LIC License Information

To provide license information

Position
Element
Name
Type
Requirement
Min
Max
Repeat
LIC-01
State or Province Code
Identifier (ID)
Mandatory
2
2
1
Code (Standard State/Province) as defined by appropriate government agency
LIC01 identifies the licensing state.
LIC-02
Product/Service ID Qualifier
Identifier (ID)
Mandatory
2
2
1
Code identifying the type/source of the descriptive number used in Product/Service ID (234)
LIC-03
Product/Service ID
String (AN)
Mandatory
1
48
1
Identifying number for a product or service
LIC-04
Yes/No Condition or Response Code
Identifier (ID)
Mandatory
1
1
1
Code indicating a Yes or No condition or response
LIC04 defines the license residency type. A "Y" indicates a resident license; an "N" indicates a non resident license.
LIC-05
Status Code
Identifier (ID)
Mandatory
2
2
1
Code identifying the status of a business transaction, such as a claim, policy, real estate, or securities transaction
LIC05 defines the license status.
LIC-06
Reference Identification
String (AN)
Optional
1
50
1
Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
LIC06 defines the license number.
LIC-07
State or Province Code
Identifier (ID)
Conditional
2
2
1
Code (Standard State/Province) as defined by appropriate government agency
LIC07 defines the resident state.
LIC-08
Reference Identification
String (AN)
Optional
1
50
1
Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
C0807: If LIC-08 is present, then LIC-07 is required
LIC08 defines the resident state license number.

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