BCI Basic Claim Information

To identify information basic to the processing of any claims transaction

Position: BCI-01 · Element: 1271 · Name: Industry Code · Type: String (AN) · Requirement: Optional · Min: 1 · Max: 20 · Repeat: -

Code indicating a code from a specific industry code list

BCI01 is used to specify the line of insurance (i.e., line of business).

Position: BCI-02 · Element: 1336 · Name: Insurance Type Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 3 · Repeat: -

Code identifying the type of insurance policy within a specific insurance program

Position: BCI-03 · Element: 127 · Name: Reference Number · Type: String (AN) · Requirement: Optional · Min: 1 · Max: 30 · Repeat: -

Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.

BCI03 is used to specify the actual policy number.

Position: BCI-04 · Element: 156 · Name: State or Province Code · Type: Identifier (ID) · Requirement: Optional · Min: 2 · Max: 2 · Repeat: -

Code (Standard State/Province) as defined by appropriate government agency.

BCI04 is used to specify the state associated with the policy (i.e., policy's base state).

Position: BCI-05 · Element: 1250 · Name: Date Time Period Format Qualifier · Type: Identifier (ID) · Requirement: Conditional · Min: 2 · Max: 3 · Repeat: -

Code indicating the date format, time format, or date and time format.

P0506: If either BCI-05 or BCI-06 is present, then the other is required

Position: BCI-06 · Element: 1251 · Name: Date Time Period · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 35 · Repeat: -

Expression of a date, a time, or range of dates, times or dates and times.

BCI06 is used to specify the range of dates the policy was in effect.

Position: BCI-07 · Element: 755 · Name: Report Type Code · Type: Identifier (ID) · Requirement: Optional · Min: 2 · Max: 2 · Repeat: -

Code indicating the title or contents of a document, report or supporting item

Position: BCI-08 · Element: 100 · Name: Currency Code · Type: Identifier (ID) · Requirement: Optional · Min: 3 · Max: 3 · Repeat: -

Code (Standard ISO) for country in whose currency the charges are specified.

BCI08 is used to specify the currency specified in a contractual agreement of the policy.