- EB =
s::SegmentDef.build(:EB, "Eligibility or Benefit Information",
"To supply eligibility or benefit information",
e::E1390.simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E1207.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1365.simple_use(r::Optional, s::RepeatCount.bounded(99)),
e::E1336.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1204.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E615 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E954 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E673 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1073.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1073.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C003 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C004 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
SyntaxNotes::P.build(9, 10))
- EC =
s::SegmentDef.build(:EC, "Employment Class",
"To provide class of employment information",
e::E1176.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1176.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1176.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E954 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1201.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1149.simple_use(r::Optional, s::RepeatCount.bounded(1)))
- EM =
s::SegmentDef.build(:EM, "@todo", "")
- EQ =
s::SegmentDef.build(:EQ, "Eligibility or Benefit Inquiry",
"To specify inquired eligibility or benefit information",
e::E1365.simple_use(r::Relational, s::RepeatCount.bounded(99)),
e::C003 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1207.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1336.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C004 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
SyntaxNotes::R.build(1, 2))
- FC =
s::SegmentDef.build(:FC, "Financial Contribution", "")
- GE =
s::SegmentDef.build(:GE, "Functional Group Trailer",
"To indicate the end of a functional group and provider control
information",
e::E97 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E28 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)))
- GS =
s::SegmentDef.build(:GS, "Functional Group Header",
"To indicate the beginning of a functional group and to provider
control information",
e::E479 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E142 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E124 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E373 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E337 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E28 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E455 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E480 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)))
- HD =
s::SegmentDef.build(:HD, "Health Coverage",
"To provide information on health coverage",
e::E875 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E1203.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1205.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1204.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1207.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E609 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E609 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1209.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1073.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1211.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1073.simple_use(r::Optional, s::RepeatCount.bounded(1)))
- HI =
s::SegmentDef.build(:HI, "Health Care Information Codes",
"To supply information related to the delivery of health care",
e::C022 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::C022 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C022 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C022 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C022 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C022 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C022 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C022 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C022 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C022 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C022 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C022 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- HL =
s::SegmentDef.build(:HL, "Hierarchical Level",
"To identify dependencies among the content of hierarchically related
groups of data segments",
e::E628 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E734 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E735 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E736 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- K3 =
s::SegmentDef.build(:K3, "File Information",
"To transmit a fixed-format record or matrix contents",
e::E449 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E1333.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C001 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- LC =
s::SegmentDef.build(:LC, "Life Coverage", "")
- LE =
s::SegmentDef.build(:LE, "Loop Trailer",
"To indicate that the loop immediately preceding this segment is
complete",
e::E447 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)))
- LQ =
s::SegmentDef.build(:LQ, "Industry Code Identification",
"To identify standard industry codes",
e::E1270.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1271.simple_use(r::Relational, s::RepeatCount.bounded(1)),
SyntaxNotes::C.build(1, 2))
- LS =
s::SegmentDef.build(:LS, "Loop Header",
"To indicate that the next segment begins a loop",
e::E447 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)))
- LX =
s::SegmentDef.build(:LX, "Transaction Set Line Number",
"To reference a line number in a transaction set",
e::E554 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)))
- N1 =
s::SegmentDef.build(:N1, "Party Identification",
"To identify a party by type of organization, name, and code",
e::E98 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E93 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E66 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E67 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E706 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E98 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
SyntaxNotes::R.build(2, 3),
SyntaxNotes::P.build(3, 4))
- N2 =
s::SegmentDef.build(:N2, "Additional Name Information",
"To specify additional names",
e::E93 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E93 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- N3 =
s::SegmentDef.build(:N3, "Party Location",
"To specify the location of the named party",
e::E166 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E166 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- N4 =
