Flexible Spending Account

Flexible Spending Account (FSA) defines 9 elements and 2 semantic notes. Sign up free or login to view the full segment and download it in Markdown or console (text) formats.

Elements

875 FSA-01

Maintenance Type Code

Identifier (ID) R Required 3/3

1202 FSA-02

Flexible Spending Account Selection Code

Identifier (ID) O Optional 1/1

1203 FSA-03

Maintenance Reason Code

Identifier (ID) O Optional 2/3

508 FSA-04

Account Number

Alphanumeric (AN) O Optional 1/35

594 FSA-05

Frequency Code

Identifier (ID) O Optional 1/1

1204 FSA-06

Plan Coverage Description

Alphanumeric (AN) O Optional 1/50

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See every element, syntax rule, and semantic note for Flexible Spending Account. Download it as a diagram or Markdown, or use the tedi CLI to access the full X12 reference from your terminal.