EDI Dictionary
Schedule demo
EDI Dictionary
Transaction Sets
Segments
Elements
X12 Release 4050
X12 Release
4010
Schedule demo
X12 Release 4050
X12 Release
4010
Transaction Sets
Segments
Elements
EDI-Dictionary
4050
255 Underwriting Information Services
DMA-2300
DMA
Additional Demographic Information
Opt
AtMax 9
To supply additional demographic identification
Elements
Position
Element
Name
Type
Min/Max
Repeat
1
127
Reference Identification
Opt
Alphanumeric
1/50
AtMax 1
2
156
State or Province Code
Opt
ID
2/2
AtMax 1
3
127
Reference Identification
Rel
Alphanumeric
1/50
AtMax 1
4
156
State or Province Code
Rel
ID
2/2
AtMax 1
5
1268
Applicant Type Code
Opt
ID
1/1
AtMax 1
6
83
Code For Licensing, Certification, Registration, or Accreditation Agency
Rel
ID
1/2
AtMax 1
7
26
Country Code
Rel
ID
2/3
AtMax 1
8
819
Language Code
Opt
ID
2/3
AtMax 1
9
546
Status Code
Opt
ID
2/2
AtMax 1
Element Details
ID
127
Name
Reference Identification
Length
Min 1 / Max 50
Position
1
Requirement
Opt