s::SegmentDef.build(:N4, "Geographic Location",
"To specify the geographic place of the named party",
e::E19 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E156 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E116 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E26 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E309 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E310 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1715.simple_use(r::Relational, s::RepeatCount.bounded(1)),
SyntaxNotes::E.build(2, 7),
SyntaxNotes::C.build(6, 5),
SyntaxNotes::C.build(7, 4))
- N9 =
s::SegmentDef.build(:N9, "Reference Identification", "")
- OI =
s::SegmentDef.build(:OI, "Other Health Insurance Information",
"To specify information associated with other health insurance
coverage",
e::E1032.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1383.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1073.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1351.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1360.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1363.simple_use(r::Optional, s::RepeatCount.bounded(1)))
- PM =
s::SegmentDef.build(:PM, "Electronic Funds Transfer Information", "")
- RP =
s::SegmentDef.build(:RP, "Retirement Product", "")
- SE =
s::SegmentDef.build(:SE, "Transaction Set Trailer",
"To indicate the end of the transaction set and provide the count of
the transmitted segments (including the beginning (ST) and ending (SE)
segments)",
e::E96 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E329 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)))
- ST =
s::SegmentDef.build(:ST, "Transaction Set Header",
"To indicate the start of a transaction set and assign a control
number",
e::E143 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E329 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E1705.simple_use(r::Optional, s::RepeatCount.bounded(1)))
- UM =
s::SegmentDef.build(:UM, "Health Care Services Review Information", "")
- UR =
s::SegmentDef.build(:UR, "Peer Review Organization or Utilization Review", "")
- AAA =
s::SegmentDef.build(:AAA, "Request Validation",
"To specify the validity of the request and indicate follow-up action
authorized",
e::E1073.simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E559 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E901 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E889 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- ACT =
s::SegmentDef.build(:ACT, "Account Identification",
"To specify account information",
e::E508 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E93 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E66 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E67 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E569 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E508 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E352 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E107 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1216.simple_use(r::Optional, s::RepeatCount.bounded(1)),
SyntaxNotes::P.build(3, 4),
SyntaxNotes::C.build(5, 6),
SyntaxNotes::C.build(7, 5))
- AD1 =
s::SegmentDef.build(:AD1, "Adjustment Amount", "")
- ADX =
s::SegmentDef.build(:ADX, "Adjustment", "")
- AIN =
s::SegmentDef.build(:AIN, "Income", "")
- AK1 =
s::SegmentDef.build(:AK1, "Functional Group Response Header",
"To start acknowledgement of a functional group",
e::E479 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E28 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E480 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- AK2 =
s::SegmentDef.build(:AK2, "Transaction Set Response Header",
"To start acknowledgement of a single transaction set",
e::E143 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E329 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E1705.simple_use(r::Optional, s::RepeatCount.bounded(1)))
- AK3 =
s::SegmentDef.build(:AK3, "Data Segement Note",
"To report errors in a data segment, and identify the location of a
data segment",
e::E721 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E719 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E447 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E720 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- AK4 =
s::SegmentDef.build(:AK4, "Data Segement Note",
"To report errors in a data segment, and identify the location of a
data segment",
e::C030 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E725 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E723 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E724 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- AK5 =
s::SegmentDef.build(:AK5, "Transaction Set Response Trailer",
"To acknowledge acceptance or rejection and report errors in a
transaction set",
e::E717 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E718 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E718 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E718 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E718 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E718 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- AK9 =
s::SegmentDef.build(:AK9, "Functional Group Response Trailer",
"To acknowledge acceptance or rejection of a functional group and
report the number of included transaction sets from the original
trailer, the accepted sets, and the received sets in this functional
group",
e::E715 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E97 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E123 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E2 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E716 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E716 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E716 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E716 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E716 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- AMT =
s::SegmentDef.build(:AMT, "Monetary Amount Information",
"To indicate the total monetary amount",
e::E522 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E478 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- ASM =
s::SegmentDef.build(:ASM, "Amount and Settlement Method", "")
- ATN =
s::SegmentDef.build(:ATN, "Attendance", "")
- BEN =
s::SegmentDef.build(:BEN, "Beneficiary or Owner Information", "")
- BGN =
s::SegmentDef.build(:BGN, "Beginning Segment",
"To indicate the beginning of a transaction set",
e::E353 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E373 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E337 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E623 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E640 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E306 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E786 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
