EDI Dictionary
Schedule demo
EDI Dictionary
Transaction Sets
Segments
Elements
X12 Release 4030
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
Schedule demo
X12 Release 4030
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
4030
IHCEBR Interactive Health Care Eligibility Benefit Information Message
PVD-50
PVD
Provider
Rel
AtMax 1
To specify provider information.
Elements
Position
Element
Name
Type
Min/Max
Repeat
1
4705
Provider, coded
Mandatory
Alphanumeric
1/3
AtMax 1
I001
Reference Number
Rel
AtMax 2
I012
Health Care Service Location Information
Rel
AtMax 1
I007
Provider Specialty
Rel
AtMax 1
I002
Name
Rel
AtMax 1
6
3251
Postcode Identification
Rel
Alphanumeric
1/11
AtMax 1
Element Details
ID
4705
Name
Provider, coded
Length
Min 1 / Max 3
Position
1
Requirement
Mandatory
