MEDRUC Medical resource usage and cost
MEDRUC Medical resource usage and cost
The MEDRUC message is sent from a party providing medical and related administrative services to a funding institution, allowing evaluation of the medical activity and justification for reimbursement. It can also be sent from a funding institution to another party in order to advise which reimbursements have been made.
Position
Segment
Name
Max Use
0010
Mandatory
Max 1
To head, identify and specify a message.
0020
Mandatory
Max 1
To indicate the type and function of a message and to transmit the identifying number.
0030
Conditional
Max 9
To specify date, and/or time, or period.
0040
Conditional
Max 9
To specify a reference.
0050
Conditional
Max 9
To provide free form or coded text information.
0060
Conditional
Max 9
To provide control total.
Segment group 1
Mandatory
Repeat 9
0080
Mandatory
Max 1
To specify a monetary amount.
0090
Conditional
Max 1
To specify relevant duty/tax/fee information.
Segment group 2
Mandatory
Repeat 999
0110
Mandatory
Max 1
To specify information necessary to establish the identity of a party.
0120
Conditional
Max 1
To provide specific details related to the delivery sequence.
0130
Conditional
Max 9
To specify an address.
0140
Conditional
Max 9
To identify a person or a department to whom communication should be directed.
0150
Conditional
Max 9
To identify a communication number of a department or a person to whom communication should be directed.
0160
Conditional
Max 99
To specify a reference.
0170
Conditional
Max 9
To specify a language.
0180
Conditional
Max 1
To provide classification details relating to the activities of an organisation.
0190
Conditional
Max 9
To specify employment details.
0200
Conditional
Max 9
To specify the qualification of a person.
0210
Conditional
Max 99
To specify date, and/or time, or period.
0220
Conditional
Max 99
To specify sector/subject requirements and conditions.
0230
Conditional
Max 9
To identify an account and a related financial institution.
Segment group 3
Mandatory
Repeat 999
0250
Mandatory
Max 1
To specify the agreement details.
0260
Conditional
Max 1
To provide specific details related to the delivery sequence.
0270
Conditional
Max 99
To specify a reference.
0280
Conditional
Max 99
To specify date, and/or time, or period.
Segment group 4
Mandatory
Repeat 99
0300
Mandatory
Max 1
To describe the insurance cover.
0310
Conditional
Max 9
To provide free form or coded text information.
Segment group 5
Mandatory
Repeat 999
0330
Mandatory
Max 1
Description of allocation of charges.
0340
Conditional
Max 1
To transmit a processing indicator.
0350
Conditional
Max 99
To specify a reference.
0360
Conditional
Max 99
To specify date, and/or time, or period.
0370
Conditional
Max 99
To provide free form or coded text information.
0380
Conditional
Max 99
To specify the agreement details.
Segment group 6
Mandatory
Repeat 99
0400
Mandatory
Max 1
To specify sector/subject requirements and conditions.
0410
Conditional
Max 9
To provide free form or coded text information.
Segment group 7
Mandatory
Repeat 999
0430
Mandatory
Max 1
To specify information necessary to establish the identity of a party.
0440
Conditional
Max 99
To specify a reference.
0450
Conditional
Max 9
To specify an address.
0460
Conditional
Max 9
To identify a communication number of a department or a person to whom communication should be directed.
0470
Conditional
Max 99
To specify date, and/or time, or period.
0480
Conditional
Max 1
To specify items of person demographic information.
0490
Conditional
Max 9
To specify a nationality.
0500
Conditional
Max 9
To specify a language.
0510
Conditional
Max 9
To specify handling and where necessary, notify hazards.
0520
Conditional
Max 1
To identify the direct relationship between the data/information contained in one segment and the data/information contained in one or more other segments.
Segment group 8
Mandatory
Repeat 999
0540
Mandatory
Max 1
To identify a process.
0550
Conditional
Max 1
To transmit a processing indicator.
0560
Conditional
Max 9
To describe an item in either an industry or free format.
0570
Conditional
Max 99
To describe an item of clinical information.
0580
Conditional
Max 99
To specify information necessary to establish the identity of a party.
0590
Conditional
Max 99
To specify date, and/or time, or period.
0600
Conditional
Max 99
To specify a reference.
0610
Conditional
Max 99
To provide free form or coded text information.
0620
Conditional
Max 99
To specify a pertinent quantity.
0630
Conditional
Max 99
To specify percentage information.
Segment group 9
Mandatory
Repeat 99
0650
Mandatory
Max 1
To specify attendance information relating to an individual.