SyntaxNotes::C.build(5, 4))
- BHT =
s::SegmentDef.build(:BHT, "Beginning of Hierarchical Transaction",
"To define the business hierarchical structure of the transaction set
and identify the business application purpose and reference data,
i.e., number, date, and time",
e::E1005.simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E353 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E373 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E337 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E640 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- BPR =
s::SegmentDef.build(:BPR, "Financial Information",
"To indicate the beginning of a Payment Order/Remittance Advice
Transaction Set and total payment amount, or to enable related
transfer of funds and/or information from payer to payee to occur",
e::E305 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E478 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E591 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E812 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E506 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E507 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E569 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E508 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E509 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E510 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E506 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E507 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E569 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E508 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E373 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1048.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E506 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E507 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E569 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E508 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
SyntaxNotes::P.build( 6, 7),
SyntaxNotes::C.build( 8, 9),
SyntaxNotes::P.build(12, 13),
SyntaxNotes::C.build(14, 15),
SyntaxNotes::P.build(18, 19),
SyntaxNotes::C.build(20, 21))
- CAS =
s::SegmentDef.build(:CAS, "Claims Adjustment",
"To supply adjustment reason codes and amounts as needed for an entire
claim or for a particular service within the claim being paid",
e::E1033.simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E1034.simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1034.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1034.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1034.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1034.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1034.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
SyntaxNotes::L.build( 5, 6, 7),
SyntaxNotes::C.build( 6, 5),
SyntaxNotes::C.build( 7, 5),
SyntaxNotes::L.build( 8, 9, 10),
SyntaxNotes::C.build( 9, 8),
SyntaxNotes::C.build(10, 8),
SyntaxNotes::L.build(11, 12, 13),
SyntaxNotes::C.build(12, 11),
SyntaxNotes::C.build(13, 11),
SyntaxNotes::L.build(14, 15, 16),
SyntaxNotes::C.build(15, 14),
SyntaxNotes::C.build(16, 14),
SyntaxNotes::L.build(17, 18, 19),
SyntaxNotes::C.build(18, 17),
SyntaxNotes::C.build(19, 17))
- CL1 =
s::SegmentDef.build(:CL1, "Claim Codes",
"To supply information specific to hopsital claims",
e::E1315.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1314.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1352.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1345.simple_use(r::Optional, s::RepeatCount.bounded(1)))
- CLM =
s::SegmentDef.build(:CLM, "Health Claim",
"To specify basic data about the claim",
e::E1028.simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1032.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1343.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C023 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1073.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1359.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1073.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1363.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1351.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C024 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1366.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1073.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1338.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1073.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1360.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1029.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1073.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1383.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1514.simple_use(r::Optional, s::RepeatCount.bounded(1)))
- CLP =
s::SegmentDef.build(:CLP, "Claim Level Data",
"To supply information common to all services of a claim",
e::E1028.simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E1029.simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1032.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1331.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1325.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1352.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1354.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E954 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1073.simple_use(r::Optional, s::RepeatCount.bounded(1)))
- CN1 =
s::SegmentDef.build(:CN1, "Contract Information",
"To specify basic data about the contract or contract line item",
e::E1166.simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E332 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E338 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E799 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- COB =
s::SegmentDef.build(:COB, "Coordination of Benefits",
"To supply information on coordination of benefits",
e::E1138.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1143.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1365.simple_use(r::Optional, s::RepeatCount.bounded(1)))
- CR1 =
s::SegmentDef.build(:CR1, "Ambulance Certification",
"To supply information related to the ambulance service rendered to a
patient",
e::E355 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E81 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1316.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1317.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E355 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E166 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E166 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E352 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E352 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
