Zenbridge
EDI Dictionary

EDI IHCEBI Interactive Health Care Eligibility Benefit Inquiry Message

This Draft Standard for Trial Use contains the format and establishes the data contents of the Interactive Health Care Eligibility/Benefit Inquiry Message (IHCEBI) for use within the context of an Electronic Data Interchange (EDI) environment. This message can be used to inquire on health care elgibility or benefit information associated with a subscriber or dependent under the subscriber's payor or group.

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 3
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
ELR
Eligibility Request
Rel
AtMax 5
To inquire about eligibility or benefit information.
90
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