EDI Dictionary
Schedule demo
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
DMA
DMA
Additional Demographic Information
Batch
To supply additional demographic identification
Elements
Position
Element
Name
Type
Min/Max
Repeat
1
127
Reference Identification
Opt
Alphanumeric
1/30
1
2
156
State or Province Code
Opt
ID
2/2
1
3
127
Reference Identification
Rel
Alphanumeric
1/30
1
4
156
State or Province Code
Rel
ID
2/2
1
5
1268
Applicant Type Code
Opt
ID
1/1
1
6
83
Licensing Agency Code
Rel
ID
1/1
1
7
26
Country Code
Rel
ID
2/3
1
8
819
Language Code
Opt
ID
2/3
1
9
546
Status Code
Opt
ID
2/2
1
Element Details
ID
127
Name
Reference Identification
Length
Min 1 / Max 30
Position
1
Requirement
Opt
