EDI Dictionary
Schedule demo
EDI Dictionary
Transaction Sets
Segments
Elements
X12 Release 8010
X12 Release
4010
Schedule demo
X12 Release 8010
X12 Release
4010
Transaction Sets
Segments
Elements
EDI-Dictionary
8010
820 Payment Order Remittance Advice
INS-5600
1792-18
1792
Changed Identifying Information Code
Code specifying the identification information that changed from a request to a response.
Batch
Element Details
Type
ID
Length
Min 1 / Max 2
Codes
<>
G
Provider Network Status Mismatch - Correct Network Returned
<>
7
Group Number
<>
ZZ
Mutually Defined
<>
A
Gender
<>
1
First Name
<>
D
Change from Subscriber to Dependent
<>
4
Name Suffix
<>
B
Birth Sequence Number
<>
2
Middle Initial
<>
E
Address
<>
5
Date of Birth
<>
H
Provider Network Status Not Determined
<>
8
Policy Number
<>
C
Change from Dependent to Subscriber
<>
3
Last Name
<>
F
Provider Network Status Mismatch - Both In and Out of Network Returned
<>
6
Member Identification Number
<>
9
Case Number
<>
I
Provider Network Status Not Applicable