EDI Dictionary
Schedule demo
EDI Dictionary
Transaction Sets
Segments
Elements
X12 Release 4030
X12 Release
4010
4020
4030
4040
4050
4060
5010
5030
5050
6020
6040
7010
7030
7050
8010
5020
5040
6010
6030
6050
7020
7040
7060
Schedule demo
X12 Release 4030
X12 Release
4010
4020
4030
4040
4050
4060
5010
5030
5050
6020
6040
7010
7030
7050
8010
5020
5040
6010
6030
6050
7020
7040
7060
Transaction Sets
Segments
Elements
EDI-Dictionary
4030
IHCEBI Interactive Health Care Eligibility Benefit Inquiry Message
ELR-80
ELR
Eligibility Request
Rel
AtMax 5
To inquire about eligibility or benefit information.
Elements
Position
Element
Name
Type
Min/Max
Repeat
1
7701
Service Type, coded
Rel
Alphanumeric
1/3
AtMax 1
I006
Date
Rel
AtMax 1
I003
Product/Service
Rel
AtMax 3
4
4701
Coverage Level, coded
Rel
Alphanumeric
1/3
AtMax 1
5
4703
Insurance Type, coded
Rel
Alphanumeric
1/3
AtMax 1
I008
Amount
Rel
AtMax 1
Element Details
ID
7701
Name
Service Type, coded
Length
Min 1 / Max 3
Position
1
Requirement
Rel