EDI Dictionary

Transaction Sets Segments

EDI-Dictionary

7040

EQ

EQ Eligibility or Benefit Inquiry

Batch

To specify inquired eligibility or benefit information

Elements

Position	Element	Name		Type	Min/Max	Repeat

C064Service TypeRel 99
C003Composite Medical Procedure IdentifierRel 99
3	1207	Coverage Level Code	Opt	ID	3/3	1
4	1788	Insurance Product Code	Opt	ID	1/3	1
5	1328	Diagnosis Code Pointer	Opt	Number	1/2	12
6	1791	Network Indicator Code	Opt	ID	1/2	1

Element Details

ID1207

NameCoverage Level Code

LengthMin 3 / Max 3

Position3

RequirementOpt

Codes

<>E5DEmployee and One or More Dependents
<>SPOSpouse Only
<>E6DEmployee and Two or More Dependents
<>E3DEmployee and Three Dependents
<>SS5Subscriber, spouse, and 1 or more children
<>S5CSubscriber and 1 or more children
<>E9DEmployee and Five or More Dependents
<>EMPEmployee Only
<>SPCSpouse and Children
<>SS6Subscriber, spouse, and 2 or more children
<>E7DEmployee and Three or More Dependents
<>ESPEmployee and Spouse
<>TWOTwo Party
<>CHDChildren Only
<>FAMFamily
<>SSPSubscriber and spouse
<>E1DEmployee and One Dependent
<>E2DEmployee and Two Dependents
<>INDIndividual
<>ECHEmployee and Children
<>S6CSubscriber and 2 or more children
<>S1CSubscriber and 1 child
<>SS1Subscriber, spouse, and 1 child
<>E8DEmployee and Four or More Dependents
<>DEPDependents Only