EDI Dictionary
Schedule demo
EDI Dictionary
Transaction Sets
Segments
Elements
X12 Release 7040
X12 Release
4010
4020
4030
4040
4050
4060
5010
5030
5050
6020
6040
7010
7030
7050
8010
5020
5040
6010
6030
6050
7020
7040
7060
Schedule demo
X12 Release 7040
X12 Release
4010
4020
4030
4040
4050
4060
5010
5030
5050
6020
6040
7010
7030
7050
8010
5020
5040
6010
6030
6050
7020
7040
7060
Transaction Sets
Segments
Elements
EDI-Dictionary
7040
834 Benefit Enrollment And Maintenance
COB-4000
1138-1
1138
Payer Responsibility Sequence Number Code
Code identifying the insurance carrier's level of responsibility for a payment of a claim
Batch
Element Details
Type
ID
Length
Min 1 / Max 1
Codes
<>
G
Payer Responsibility Ten
<>
P
Primary
<>
N
Unconfirmed
<>
A
Payer Responsibility Four
<>
D
Payer Responsibility Seven
<>
T
Tertiary
<>
O
Noncapitated Agreement
<>
B
Payer Responsibility Five
<>
R
Non-specified
<>
E
Payer Responsibility Eight
<>
U
Unknown
<>
H
Payer Responsibility Eleven
<>
C
Payer Responsibility Six
<>
S
Secondary
<>
F
Payer Responsibility Nine