IDC

Identification Card

Pos: 300	Max: 10
Detail - Optional
Loop: 2300	Elements: 4

Ref

Id

Element Name

Req

Type

Min/Max

Usage

IDC01

1204

Plan Coverage Description
Description: A description or number that identifies the plan or coverage
Use this element when additional information is needed by the insurer to identify the type of ID card that will be produced. If requested, this information must be established by the insurer. Set IDC01 to a single zero if this does not apply.

M

AN

1/50

Required

IDC02

1215

Identification Card Type Code
Description: Code identifying the type of identification card

M

ID

1/1

Required

Code

Name

D

Dental Insurance

H

Health Insurance

This code is used to identify that the card issued should be specific to the coverage identified in the related HD segment.

P

Prescription Drug Service Drug Insurance

IDC03

380

Quantity
Description: Numeric value of quantity
Industry: Identification Card Count
Send this field if the number of cards requested is greater than 1.

O

R

1/15

Situational

IDC04

306

Action Code
Description: Code indicating type of action
Reason for card request should only be sent when requesting replacement identification cards.

O

ID

1/2

Situational

Code

Name

1

Add

2

Change (Update)

RX

Replace

Use when requesting replacement cards with no change to data.

1.

IDC03 is the number of cards being requested.

2.

IDC04 is the reason for the card being requested, i.e., add or a change.

Notes:

1. Use this segment when requesting the production of an identification card as a result of an enrollment add, change, or statement. An enrollment statement refers to a situation where no change is being made to the enrollment except to request a replacement ID card.

Example:

IDC*12345*H~