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Segment
in
X12 Release 003030

DSB Disability Information

To supply disability information
Sequence
Element
Name
Type
Requirement
Min
Max
Repeat
01
1146
Disability Type Code
Identifier (ID)
Mandatory
1
1
-
Code identifying the disability status of the individual
Codes (5)
02
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity.
DSB02 is scheduled work days before the disability.
03
Occupation Code
Identifier (ID)
Optional
4
6
-
Code identifying the occupation of an individual.
04
Work Intensity Code
Identifier (ID)
Optional
1
1
-
Code identifying the level of intensity of work
Codes (3)
05
Product Option Code
Identifier (ID)
Optional
1
2
-
Code indicating an option chosen for the product
Codes (8)
06
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount.
DSB06 is the maximum amount of disability coverage to which the insured is entitled.
07
Product/Service ID Qualifier
Identifier (ID)
Conditional
2
2
-
Code identifying the type/source of the descriptive number used in Product/Service ID (234).
P0708
Codes (275)
08
Medical Code Value
String (AN)
Conditional
1
15
-
Code value for describing a medical condition
DSB08 is the functional status code for the disability.
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Stedi is a registered trademark of Stedi, Inc. Stedi's EDI Reference and Mapping Guides are provided for marketing purposes and are free of charge. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.