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Segment
in
X12 Release 005040

IDC Identification Card

To provide notification to produce replacement identification card(s)
Sequence
Element
Name
Type
Requirement
Min
Max
Repeat
01
1204
Plan Coverage Description
String (AN)
Mandatory
1
50
1
A description or number that identifies the plan or coverage
02
Identification Card Type Code
Identifier (ID)
Mandatory
1
1
1
Code identifying the type of identification card
Codes (5)
03
Quantity
Decimal number (R)
Optional
1
15
1
Numeric value of quantity
IDC03 is the number of cards being requested.
04
Action Code
Identifier (ID)
Optional
1
2
1
Code indicating type of action
IDC04 is the reason for the card being requested, i.e., add or a change.
Codes (323)
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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.