EDI Dictionary
Schedule demo
EDI Dictionary
Transaction Sets
Segments
Elements
X12 Release 8010
X12 Release
4010
4010
4030
4050
5010
5030
5050
6020
6040
7010
7030
7050
8010
4020
4040
4060
5020
5040
6010
6030
6050
7020
7040
7060
Schedule demo
X12 Release 8010
X12 Release
4010
4010
4030
4050
5010
5030
5050
6020
6040
7010
7030
7050
8010
4020
4040
4060
5020
5040
6010
6030
6050
7020
7040
7060
Transaction Sets
Segments
Elements
EDI-Dictionary
8010
820 Payment Order Remittance Advice
INS-5600
1219-7
1219
Consolidated Omnibus Budget Reconciliation Act (COBRA) Qualifying Event Code
Code identifying a qualifying event which results in loss of coverage for a Qualified Beneficiary
Batch
Element Details
Type
ID
Length
Min 1 / Max 2
Codes
<>
7
Ineligible Child
<>
ZZ
Mutually Defined
<>
1
Termination of Employment
<>
4
Death
<>
2
Reduction of work hours
<>
5
Divorce
<>
8
Bankruptcy of Retiree's Former Employer (26 U.S.C. 4980B(f)(3)(F))
<>
3
Medicare
<>
6
Separation
<>
9
Layoff
<>
10
Leave of Absence