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