SyntaxNotes::P.build(1, 2),
SyntaxNotes::P.build(5, 6))
- CR2 =
s::SegmentDef.build(:CR2, "Chiropractic Certification",
"To supply information related to the chiropractic service rendered to
a patient",
e::E609 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1367.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1367.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E355 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1342.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1073.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E352 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E352 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1073.simple_use(r::Optional, s::RepeatCount.bounded(1)),
SyntaxNotes::P.build(1, 2),
SyntaxNotes::C.build(4, 3),
SyntaxNotes::P.build(5, 6))
- CR3 =
s::SegmentDef.build(:CR3, "Durable Medical Equipment Certification",
"To supply information regarding a physician's certification for
durable medical equipment",
e::E1322.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E355 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1335.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E352 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
SyntaxNotes::P.build(2, 3))
- CR4 =
s::SegmentDef.build(:CR4, "Enteral or Parenteral Therapy Certification", "")
- CR5 =
s::SegmentDef.build(:CR5, "Oxygen Therapy Certification", "")
- CR6 =
s::SegmentDef.build(:CR6, "Home Health Care Certification", "")
- CR7 =
s::SegmentDef.build(:CR7, "Home Health Treatment Plan Certification", "")
- CR8 =
s::SegmentDef.build(:CR8, "Pacemaker Certification", "")
- CRC =
s::SegmentDef.build(:CRC, "Conditions Indicator",
"To supply information on conditions",
e::E1136.simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E1073.simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E1321.simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E1321.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1321.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1321.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1321.simple_use(r::Optional, s::RepeatCount.bounded(1)))
- CTP =
s::SegmentDef.build(:CTP, "Pricing Information",
"To specify pricing information",
e::E687 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E236 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E212 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::C001 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E648 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E649 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E639 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E499 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E289 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
SyntaxNotes::P.build( 4, 5),
SyntaxNotes::C.build( 6, 7),
SyntaxNotes::C.build( 9, 2),
SyntaxNotes::C.build(10, 2),
SyntaxNotes::C.build(11, 3))
- CTX =
s::SegmentDef.build(:CTX, "Context",
"Describes an event context in terms of the application or
implementation context in force at the time the event occurred and the
position in the EDI stream at which that context was activated",
e::C998 .simple_use(r::Mandatory, s::RepeatCount.bounded(10)),
e::E721 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E719 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E447 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C030 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C999 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- CUR =
s::SegmentDef.build(:CUR, "Currency",
"To specify the currency (dollars, pounds, francs, etc) used in a
transaction",
e::E98 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E100 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E280 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E98 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E100 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E669 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E374 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E373 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E337 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E374 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E373 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E337 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E374 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E373 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E337 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E374 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E373 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E337 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E374 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E373 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E337 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
SyntaxNotes::C.build( 8, 7),
SyntaxNotes::C.build( 9, 7),
SyntaxNotes::L.build(10, 11, 12),
SyntaxNotes::C.build(11, 10),
SyntaxNotes::C.build(12, 10),
SyntaxNotes::L.build(13, 14, 15),
SyntaxNotes::C.build(14, 13),
SyntaxNotes::C.build(15, 13),
SyntaxNotes::L.build(16, 17, 18),
SyntaxNotes::C.build(17, 16),
SyntaxNotes::C.build(18, 16),
SyntaxNotes::L.build(19, 20, 21),
SyntaxNotes::C.build(20, 19),
SyntaxNotes::C.build(21, 19))
- DED =
s::SegmentDef.build(:DED, "Deductions", "")
- DMG =
s::SegmentDef.build(:DMG, "Demographic Information",
"To supply demographic information",
e::E1250.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1251.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1068.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1067.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C056 .simple_use(r::Relational, s::RepeatCount.bounded(10)),
e::E1066.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E26 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E659 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1270.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1271.simple_use(r::Relational, s::RepeatCount.bounded(1)),
SyntaxNotes::P.build( 1, 2),
SyntaxNotes::P.build(10, 11),
SyntaxNotes::C.build(11, 5))
- DN1 =
s::SegmentDef.build(:DN1, "Orthodontic Information",
"To supply orthodontic information",
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1073.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E352 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- DN2 =
s::SegmentDef.build(:DN2, "Tooth Summary",
"To specify the status of individual teeth",
e::E127 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E1368.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1250.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1251.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1270.simple_use(r::Mandatory, s::RepeatCount.bounded(1)))
