I010 Benefit
To identify benefit information.
Interactive
Elements
| Position | Element | Name | Type | Min/Max | Repeat | |
|---|---|---|---|---|---|---|
| I010-1 | 4713 | Eligibility or Benefit, coded | Mandatory | Alphanumeric | 1/3 | 1 |
| I010-2 | 2703 | Time/Period Type Qualifier | Rel | Alphanumeric | 1/3 | 1 |
| I010-3 | 5004 | Monetary Amount | Rel | Number | 1/18 | 1 |
| I010-4 | 5482 | Percentage | Rel | Number | 1/8 | 1 |
| I010-5 | 4715 | Benefit Modifier, coded | Rel | Alphanumeric | 1/3 | 1 |
| I010-6 | 5004 | Monetary Amount | Rel | Number | 1/18 | 1 |
Element Details
ID4713
NameEligibility or Benefit, coded
LengthMin 1 / Max 3