REP Repair Action

To specify the action that was taken or is to be taken in response to a service request

Position
Element
Name
Type
Requirement
Min
Max
Repeat
REP-01
Assigned Identification
String (AN)
Optional
1
20
1
Alphanumeric characters assigned for differentiation within a transaction set
REP01 is used by other segments to refer to this instance of the REP loop. It also could be used to identify an individual repair within a multiple-repair claim.
REP-02
Product/Service ID Qualifier
Identifier (ID)
Conditional
2
2
1
Code identifying the type/source of the descriptive number used in Product/Service ID (234)
P0203: If either REP-02 or REP-03 is present, then the other is required
REP-03
Product/Service ID
String (AN)
Conditional
1
80
1
Identifying number for a product or service
REP03 refers to the part or assembly.
REP-04
Product/Service ID Qualifier
Identifier (ID)
Conditional
2
2
1
Code identifying the type/source of the descriptive number used in Product/Service ID (234)
P0405: If either REP-04 or REP-05 is present, then the other is required
REP-05
Product/Service ID
String (AN)
Conditional
1
80
1
Identifying number for a product or service
C0503: If REP-05 is present, then REP-03 is required
REP05 may be used to further specify a part or assembly.
REP-06
Agency Qualifier Code
Identifier (ID)
Conditional
2
2
1
Code identifying the agency assigning the code values
C0608: If REP-06 is present, then REP-08 is required
REP06 identifies the source of the code in REP08 and REP15.
REP-07
Source Subqualifier
String (AN)
Optional
1
15
1
A reference that indicates the table or text maintained by the Source Qualifier
C0706: If REP-07 is present, then REP-06 is required
REP07 specifies a particular table of codes maintained by the agency identified in REP06.
REP-08
Repair Action Code
String (AN)
Conditional
1
4
1
Code specifying if the required action is to repair or scrap, etc.; it also can be used to specify the particular type of repair task
REP08 specifies the repair that took place or is to take place on the item referenced in REP03.
REP-09
Description
String (AN)
Optional
1
80
1
A free-form description to clarify the related data elements and their content
REP09 is used to allow free-form text for the description of a service action when a coded value is not adequate.
REP-10
Agency Qualifier Code
Identifier (ID)
Conditional
2
2
1
Code identifying the agency assigning the code values
C1012: If REP-10 is present, then REP-12 is required
REP10 identifies the source for the code in REP12.
REP-11
Source Subqualifier
String (AN)
Optional
1
15
1
A reference that indicates the table or text maintained by the Source Qualifier
C1110: If REP-11 is present, then REP-10 is required
REP-12
Repair Complexity Code
String (AN)
Conditional
1
3
1
Code identifying the complexity of the repair
REP12 describes the total difficulty of completing this individual repair action.
REP-13
Product/Service ID Qualifier
Identifier (ID)
Conditional
2
2
1
Code identifying the type/source of the descriptive number used in Product/Service ID (234)
P1314: If either REP-13 or REP-14 is present, then the other is required
REP-14
Product/Service ID
String (AN)
Conditional
1
80
1
Identifying number for a product or service
L141516: If REP-14 is present, then at least one of REP-15 or REP-16 is required
REP14 refers to a replacement part or assembly.
REP-15
Repair Action Code
String (AN)
Conditional
1
4
1
Code specifying if the required action is to repair or scrap, etc.; it also can be used to specify the particular type of repair task
P1514: If either REP-15 or REP-14 is present, then the other is required
REP15 specifies the service performed on the replacement part or assembly.
REP-16
Description
String (AN)
Conditional
1
80
1
A free-form description to clarify the related data elements and their content
REP16 is used to allow free-form text for the description of a service action when a coded value is not adequate.
REP-17
Agency Qualifier Code
Identifier (ID)
Conditional
2
2
1
Code identifying the agency assigning the code values
C1719: If REP-17 is present, then REP-19 is required
REP17 refers to the source of the code in REP19.
REP-18
Source Subqualifier
String (AN)
Optional
1
15
1
A reference that indicates the table or text maintained by the Source Qualifier
C1817: If REP-18 is present, then REP-17 is required
REP-19
Reference Identification
String (AN)
Conditional
1
80
1
Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
REP19 is used to refer to a specific location on the product being serviced.
REP-20
Authorization Identification
String (AN)
Optional
1
4
1
Identifier representing authorization of an unusual repair or some attendant condition
REP20 can be used to provide a preauthorized repair action even though it is not a normal condition.

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