Ì i 2
ansi.270
[ansi.270.inq.no]
/GID["270",gid]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.270.inq.no 2 PINT R gid
ansi.270.dep.addr1 35 FREE L /GID["270",gid]D|7
ansi.270.dep.addr2 35 FREE L /GID["270",gid]D|8
ansi.270.dep.b.ser.date 8 DATE L /GID["270",gid]D|17
ansi.270.dep.birthdate 10 BDATE L /GID["270",gid]D|12
ansi.270.dep.city 50 FREE L /GID["270",gid]D|9
ansi.270.dep.e.ser.date 8 DATE L /GID["270",gid]D|18
ansi.270.dep.entity.cd 2 FREE L /GID["270",gid]D|1
ansi.270.dep.first.name 25 FREE L /GID["270",gid]D|3
ansi.270.dep.insured.cd 2 FREE L /GID["270",gid]D|15
ansi.270.dep.last.name 35 FREE L /GID["270",gid]D|2
ansi.270.dep.mar.status 1 FREE L /GID["270",gid]D|14
ansi.270.dep.mid.name 25 FREE L /GID["270",gid]D|4
ansi.270.dep.number 17 FREE L /GID["270",gid]D|6
ansi.270.dep.number.code 2 FREE L /GID["270",gid]D|5
ansi.270.dep.service 2 FREE L /GID["270",gid]D|16
ansi.270.dep.sex 1 FREE L /GID["270",gid]D|13
ansi.270.dep.state 2 FREE L /GID["270",gid]D|10
ansi.270.dep.trace.num 30 FREE L /GID["270",gid]D|0
ansi.270.dep.zip 9 FREE L /GID["270",gid]D|11
ansi.270.fld.delimeter 1 FREE L /GID["270",gid]|0
ansi.270.insurance 10 FREE L MIS.INS /GID["270",gid]|1
ansi.270.payer.id 17 FREE L /GID["270",gid]I|3
ansi.270.payer.id.code 2 FREE L /GID["270",gid]I|2
ansi.270.payer.name 35 FREE L /GID["270",gid]I|1
ansi.270.payer.type 2 FREE L /GID["270",gid]I|0
ansi.270.prov.code 3 FREE L /GID["270",gid]P|4
ansi.270.prov.id 17 FREE L /GID["270",gid]P|3
ansi.270.prov.id.code 2 FREE L /GID["270",gid]P|2
ansi.270.prov.name 35 FREE L /GID["270",gid]P|1
ansi.270.prov.ref.num 30 FREE L /GID["270",gid]P|6
ansi.270.prov.ref.num.cd 2 FREE L /GID["270",gid]P|5
ansi.270.prov.type 2 FREE L /GID["270",gid]P|0
ansi.270.subs.addr1 35 FREE L /GID["270",gid]S|7
ansi.270.subs.addr2 35 FREE L /GID["270",gid]S|8
ansi.270.subs.b.ser.date 8 DATE L /GID["270",gid]S|18
ansi.270.subs.birthdate 10 BDATE L /GID["270",gid]S|12
ansi.270.subs.city 30 FREE L /GID["270",gid]S|9
ansi.270.subs.e.ser.date 8 DATE L /GID["270",gid]S|19
ansi.270.subs.entity.cd 2 FREE L /GID["270",gid]S|1
ansi.270.subs.first.name 25 FREE L /GID["270",gid]S|3
ansi.270.subs.insured.cd 2 FREE L /GID["270",gid]S|16
ansi.270.subs.insured.yn 1 FREE L /GID["270",gid]S|15
ansi.270.subs.last.name 35 FREE L /GID["270",gid]S|2
ansi.270.subs.mar.status 1 FREE L /GID["270",gid]S|14
ansi.270.subs.mid.name 25 FREE L /GID["270",gid]S|4
ansi.270.subs.number 17 FREE L /GID["270",gid]S|6
ansi.270.subs.number.code 2 FREE L /GID["270",gid]S|5
ansi.270.subs.service 2 FREE L /GID["270",gid]S|17
ansi.270.subs.sex 1 FREE L /GID["270",gid]S|13
ansi.270.subs.state 2 FREE L /GID["270",gid]S|10
ansi.270.subs.zip 9 FREE L /GID["270",gid]S|11
ansi.270.trace.num 30 FREE L /GID["270",gid]|2
ansi.270.trace.numxxx 30 FREE L /GID["270",gid]S|0
Ì € i 2
ansi.270.dependent.refs
[ansi.270.inq.no, ansi.270.dep.ref.queue]
/GID["270",gid]D["REF",refQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.270.dep.ref.queue 1 PINT R refQ
ansi.270.dep.ref.code 2 FREE L /GID["270",gid]D["REF",refQ]|0
ansi.270.dep.ref.number 30 FREE L /GID["270",gid]D["REF",refQ]|1
Ì € i 2
ansi.270.payer.refs
[ansi.270.inq.no, ansi.270.payer.ref.queue]
/GID["270",gid]I["REF",refQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.270.payer.ref.queue 1 PINT R refQ
ansi.270.payer.ref.code 2 FREE L /GID["270",gid]I["REF",refQ]|0
ansi.270.payer.ref.number 30 FREE L /GID["270",gid]I["REF",refQ]|1
Ì € i 2
ansi.270.provider.refs
[ansi.270.inq.no, ansi.270.prov.ref.queue]
/GID["270",gid]P["REF",refQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.270.prov.ref.queue 1 PINT R refQ
ansi.270.prov.ref.code 2 FREE L /GID["270",gid]P["REF",refQ]|0
ansi.270.prov.ref.number 30 FREE L /GID["270",gid]P["REF",refQ]|1
Ì € i 2
ansi.270.subscriber.refs
[ansi.270.inq.no, ansi.270.subs.ref.queue]
/GID["270",gid]S["REF",refQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.270.subs.ref.queue 1 PINT R refQ
ansi.270.subs.ref.code 2 FREE L /GID["270",gid]S["REF",refQ]|0
ansi.270.subs.ref.num 30 FREE L /GID["270",gid]S["REF",refQ]|1
Ì i 2
ansi.270.locals
/
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.ge.set.cnt 2 PINT R
ansi.hl.seq.no 2 PINT R
ansi.iea.group.cnt 2 PINT R
ansi.se.seg.cnt 2 PINT R
transaction.set.ptr.270 8 PINT R MIS.XO.MSG
Ì i 2
ansi.271.locals
Field Name Len Dat Typ J DPM Offset/Local/VAL
transaction.set.ptr.271 8 PINT R MIS.XI.MSG
xi.ansi.level 3 FREE L
xi.ansi.loop 4 FREE L
xi.ansi.seg 3 FREE L
xi.hl20.seg.no 3 FREE L
xi.hl21.seg.no 3 FREE L
xi.hl22.seg.no 3 FREE L
xi.hl23.seg.no 3 FREE L
xi.loop.from 3 FREE L
xi.msg.type 3 FREE L
Ì i 2
ansi.278.pyrdtl.per.cnm
[ansi.278.trace.num,ansi.278.p.per.rsn, ansi.278.p.per.com.nsqn]
/GID["278",hhtrn]2.20["220",ggrsn]CN[ggcns]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.278.p.per.com.nsqn 2 PINT R ggcns
ansi.278.p.per.com.n 80 FREE L /GID["278",hhtrn]2.20["220",ggrsn]CN[ggcns]|1
ansi.278.p.per.com.nq 2 FREE L /GID["278",hhtrn]2.20["220",ggrsn]CN[ggcns]|0
Ì i 2
ansi.278.svc.prvdtl.name
[ansi.278.trace.num,ansi.278.sp.rsn, ansi.278.sp.name.nsn]
/GID["278",hhtrn]6.19[ggesp]N[ggnsn]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.278.sp.name.nsn 1 PINT R ggnsn
Ì i 2
top
*(G)GID
Field Name Len Dat Typ J DPM Offset/Local/VAL
ins.elig.status 10 FREE L VAL=IF{@.appl="BAR" @t.BAR.PAT.ins.elig.status;@t.ADM.
