| Data Element Number | Data Type | Minimum Length | Maximum Length | Data Element Name |
|---|---|---|---|---|
| 100 | ID | 3 | 3 | Currency Code |
| 1004 | ID | 1 | 2 | Percent Qualifier |
| 1005 | ID | 4 | 4 | Hierarchical Structure Code |
| 1018 | R | 1 | 15 | Exponent |
| 102 | ID | 1 | 1 | Ownership Code |
| 1028 | AN | 1 | 38 | Claim Submitters Identifier |
| 1029 | ID | 1 | 2 | Claim Status Code |
| 103 | AN | 3 | 5 | Packaging Code |
| 1032 | ID | 1 | 2 | Claim Filing Indicator Code |
| 1033 | ID | 1 | 2 | Claim Adjustment Group Code |
| 1034 | ID | 1 | 5 | Claim Adjustment Reason Code |
| 1035 | AN | 1 | 35 | Name Last or Organization Name |
| 1036 | AN | 1 | 25 | Name First |
| 1037 | AN | 1 | 25 | Name Middle |
| 1038 | AN | 1 | 10 | Name Prefix |
| 1039 | AN | 1 | 10 | Name Suffix |
| 1048 | ID | 1 | 3 | Business Function Code |
| 1065 | ID | 1 | 1 | Entity Type Qualifier |
| 1066 | ID | 1 | 2 | Citizenship Status Code |
| 1067 | ID | 1 | 1 | Marital Status Code |
| 1068 | ID | 1 | 1 | Gender Code |
| 1069 | ID | 2 | 2 | Individual Relationship Code |
| 107 | ID | 1 | 2 | Payment Method Code |
| 1073 | ID | 1 | 1 | Yes/No Condition or Response Code |
| 1074 | ID | 2 | 2 | Type of Real Estate Asset Code |
| 1095 | N0 | 4 | 4 | Year |
| 1109 | ID | 1 | 1 | Race or Ethnicity Code |
| 1129 | ID | 1 | 2 | Adjustment Reason Code Characteristic |
| 1130 | ID | 1 | 1 | Primary or Contingent Code |
| 1136 | ID | 2 | 2 | Code Category |
| 1137 | AN | 1 | 15 | Medical Code Value |
| 1138 | ID | 1 | 1 | Payer Responsibility Sequence Number Code |
| 1143 | ID | 1 | 1 | Coordination of Benefits Code |
| 1146 | ID | 1 | 1 | Disability Type Code |
| 1149 | ID | 4 | 6 | Occupation Code |
| 1154 | ID | 1 | 1 | Work Intensity Code |
| 116 | ID | 3 | 15 | Postal Code |
| 1161 | ID | 1 | 2 | Product Option Code |
| 1165 | ID | 1 | 1 | Confidentiality Code |
| 1166 | ID | 2 | 2 | Contract Type Code |
| 1167 | R | 1 | 6 | Sample Selection Modulus |
| 1176 | ID | 2 | 3 | Employment Class Code |
| 118 | R | 1 | 9 | Rate |
| 1186 | ID | 2 | 2 | Type of Income Code |
| 1187 | ID | 2 | 2 | Type of Account Code |
| 1188 | ID | 2 | 2 | Type of Personal or Business Asset Code |
| 1201 | ID | 1 | 1 | Information Status Code |
| 1202 | ID | 1 | 1 | Flexible Spending Account Selection Code |
| 1203 | ID | 2 | 3 | Maintenance Reason Code |
| 1204 | AN | 1 | 50 | Plan Coverage Description |
| 1205 | ID | 2 | 3 | Insurance Line Code |
| 1207 | ID | 3 | 3 | Coverage Level Code |
| 1209 | ID | 1 | 1 | Underwriting Decision Code |
| 1211 | ID | 2 | 3 | Drug House Code |
| 1212 | ID | 1 | 1 | Health-Related Code |
| 1213 | ID | 1 | 1 | Current Health Condition Code |
| 1214 | AN | 1 | 5 | Salary Grade |
| 1215 | ID | 1 | 1 | Identification Card Type Code |
| 1216 | ID | 1 | 1 | Benefit Status Code |
| 1218 | ID | 1 | 1 | Medicare Plan Code |
