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
REP
REP
Repair Action
Batch
To specify the action that was taken or is to be taken in response to a service request
Elements
Position
Element
Name
Type
Min/Max
Repeat
1
350
Assigned Identification
Opt
Alphanumeric
1/20
1
2
235
Product/Service ID Qualifier
Rel
ID
2/2
1
3
234
Product/Service ID
Rel
Alphanumeric
1/48
1
4
235
Product/Service ID Qualifier
Rel
ID
2/2
1
5
234
Product/Service ID
Rel
Alphanumeric
1/48
1
6
559
Agency Qualifier Code
Rel
ID
2/2
1
7
822
Source Subqualifier
Opt
Alphanumeric
1/15
1
8
1226
Repair Action Code
Rel
Alphanumeric
1/4
1
9
352
Description
Opt
Alphanumeric
1/80
1
10
559
Agency Qualifier Code
Rel
ID
2/2
1
11
822
Source Subqualifier
Opt
Alphanumeric
1/15
1
12
1227
Repair Complexity Code
Rel
Alphanumeric
1/3
1
13
235
Product/Service ID Qualifier
Rel
ID
2/2
1
14
234
Product/Service ID
Rel
Alphanumeric
1/48
1
15
1226
Repair Action Code
Rel
Alphanumeric
1/4
1
16
352
Description
Rel
Alphanumeric
1/80
1
17
559
Agency Qualifier Code
Rel
ID
2/2
1
18
822
Source Subqualifier
Opt
Alphanumeric
1/15
1
19
127
Reference Identification
Rel
Alphanumeric
1/30
1
20
553
Authorization Identification
Opt
Alphanumeric
1/4
1
Element Details
ID
350
Name
Assigned Identification
Length
Min 1 / Max 20
Position
1
Requirement
Opt