VAL=PAT.ins.elig.status}
insurance 10 FREE L VAL=@t.ADM.PAT.insurance
mpi 25 URN L MRI.PAT
patient 30 URN L ADM.PAT
patient.number.name 44 FREE L VAL=IF{@.appl="BAR" IF{@t.BAR.PAT.number;@BAR.PAT.numb
VAL=er}_" "_IF{@t.BAR.PAT.name;@BAR.PAT.name};@t.ADM.P
VAL=AT.acct.number_" "_@t.ADM.PAT.name}
transaction.set.id 3 FREE L
xo.msg.urn 8 PINT R MIS.XO.MSG
Ì € i 2
main
[urn]
*(G)GID[gid]
Field Name Len Dat Typ J DPM Offset/Local/VAL
urn 30 URN L gid
adm.urn 30 URN L ADM.PAT *(G)GID[gid]|2
ansi.271.payer.con.cd 2 FREE L *(G)GID[gid]271["I"]|4
ansi.271.payer.con.name 35 FREE L *(G)GID[gid]271["I"]|5
ansi.271.payer.con.num 80 FREE L *(G)GID[gid]271["I"]|7
ansi.271.payer.con.type 2 FREE L *(G)GID[gid]271["I"]|6
ansi.271.payer.con2.num 80 FREE L *(G)GID[gid]271["I"]|9
ansi.271.payer.con2.type 2 FREE L *(G)GID[gid]271["I"]|8
ansi.271.payer.con3.num 80 FREE L *(G)GID[gid]271["I"]|11
ansi.271.payer.con3.type 2 FREE L *(G)GID[gid]271["I"]|10
ansi.271.payer.id 17 FREE L *(G)GID[gid]271["I"]|3
ansi.271.payer.id.code 2 FREE L *(G)GID[gid]271["I"]|2
ansi.271.payer.name 30 FREE L *(G)GID[gid]271["I"]|1
ansi.271.payer.type 2 FREE L *(G)GID[gid]271["I"]|0
ansi.271.prov.code 3 FREE L *(G)GID[gid]271["P"]|4
ansi.271.prov.id 17 FREE L *(G)GID[gid]271["P"]|3
ansi.271.prov.id.code 2 FREE L *(G)GID[gid]271["P"]|2
ansi.271.prov.name 35 FREE L *(G)GID[gid]271["P"]|1
ansi.271.prov.ref.num 30 FREE L *(G)GID[gid]271["P"]|6
ansi.271.prov.ref.num.cd 2 FREE L *(G)GID[gid]271["P"]|5
ansi.271.prov.type 2 FREE L *(G)GID[gid]271["P"]|0
ansi.271.pt.addr1 30 FREE L *(G)GID[gid]271["PMP"]|3
ansi.271.pt.addr2 30 FREE L *(G)GID[gid]271["PMP"]|4
ansi.271.pt.birthdate 10 BDATE L *(G)GID[gid]271["PMP"]|1
ansi.271.pt.city 20 FREE L *(G)GID[gid]271["PMP"]|5
ansi.271.pt.insured.rel 10 FREE L *(G)GID[gid]271["PMP"]|12
ansi.271.pt.mar.status 10 FREE L *(G)GID[gid]271["PMP"]|8
ansi.271.pt.name 30 FREE L *(G)GID[gid]271["PMP"]|0
ansi.271.pt.policy.num 30 FREE L *(G)GID[gid]271["PMP"]|10
ansi.271.pt.sex 1 FREE L *(G)GID[gid]271["PMP"]|2
ansi.271.pt.ssn 12 FREE L *(G)GID[gid]271["PMP"]|9
ansi.271.pt.state 2 FREE L *(G)GID[gid]271["PMP"]|6
ansi.271.pt.subs.name 30 FREE L *(G)GID[gid]271["PMP"]|11
ansi.271.pt.subs.or.dep 1 CHOICE L *(G)GID[gid]271["PMP"]|13
ansi.271.pt.subs.ssn 12 FREE L *(G)GID[gid]271["PMP"]|14
ansi.271.pt.zip 10 FREE L *(G)GID[gid]271["PMP"]|7
create.date DATE L *(G)GID[gid]|4
create.time TIME L *(G)GID[gid]|5
demo.updated 1 YN L *(G)GID[gid]|8
dep.q.pointer 3 FREE L *(G)GID[gid]|10
edi.ins 10 FREE L MIS.INS *(G)GID[gid]|6
edi.pgm 15 FREE L MIS.EDI.PGM *(G)GID[gid]|7
status 8 CHOICE L *(G)GID[gid]|0
subs.q.pointer 3 FREE L *(G)GID[gid]|9
tpl.data 1 YN L *(G)GID[gid]|11
trace.number 30 FREE L *(G)GID[gid]|1
xi.urn 8 PINT R MIS.XI.MSG *(G)GID[gid]|3
xq.insured.relationship 10 FREE L *(G)GID[gid]XQ["I"]|2
xq.pt.addr1 30 FREE L *(G)GID[gid]XQ|3
xq.pt.addr2 30 FREE L *(G)GID[gid]XQ|4
xq.pt.birthdate 10 BDATE L *(G)GID[gid]XQ|1
xq.pt.city 20 FREE L *(G)GID[gid]XQ|5
xq.pt.marital.status 10 FREE L *(G)GID[gid]XQ|8
xq.pt.name 30 FREE L *(G)GID[gid]XQ|0
xq.pt.policy.number 30 FREE L *(G)GID[gid]XQ["I"]|0
xq.pt.sex 1 CHOICE L *(G)GID[gid]XQ|2
xq.pt.soc.sec 9 FREE L *(G)GID[gid]XQ|9
xq.pt.state 2 FREE L *(G)GID[gid]XQ|6
xq.pt.zip 10 FREE L *(G)GID[gid]XQ|7
xq.subscriber.name 30 FREE L *(G)GID[gid]XQ["I"]|1
xq.subscriber.ssn 12 FREE L *(G)GID[gid]XQ["I"]|3
Ì € i 2
ansi.271.aaa
[urn, ansi.271.aaa.hl.level,ansi.271.aaa.sub.level,ansi.271.aaa.queue]
*(G)GID[gid]271["A",valHL,val2,valQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.aaa.hl.level 2 CHOICE L valHL
ansi.271.aaa.sub.level 2 FREE L val2
ansi.271.aaa.queue 2 PINT R valQ
ansi.271.aaa.rej.followup 1 FREE L *(G)GID[gid]271["A",valHL,val2,valQ]|2
ansi.271.aaa.rej.reason 2 FREE L *(G)GID[gid]271["A",valHL,val2,valQ]|1
ansi.271.aaa.validity.cd 1 FREE L *(G)GID[gid]271["A",valHL,val2,valQ]|0
Ì € i 2
ansi.271.cd.fields.top
[urn, ansi.271.cd.subs.q]
*(G)GID[gid]271["CD",gidS]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.cd.subs.q 3 PINT R gidS
Ì € i 2
ansi.271.cd.fields
[urn,ansi.271.cd.subs.q, ansi.271.cd.q]
*(G)GID[gid]271["CD",gidS,gidCD]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.cd.q 3 PINT R gidCD
ansi.271.cd.capture 1 YN L *(G)GID[gid]271["CD",gidS,gidCD]|0
ansi.271.cd.map 15 FREE L MIS.MAP *(G)GID[gid]271["CD",gidS,gidCD]|5
ansi.271.cd.response 75 FREE L *(G)GID[gid]271["CD",gidS,gidCD]|6
ansi.271.cd.seg.id 20 FREE L *(G)GID[gid]271["CD",gidS,gidCD]|4
ansi.271.cd.type 10 CHOICE L *(G)GID[gid]271["CD",gidS,gidCD]|1
