EDI Dictionary
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X12 Release 7010
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
7010
187 Premium Audit Request And Return
ITA-1100
ITA
Allowance, Charge or Service
Opt
AtMax 1
To specify allowances, charges, or services
Elements
Position
Element
Name
Type
Min/Max
Repeat
1
248
Allowance or Charge Indicator Code
Mandatory
ID
1/1
AtMax 1
2
559
Agency Qualifier Code
Rel
ID
2/2
AtMax 1
3
560
Special Services Code
Rel
ID
2/10
AtMax 1
4
331
Allowance or Charge Method of Handling Code
Mandatory
ID
2/2
AtMax 1
5
341
Allowance or Charge Number
Opt
Alphanumeric
1/16
AtMax 1
6
359
Allowance or Charge Rate
Opt
Decimal
1/15
AtMax 1
7
360
Allowance or Charge Total Amount
Opt
Number
1/15
AtMax 1
8
378
Allowance/Charge Percent Qualifier
Opt
ID
1/1
AtMax 1
9
332
Percent, Decimal Format
Rel
Decimal
1/6
AtMax 1
10
380
Quantity
Rel
Decimal
1/15
AtMax 1
11
355
Unit or Basis for Measurement Code
Rel
ID
2/2
AtMax 1
12
380
Quantity
Rel
Decimal
1/15
AtMax 1
13
352
Description
Rel
Alphanumeric
1/80
AtMax 1
14
150
Special Charge or Allowance Code
Rel
ID
3/3
AtMax 1
15
822
Source Subqualifier
Opt
Alphanumeric
1/15
AtMax 1
16
662
Relationship Code
Opt
ID
1/1
AtMax 1
17
355
Unit or Basis for Measurement Code
Opt
ID
2/2
AtMax 1
Element Details
ID
248
Name
Allowance or Charge Indicator Code
Length
Min 1 / Max 1
Position
1
Requirement
Mandatory
Codes
<>
P
Promotion
<>
N
No Allowance or Charge
<>
A
Allowance
<>
Q
Charge Request
<>
R
Allowance Request
<>
C
Charge
<>
S
Service