- DSB =
s::SegmentDef.build(:DSB, "Disability Information",
"To provide disability information",
e::E1146.simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1149.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1154.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1161.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E235 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1137.simple_use(r::Relational, s::RepeatCount.bounded(1)),
SyntaxNotes::P.build(7, 8))
- DTM =
s::SegmentDef.build(:DTM, "Date/Time Reference",
"To specify pertinent dates and times",
e::E374 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E373 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E337 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E623 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1250.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1251.simple_use(r::Relational, s::RepeatCount.bounded(1)))
- DTP =
s::SegmentDef.build(:DTP, "Date or Time Period",
"To specify any or all of a date, or a time period",
e::E374 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E1250.simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E1251.simple_use(r::Mandatory, s::RepeatCount.bounded(1)))
- EMS =
s::SegmentDef.build(:EMS, "Employment Position", "")
- ENT =
s::SegmentDef.build(:ENT, "Entity", "")
- FA1 =
s::SegmentDef.build(:FA1, "Type of Financial Accounting Data", "")
- FA2 =
s::SegmentDef.build(:FA2, "Accounting Data", "")
- FRM =
s::SegmentDef.build(:FRM, "Supporting Documentation",
"To specify information in response to a codified questionnaire
document",
e::E350 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E1073.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E373 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E332 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
SyntaxNotes::R.build(2, 3, 4, 5))
- FSA =
s::SegmentDef.build(:FSA, "Flexible Spending Account", "")
- G53 =
s::SegmentDef.build(:G53, "Maintenance Type", "")
- HCP =
s::SegmentDef.build(:HCP, "Health Care Pricing",
"To specify pricing or repricing information about a health care claim
or line item",
e::E1473.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E118 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E234 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E235 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E234 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E355 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E901 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1526.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1527.simple_use(r::Optional, s::RepeatCount.bounded(1)),
SyntaxNotes::R.build( 1, 13),
SyntaxNotes::P.build( 9, 10),
SyntaxNotes::P.build(11, 12))
- HCR =
s::SegmentDef.build(:HCR, "@todo", "")
- HLH =
s::SegmentDef.build(:HLH, "Health Information",
"To provide health information",
e::E1212.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E65 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E81 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E81 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E352 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1213.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E352 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- HSD =
s::SegmentDef.build(:HSD, "Health Care Services Delivery",
"To specify the delivery pattern of health care services",
e::E673 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E355 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1167.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E615 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E616 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E678 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E679 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
SyntaxNotes::P.build(1, 2),
SyntaxNotes::C.build(6, 5))
- ICM =
s::SegmentDef.build(:ICM, "Individual Income",
"To supply information to determine benefit eligibility, deductibles,
and retirement and investment contributions",
e::E594 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E310 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1214.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E100 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- IDC =
s::SegmentDef.build(:IDC, "Identification Card",
"To provide notification to produce replacement identification
card(s)",
e::E1204.simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E1215.simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E306 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- III =
s::SegmentDef.build(:III, "Information",
"To report information",
e::E1270.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1271.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1136.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E933 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C001 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E752 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E752 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E752 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
SyntaxNotes::P.build(1, 2),
SyntaxNotes::L.build(3, 4, 5))
- IK3 =
s::SegmentDef.build(:IK3, "Transaction Set Response Header",
"To start acknowledgement of a single transaction set",
e::E721 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E719 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E447 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E620 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- IK4 =
s::SegmentDef.build(:IK4, "Implementation Data Element Note",
"To report implementation errors in a data element or composite data
structure and identify the location of the data element",
e::C030 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E725 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E621 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E724 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- IK5 =
s::SegmentDef.build(:IK5, "Transaction Set Response Trailer",
"To acknowledge acceptance or rejection and report implementation
errors in a transaction set",
e::E717 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E618 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E618 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E618 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E618 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E618 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- IMM =
s::SegmentDef.build(:IMM, "Immunization Status", "")
- INS =
s::SegmentDef.build(:INS, "Insured Benefit",
"To provide benefit information on insured entities",
