EDI
API DocsTerminal

COB Coordination of Benefits

To supply information on coordination of benefits

Sequence
Element
Name
Type
Requirement
Min
Max
Repeat
01
1138
Payer Responsibility Sequence Number Code
Identifier (ID)
Optional
1
1
1
Code identifying the insurance carrier's level of responsibility for a payment of a claim
Codes (15)
02
Reference Identification
String (AN)
Optional
1
80
1
Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier
COB02 is the policy number.
03
Coordination of Benefits Code
Identifier (ID)
Optional
1
1
1
Code identifying whether there is a coordination of benefits
Codes (9)
04
Service Type Code
Identifier (ID)
Optional
1
2
9
Code identifying the classification of service
Codes (192)

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Stedi is a registered trademark of Stedi, Inc. Stedi's EDI Reference and Mapping Guides are provided for marketing purposes and are free of charge. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.