DMA Additional Demographic Information

To supply additional demographic identification

Position
Element
Name
Type
Requirement
Min
Max
Repeat
DMA-01
Reference Number
String (AN)
Optional
1
30
-
Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.
DMA01 defines Alien Registration Number.
DMA-02
State or Province Code
Identifier (ID)
Optional
2
2
-
Code (Standard State/Province) as defined by appropriate government agency.
DMA02 defines the Place of Birth.
DMA-03
Reference Number
String (AN)
Conditional
1
30
-
Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.
P0304: If either DMA-03 or DMA-04 is present, then the other is required
DMA03 defines the Driver's License Number.
DMA-04
State or Province Code
Identifier (ID)
Conditional
2
2
-
Code (Standard State/Province) as defined by appropriate government agency.
DMA04 defines the Driver's License State of Issue.
DMA-05
Applicant Type Code
Identifier (ID)
Optional
1
1
-
Code indicating the type of applicant

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