EDI Dictionary
Schedule demo
EDI Dictionary
Transaction Sets
Segments
Elements
X12 Release 4040
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 4040
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
4040
837 Health Care Claim
CLM-1300
1366-12
1366
Special Program Code
Code indicating the Special Program under which the services rendered to the patient were performed
Batch
Element Details
Type
ID
Length
Min 2 / Max 3
Codes
<>
07
Induced Abortion - Danger to Life
<>
01
Early & Periodic Screening, Diagnosis, and Treatment (EPSDT) or Child Health Assessment Program (CHAP)
<>
04
Family Planning
<>
02
Physically Handicapped Children's Program
<>
05
Disability
<>
08
Induced Abortion - Rape or Incest
<>
03
Special Federal Funding
<>
06
Pneumococcal Pneumonia Vaccine (PPV) or Medicare 100% Payment
<>
10
Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) External Partnership Program
<>
09
Second Opinion or Surgery