ansi.271.cd.value 15 FREE L *(G)GID[gid]271["CD",gidS,gidCD]|2
ansi.271.cd.value.text 30 FREE L *(G)GID[gid]271["CD",gidS,gidCD]|3
ansi.pt.cd.response 75 FREE L *(G)GID[gid]271["CD",gidS,gidCD]|7
Ì € i 2
ansi.271.dependent
[urn, ansi.271.dep.q]
*(G)GID[gid]271["D",gidD]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.dep.q 2 PINT R gidD
ansi.271.dep.addr1 35 FREE L *(G)GID[gid]271["D",gidD]|6
ansi.271.dep.addr2 35 FREE L *(G)GID[gid]271["D",gidD]|7
ansi.271.dep.b.ser.date 8 DATE L *(G)GID[gid]271["D",gidD]|17
ansi.271.dep.birthdate 10 BDATE L *(G)GID[gid]271["D",gidD]|11
ansi.271.dep.city 30 FREE L *(G)GID[gid]271["D",gidD]|8
ansi.271.dep.e.ser.date 8 DATE L *(G)GID[gid]271["D",gidD]|18
ansi.271.dep.elig 2 FREE L *(G)GID[gid]271["D",gidD]|19
ansi.271.dep.entity.cd 2 FREE L *(G)GID[gid]271["D",gidD]|0
ansi.271.dep.first.name 25 FREE L *(G)GID[gid]271["D",gidD]|2
ansi.271.dep.ins.birth.sq 9 FREE L *(G)GID[gid]271["D",gidD]INS|4
ansi.271.dep.ins.hand.ind 1 FREE L *(G)GID[gid]271["D",gidD]INS|3
ansi.271.dep.ins.main.rea 3 FREE L *(G)GID[gid]271["D",gidD]INS|1
ansi.271.dep.ins.main.typ 3 FREE L *(G)GID[gid]271["D",gidD]INS|0
ansi.271.dep.ins.stat.cod 1 FREE L *(G)GID[gid]271["D",gidD]INS|2
ansi.271.dep.insured.cd 2 FREE L *(G)GID[gid]271["D",gidD]|15
ansi.271.dep.insured.rel 10 FREE L *(G)GID[gid]271["D",gidD]|21
ansi.271.dep.insured.yn 1 FREE L *(G)GID[gid]271["D",gidD]|14
ansi.271.dep.last.name 35 FREE L *(G)GID[gid]271["D",gidD]|1
ansi.271.dep.mar.status 1 FREE L *(G)GID[gid]271["D",gidD]|13
ansi.271.dep.mid.name 15 FREE L *(G)GID[gid]271["D",gidD]|3
ansi.271.dep.n4.country 3 FREE L *(G)GID[gid]271["D",gidD]M|1
ansi.271.dep.name 30 FREE L VAL=(@t.ansi.271.dep.last.name_","_@t.ansi.271.dep.fir
VAL=st.name_" "_@t.ansi.271.dep.mid.name:0S)
ansi.271.dep.nm1.suffix 10 FREE L *(G)GID[gid]271["D",gidD]M|0
ansi.271.dep.number 17 FREE L *(G)GID[gid]271["D",gidD]|5
ansi.271.dep.number.code 2 FREE L *(G)GID[gid]271["D",gidD]|4
ansi.271.dep.policy.num 30 FREE L *(G)GID[gid]271["D",gidD]|20
ansi.271.dep.service 2 FREE L *(G)GID[gid]271["D",gidD]|16
ansi.271.dep.sex 1 FREE L *(G)GID[gid]271["D",gidD]|12
ansi.271.dep.state 2 FREE L *(G)GID[gid]271["D",gidD]|9
ansi.271.dep.zip 9 FREE L *(G)GID[gid]271["D",gidD]|10
Ì € i 2
ansi.271.dep.pers
[urn,ansi.271.dep.q, ansi.271.dep.per.q]
*(G)GID[gid]271["D",gidD]PER[depQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.dep.per.q 2 PINT R depQ
ansi.271.dep.per.code 2 FREE L *(G)GID[gid]271["D",gidD]PER[depQ]|0
ansi.271.dep.per.name 60 FREE L *(G)GID[gid]271["D",gidD]PER[depQ]|1
Ì € i 2
ansi.271.dep.per.quals
[urn,ansi.271.dep.q,ansi.271.dep.per.q, ansi.271.dep.per.qual.q]
*(G)GID[gid]271["D",gidD]PER[depQ,perC]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.dep.per.qual.q 2 PINT R perC
ansi.271.dep.per.com.n 80 FREE L *(G)GID[gid]271["D",gidD]PER[depQ,perC]|1
ansi.271.dep.per.com.q 2 FREE L *(G)GID[gid]271["D",gidD]PER[depQ,perC]|0
Ì € i 2
ansi.271.dependent.eb
[urn,ansi.271.dep.q, ansi.271.dep.elig.queue]
*(G)GID[gid]271["D",gidD]EB[gidEB]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.dep.elig.queue 2 INT R gidEB
ansi.271.dep.eb.aaa.f.up 30 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]|14
ansi.271.dep.eb.aaa.rejr 30 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]|13
ansi.271.dep.eb.aaa.vc 1 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]|12
ansi.271.dep.eb.iii.ic 30 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]III|1
ansi.271.dep.eb.iii.qc 3 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]III|0
ansi.271.dep.eb.n4.ctry 3 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]LS|10
ansi.271.dep.eb.n4.dod.c 30 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]LS|12
ansi.271.dep.eb.n4.loc.q 2 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]LS|11
ansi.271.dep.eb.nm1.addr 80 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]LSADR
ansi.271.dep.eb.nm1.cd 2 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]LS|0
ansi.271.dep.eb.nm1.cdn 30 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]LS|1
ansi.271.dep.eb.nm1.id 2 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]LS|7
ansi.271.dep.eb.nm1.idcd 17 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]LS|9
ansi.271.dep.eb.nm1.idnm 10 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]LS|8
ansi.271.dep.eb.nm1.name 30 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]LS|2
ansi.271.dep.eb.per.comm 30 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]LS|6
