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
UDA
UDA
Underwriting Condition
Batch
To specify the condition under which insurance coverage is offered
Elements
Position
Element
Name
Type
Min/Max
Repeat
1
1123
Offer Basis Code
Mandatory
ID
2/3
1
2
352
Description
Opt
Alphanumeric
1/80
1
3
673
Quantity Qualifier
Rel
ID
2/2
1
4
380
Quantity
Rel
Decimal
1/15
1
5
355
Unit or Basis for Measurement Code
Opt
ID
2/2
1
6
610
Amount
Opt
Number
1/15
1
7
954
Percent
Opt
Decimal
1/10
1
Element Details
ID
1123
Name
Offer Basis Code
Length
Min 2 / Max 3
Position
1
Requirement
Mandatory
Codes
<>
AE
Super Preferred
<>
AC
Facultative
<>
NT
Non-tobacco
<>
AD
Facultative Obligatory
<>
NS
Non-smoker
<>
ZZ
Mutually Defined
<>
TO
Tobacco
<>
AB
No Differentiation on Tobacco Use
<>
AG
Declined
<>
01
Age Rated
<>
MA
Military Aviation Excluded
<>
AF
Uninsurable
<>
SD
Standard
<>
EX
Exclusion
<>
AA
All Aviation Excluded
<>
FE
Flat Extra
<>
PF
Preferred
<>
SM
Smoker
<>
TR
Table Rated
