SLN

Member Count

Pos: 204	Max: 1
Detail - Optional
Loop: 2315A	Elements: 4

Ref

Id

Element Name

Req

Type

Min/Max

Usage

SLN01

350

Assigned Identification
Description: Alphanumeric characters assigned for differentiation within a transaction set
Health Care Industry: Line Item Control Number
Assigned for uniqueness, suggest “1" be used.

M

AN

1/20

Required

SLN03

662

Relationship Code
Description: Code indicating the relationship between entities
Health Care Industry: Information Only Indicator

M

ID

1/1

Required

Code

Name

O

Information Only

SLN04

380

Quantity
Description: Numeric value of quantity
Health Care Industry: Head Count
This is the number of contract holders with the type of coverage identified in SLN05-1.

C

R

1/15

Required

SLN05

C001

Composite Unit of Measure
Description: To identify a composite unit of measure

C

Comp

Required

355

Unit or Basis for Measurement Code
Description: Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

M

ID

2/2

Required

Code

Name

10

Group

Used to identify that the value in SLN04 represents the number of contract holders with Family coverage.

IE

Person

Used to identify that the value of SLN04 represents the number of contract holders with Individual coverage.

PR

Pair

Used to identify that the value in SLN04 represents the number of contract holders with Self and Spouse Only coverage.

1.

P0405 - If either SLN04,SLN05 is present, then all are required

2.

C0706 - If SLN07 is present, then all of SLN06 are required

3.

C0806 - If SLN08 is present, then all of SLN06 are required

4.

P0910 - If either SLN09,SLN10 is present, then all are required

5.

P1112 - If either SLN11,SLN12 is present, then all are required

6.

P1314 - If either SLN13,SLN14 is present, then all are required

7.

P1516 - If either SLN15,SLN16 is present, then all are required

8.

P1718 - If either SLN17,SLN18 is present, then all are required

9.

P1920 - If either SLN19,SLN20 is present, then all are required

10.

P2122 - If either SLN21,SLN22 is present, then all are required

11.

P2324 - If either SLN23,SLN24 is present, then all are required

12.

P2526 - If either SLN25,SLN26 is present, then all are required

13.

P2728 - If either SLN27,SLN28 is present, then all are required

1.

SLN01 is the identifying number for the subline item.

2.

SLN02 is the identifying number for the subline level. The subline level is analogous to the level code used in a bill of materials.

3.

SLN03 is the configuration code indicating the relationship of the subline item to the baseline item.

4.

SLN08 is a code indicating the relationship of the price or amount to the associated segment.

1.

See the Data Element Dictionary for a complete list of IDs.

2.

SLN01 is related to (but not necessarily equivalent to) the baseline item number. Example: 1.1 or 1A might be used as a subline number to relate to baseline number 1.

3.

SLN09 through SLN28 provide for ten different product/service IDs for each item. For example: Case, Color, Drawing No., U.P.C. No., ISBN No., Model No., or SKU.

Notes:

1. Used to provide optional member counts under a summary RMR/IT1 item. The member count is the total number of members/insured represented in the summary line item payment (RMR).
2. This segment is used multiple times within each RMR loop to identify the various contract types and the number of contract holders. The contract holder is the employee or individual whose signature is on the enrollment documentation.
3. For HIPAA Health Premium Payments one occurrence of this segment is REQUIRED.

Example:

SLN*1**O*150*IE~