ansi.271.dep.eb.per.fc 2 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]LS|3
ansi.271.dep.eb.per.fcn 30 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]LS|4
ansi.271.dep.eb.per.name 30 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]LS|5
ansi.271.dep.elig.amount 18 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]M|1
ansi.271.dep.elig.auth 1 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]M|5
ansi.271.dep.elig.cd 2 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]|0
ansi.271.dep.elig.cov 3 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]|2
ansi.271.dep.elig.cov.nm 25 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]|3
ansi.271.dep.elig.desc 35 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]|1
ansi.271.dep.elig.ins 3 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]|6
ansi.271.dep.elig.ins.nm 25 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]|7
ansi.271.dep.elig.p.mod1 2 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]M|9
ansi.271.dep.elig.p.mod2 2 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]M|10
ansi.271.dep.elig.p.mod3 2 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]M|11
ansi.271.dep.elig.p.mod4 2 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]M|12
ansi.271.dep.elig.percnt 10 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]M|2
ansi.271.dep.elig.plan.n 1 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]M|6
ansi.271.dep.elig.proc.c 48 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]M|8
ansi.271.dep.elig.qual 2 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]M|7
ansi.271.dep.elig.quan.b 15 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]M|4
ansi.271.dep.elig.quan.q 2 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]M|3
ansi.271.dep.elig.svc 2 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]|4
ansi.271.dep.elig.svc.nm 25 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]|5
ansi.271.dep.elig.time.q 2 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]M|0
Ì € i 2
ansi.271.dep.eb.pers
[urn,ansi.271.dep.q,ansi.271.dep.elig.queue, ansi.271.dep.eb.per.q]
*(G)GID[gid]271["D",gidD]EB[gidEB]PER[ebPrQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.dep.eb.per.q 2 PINT R ebPrQ
ansi.271.dep.eb.per.code 2 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]PER[ebPrQ]|0
ansi.271.dep.eb.per.nam 60 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]PER[ebPrQ]|1
Ì € i 2
ansi.271.dep.eb.per.qual
[urn,ansi.271.dep.q,ansi.271.dep.elig.queue,ansi.271.dep.eb.per.q, ansi.271.dep.eb.per.qu]
*(G)GID[gid]271["D",gidD]EB[gidEB]PER[ebPrQ,ebPrU]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.dep.eb.per.qu 2 PINT R ebPrU
ansi.271.dep.eb.per.c.n 80 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]PER[ebPrQ,ebPrU]|1
ansi.271.dep.eb.per.c.q 2 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]PER[ebPrQ,ebPrU]|0
Ì € i 2
ansi.271.dep.eb.prv
[urn,ansi.271.dep.q,ansi.271.dep.elig.queue, ansi.271.dep.eb.prv.queue]
*(G)GID[gid]271["D",gidD]EB[gidEB]PRV[depPr]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.dep.eb.prv.queue 2 PINT R depPr
ansi.271.dep.eb.prv.pc 3 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]PRV[depPr]|0
ansi.271.dep.eb.prv.pi 30 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]PRV[depPr]|2
ansi.271.dep.eb.prv.riq 3 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]PRV[depPr]|1
Ì € i 2
ansi.271.dependent.eb.aaa
[urn,ansi.271.dep.q,ansi.271.dep.elig.queue, ansi.271.dep.eb.aaa.q]
*(G)GID[gid]271["D",gidD]EB[gidEB]AAA[aaaQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.dep.eb.aaa.q 2 PINT R aaaQ
ansi.271.dep.eb.aaa.fol 1 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]AAA[aaaQ]|2
ansi.271.dep.eb.aaa.ind 1 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]AAA[aaaQ]|0
ansi.271.dep.eb.aaa.rej 2 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]AAA[aaaQ]|1
Ì € i 2
ansi.271.dependent.eb.dt
[urn,ansi.271.dep.q,ansi.271.dep.elig.queue, ansi.271.dep.eb.dtp.q]
*(G)GID[gid]271["D",gidD]EB[gidEB]DTP[ebDQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.dep.eb.dtp.q 2 PINT R ebDQ
ansi.271.dep.eb.dtp.date 8 DATE L *(G)GID[gid]271["D",gidD]EB[gidEB]DTP[ebDQ]|1
ansi.271.dep.eb.dtp.qtxt 25 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]DTP[ebDQ]|3
ansi.271.dep.eb.dtp.qual 3 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]DTP[ebDQ]|0
Ì € i 2
ansi.271.dependent.eb.hsd
[urn,ansi.271.dep.q,ansi.271.dep.elig.queue, ansi.271.dep.hsd.queue]
