IDC Identification Card

To provide notification to produce replacement identification card(s)

Position: IDC-01 · Element: 1204 · Name: Plan Coverage Description · Type: String (AN) · Requirement: Mandatory · Min: 1 · Max: 50 · Repeat: 1

A description or number that identifies the plan or coverage

Position: IDC-02 · Element: 1215 · Name: Identification Card Type Code · Type: Identifier (ID) · Requirement: Mandatory · Min: 1 · Max: 1 · Repeat: 1

Code identifying the type of identification card

Position: IDC-03 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 15 · Repeat: 1

Numeric value of quantity

IDC03 is the number of cards being requested.

Position: IDC-04 · Element: 306 · Name: Action Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 2 · Repeat: 1

Code indicating type of action

IDC04 is the reason for the card being requested, i.e., add or a change.

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