e::E1073.simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E1069.simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E875 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1203.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1216.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C052 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1219.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E584 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1220.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1073.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1250.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1251.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1165.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E19 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E156 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E26 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1470.simple_use(r::Optional, s::RepeatCount.bounded(1)),
SyntaxNotes::P.build(11, 12))
- INV =
s::SegmentDef.build(:INV, "Investment Vehicle", "")
- IT1 =
s::SegmentDef.build(:IT1, "Baseline Item Data (Invoice)", "")
- LIN =
s::SegmentDef.build(:LIN, "Item Identification",
"To specify basic item identification data",
e::E350 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E235 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E234 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E235 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E234 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E235 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E234 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E235 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E234 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E235 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E234 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E235 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E234 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E235 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E234 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E235 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E234 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E235 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E234 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E235 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E234 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E235 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E234 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E235 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E234 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E235 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E234 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E235 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E234 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E235 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E234 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
SyntaxNotes::P.build( 4, 5),
SyntaxNotes::P.build( 6, 7),
SyntaxNotes::P.build( 8, 9),
SyntaxNotes::P.build(10, 11),
SyntaxNotes::P.build(12, 13),
SyntaxNotes::P.build(14, 15),
SyntaxNotes::P.build(16, 17),
SyntaxNotes::P.build(18, 19),
SyntaxNotes::P.build(20, 21),
SyntaxNotes::P.build(22, 23),
SyntaxNotes::P.build(24, 25),
SyntaxNotes::P.build(26, 27),
SyntaxNotes::P.build(28, 29),
SyntaxNotes::P.build(30, 31))
- LOC =
s::SegmentDef.build(:LOC, "Location", "")
- LUI =
s::SegmentDef.build(:LUI, "Language Use",
"To specify language, type of usage, and proficiency or fluency",
e::E66 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E67 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E352 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1303.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1476.simple_use(r::Optional, s::RepeatCount.bounded(1)),
SyntaxNotes::P.build(1, 2),
SyntaxNotes::L.build(4, 2, 3))
- MEA =
s::SegmentDef.build(:MEA, "Measurements",
"To specify physical measurements or counts, including dimensions,
tolerances, variances, and weights",
e::E737 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E738 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E739 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::C001 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E740 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E741 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E935 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E936 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E752 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E753 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1270.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1271.simple_use(r::Relational, s::RepeatCount.bounded(1)),
SyntaxNotes::R.build( 3, 5, 6, 8),
SyntaxNotes::E.build( 4, 12),
SyntaxNotes::L.build( 5, 4, 12),
SyntaxNotes::L.build( 6, 4, 12),
SyntaxNotes::L.build( 7, 3, 5, 6),
SyntaxNotes::E.build( 8, 3),
SyntaxNotes::P.build(11, 12))
- MIA =
s::SegmentDef.build(:MIA, "Medicare Inpatient Adjudication",
"To provide claim-level data related to the adjudication of Medicare
inpatient claims",
e::E380 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- MOA =
s::SegmentDef.build(:MOA, "Medicare Outpatient Adjudication",
"To convey claim-level data related to the adjudication of Medicare
claims not related to an inpatient setting",
e::E954 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- MPI =
s::SegmentDef.build(:MPI, "Military Personnel Information",
"To report military service data",
e::E1201.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E584 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1595.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E353 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1596.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1250.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1251.simple_use(r::Optional, s::RepeatCount.bounded(1)),
SyntaxNotes::P.build(6, 7))
- MSG =
s::SegmentDef.build(:MSG, "Message Text",
"To specify the service line item detail for a health care
professional",
e::E933 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E934 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1470.simple_use(r::Optional, s::RepeatCount.bounded(1)),
SyntaxNotes::C.build(3, 2))
- NM1 =
s::SegmentDef.build(:NM1, "Individual or Organizational Name",
"To supply the full name of an individual or organizational entity",