*(G)GID[gid]271["D",gidD]EB[gidEB]HSD[hsdQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.dep.hsd.queue 2 PINT R hsdQ
ansi.271.dep.hsd.ben.qty 15 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]HSD[hsdQ]|1
ansi.271.dep.hsd.del.frq 2 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]HSD[hsdQ]|6
ansi.271.dep.hsd.del.pat 1 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]HSD[hsdQ]|7
ansi.271.dep.hsd.measure 2 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]HSD[hsdQ]|2
ansi.271.dep.hsd.modulus 6 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]HSD[hsdQ]|3
ansi.271.dep.hsd.per.cnt 3 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]HSD[hsdQ]|5
ansi.271.dep.hsd.qty.qul 2 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]HSD[hsdQ]|0
ansi.271.dep.hsd.tim.per 2 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]HSD[hsdQ]|4
Ì € i 2
ansi.271.dependent.ebmsg
[urn,ansi.271.dep.q,ansi.271.dep.elig.queue, ansi.271.dep.eb.msg.q]
*(G)GID[gid]271["D",gidD]EB[gidEB]MSG[ebMQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.dep.eb.msg.q 3 INT R ebMQ
ansi.271.dep.eb.msg.text 80 TEXT L *(G)GID[gid]271["D",gidD]EB[gidEB]MSG[ebMQ]
Ì € i 2
ansi.271.dependent.ebref
[urn,ansi.271.dep.q,ansi.271.dep.elig.queue, ansi.271.dep.eb.ref.q]
*(G)GID[gid]271["D",gidD]EB[gidEB]R[ebRF]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.dep.eb.ref.q 2 PINT R ebRF
ansi.271.dep.eb.ref.id 2 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]R[ebRF]|0
ansi.271.dep.eb.ref.num 25 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]R[ebRF]|1
ansi.271.dep.eb.ref.txt 15 FREE L *(G)GID[gid]271["D",gidD]EB[gidEB]R[ebRF]|2
Ì € i 2
ansi.271.dependent.refs
[urn,ansi.271.dep.q, ansi.271.dep.ref.queue]
*(G)GID[gid]271["D",gidD]REF[refQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.dep.ref.queue 1 PINT R refQ
ansi.271.dep.ref.code 2 FREE L *(G)GID[gid]271["D",gidD]REF[refQ]|0
ansi.271.dep.ref.number 30 FREE L *(G)GID[gid]271["D",gidD]REF[refQ]|1
ansi.271.dep.ref.sname 80 FREE L *(G)GID[gid]271["D",gidD]REF[refQ]|2
Ì € i 2
ansi.271.dtp
[urn, ansi.271.dtp.hl.level,ansi.271.dtp.sub.level,ansi.271.dtp.queue]
*(G)GID[gid]271["DTPD",dtpHL,dtp2,dtpQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.dtp.hl.level 2 FREE L dtpHL
ansi.271.dtp.sub.level 2 FREE L dtp2
ansi.271.dtp.queue 2 PINT R dtpQ
ansi.271.dtp.date 8 DATE L *(G)GID[gid]271["DTPD",dtpHL,dtp2,dtpQ]|1
ansi.271.dtp.qual 3 FREE L *(G)GID[gid]271["DTPD",dtpHL,dtp2,dtpQ]|0
ansi.271.dtp.qual.txt 25 FREE L *(G)GID[gid]271["DTPD",dtpHL,dtp2,dtpQ]|3
Ì € i 2
ansi.271.payer.pers
[urn, ansi.271.payer.per.q]
*(G)GID[gid]271["I"]PER[perQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.payer.per.q 2 PINT R perQ
ansi.271.payer.per.code 2 FREE L *(G)GID[gid]271["I"]PER[perQ]|0
ansi.271.payer.per.name 60 FREE L *(G)GID[gid]271["I"]PER[perQ]|1
Ì € i 2
ansi.271.payer.per.quals
[urn,ansi.271.payer.per.q, ansi.271.payer.per.qual.q]
*(G)GID[gid]271["I"]PER[perQ,perC]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.payer.per.qual.q 2 PINT R perC
ansi.271.payer.per.com.n 80 FREE L *(G)GID[gid]271["I"]PER[perQ,perC]|1
ansi.271.payer.per.com.q 2 FREE L *(G)GID[gid]271["I"]PER[perQ,perC]|0
Ì € i 2
ansi.271.payer.refs
[urn, ansi.271.payer.ref.queue]
*(G)GID[gid]271["I"]REF[refQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.payer.ref.queue 2 PINT R refQ
ansi.271.payer.ref.code 2 FREE L *(G)GID[gid]271["I"]REF[refQ]|0
ansi.271.payer.ref.number 30 FREE L *(G)GID[gid]271["I"]REF[refQ]|1
ansi.271.payer.ref.plan 80 FREE L *(G)GID[gid]271["I"]REF[refQ]|2
Ì € i 2
ansi.271.process.aaa
[urn, process.mult.aaa.q]
*(G)GID[gid]271["PMA",gidQA]
Field Name Len Dat Typ J DPM Offset/Local/VAL
process.mult.aaa.q 2 PINT R gidQA
process.mult.aaa.f.up 35 FREE L *(G)GID[gid]271["PMA",gidQA]|3
process.mult.aaa.id 10 FREE L *(G)GID[gid]271["PMA",gidQA]|0
process.mult.aaa.rejr 35 FREE L *(G)GID[gid]271["PMA",gidQA]|2
process.mult.aaa.vc 1 FREE L *(G)GID[gid]271["PMA",gidQA]|1
Ì € i 2
ansi.271.process.dtp
[urn, process.mult.dtp.q]
*(G)GID[gid]271["PMD",gidQD]
Field Name Len Dat Typ J DPM Offset/Local/VAL
process.mult.dtp.q 2 PINT R gidQD
process.mult.dtp.date 8 DATE L *(G)GID[gid]271["PMD",gidQD]|2
process.mult.dtp.id 10 FREE L *(G)GID[gid]271["PMD",gidQD]|0
process.mult.dtp.qual 3 FREE L *(G)GID[gid]271["PMD",gidQD]|1
process.mult.dtp.qual.txt 25 FREE L *(G)GID[gid]271["PMD",gidQD]|4
Ì € i 2
ansi.271.process.ref
[urn, process.mult.ref.q]
*(G)GID[gid]271["PMR",gidQR]
Field Name Len Dat Typ J DPM Offset/Local/VAL
process.mult.ref.q 2 INT R gidQR
