EDI Dictionary
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EDI Dictionary
Transaction Sets
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X12 Release 5010
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 5010
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
5010
834 Benefit Enrollment And Maintenance
COB-4000
1143-3
1143
Coordination of Benefits Code
Code identifying whether there is a coordination of benefits
Batch
Element Details
Type
ID
Length
Min 1 / Max 1
Codes
<>
7
Coordination of Benefits Applies to Subscriber Only
<>
1
Coordination of Benefits
<>
4
Coordination of Benefits applies to Dependents Only
<>
2
Coordination of Benefits applies to Spouse Only
<>
5
Unknown
<>
8
Conflict in Coordination of Benefit
<>
3
Coordination of Benefits applies to Spouse and Dependents
<>
6
No Coordination of Benefits
<>
9
Coordination of Benefits Applies to Whole Family