| 1219 | ID | 1 | 2 | Consolidated Omnibus Budget Reconciliation Act (COBRA) Qualifying |
| 1220 | ID | 1 | 1 | Student Status Code |
| 1221 | ID | 1 | 3 | Provider Code |
| 1222 | AN | 1 | 3 | Provider Specialty Code |
| 1223 | ID | 3 | 3 | Provider Organization Code |
| 1224 | ID | 2 | 2 | Contribution Code |
| 123 | N0 | 1 | 6 | Number of Received Transaction Sets |
| 124 | AN | 2 | 15 | 124 |
| 1250 | ID | 2 | 3 | Date Time Period Format Qualifier |
| 1251 | AN | 1 | 35 | Date Time Period |
| 1253 | ID | 3 | 6 | Immunization Type Code |
| 1254 | ID | 1 | 2 | Immunization Status Code |
| 127 | AN | 1 | 30 | Reference Identification |
| 1270 | ID | 1 | 3 | Code List Qualifier Code |
| 1271 | AN | 1 | 30 | Industry Code |
| 128 | ID | 2 | 3 | Reference Identification Qualifier |
| 1295 | ID | 1 | 2 | Participant Status Code |
| 1296 | AN | 1 | 6 | Special Processing Type |
| 1303 | ID | 1 | 2 | Use of Language Indicator |
| 1314 | ID | 1 | 1 | Admission Source Code |
| 1315 | ID | 1 | 1 | Admission Type Code |
| 1316 | ID | 1 | 1 | Ambulance Transport Code |
| 1317 | ID | 1 | 1 | Ambulance Transport Reason Code |
| 1318 | ID | 1 | 1 | Approval Code |
| 1319 | ID | 1 | 2 | Basis of Cost Determination Code |
| 1320 | ID | 1 | 1 | Basis of Days Supply Determination Code |
| 1321 | ID | 2 | 2 | Condition Indicator |
| 1322 | ID | 1 | 1 | Certification Type Code |
| 1325 | ID | 1 | 1 | Claim Frequency Type Code |
| 1327 | ID | 1 | 1 | Copay Status Code |
| 1328 | N0 | 1 | 2 | Diagnosis Code Pointer |
| 1329 | ID | 1 | 1 | Dispense as Written Code |
| 1330 | ID | 2 | 2 | Dosage Form Code |
| 1331 | AN | 1 | 2 | Facility Code Value |
| 1332 | ID | 1 | 2 | Facility Code Qualifier |
| 1333 | ID | 1 | 2 | Record Format Code |
| 1334 | ID | 1 | 1 | Health Care Professional Shortage Area Code |
| 1335 | ID | 1 | 1 | Insulin Dependent Code |
| 1336 | ID | 1 | 3 | Insurance Type Code |
| 1337 | ID | 1 | 1 | Level of Care Code |
| 1338 | ID | 1 | 3 | Level of Service Code |
| 1339 | AN | 2 | 2 | Procedure Modifier |
| 1340 | ID | 1 | 2 | Multiple Procedure Code |
| 1341 | AN | 1 | 2 | National or Local Assigned Review Value |
| 1342 | ID | 1 | 1 | Nature of Condition Code |
| 1343 | ID | 1 | 2 | Non-Institutional Claim Type Code |
| 1344 | ID | 1 | 1 | Non-Visit Code |
| 1345 | ID | 1 | 1 | Nursing Home Residential Status Code |
| 1346 | ID | 1 | 1 | Nutrient Administration Method Code |
| 1347 | ID | 1 | 1 | Nutrient Administration Technique Code |
| 1348 | ID | 1 | 1 | Oxygen Equipment Type Code |
| 1349 | ID | 1 | 1 | Oxygen Test Condition Code |
| 1350 | ID | 1 | 1 | Oxygen Test Findings Code |
| 1351 | ID | 1 | 1 | Patient Signature Source Code |
| 1352 | ID | 1 | 2 | Patient Status Code |
| 1354 | ID | 1 | 4 | Diagnosis Related Group (DRG) Code |
| 1355 | ID | 2 | 2 | Prescription Denial Override Code |
| 1356 | ID | 1 | 1 | Prescription Origin Code |
| 1357 | ID | 1 | 1 | Prior Authorization Type Code |
