United Nations Directories
for Electronic Data Interchange for
Administration, Commerce and Transport



 UN/EDIFACT

Change indicators a plus sign (+) for an addition an asterisk (*) for an amendment to structure a hash sign (#) for changes to names a vertical bar (|) for changes to text for descriptions, notes and functions a minus sign (-) for a deletion an X sign (X) for marked for deletion

ADI HEALTH CARE CLAIM ADJUDICATION INFORMATION

Function: To provide adjudication information for all services in a health care claim. 010 E206 OBJECT IDENTIFICATION M 3 7402 Object identifier M an..35 7405 Object identification code qualifier C an..3 4405 Status description code C an..3 020 E021 SERVICE C 3 7135 Product identifier M an..35 1131 Code list identification code C an..17 9629 Procedure modification code C an..3 9629 Procedure modification code C an..3 9629 Procedure modification code C an..3 9629 Procedure modification code C an..3 030 1229 ACTION CODE C 1 an..3 040 E017 MONETARY AMOUNT C 15 5025 Monetary amount type code qualifier C an..3 5004 Monetary amount C n..35 6345 Currency identification code C an..3 6343 Currency type code qualifier C an..3 4405 Status description code C an..3 050 6060 QUANTITY C 3 an..35 060 E030 ADJUSTMENT INFORMATION C 15 9619 Adjustment category code M an..3 4465 Adjustment reason description code M an..3 5004 Monetary amount C n..35 070 9620 POLICY LIMITATION IDENTIFIER C 4 an..10 080 5389 PRODUCT GROUP NAME CODE C 1 an..25 090 E507 DATE/TIME/PERIOD C 1 2005 Date or time or period function code qualifier M an..3 2380 Date or time or period text C an..35 2379 Date or time or period format code C an..3 100 9639 DIAGNOSIS CATEGORY CODE C 1 an..3 110 5482 PERCENTAGE C 1 n..10

Segment ADI is used in the following Messages:

IHCLME

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UN/EDIFACT Directories