OTI Other insurance
To provide payer, insured, and payment information when benefits are being coordinated between third party benefit carriers.
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.
Code specifying the level of responsibility of a payer.
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 the type of service.
To specify the value of a monetary amount.
Code specifying the general category of adjustment.
Code specifying the adjustment reason.
To specify the value of a monetary amount.
Code specifying the meaning of the insurance cover.
Code specifying a relationship.
User or association defined code. May be used in combination with 1131/3055.
Code specifying either a yes or no.