ADI -

Health care claim adjudication information
UN/CEFACT Revision 2004A Segment List

	Function:	To provide adjudication information for all services in a health care claim.
	This segment also occurs in the following versions of this standard: D99B, D00A, D00B, D01A, D01B, D01C, D02A, D02B, D03A, D03B, D04A, D04B

Pos			M/C	Repeat	Repr.
010	E206	OBJECT IDENTIFICATION	M	3
	7402	Object identifier	M		an..35
	7405	Object identification code qualifier	C		an..3
	4405	Status description code	C		an..3
020	E021	SERVICE	C	3
	7135	Product identifier	M		an..35
	1131	Code list identification code	C		an..17
	9629	Procedure modification code	C		an..3
	9629	Procedure modification code	C		an..3
	9629	Procedure modification code	C		an..3
	9629	Procedure modification code	C		an..3
030	1229	Action request/notification description code	C	1	an..3
040	E017	MONETARY AMOUNT	C	15
	5025	Monetary amount type code qualifier	C		an..3
	5004	Monetary amount	C		n..35
	6345	Currency identification code	C		an..3
	6343	Currency type code qualifier	C		an..3
	4405	Status description code	C		an..3
050	6060	Quantity	C	3	an..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	9620	Policy limitation identifier	C	4	an..10
080	5389	Product group name code	C	1	an..25
090	E507	DATE/TIME/PERIOD	C	1
	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
100	9639	Diagnosis category code	C	1	an..3
110	5482	Percentage	C	1	n..10

Pos	Position
M/C	Mandatory or Conditional
Repr.	Representation (Data or Content Type)

Segment ADI 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.