| 1358 | ID | 1 | 1 | Prosthesis |
| 1359 | ID | 1 | 1 | Provider Accept Assignment Code |
| 1360 | ID | 1 | 1 | Provider Agreement Code |
| 1361 | ID | 1 | 3 | Oral Cavity Designation Code |
| 1362 | ID | 2 | 3 | Related-Causes Code |
| 1363 | ID | 1 | 1 | Release of Information Code |
| 1364 | ID | 1 | 2 | Review Code |
| 1365 | ID | 1 | 2 | Service Type Code |
| 1366 | ID | 2 | 3 | Special Program Code |
| 1367 | ID | 2 | 3 | Subluxation Level Code |
| 1368 | ID | 1 | 2 | Tooth Status Code |
| 1369 | ID | 1 | 2 | Tooth Surface Code |
| 1370 | ID | 1 | 1 | Unit Dose Code |
| 1371 | R | 1 | 10 | Unit Rate |
| 1373 | ID | 2 | 4 | Measurement Method or Device |
| 1382 | ID | 1 | 1 | Oxygen Delivery System Code |
| 1383 | ID | 2 | 2 | Claim Submission Reason Code |
| 1384 | ID | 1 | 1 | Patient Location Code |
| 1390 | ID | 1 | 2 | Eligibility or Benefit Information |
| 1403 | ID | 1 | 1 | Implant Type Code |
| 1404 | ID | 1 | 1 | Implant Status Code |
| 142 | AN | 2 | 15 | Application Senders Code |
| 1429 | ID | 1 | 2 | Construction Type |
| 143 | ID | 3 | 3 | Transaction Set Identifier Code |
| 1470 | N0 | 1 | 9 | Number |
| 1473 | ID | 2 | 2 | Pricing Methodology |
| 1476 | ID | 1 | 1 | Language Proficiency Indicator |
| 151 | AN | 1 | 20 | Authority |
| 1514 | ID | 1 | 2 | Delay Reason Code |
| 1525 | ID | 1 | 2 | Request Category Code |
| 1526 | ID | 1 | 2 | Policy Compliance Code |
| 1527 | ID | 1 | 2 | Exception Code |
| 1528 | N0 | 1 | 2 | Composite Data Element Position in Composite |
| 156 | ID | 2 | 2 | State or Province Code |
| 166 | AN | 1 | 55 | Address Information |
| 1685 | ID | 1 | 2 | Tax Treatment Code |
| 1687 | R | 1 | 15 | Earnings Rate of Pay |
| 1705 | AN | 1 | 35 | Implementation Convention Reference |
| 183 | R | 1 | 8 | Volume |
| 184 | ID | 1 | 1 | Volume Unit Qualifier |
| 188 | ID | 1 | 1 | Weight Unit Code |
| 19 | AN | 2 | 30 | City Name |
| 2 | N0 | 1 | 6 | Number of Accepted Transaction Sets |
| 212 | R | 1 | 17 | Unit Price |
| 22 | AN | 1 | 30 | Commodity Code |
| 23 | ID | 1 | 1 | Commodity Code Qualifier |
| 234 | AN | 1 | 48 | Product/Service ID |
| 235 | ID | 2 | 2 | Product/Service ID Qualifier |
| 236 | ID | 3 | 3 | Price Identifier Code |
| 26 | ID | 2 | 3 | Country Code |
| 28 | N0 | 1 | 9 | Group Control Number |
| 29 | DT | 6 | 8 | Date |
| 30 | TM | 4 | 4 | Time |
| 280 | R | 4 | 10 | Exchange Rate |
| 289 | N0 | 1 | 2 | Multiple Price Quantity |
| 305 | ID | 1 | 2 | Transaction Handling Code |
| 306 | ID | 1 | 2 | Action Code |
| 309 | ID | 1 | 2 | Location Qualifier |
| 310 | AN | 1 | 30 | Location Identifier |
| 324 | AN | 1 | 22 | Purchase Order Number |
| 328 | AN | 1 | 30 | Release Number |
| 329 | AN | 4 | 9 | Transaction Set Control Number |
| 332 | R | 1 | 6 | Percent |
| 337 | TM | 4 | 8 | Time |
| 338 | R | 1 | 6 | Terms Discount Percent |
| 349 | ID | 1 | 1 | Item Description Type |
