EDI Dictionary
Schedule demo
EDI Dictionary
Transaction Sets
Segments
Elements
X12 Release 7030
X12 Release
4010
Schedule demo
X12 Release 7030
X12 Release
4010
Transaction Sets
Segments
Elements
EDI-Dictionary
7030
274 Healthcare Provider Information
BCI-1800
BCI
Basic Claim Information
Opt
AtMax 9
To identify information basic to the processing of any claims transaction
Elements
Position
Element
Name
Type
Min/Max
Repeat
1
1271
Industry Code
Opt
Alphanumeric
1/30
AtMax 1
2
1336
Insurance Type Code
Opt
ID
1/3
AtMax 1
3
127
Reference Identification
Opt
Alphanumeric
1/80
AtMax 1
4
156
State or Province Code
Opt
ID
2/2
AtMax 1
5
1250
Date Time Period Format Qualifier
Rel
ID
2/3
AtMax 1
6
1251
Date Time Period
Rel
Alphanumeric
1/35
AtMax 1
7
755
Report Type Code
Opt
ID
2/2
AtMax 1
8
100
Currency Code
Opt
ID
3/3
AtMax 1
Element Details
ID
1271
Name
Industry Code
Length
Min 1 / Max 30
Position
1
Requirement
Opt