LIC License Information
To provide license information
Position
Element
Name
Type
Requirement
Min
Max
Repeat
Code specifying the Standard State/Province as defined by appropriate government agency
LIC01 identifies the licensing state.
Code identifying the type/source of the descriptive number used in Product/Service ID (234)
Identifying number for a product or service
Code indicating a Yes or No condition or response
LIC04 defines the license residency type. A "Y" indicates a resident license; an "N" indicates a non resident license.
Code identifying the status of a business transaction, such as a claim, policy, real estate, or securities transaction
LIC05 defines the license status.
Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
LIC06 defines the license number.
Code specifying the Standard State/Province as defined by appropriate government agency
LIC07 defines the resident state.
Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
C0807: If LIC-08 is present, then LIC-07 is required
LIC08 defines the resident state license number.