI
Further Benefit Information
Rel
AtMax 3
To provide further benefit information.
120
FRM
Follow-up for Messages
Rel
AtMax 1
To identify the special processing reasons and follow-up action for a message.
130
UIT-I
Interactive Message Trailer
Mandatory
AtMax 1
To end and check the completeness of a message.

Elements

PositionElementNameRequirementTypeMin/MaxRepeat
1
S306
Interactive Message IdentifierMandatoryAtMax 1
2
0062
Message Reference NumberRelAlphanumeric1/141
3
S302
Dialogue ReferenceRelAtMax 1
4
S301
Status of Transfer - InteractiveRelAtMax 1
5
S300
Date/time of InitiationRelAtMax 1
6
0035
Test IndicatorRelNumber1/11