BCI Basic Claim Information

To identify information basic to the processing of any claims transaction

Position
Element
Name
Type
Requirement
Min
Max
Repeat
BCI-01
Industry Code
String (AN)
Optional
1
20
-
Code indicating a code from a specific industry code list
BCI01 is used to specify the line of insurance (i.e., line of business).
BCI-02
Insurance Type Code
Identifier (ID)
Optional
1
3
-
Code identifying the type of insurance policy within a specific insurance program
BCI-03
Reference Number
String (AN)
Optional
1
30
-
Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.
BCI03 is used to specify the actual policy number.
BCI-04
State or Province Code
Identifier (ID)
Optional
2
2
-
Code (Standard State/Province) as defined by appropriate government agency.
BCI04 is used to specify the state associated with the policy (i.e., policy's base state).
BCI-05
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format.
P0506: If either BCI-05 or BCI-06 is present, then the other is required
BCI-06
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times.
BCI06 is used to specify the range of dates the policy was in effect.
BCI-07
Report Type Code
Identifier (ID)
Optional
2
2
-
Code indicating the title or contents of a document, report or supporting item
BCI-08
Currency Code
Identifier (ID)
Optional
3
3
-
Code (Standard ISO) for country in whose currency the charges are specified.
BCI08 is used to specify the currency specified in a contractual agreement of the policy.

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