DSB Disability Information

To supply disability information

Position
Element
Name
Type
Requirement
Min
Max
Repeat
DSB-01
Disability Type Code
Identifier (ID)
Mandatory
1
1
-
Code identifying the disability status of the individual
DSB-02
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
DSB02 is scheduled work days before the disability.
DSB-03
Occupation Code
Identifier (ID)
Optional
4
6
-
Code identifying the occupation of an individual
DSB-04
Work Intensity Code
Identifier (ID)
Optional
1
1
-
Code identifying the level of intensity of work
DSB-05
Product Option Code
Identifier (ID)
Optional
1
2
-
Code indicating an option chosen for the product
DSB-06
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount
DSB06 is the maximum amount of disability coverage to which the insured is entitled.
DSB-07
Product/Service ID Qualifier
Identifier (ID)
Conditional
2
2
-
Code identifying the type/source of the descriptive number used in Product/Service ID (234)
P0708: If either DSB-07 or DSB-08 is present, then the other is required
DSB-08
Medical Code Value
String (AN)
Conditional
1
15
-
Code value for describing a medical condition or procedure
DSB08 is the functional status code for the disability.

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