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
278 Health Care Services Review Information
CL1-1100
CL1
Claim Codes
Opt
AtMax 1
To supply information specific to hospital claims
Elements
Position
Element
Name
Type
Min/Max
Repeat
1
1315
Admission Type Code
Opt
ID
1/1
AtMax 1
2
1314
Admission Source Code
Opt
ID
1/1
AtMax 1
3
1352
Patient Status Code
Opt
ID
1/2
AtMax 1
4
1345
Nursing Home Residential Status Code
Opt
ID
1/1
AtMax 1
Element Details
ID
1315
Name
Admission Type Code
Length
Min 1 / Max 1
Position
1
Requirement
Opt