ELR Eligibility Request

Rel
AtMax 5

To inquire about eligibility or benefit information.

Elements

PositionElementNameTypeMin/MaxRepeat
1
7701
Service Type, codedRelAlphanumeric1/3AtMax 1
I006DateRel
AtMax 1
I003Product/ServiceRel
AtMax 3
4
4701
Coverage Level, codedRelAlphanumeric1/3AtMax 1
5
4703
Insurance Type, codedRelAlphanumeric1/3AtMax 1
I008AmountRel
AtMax 1

Element Details

ID7701
NameService Type, coded
LengthMin 1 / Max 3
Position1
RequirementRel