0660
Conditional
Max 9
To identify a place or a location and/or related locations.
0670
Conditional
Max 9
To specify date, and/or time, or period.
0680
Conditional
Max 9
To specify a reference.
Segment group 10
Mandatory
Repeat 99
0700
Mandatory
Max 1
To specify a monetary amount.
0710
Conditional
Max 1
To specify relevant duty/tax/fee information.
Segment group 11
Mandatory
Repeat 99
0730
Mandatory
Max 1
To specify sector/subject requirements and conditions.
0740
Conditional
Max 9
To provide free form or coded text information.
Segment group 12
Mandatory
Repeat 999
0760
Mandatory
Max 1
To specify a clinical intervention such as treatments and investigations.
0770
Conditional
Max 1
To transmit a processing indicator.
0780
Conditional
Max 9
To describe an item in either an industry or free format.
0790
Conditional
Max 99
To describe an item of clinical information.
0800
Conditional
Max 99
To specify information necessary to establish the identity of a party.
0810
Conditional
Max 99
To specify date, and/or time, or period.
0820
Conditional
Max 99
To specify a reference.
0830
Conditional
Max 99
To provide free form or coded text information.
0840
Conditional
Max 99
To specify a pertinent quantity.
0850
Conditional
Max 99
To specify percentage information.
0860
Conditional
Max 9
To describe the number and type of packages/physical units.
Segment group 13
Mandatory
Repeat 99
0880
Mandatory
Max 1
To specify a monetary amount.
0890
Conditional
Max 1
To specify relevant duty/tax/fee information.
Segment group 14
Mandatory
Repeat 99
0910
Mandatory
Max 1
To specify sector/subject requirements and conditions.
0920
Conditional
Max 9
To provide free form or coded text information.
Segment group 15
Mandatory
Repeat 99
0940
Mandatory
Max 1
To identify a unit of equipment.
0950
Conditional
Max 1
To provide specific details related to the delivery sequence.
Segment group 16
Mandatory
Repeat 999
0970
Mandatory
Max 1
To specify operational transport movement details for a goods item or equipment (which may differ from the contractual conditions).
0980
Conditional
Max 1
To provide specific details related to the delivery sequence.
0990
Conditional
Max 1
To transmit a processing indicator.
1000
Conditional
Max 99
To provide free form or coded text information.
Segment group 17
Mandatory
Repeat 999
1020
Mandatory
Max 1
To specify the transport details such as mode of transport, means of transport, its conveyance reference number and the identification of the means of transport. The segment may be pointed to by the TPL segment.
1030
Conditional
Max 1
To transmit a processing indicator.
1040
Conditional
Max 9
To describe an item in either an industry or free format.
1050
Conditional
Max 99
To specify information necessary to establish the identity of a party.
1060
Conditional
Max 99
To specify a reference.
1070
Conditional
Max 99
To provide free form or coded text information.
1080
Conditional
Max 99
To describe an item of clinical information.
1090
Conditional
Max 99
To specify a pertinent quantity.
Segment group 18
Mandatory
Repeat 99
1110
Mandatory
Max 1
To specify an address.
1120
Conditional
Max 9
To specify date, and/or time, or period.
Segment group 19
Mandatory
Repeat 99
1140
Mandatory
Max 1
To specify the contract and carriage conditions and service and priority requirements for the transport.
1150
Conditional
Max 9
To provide free form or coded text information.
Segment group 20
Mandatory
Repeat 999
1170
Mandatory
Max 1
To specify charges.
1180
Conditional
Max 1
To transmit a processing indicator.
1190
Conditional
Max 9
To describe an item in either an industry or free format.
1200
Conditional
Max 99
To specify date, and/or time, or period.
1210
Conditional
Max 99
To specify a reference.
1220
Conditional
Max 99
To provide free form or coded text information.
1230
Conditional
Max 99
To specify a pertinent quantity.
1240
Conditional
Max 99
To specify percentage information.
Segment group 21
Mandatory
Repeat 99
1260
Mandatory
Max 1
To specify a monetary amount.
1270
Conditional
Max 1
To specify relevant duty/tax/fee information.
Segment group 22
Mandatory
Repeat 99
1290
Mandatory
Max 1
To specify the contract and carriage conditions and service and priority requirements for the transport.
1300
Conditional
Max 9
To provide free form or coded text information.
Segment group 23
Mandatory
Repeat 9
1320
Mandatory
Max 1
To specify results of the application of an authentification procedure.
1330
Conditional
Max 9
To specify date, and/or time, or period.
1340
Mandatory
Max 1
To end and check the completeness of a message.