process.mult.ref.desc 30 FREE L *(G)GID[gid]271["PMR",gidQR]|1
process.mult.ref.id 10 FREE L *(G)GID[gid]271["PMR",gidQR]|0
process.mult.ref.number 30 FREE L *(G)GID[gid]271["PMR",gidQR]|2
Ì € i 2
ansi.271.provider.refs
[urn, ansi.271.prov.ref.queue]
*(G)GID[gid]271["P"]REF[refQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.prov.ref.queue 1 PINT R refQ
ansi.271.prov.ref.code 2 FREE L *(G)GID[gid]271["P"]REF[refQ]|0
ansi.271.prov.ref.lic.num 80 FREE L *(G)GID[gid]271["P"]REF[refQ]|2
ansi.271.prov.ref.number 30 FREE L *(G)GID[gid]271["P"]REF[refQ]|1
Ì € i 2
ansi.271.subscriber
[urn, ansi.271.subs.q]
*(G)GID[gid]271["S",gidS]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.subs.q 2 PINT R gidS
ansi.271.sub.ins.birth.sq 9 FREE L *(G)GID[gid]271["S",gidS]INS|4
ansi.271.sub.ins.hand.ind 1 FREE L *(G)GID[gid]271["S",gidS]INS|3
ansi.271.sub.ins.main.rea 3 FREE L *(G)GID[gid]271["S",gidS]INS|1
ansi.271.sub.ins.main.typ 3 FREE L *(G)GID[gid]271["S",gidS]INS|0
ansi.271.sub.ins.stat.cod 1 FREE L *(G)GID[gid]271["S",gidS]INS|2
ansi.271.subs.addr1 35 FREE L *(G)GID[gid]271["S",gidS]|6
ansi.271.subs.addr2 35 FREE L *(G)GID[gid]271["S",gidS]|7
ansi.271.subs.b.ser.date 8 DATE L *(G)GID[gid]271["S",gidS]|17
ansi.271.subs.birthdate 10 BDATE L *(G)GID[gid]271["S",gidS]|11
ansi.271.subs.city 30 FREE L *(G)GID[gid]271["S",gidS]|8
ansi.271.subs.country 3 FREE L *(G)GID[gid]271["S",gidS]M|1
ansi.271.subs.e.ser.date 8 DATE L *(G)GID[gid]271["S",gidS]|18
ansi.271.subs.elig 2 FREE L *(G)GID[gid]271["S",gidS]|19
ansi.271.subs.entity.cd 2 FREE L *(G)GID[gid]271["S",gidS]|0
ansi.271.subs.first.name 25 FREE L *(G)GID[gid]271["S",gidS]|2
ansi.271.subs.insured.cd 2 FREE L *(G)GID[gid]271["S",gidS]|15
ansi.271.subs.insured.rel 10 FREE L *(G)GID[gid]271["S",gidS]|21
ansi.271.subs.insured.yn 1 FREE L *(G)GID[gid]271["S",gidS]|14
ansi.271.subs.last.name 35 FREE L *(G)GID[gid]271["S",gidS]|1
ansi.271.subs.loc.id.cd 30 FREE L *(G)GID[gid]271["S",gidS]M|3
ansi.271.subs.loc.qual 2 FREE L *(G)GID[gid]271["S",gidS]M|2
ansi.271.subs.mar.status 1 FREE L *(G)GID[gid]271["S",gidS]|13
ansi.271.subs.mid.name 15 FREE L *(G)GID[gid]271["S",gidS]|3
ansi.271.subs.name 30 FREE L VAL=(@t.ansi.271.subs.last.name_","_@t.ansi.271.subs.f
VAL=irst.name_" "_@t.ansi.271.subs.mid.name:0S)
ansi.271.subs.name.rpt 30 FREE L VAL=(@ansi.271.subs.last.name_","_@ansi.271.subs.first
VAL=.name_" "_@ansi.271.subs.mid.name:0S)
ansi.271.subs.number 17 FREE L *(G)GID[gid]271["S",gidS]|5
ansi.271.subs.number.code 2 FREE L *(G)GID[gid]271["S",gidS]|4
ansi.271.subs.policy.num 30 FREE L *(G)GID[gid]271["S",gidS]|20
ansi.271.subs.service 2 FREE L *(G)GID[gid]271["S",gidS]|16
ansi.271.subs.sex 1 FREE L *(G)GID[gid]271["S",gidS]|12
ansi.271.subs.state 2 FREE L *(G)GID[gid]271["S",gidS]|9
ansi.271.subs.suffix 10 FREE L *(G)GID[gid]271["S",gidS]M|0
ansi.271.subs.zip 9 FREE L *(G)GID[gid]271["S",gidS]|10
Ì € i 2
ansi.271.subs.pers
[urn,ansi.271.subs.q, ansi.271.subs.per.q]
*(G)GID[gid]271["S",gidS]PER[perQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.subs.per.q 2 PINT R perQ
ansi.271.subs.per.code 2 FREE L *(G)GID[gid]271["S",gidS]PER[perQ]|0
ansi.271.subs.per.name 60 FREE L *(G)GID[gid]271["S",gidS]PER[perQ]|1
Ì € i 2
ansi.271.subs.per.quals
[urn,ansi.271.subs.q,ansi.271.subs.per.q, ansi.271.subs.per.qual.q]
*(G)GID[gid]271["S",gidS]PER[perQ,perC]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.subs.per.qual.q 2 PINT R perC
ansi.271.subs.per.com.n 80 FREE L *(G)GID[gid]271["S",gidS]PER[perQ,perC]|1
ansi.271.subs.per.com.q 2 FREE L *(G)GID[gid]271["S",gidS]PER[perQ,perC]|0
Ì € i 2
ansi.271.subscriber.eb
[urn,ansi.271.subs.q, ansi.271.subs.elig.queue]
*(G)GID[gid]271["S",gidS]EB[gidEB]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.subs.elig.queue 2 INT R gidEB
ansi.271.subs.eb.aaa.f.up 30 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]|14
ansi.271.subs.eb.aaa.rejr 30 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]|13
ansi.271.subs.eb.aaa.vc 1 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]|12
ansi.271.subs.eb.iii.ic 30 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]III|1
ansi.271.subs.eb.iii.qc 3 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]III|0
ansi.271.subs.eb.n4.ctry 3 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]LS|10
ansi.271.subs.eb.n4.dod.c 30 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]LS|12
ansi.271.subs.eb.n4.loc.q 2 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]LS|11