| 350 | AN | 1 | 20 | Assigned Identification |
| 352 | AN | 1 | 80 | Description |
| 353 | ID | 2 | 2 | Transaction Set Purpose Code |
| 354 | N0 | 1 | 6 | Number of Line Items |
| 355 | ID | 2 | 2 | Unit or Basis for Measurement Code |
| 358 | R | 1 | 10 | Quantity Invoiced |
| 363 | ID | 3 | 3 | Note Reference Code |
| 364 | AN | 1 | 80 | Communication Number |
| 365 | ID | 2 | 2 | Communication Number Qualifier |
| 366 | ID | 2 | 2 | Contact Function Code |
| 373 | DT | 8 | 8 | Date |
| 374 | ID | 3 | 3 | Date/Time Qualifier |
| 380 | R | 1 | 15 | Quantity |
| 426 | ID | 2 | 2 | Adjustment Reason Code |
| 429 | AN | 1 | 16 | Check Number |
| 443 | AN | 1 | 20 | Contact Inquiry Reference |
| 447 | AN | 1 | 6 | Loop Identifier Code |
| 449 | AN | 1 | 80 | Fixed Format Information |
| 455 | ID | 1 | 2 | Responsible Agency Code |
| 478 | ID | 1 | 1 | Credit/Debit Flag Code |
| 479 | ID | 2 | 2 | Functional Identifier Code |
| 480 | AN | 1 | 12 | Version / Release / Industry Identifier Code |
| 481 | ID | 1 | 2 | Trace Type Code |
| 482 | ID | 2 | 2 | Payment Action Code |
| 499 | AN | 1 | 10 | Condition Value |
| 506 | ID | 2 | 2 | (DFI) ID Number Qualifier |
| 507 | AN | 3 | 12 | (DFI) Identification Number |
| 508 | AN | 1 | 35 | Account Number |
| 509 | AN | 10 | 10 | Originating Company Identifier |
| 510 | AN | 9 | 9 | Originating Company Supplemental Code |
| 522 | ID | 1 | 3 | Amount Qualifier Code |
| 539 | AN | 1 | 25 | Vehicle Identification Number |
| 554 | N0 | 1 | 6 | Assigned Number |
| 559 | ID | 2 | 2 | Agency Qualifier Code |
| 569 | ID | 1 | 3 | Account Number Qualifier |
| 584 | ID | 2 | 2 | Employment Status Code |
| 591 | ID | 3 | 3 | Payment Method Code |
| 594 | ID | 1 | 1 | Frequency Code |
| 609 | N0 | 1 | 9 | Count |
| 61 | AN | 1 | 30 | Free-Form Message |
| 610 | N2 | 1 | 15 | Amount |
| 615 | ID | 1 | 2 | Time Period Qualifier |
| 616 | N0 | 1 | 3 | Number of Periods |
| 623 | ID | 2 | 2 | Time Code |
| 628 | AN | 1 | 12 | Hierarchical ID Number |
| 639 | ID | 2 | 2 | Basis of Unit Price Code |
| 640 | ID | 2 | 2 | Transaction Type Code |
| 648 | ID | 3 | 3 | Price Multiplier Qualifier |
| 649 | R | 1 | 10 | Multiplier |
| 65 | R | 1 | 8 | Height |
| 659 | ID | 1 | 2 | Basis of Verification Code |
| 66 | ID | 1 | 2 | Identification Code Qualifier |
| 662 | ID | 1 | 1 | Relationship Code |
| 669 | ID | 3 | 3 | Currency Market/Exchange Code |
| 67 | AN | 2 | 80 | Identification Code |
| 672 | ID | 2 | 2 | Resource Authorization Code |
| 673 | ID | 2 | 2 | Quantity Qualifier |
| 675 | ID | 2 | 2 | Schedule Type Qualifier |
| 676 | ID | 1 | 1 | Schedule Quantity Qualifier |
| 678 | ID | 1 | 2 | Ship/Delivery or Calendar Pattern Code |
| 679 | ID | 1 | 1 | Ship/Delivery Pattern Time Code |
| 680 | ID | 1 | 1 | Forecast Qualifier |
| 681 | ID | 1 | 1 | Forecast Timing Qualifier |
| 687 | ID | 2 | 2 | Class of Trade Code |
