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

ID1271

NameIndustry Code

LengthMin 1 / Max 30

Position1

RequirementOpt