COO Coordination of Benefits
Rel
AtMax 15
To provide coordination of benefit information.
Elements
| Position | Element | Name | Type | Min/Max | Repeat | ||
|---|---|---|---|---|---|---|---|
AtMax 1 | |||||||
| 2 | 3036 | Party Name | Rel | Alphanumeric | 1/35 | AtMax 1 | |
AtMax 1 | |||||||
AtMax 1 | |||||||
| 5 | 3036 | Party Name | Rel | Alphanumeric | 1/35 | AtMax 1 | |
| 6 | 1154-I | Reference Number | Rel | Alphanumeric | 1/35 | AtMax 1 | |
| 7 | 3036 | Party Name | Rel | Alphanumeric | 1/35 | AtMax 1 | |
AtMax 1 | |||||||
AtMax 2 | |||||||
| 10 | 4703 | Insurance Type, coded | Rel | Alphanumeric | 1/3 | AtMax 1 | |
AtMax 1 | |||||||
AtMax 1 | |||||||
| 13 | 4711 | Condition/Response, coded | Rel | Alphanumeric | 1/3 | AtMax 1 | |
Element Details
ID3036
NameParty Name
LengthMin 1 / Max 35
Position2
RequirementRel