ansi.271.subs.eb.nm1.addr 80 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]LSADR
ansi.271.subs.eb.nm1.cd 2 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]LS|0
ansi.271.subs.eb.nm1.cdn 30 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]LS|1
ansi.271.subs.eb.nm1.id 2 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]LS|7
ansi.271.subs.eb.nm1.idcd 17 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]LS|9
ansi.271.subs.eb.nm1.idnm 10 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]LS|8
ansi.271.subs.eb.nm1.name 30 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]LS|2
ansi.271.subs.eb.per.comm 30 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]LS|6
ansi.271.subs.eb.per.fc 2 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]LS|3
ansi.271.subs.eb.per.fcn 30 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]LS|4
ansi.271.subs.eb.per.name 30 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]LS|5
ansi.271.subs.elig.amount 18 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]M|1
ansi.271.subs.elig.auth 1 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]M|5
ansi.271.subs.elig.cd 2 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]|0
ansi.271.subs.elig.cov 3 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]|2
ansi.271.subs.elig.cov.nm 25 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]|3
ansi.271.subs.elig.desc 35 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]|1
ansi.271.subs.elig.ins 3 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]|6
ansi.271.subs.elig.ins.nm 25 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]|7
ansi.271.subs.elig.p.mod1 2 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]M|9
ansi.271.subs.elig.p.mod2 2 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]M|10
ansi.271.subs.elig.p.mod3 2 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]M|11
ansi.271.subs.elig.p.mod4 2 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]M|12
ansi.271.subs.elig.percnt 10 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]M|2
ansi.271.subs.elig.plan.n 1 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]M|6
ansi.271.subs.elig.proc.c 48 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]M|8
ansi.271.subs.elig.qual 2 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]M|7
ansi.271.subs.elig.quan.b 15 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]M|4
ansi.271.subs.elig.quan.q 2 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]M|3
ansi.271.subs.elig.svc 2 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]|4
ansi.271.subs.elig.svc.nm 25 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]|5
ansi.271.subs.elig.time.q 2 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]M|0
Ì € i 2
ansi.271.subs.eb.aaa
[urn,ansi.271.subs.q,ansi.271.subs.elig.queue, ansi.271.subs.eb.aaa.q]
*(G)GID[gid]271["S",gidS]EB[gidEB]AAA[aaaQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.subs.eb.aaa.q 2 PINT R aaaQ
ansi.271.subs.eb.aaa.fol 1 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]AAA[aaaQ]|2
ansi.271.subs.eb.aaa.ind 1 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]AAA[aaaQ]|0
ansi.271.subs.eb.aaa.rej 2 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]AAA[aaaQ]|1
Ì € i 2
ansi.271.subs.eb.pers
[urn,ansi.271.subs.q,ansi.271.subs.elig.queue, ansi.271.subs.eb.per.q]
*(G)GID[gid]271["S",gidS]EB[gidEB]PER[ebPrQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.subs.eb.per.q 2 PINT R ebPrQ
ansi.271.subs.eb.per.code 2 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]PER[ebPrQ]|0
ansi.271.subs.eb.per.nam 60 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]PER[ebPrQ]|1
Ì € i 2
ansi.271.subs.eb.per.qual
[urn,ansi.271.subs.q,ansi.271.subs.elig.queue,ansi.271.subs.eb.per.q, ansi.271.subs.eb.per.qu]
*(G)GID[gid]271["S",gidS]EB[gidEB]PER[ebPrQ,ebPrU]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.subs.eb.per.qu 2 PINT R ebPrU
ansi.271.subs.eb.per.c.n 80 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]PER[ebPrQ,ebPrU]|1
ansi.271.subs.eb.per.c.q 2 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]PER[ebPrQ,ebPrU]|0
Ì € i 2
ansi.271.subs.eb.prv
[urn,ansi.271.subs.q,ansi.271.subs.elig.queue, ansi.271.subs.eb.prv.q]
*(G)GID[gid]271["S",gidS]EB[gidEB]PRV[subPr]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.subs.eb.prv.q 2 PINT R subPr
ansi.271.subs.eb.prv.pc 3 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]PRV[subPr]|0
ansi.271.subs.eb.prv.pi 30 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]PRV[subPr]|2