| 689 | ID | 2 | 2 | Occupancy Code |
| 704 | ID | 1 | 2 | Paperwork/Report Action Code |
| 706 | ID | 2 | 2 | Entity Relationship Code |
| 715 | ID | 1 | 1 | Functional Group Acknowledgment Code |
| 716 | ID | 1 | 3 | Functional Group Syntax Error Code |
| 717 | ID | 1 | 1 | Transaction Set Acknowledgment Code |
| 718 | ID | 1 | 3 | Transaction Set Syntax Error Code |
| 719 | N0 | 1 | 6 | Segment Position in Transaction Set |
| 720 | ID | 1 | 3 | Segment Syntax Error Code |
| 721 | ID | 2 | 3 | Segment ID Code |
| 722 | N0 | 1 | 2 | Element Position in Segment |
| 723 | ID | 1 | 3 | Data Element Syntax Error Code |
| 724 | AN | 1 | 99 | Copy of Bad Data Element |
| 725 | N0 | 1 | 4 | Data Element Reference Number |
| 734 | AN | 1 | 12 | Hierarchical Parent ID Number |
| 735 | ID | 1 | 2 | Hierarchical Level Code |
| 736 | ID | 1 | 1 | Hierarchical Child Code |
| 737 | ID | 2 | 2 | Measurement Reference ID Code |
| 738 | ID | 1 | 3 | Measurement Qualifier |
| 739 | R | 1 | 20 | Measurement Value |
| 740 | R | 1 | 20 | Range Minimum |
| 741 | R | 1 | 20 | Range Maximum |
| 750 | ID | 2 | 3 | Product/Process Characteristic Code |
| 751 | AN | 1 | 12 | Product Description Code |
| 752 | ID | 2 | 2 | Surface/Layer/Position Code |
| 754 | AN | 1 | 7 | Packaging Description Code |
| 755 | ID | 2 | 2 | Report Type Code |
| 756 | ID | 1 | 2 | Report Transmission Code |
| 757 | N0 | 1 | 2 | Report Copies Needed |
| 782 | R | 1 | 18 | Monetary Amount |
| 786 | ID | 2 | 2 | Security Level Code |
| 799 | AN | 1 | 30 | Version Identifier |
| 81 | R | 1 | 10 | Weight |
| 812 | ID | 1 | 10 | Payment Format Code |
| 819 | ID | 2 | 3 | Language Code |
| 82 | R | 1 | 8 | Length |
| 821 | ID | 3 | 3 | Safety Characteristic/Hazard Code |
| 822 | AN | 1 | 15 | Source Subqualifier |
| 875 | ID | 3 | 3 | Maintenance Type Code |
| 889 | ID | 1 | 1 | Follow-up Action Code |
| 9 | ID | 2 | 2 | Late Reason Code |
| 901 | ID | 2 | 2 | Reject Reason Code |
| 921 | ID | 2 | 2 | Discipline Type Code |
| 923 | ID | 1 | 1 | Prognosis Code |
| 93 | AN | 1 | 60 | Name |
| 933 | AN | 1 | 264 | Free-Form Message Text |
| 934 | ID | 2 | 2 | Printer Carriage Control Code |
| 935 | ID | 2 | 2 | Measurement Significance Code |
| 936 | ID | 2 | 2 | Measurement Attribute Code |
| 954 | R | 1 | 10 | Percent |
| 96 | N0 | 1 | 10 | Number of Included Segments |
| 97 | N0 | 1 | 6 | 97 |
| 98 | ID | 2 | 3 | Entity Identifier Code |
| I01 | ID | 2 | 2 | I01 |
| I02 | AN | 10 | 10 | I02 |
| I03 | ID | 2 | 2 | I03 |
| I04 | AN | 10 | 10 | I04 |
| I05 | ID | 2 | 2 | I05 |
| I06 | AN | 15 | 15 | I06 |
| I07 | AN | 15 | 15 | I07 |
| I08 | DT | 6 | 6 | I08 |
| I09 | TM | 4 | 4 | I09 |
| I10 | ID | 1 | 1 | I10 |
| I11 | ID | 5 | 5 | I11 |
| I12 | N0 | 9 | 9 | I12 |
| I13 | ID | 1 | 1 | I13 |
| I14 | ID | 1 | 1 | I14 |
| I15 | AN | 1 | 1 | I15 |
| I16 | N0 | 1 | 5 | I16 |
| I17 | ID | 1 | 1 | I17 |
| I18 | ID | 3 | 3 | I18 |