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Segment OTI: OTHER INSURANCE

TagOTI
NameOTHER INSURANCE
FuncTo provide payer, insured, and payment information when benefits are being coordinated between third party benefit carriers.

Elemente

Element/GruppeNo/CodeBeschreibungOpt/Mand.
GruppeE206The identification of an object. Mandatory
Element9645Code specifying the level of responsibility of a payer.Mandatory
GruppeE507Date and/or time, or period relevant to the specified date/time/period type. Optional
Element5267Code specifying the type of service.Optional
Element5004To specify a monetary amount.Optional
GruppeE030To identify the adjustment category, reason and related monetary amount. Optional
Element4497Code specifying the meaning of the insurance cover.Optional
Element9143Code specifying a relationship.Optional
Element9607Code specifying either a yes or no.Optional