Friday, 14 June 2013

EDI 270–5010 Documentation–2000B Information Receiver Level

 

The information receiver is the entity who is asking the questions in a 270 Eligibility or Benefit transaction. The information receiver is typically the medical service provider (e.g., physician, hospital, laboratory, etc.).

Loop Seg ID Segment Name Format Length Ref# Req Value
2000B HL Billing Hierarchical Level 2 R HL
Element Separator AN 1 *
HL01 Hierarchical ID Number AN 1/12 628 R 2
Element Separator AN 1 *
HL02 Hierarchical Parent ID Number 0 1/12 734   1
Element Separator   1 *
HL03 Hierarchical Level Code ID 1/2 735 R 21
Element Separator   1 *
HL04 Hierarchical Child Code ID 1/1 736 R 1
Segment Terminator ~
 

Sample:
HL*2*1*21*1~

Segment Structure

image

image

        
 
 
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