ACT Account Identification

To specify account information

Position
Element
Name
Type
Requirement
Min
Max
Repeat
ACT-01
Account Number
String (AN)
Mandatory
1
35
1
Account number assigned
ACT-02
Name
String (AN)
Optional
1
60
1
Free-form name
ACT02 is the name of the account in ACT01.
ACT-03
Identification Code Qualifier
Identifier (ID)
Conditional
1
2
1
Code designating the system/method of code structure used for Identification Code (67)
P0304: If either ACT-03 or ACT-04 is present, then the other is required
ACT-04
Identification Code
String (AN)
Conditional
2
80
1
Code identifying a party or other code
ACT-05
Account Number Qualifier
Identifier (ID)
Conditional
1
3
1
Code indicating the type of account
C0506: If ACT-05 is present, then ACT-06 is required
ACT-06
Account Number
String (AN)
Conditional
1
35
1
Account number assigned
ACT06 is an account associated with the account in ACT01.
ACT-07
Description
String (AN)
Optional
1
80
1
A free-form description to clarify the related data elements and their content
C0705: If ACT-07 is present, then ACT-05 is required
ACT07 is the name associated with the account identified in ACT06.
ACT-08
Payment Method Code
Identifier (ID)
Optional
1
2
1
Code identifying type of payment procedures
ACT08 indicates if the data for the account in ACT01 is used for billing or information purposes.
ACT-09
Benefit Status Code
Identifier (ID)
Optional
1
1
1
The type of coverage under which benefits are paid

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