To specify inquired eligibility or benefit information
Code indicating a code from a specific industry code list
Position of data in the repeating data element conveys no significance.
EQ01 is the Service Type (Code Source 958).
Position of data in the repeating composite data element conveys no significance.
Code indicating the level of coverage being provided for this insured
Code identifying the type of insurance policy within a specific insurance program
A pointer to the diagnosis code in the order of importance to this service
The first pointer designates the primary diagnosis and remaining diagnosis pointers indicate declining level of importance.