Identification of Claim (Claimant Originated)

Identification of Claim (Claimant Originated) (F01) defines 9 elements, 1 syntax rule, and 5 semantic notes. Sign up free or login to view the full segment and download it in Markdown or console (text) formats.

Elements

373 F01-01

Date

Date (DT) R Required 8/8

127 F01-02

Reference Identification

Alphanumeric (AN) R Required 1/80

610 F01-03

Amount

Numeric - Two Decimals (N2) R Required 1/15

140 F01-04

Standard Carrier Alpha Code

Identifier (ID) R Required 2/4

544 F01-05

Supporting Evidence Code

Identifier (ID) R Required 1/1

100 F01-06

Currency Code

Identifier (ID) O Optional 3/3

Sign up free to see the full F01 reference

See every element, syntax rule, and semantic note for Identification of Claim (Claimant Originated). Download it as a diagram or Markdown, or use the tedi CLI to access the full X12 reference from your terminal.