ACT Account Identification

To specify account information

Position: ACT-01 · Element: 508 · Name: Account Number · Type: String (AN) · Requirement: Mandatory · Min: 1 · Max: 35 · Repeat: -

Account number assigned

Position: ACT-02 · Element: 93 · Name: Name · Type: String (AN) · Requirement: Optional · Min: 1 · Max: 60 · Repeat: -

Free-form name

ACT02 is the name of the account in ACT01.

Position: ACT-03 · Element: 66 · Name: Identification Code Qualifier · Type: Identifier (ID) · Requirement: Conditional · Min: 1 · Max: 2 · Repeat: -

Code designating the system/method of code structure used for Identification Code (67)

P0304: If either ACT-03 or ACT-04 is present, then the other is required

Position: ACT-04 · Element: 67 · Name: Identification Code · Type: String (AN) · Requirement: Conditional · Min: 2 · Max: 80 · Repeat: -

Code identifying a party or other code

Position: ACT-05 · Element: 569 · Name: Account Number Qualifier · Type: Identifier (ID) · Requirement: Conditional · Min: 1 · Max: 3 · Repeat: -

Code indicating the type of account

C0506: If ACT-05 is present, then ACT-06 is required

Position: ACT-06 · Element: 508 · Name: Account Number · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 35 · Repeat: -

Account number assigned

ACT06 is an account associated with the account in ACT01.

Position: ACT-07 · Element: 352 · Name: Description · Type: String (AN) · Requirement: Optional · Min: 1 · Max: 80 · Repeat: -

A free-form description to clarify the related data elements and their content

C0705: If ACT-07 is present, then ACT-05 is required

ACT07 is the name associated with the account identified in ACT06.

Position: ACT-08 · Element: 107 · Name: Payment Method Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 2 · Repeat: -

Code identifying type of payment procedures

ACT08 indicates if the data for the account in ACT01 is used for billing or information purposes.

Position: ACT-09 · Element: 1216 · Name: Benefit Status Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: -

The type of coverage under which benefits are paid