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Segment
in
X12 Release 003030

PAT Patient Information

To supply patient information
Sequence
Element
Name
Type
Requirement
Min
Max
Repeat
01
1069
Individual Relationship Code
Identifier (ID)
Optional
2
2
-
Code indicating the relationship between two individuals or entities.
Codes (41)
02
Patient Location Code
Identifier (ID)
Optional
1
1
-
Code identifying the location where patient is receiving medical treatment
Codes (5)
03
Employment Status Code
Identifier (ID)
Optional
2
2
-
Code showing the general employment status of an employee/claimant.
Codes (41)
04
Student Status Code
Identifier (ID)
Optional
1
1
-
Code indicating the student status of the patient if 19 years of age or older, not handicapped and not the insured
Codes (3)
05
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format.
P0506
Codes (22)
06
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times.
PAT06 is the date of death.
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.
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.