PCC Premium calculation component details

To identify the component affecting a premium calculation and the value category of the component.

Send feedback Share via email
Position
Element
Name
Type
Requirement
Min
Max
Repeat
010
Premium calculation component
Composite (composite)
Conditional
1
010
Premium calculation component identifier
String (AN)
Conditional
1
17
-
To identify a component affecting premium calculation.
020
Code list identification code
String (AN)
Conditional
1
17
-
Code identifying a user or association maintained code list.
1 The codes for this data element are provided by the code list responsible agency defined in data element 3055.
030
Code list responsible agency code
String (AN)
Conditional
1
3
-
Code specifying the agency responsible for a code list.
020
Premium calculation component value category identifier
String (AN)
Conditional
1
35
1
To identify the value category of a premium calculation component.
Stedi.comDocumentationContact us

Stedi is a registered trademark of Stedi, Inc. Stedi's EDI Reference is provided for marketing purposes and is free of charge. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.