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


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


Function: To provide payer, insured, and payment information when benefits are being coordinated between third party benefit carriers. 010 E206 OBJECT IDENTIFICATION M 5 7402 Object identifier M an..35 7405 Object identification code qualifier C an..3 4405 Status description code C an..3 020 9645 PAYER RESPONSIBILITY LEVEL CODE M 1 an..3 030 E507 DATE/TIME/PERIOD C 2 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..3 040 5267 SERVICE TYPE CODE C 10 an..3 050 5004 MONETARY AMOUNT C 4 n..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 4497 INSURANCE COVER TYPE CODE C 1 an..3 080 9143 RELATIONSHIP DESCRIPTION CODE C 1 an..3 090 9607 YES OR NO INDICATOR CODE C 1 an..3

Segment OTI is used in the following Messages:


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