EQ Eligibility or Benefit Inquiry

Opt

AtMax 1

To specify inquired eligibility or benefit information

Elements

Position	Element	Name		Type	Min/Max	Repeat

1	1271	Industry Code	Rel	Alphanumeric	1/30	AtMax 99
C003Composite Medical Procedure IdentifierRel AtMax 99
3	1207	Coverage Level Code	Opt	ID	3/3	AtMax 1
4	1336	Insurance Type Code	Opt	ID	1/3	AtMax 1
5	1328	Diagnosis Code Pointer	Opt	Number	1/2	AtMax 12

ID1271

NameIndustry Code

LengthMin 1 / Max 30

Position1

RequirementRel