EDI Dictionary
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X12 Release 6030
X12 Release
4010
4020
4030
4040
4050
4060
5010
5020
5030
5040
5050
6010
6020
6030
6040
6050
7010
7020
7030
7040
7050
7060
8010
Transaction Sets
Segments
Elements
EDI-Dictionary
6030
SV7
SV7
Drug Adjudication
Batch
To specify the claim service detail for drug services that have been adjudicated
Elements
Position
Element
Name
Type
Min/Max
Repeat
1
127
Reference Identification
Opt
Alphanumeric
1/80
1
2
127
Reference Identification
Opt
Alphanumeric
1/80
1
3
1355
Prescription Denial Override Code
Opt
ID
2/2
1
4
1207
Coverage Level Code
Mandatory
ID
3/3
1
5
750
Product/Process Characteristic Code
Mandatory
ID
2/3
1
6
1073
Yes/No Condition or Response Code
Opt
ID
1/1
1
C059
Drug Use Review (DUR)
Opt
6
Element Details
ID
127
Name
Reference Identification
Length
Min 1 / Max 80
Position
1
Requirement
Opt
