REP Repair Action

To specify the action that was taken or is to be taken in response to a service request

Position
Element
Name
Type
Requirement
Min
Max
Repeat
REP-01
Assigned Identification
String (AN)
Optional
1
11
-
Alphanumeric characters assigned for differentiation within a transaction set.
REP01 is used by other segments to refer to this instance of the REP loop. It also could be used to identify an individual repair within a multiple-repair claim.
REP-02
Product/Service ID Qualifier
Identifier (ID)
Conditional
2
2
-
Code identifying the type/source of the descriptive number used in Product/Service ID (234).
P0203: If either REP-02 or REP-03 is present, then the other is required
REP-03
Product/Service ID
String (AN)
Conditional
1
30
-
Identifying number for a product or service.
REP03 refers to the part or assembly.
REP-04
Product/Service ID Qualifier
Identifier (ID)
Conditional
2
2
-
Code identifying the type/source of the descriptive number used in Product/Service ID (234).
P0405: If either REP-04 or REP-05 is present, then the other is required
REP-05
Product/Service ID
String (AN)
Conditional
1
30
-
Identifying number for a product or service.
C0503: If REP-05 is present, then REP-03 is required
REP05 may be used to further specify a part or assembly.
REP-06
Agency Qualifier Code
Identifier (ID)
Conditional
2
2
-
Code identifying the agency assigning the code values.
C0608: If REP-06 is present, then REP-08 is required
REP06 identifies the source of the code in REP05.
REP-07
Source Subqualifier
String (AN)
Optional
1
15
-
A reference that indicates the table or text maintained by the Source Qualifier.
C0706: If REP-07 is present, then REP-06 is required
REP07 specifies a particular table of codes maintained by the agency identified in REP06.
REP-08
Repair Action Code
Identifier (ID)
Conditional
1
4
-
Code specifying if the required action is to repair or scrap, etc.; it also can be used to specify the particular type of repair task
REP08 specifies the repair that took place or is to take place on the item referenced in REP03.
REP-09
Description
String (AN)
Optional
1
80
-
A free-form description to clarify the related data elements and their content.
REP09 is used to allow free form text for the description of a service station when a coded value is not adequate.
REP-10
Agency Qualifier Code
Identifier (ID)
Conditional
2
2
-
Code identifying the agency assigning the code values.
C1012: If REP-10 is present, then REP-12 is required
REP-11
Source Subqualifier
String (AN)
Optional
1
15
-
A reference that indicates the table or text maintained by the Source Qualifier.
C1110: If REP-11 is present, then REP-10 is required
REP-12
Repair Complexity Code
Identifier (ID)
Conditional
1
3
-
Code identifying the complexity of the repair
REP12 describes the total difficulty of completing this individual repair action.
REP-13
Product/Service ID Qualifier
Identifier (ID)
Conditional
2
2
-
Code identifying the type/source of the descriptive number used in Product/Service ID (234).
P1314: If either REP-13 or REP-14 is present, then the other is required
REP-14
Product/Service ID
String (AN)
Conditional
1
30
-
Identifying number for a product or service.
L141516: If REP-14 is present, then at least one of REP-15 or REP-16 is required
REP14 refers to a replacement part or assembly.
REP-15
Repair Action Code
Identifier (ID)
Conditional
1
4
-
Code specifying if the required action is to repair or scrap, etc.; it also can be used to specify the particular type of repair task
P1514: If either REP-15 or REP-14 is present, then the other is required
REP15 specifies the service station that is or has taken place on the replacement part or assembly.
REP-16
Description
String (AN)
Conditional
1
80
-
A free-form description to clarify the related data elements and their content.
REP16 is used to allow free form text for the description of a service action when a coded value is not adequate.
REP-17
Agency Qualifier Code
Identifier (ID)
Conditional
2
2
-
Code identifying the agency assigning the code values.
C1719: If REP-17 is present, then REP-19 is required
REP17 refers to the source of the code in REP19.
REP-18
Source Subqualifier
String (AN)
Optional
1
15
-
A reference that indicates the table or text maintained by the Source Qualifier.
C1817: If REP-18 is present, then REP-17 is required
REP-19
Reference Number
String (AN)
Conditional
1
30
-
Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.
REP19 is used to refer to a specific location on the product being serviced.
REP-20
Authorization Identification
String (AN)
Optional
1
4
-
Identifier representing authorization of an unusual repair or some attendant condition.
REP20 can be used to provide a preauthorized repair action even though it is not a normal condition.

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