Specific Benefit Information

Specific Benefit Information (SBI) defines 11 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

1390 SBI-01

Eligibility or Benefit Information Code

Identifier (ID) R Required 1/2

615 SBI-02

Time Period Qualifier

Identifier (ID) O Optional 1/2

616 SBI-03

Number of Periods

Numeric - Integer (N0) O Optional 1/3

954 SBI-04

Percentage as Decimal

Decimal (R) O Optional 1/10

782 SBI-05

Monetary Amount

Decimal (R) O Optional 1/18

782 SBI-06

Monetary Amount

Decimal (R) O Optional 1/18

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