e::E98 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E1065.simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E1035.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1036.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1037.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1038.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1039.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E66 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E67 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E706 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E98 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1035.simple_use(r::Optional, s::RepeatCount.bounded(1)),
SyntaxNotes::P.build( 8, 9),
SyntaxNotes::C.build(11, 10),
SyntaxNotes::C.build(12, 3))
- NTE =
s::SegmentDef.build(:NTE, "Note/Special Instruction",
"To transmit information in a free-form format, if necessary, for
comment or special instruction",
e::E363 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E352 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)))
- NX1 =
s::SegmentDef.build(:NX1, "Property or Entity Identification", "")
- PAT =
s::SegmentDef.build(:PAT, "Patient Information",
"To supply patient information",
e::E1069.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1384.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E584 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1220.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1250.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1251.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E355 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E81 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1073.simple_use(r::Optional, s::RepeatCount.bounded(1)),
SyntaxNotes::P.build(5, 6),
SyntaxNotes::P.build(7, 8))
- PCT =
s::SegmentDef.build(:PCT, "Percent Amounts", "")
- PDP =
s::SegmentDef.build(:PDP, "@todo", "")
- PDR =
s::SegmentDef.build(:PDR, "@todo", "")
- PEN =
s::SegmentDef.build(:PEN, "Pension Information", "")
- PER =
s::SegmentDef.build(:PER, "Administrative Communications Contact",
"To identify a person or office to whom administrative communications
should be directed",
e::E366 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E93 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E365 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E364 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E365 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E364 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E365 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E364 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E443 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
SyntaxNotes::P.build(3, 4),
SyntaxNotes::P.build(5, 6),
SyntaxNotes::P.build(7, 8))
- PID =
s::SegmentDef.build(:PID, "Product/Item Description", "")
- PKD =
s::SegmentDef.build(:PKD, "@todo", "")
- PLA =
s::SegmentDef.build(:PLA, "Place or Location",
"To indicate action to be taken for the location specified and to
qualify the location specified",
e::E306 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E98 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E373 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E337 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1203.simple_use(r::Optional, s::RepeatCount.bounded(1)))
- PLB =
s::SegmentDef.build(:PLB, "Provider Level Adjustment",
"To convey provider level adjustment information for debit or credit
transactions such as, accelerated payments, cost report settlements
for a fiscal year, and timeliness report penalties unrelated to a
specific claim or service",
e::E127 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E373 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::C042 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::C042 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::C042 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::C042 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::C042 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::C042 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
SyntaxNotes::P.build( 5, 8),
SyntaxNotes::P.build( 7, 8),
SyntaxNotes::P.build( 9, 10),
SyntaxNotes::P.build(11, 12),
SyntaxNotes::P.build(13, 14))
- PRV =
s::SegmentDef.build(:PRV, "Provider Information",
"To specify the identifying characteristics of a provider",
e::E1221.simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E128 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E156 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C035 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1223.simple_use(r::Optional, s::RepeatCount.bounded(1)),
SyntaxNotes::P.build(2, 3))
- PS1 =
s::SegmentDef.build(:PS1, "Purchase Service",
"To specify the information about services that are purchased",
e::E127 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E156 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- PWK =
s::SegmentDef.build(:PWK, "Paperwork",
"To identify the type or transmission or both of paperwork or support
information",
e::E755 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E756 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E757 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E98 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E66 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E67 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E352 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C002 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1525.simple_use(r::Optional, s::RepeatCount.bounded(1)),
SyntaxNotes::P.build(5, 6))
- PYD =
s::SegmentDef.build(:PYD, "Payroll Deduction", "")
- QTY =
s::SegmentDef.build(:QTY, "Quantity Information",
"To specify quantity information",
e::E673.simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E380.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::C001.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E61 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
SyntaxNotes::R.build(2, 4),
SyntaxNotes::E.build(2, 4))
- RDM =
s::SegmentDef.build(:RDM, "Remittance Delivery Method",
"To identify remittance delivery when remittance is separate from
payment",
e::E756 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E93 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E364 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C040 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C040 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- REF =
s::SegmentDef.build(:REF, "Reference Information",
"To specify identifying information",
e::E128 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E352 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::C040 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
SyntaxNotes::R.build(2, 3))
- REL =
s::SegmentDef.build(:REL, "Relationship", "")
- RMR =
s::SegmentDef.build(:RMR, "Remittance Advice Accounts Receivable Open Item Reference", "")
- RPA =
