ADI Health care claim adjudication information
To provide adjudication information for all services in a health care claim.
Position
Element
Name
Type
Requirement
Min
Max
Repeat
Code specifying the unique identity of an object.
Code qualifying the identification of an object.
Element marked for deletion for interactive use in D.01A and replaced by NME/E012. Usage indicator will revert to (B) in D.01A.
Code specifying a status.
For transport status, use UN/ECE Recommendation 24.
To identify a product.
Identification of a code list.
Code specifying the procedure modification.
Code specifying the procedure modification.
Code specifying the procedure modification.
Code specifying the procedure modification.
Code specifying the action to be taken or already taken.
Code specifying the type of monetary amount.
To specify the value of a monetary amount.
Code specifying a monetary unit.
Use ISO 4217 three alpha code.
Code giving specific meaning to data element 6345 Currency.
Code specifying a status.
For transport status, use UN/ECE Recommendation 24.
Alphanumeric representation of a quantity.
Code specifying the general category of adjustment.
Code specifying the adjustment reason.
To specify the value of a monetary amount.
Code specifying a policy limitation.
Code specifying the name of a product group.
User or association defined code may be used in combination with 1131/3055.
Code giving specific meaning to a date, time or period.
The value of a date, a date and time, a time or of a period in a specified representation.
Code specifying the representation of a date, time or period.
Code specifying a diagnosis category.
Value expressed as a percentage of a specified amount.