EDI Dictionary
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X12 Release 4010
X12 Release
4010
4020
4030
4040
4050
4060
5010
5020
5030
5040
5050
6010
6020
6030
6040
6050
7010
7020
7030
7040
7050
7060
8010
Transaction Sets
Segments
Elements
EDI-Dictionary
4010
1360
1360
Provider Agreement Code
Batch
Code indicating the type of agreement under which the provider is submitting this claim
Element Details
Type
ID
Length
Min 1 / Max 1
Codes
<>
P
Participation Agreement
<>
N
No Agreement
<>
D
Managed Dental Care Program
<>
E
Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) "External" Partnership Agreement
<>
H
Health Maintenance Organization (HMO) Agreement
<>
Y
Preferred Provider Organization (PPO) Agreement
<>
I
Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) "Internal" Partnership Agreement