s::SegmentDef.build(:RPA, "Rate Amounts or Percents", "")
- RYL =
s::SegmentDef.build(:RYL, "Royalty Payment", "")
- SAC =
s::SegmentDef.build(:SAC, "Service, Promotion, Allowance, or Charge Information", "")
- SBR =
s::SegmentDef.build(:SBR, "Subscriber Information",
"To record information specific to the primary insured and the
insurance carrier for that insured",
e::E1138.simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E1069.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E93 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1336.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1143.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1073.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E584 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1032.simple_use(r::Optional, s::RepeatCount.bounded(1)))
- SD1 =
s::SegmentDef.build(:SD1, "@todo", "")
- SLN =
s::SegmentDef.build(:SLN, "Subline Item Detail", "")
- STC =
s::SegmentDef.build(:STC, "Status Information",
"To report the status, required action, and paid information of a
claim or service line",
e::C043 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E373 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E306 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E373 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E591 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E373 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E429 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C043 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C043 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E933 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- SV1 =
s::SegmentDef.build(:SV1, "Professional Service",
"To specify the service line item detail for a health care
professional",
e::C003 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E355 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1331.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1365.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C004 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1073.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1340.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1073.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1073.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1364.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1341.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1327.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1334.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E116 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1337.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1360.simple_use(r::Optional, s::RepeatCount.bounded(1)),
SyntaxNotes::P.build(3, 4))
- SV2 =
s::SegmentDef.build(:SV2, "Institutional Service",
"To specify the service line item detail for a health care
institution",
e::E234 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::C003 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E355 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1371.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1073.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1345.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1337.simple_use(r::Optional, s::RepeatCount.bounded(1)))
- SV3 =
s::SegmentDef.build(:SV3, "Dental Service",
"To specify the service line item detail for dental work",
e::C003 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1331.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C006 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1358.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E352 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1327.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1360.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E1073.simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C004 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- SV4 =
s::SegmentDef.build(:SV4, "Drug Service", "")
- SV5 =
s::SegmentDef.build(:SV5, "Durable Medical Equipment Service",
"To specify the claim service detail for durable medical equipment",
e::C003 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E355 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E594 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E923 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
SyntaxNotes::R.build(4, 5),
SyntaxNotes::C.build(6, 5))
- SV6 =
s::SegmentDef.build(:SV6, "Anesthesia Service", "")
- SV7 =
s::SegmentDef.build(:SV7, "Drug Adjudication", "")
- SVC =
s::SegmentDef.build(:SVC, "Service Payment Information",
"To supply payment and control information to a provider for a
particular service",
e::C003 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E234 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::C003 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- SVD =
s::SegmentDef.build(:SVD, "Service Line Adjustment",
"To convey service line adjudication information for coordination of
benefits between the initial payers of a health care claim and all
subsequent payers",
e::E67 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::C003 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E234 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E554 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- TOO =
s::SegmentDef.build(:TOO, "Tooth Identification",
"To identify a tooth by number and, if applicable, one or more tooth
surfaces",
e::E1270.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::E1271.simple_use(r::Relational, s::RepeatCount.bounded(1)),
e::C005 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- TRN =
s::SegmentDef.build(:TRN, "Trace",
"To uniquely identify a transaction to an application",
e::E481 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E509 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E127 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- TS2 =
s::SegmentDef.build(:TS2, "Transaction Supplemental Statistics",
"To supply supplemental summary control information by provider fiscal
year and bill type",
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- TS3 =
s::SegmentDef.build(:TS3, "Transaction Statistics",
"To supply provider-level control information",
e::E127 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E1331.simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E373 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Mandatory, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E380 .simple_use(r::Optional, s::RepeatCount.bounded(1)),
e::E782 .simple_use(r::Optional, s::RepeatCount.bounded(1)))
- TXI =
s::SegmentDef.build(:TXI, "Tax Information", "")
- TXP =
s::SegmentDef.build(:TXP, "Tax Payment", "")
- VEH =
s::SegmentDef.build(:VEH, "Vehicle Information", "")