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Return to EDIFACT D03A Segments page. OTI - Other insurance UN/CEFACT Revision 2003A Segment List Function: To provide payer, insured, and payment information when benefits are being coordinated between third party benefit carriers. This segment also occurs in the following versions of this standard: D99B, D00A, D00B, D01A, D01B, D01C, D02A, D02B, D03A, D03B, D04A, D04B Pos Segment M/C Repeat Repr. Notes 010 E206 OBJECT IDENTIFICATION M 5 7402 Object identifier M an..35 7405 Object identification code qualifier C an..3 4405 Status description code C an..3 020 9645 Payer responsibility level code M 1 an..3 030 E507 DATE/TIME/PERIOD C 2 2005 Date or time or period function code qualifier M an..3 2380 Date or time or period text C an..35 2379 Date or time or period format code C an..3 040 5267 Service type code C 10 an..3 050 5004 Monetary amount C 4 n..35 060 E030 ADJUSTMENT INFORMATION C 15 9619 Adjustment category code M an..3 4465 Adjustment reason description code M an..3 5004 Monetary amount C n..35 070 4497 Insurance cover type code C 1 an..3 080 9143 Relationship description code C 1 an..3 090 9607 Yes or no indicator code C 1 an..3 Pos Position M/C Mandatory or Conditional Repr. Representation (Data or Content Type) Segment OTI is used in the following messages: IHCLME Change indicators plus sign An addition. asterisk Addition/substraction/change to a code entry for a particular data element. hash or pound sign Changes to names. vertical bar Changes to text for descriptions, notes and functions. minus sign A deletion. letter X Marked for deletion. Return to EDIFACT D03A Segments page.