ansi.271.subs.eb.prv.riq 3 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]PRV[subPr]|1
Ì € i 2
ansi.271.subscriber.eb.dt
[urn,ansi.271.subs.q,ansi.271.subs.elig.queue, ansi.271.subs.eb.dtp.q]
*(G)GID[gid]271["S",gidS]EB[gidEB]DTP[ebDQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.subs.eb.dtp.q 2 PINT R ebDQ
ansi.271.subs.eb.dtp.date 8 DATE L *(G)GID[gid]271["S",gidS]EB[gidEB]DTP[ebDQ]|1
ansi.271.subs.eb.dtp.qtxt 25 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]DTP[ebDQ]|3
ansi.271.subs.eb.dtp.qual 3 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]DTP[ebDQ]|0
Ì € i 2
ansi.271.subscriber.ebhsd
[urn,ansi.271.subs.q,ansi.271.subs.elig.queue, ansi.271.subs.hsd.queue]
*(G)GID[gid]271["S",gidS]EB[gidEB]HSD[hsdQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.subs.hsd.queue 2 PINT R hsdQ
ansi.271.subs.hsd.ben.qty 15 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]HSD[hsdQ]|1
ansi.271.subs.hsd.del.frq 2 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]HSD[hsdQ]|6
ansi.271.subs.hsd.del.pat 1 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]HSD[hsdQ]|7
ansi.271.subs.hsd.measure 2 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]HSD[hsdQ]|2
ansi.271.subs.hsd.modulus 6 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]HSD[hsdQ]|3
ansi.271.subs.hsd.per.cnt 3 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]HSD[hsdQ]|5
ansi.271.subs.hsd.qty.qul 2 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]HSD[hsdQ]|0
ansi.271.subs.hsd.tim.per 2 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]HSD[hsdQ]|4
Ì € i 2
ansi.271.subscriber.ebmsg
[urn,ansi.271.subs.q,ansi.271.subs.elig.queue, ansi.271.subs.eb.msg.q]
*(G)GID[gid]271["S",gidS]EB[gidEB]MSG[ebMQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.subs.eb.msg.q 3 INT R ebMQ
ansi.271.subs.eb.msg.text 80 TEXT L *(G)GID[gid]271["S",gidS]EB[gidEB]MSG[ebMQ]
Ì € i 2
ansi.271.subscriber.ebref
[urn,ansi.271.subs.q,ansi.271.subs.elig.queue, ansi.271.subs.eb.ref.q]
*(G)GID[gid]271["S",gidS]EB[gidEB]REF[ebRF]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.subs.eb.ref.q 2 PINT R ebRF
ansi.271.subs.eb.ref.id 2 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]REF[ebRF]|0
ansi.271.subs.eb.ref.num 25 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]REF[ebRF]|1
ansi.271.subs.eb.ref.txt 15 FREE L *(G)GID[gid]271["S",gidS]EB[gidEB]REF[ebRF]|2
Ì € i 2
ansi.271.subscriber.refs
[urn,ansi.271.subs.q, ansi.271.subs.ref.queue]
*(G)GID[gid]271["S",gidS]REF[refQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.subs.ref.queue 2 PINT R refQ
ansi.271.subs.ref.cd.txt 80 FREE L *(G)GID[gid]271["S",gidS]REF[refQ]|2
ansi.271.subs.ref.code 2 FREE L *(G)GID[gid]271["S",gidS]REF[refQ]|0
ansi.271.subs.ref.number 30 FREE L *(G)GID[gid]271["S",gidS]REF[refQ]|1
Ì € i 2
ansi.271.tpl.links
[urn, ansi.271.tpl.queue]
*(G)GID[gid]271["TPL",tplQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.tpl.queue 2 PINT R tplQ
ansi.271.tpl.ins 10 FREE L MIS.INS *(G)GID[gid]271["TPL",tplQ]|2
ansi.271.tpl.payer.id 17 FREE L *(G)GID[gid]271["TPL",tplQ]|1
ansi.271.tpl.payer.name 30 FREE L *(G)GID[gid]271["TPL",tplQ]|3
ansi.271.tpl.pointer 5 FREE L *(G)GID[gid]271["TPL",tplQ]|0
Ì € i 2
ansi.271.trn
[urn, ansi.271.trn.hl,ansi.271.trn.queue]
*(G)GID[gid]271["TRN",trnHL,trnQ]
Field Name Len Dat Typ J DPM Offset/Local/VAL
ansi.271.trn.hl 2 CHOICE L trnHL
ansi.271.trn.queue 2 PINT R trnQ
ansi.271.trn.trace.num 30 FREE L *(G)GID[gid]271["TRN",trnHL,trnQ]|0
Ì € i 2
xq.cds.queries
[urn, xq.cd.query]
*(G)GID[gid]XQ["CD",ggv]
Field Name Len Dat Typ J DPM Offset/Local/VAL
xq.cd.query 10 FREE L MIS.QUERY ggv
xq.cd.response 75 QRY.RESP L *(G)GID[gid]XQ["CD",ggv]|0
xq.cd.type 10 CHOICE L *(G)GID[gid]XQ["CD",ggv]|1
Ì i 2
view.temp
[vt.seq]
/GIDVIEW[gidVT]
Field Name Len Dat Typ J DPM Offset/Local/VAL
vt.seq 3 PINT R gidVT
vt.dep.q 6 FREE L /GIDVIEW[gidVT]|2
vt.subs.q 6 FREE L /GIDVIEW[gidVT]|1
vt.urn 30 URN L MIS.EDI /GIDVIEW[gidVT]|0
Ì i 2
xo.transaction.set
[segment.q,field,counter]
/XOMS[gidXS,gidXF,gidXC]
Field Name Len Dat Typ J DPM Offset/Local/VAL
segment.q 3 INT R gidXS
field 3 INT R gidXF
counter 3 INT R gidXC
value 200 FREE L /XOMS[gidXS,gidXF,gidXC]
Index Files Subscripts/Physical Base
ansi.elig.inq.x [trace.number,ADM.PAT.urn,insurance,MIS.EDI.PGM.mnemonic] = transaction.set.ptr.
?(G)GID.IX[trace,aa,ggm,gie]
ansi.elig.resp.x [trace.number] = urn
?(G)GID.RX[trace]
trace.x [trace.number,urn] = xi.urn
?(G)GIDTN[trace,gid]
|
|
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |