EDI Dictionary
Schedule demo
EDI Dictionary
Transaction Sets
Segments
Elements
X12 Release 7040
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
Schedule demo
X12 Release 7040
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
7040
278 Health Care Services Review Information
INS-2600
C052-6
C052
Medicare Status Code
To provide Medicare coverage and associated reason for Medicare eligibility
Batch
Elements
Position
Element
Name
Type
Min/Max
Repeat
C052-1
1218
Medicare Plan Code
Mandatory
ID
1/1
1
C052-2
1701
Eligibility Reason Code
Opt
ID
1/1
1
C052-3
1701
Eligibility Reason Code
Opt
ID
1/1
1
C052-4
1701
Eligibility Reason Code
Opt
ID
1/1
1
Element Details
ID
1218
Name
Medicare Plan Code
Length
Min 1 / Max 1
Codes
<>
G
Medicare Part A and D
<>
A
Medicare Part A
<>
D
Medicare
<>
B
Medicare Part B
<>
E
No Medicare
<>
H
Medicare Part B and D
<>
C
Medicare Part A and B
<>
F
Medicare Part D
<>
I
Medicare Part A, B and D