Chiapas EDI 2012 Mapping Guide

(C) Copyright 2012 Chiapas EDI Technologies, Inc.

4010_278_REQ_A1 Addenda Mapping Modifications

LoopSegmentSegment NameChiapas Gate Mapping
DeprecatedE0_OEISA_S01_ISA02_AUTH_NFO_OVL_ADDL_ID
DeprecatedE0_OEISA_S01_ISA02_AUTH_NFO_OVL_NO_AUTH_NFO
DeprecatedL2000C_S02_DTP03_ACDNT_DT_OVL_ACDNT_D8
DeprecatedL2000C_S03_DTP03_LAST_MENSTRL_PERD_DT_OVL_LAST_MENSTRL_PERD_D8
DeprecatedL2000C_S04_DTP03_BIRTH_DT_OVL_EST_DOB_D8
DeprecatedL2000C_S05_DTP03_ONST_DT_OVL_ONST_CURNT_SYMPTMS_ILNS_D8
DeprecatedL2000C_S06_HI01_02_DIAG_CD_OVL_ADMTNG_DIAG
DeprecatedL2000C_S06_HI01_02_DIAG_CD_OVL_DIAG
DeprecatedL2000C_S06_HI01_02_DIAG_CD_OVL_PRINCPL_DIAG
DeprecatedL2000C_S06_HI01_04_DIAG_DT_OVL_DT_CCYYMMDD
DeprecatedL2000C_S06_HI02_02_DIAG_CD_OVL_ADMTNG_DIAG
DeprecatedL2000C_S06_HI02_02_DIAG_CD_OVL_DIAG
DeprecatedL2000C_S06_HI02_04_DIAG_DT_OVL_DT_CCYYMMDD
DeprecatedL2000C_S06_HI03_02_DIAG_CD_OVL_DIAG
DeprecatedL2000C_S06_HI03_04_DIAG_DT_OVL_DT_CCYYMMDD
DeprecatedL2000C_S06_HI04_02_DIAG_CD_OVL_DIAG
DeprecatedL2000C_S06_HI04_04_DIAG_DT_OVL_DT_CCYYMMDD
DeprecatedL2000C_S06_HI05_02_DIAG_CD_OVL_DIAG
DeprecatedL2000C_S06_HI05_04_DIAG_DT_OVL_DT_CCYYMMDD
DeprecatedL2000C_S06_HI06_02_DIAG_CD_OVL_DIAG
DeprecatedL2000C_S06_HI06_04_DIAG_DT_OVL_DT_CCYYMMDD
DeprecatedL2000C_S06_HI07_02_DIAG_CD_OVL_DIAG
DeprecatedL2000C_S06_HI07_04_DIAG_DT_OVL_DT_CCYYMMDD
DeprecatedL2000C_S06_HI08_02_DIAG_CD_OVL_DIAG
DeprecatedL2000C_S06_HI08_04_DIAG_DT_OVL_DT_CCYYMMDD
DeprecatedL2000C_S06_HI09_02_DIAG_CD_OVL_DIAG
DeprecatedL2000C_S06_HI09_04_DIAG_DT_OVL_DT_CCYYMMDD
DeprecatedL2000C_S06_HI10_02_DIAG_CD_OVL_DIAG
DeprecatedL2000C_S06_HI10_04_DIAG_DT_OVL_DT_CCYYMMDD
DeprecatedL2000C_S06_HI11_02_DIAG_CD_OVL_DIAG
DeprecatedL2000C_S06_HI11_04_DIAG_DT_OVL_DT_CCYYMMDD
DeprecatedL2000C_S06_HI12_02_DIAG_CD_OVL_DIAG
DeprecatedL2000C_S06_HI12_04_DIAG_DT_OVL_DT_CCYYMMDD
DeprecatedL2000D_S02_DTP03_ACDNT_DT_OVL_ACDNT_D8
DeprecatedL2000D_S03_DTP03_LAST_MENSTRL_PERD_DT_OVL_LAST_MENSTRL_PERD_D8
DeprecatedL2000D_S04_DTP03_BIRTH_DT_OVL_EST_DOB_D8
DeprecatedL2000D_S05_DTP03_ONST_DT_OVL_ONST_CURNT_SYMPTMS_ILNS_D8
DeprecatedL2000D_S06_HI01_02_DIAG_CD_OVL_ADMTNG_DIAG
DeprecatedL2000D_S06_HI01_02_DIAG_CD_OVL_DIAG
DeprecatedL2000D_S06_HI01_02_DIAG_CD_OVL_PRINCPL_DIAG
DeprecatedL2000D_S06_HI01_04_DIAG_DT_OVL_DT_CCYYMMDD
DeprecatedL2000D_S06_HI02_02_DIAG_CD_OVL_ADMTNG_DIAG
DeprecatedL2000D_S06_HI02_02_DIAG_CD_OVL_DIAG
DeprecatedL2000D_S06_HI02_04_DIAG_DT_OVL_DT_CCYYMMDD
DeprecatedL2000D_S06_HI03_02_DIAG_CD_OVL_DIAG
DeprecatedL2000D_S06_HI03_04_DIAG_DT_OVL_DT_CCYYMMDD
DeprecatedL2000D_S06_HI04_02_DIAG_CD_OVL_DIAG
DeprecatedL2000D_S06_HI04_04_DIAG_DT_OVL_DT_CCYYMMDD
DeprecatedL2000D_S06_HI05_02_DIAG_CD_OVL_DIAG
DeprecatedL2000D_S06_HI05_04_DIAG_DT_OVL_DT_CCYYMMDD
DeprecatedL2000D_S06_HI06_02_DIAG_CD_OVL_DIAG
DeprecatedL2000D_S06_HI06_04_DIAG_DT_OVL_DT_CCYYMMDD
DeprecatedL2000D_S06_HI07_02_DIAG_CD_OVL_DIAG
DeprecatedL2000D_S06_HI07_04_DIAG_DT_OVL_DT_CCYYMMDD
DeprecatedL2000D_S06_HI08_02_DIAG_CD_OVL_DIAG
DeprecatedL2000D_S06_HI08_04_DIAG_DT_OVL_DT_CCYYMMDD
DeprecatedL2000D_S06_HI09_02_DIAG_CD_OVL_DIAG
DeprecatedL2000D_S06_HI09_04_DIAG_DT_OVL_DT_CCYYMMDD
DeprecatedL2000D_S06_HI10_02_DIAG_CD_OVL_DIAG
DeprecatedL2000D_S06_HI10_04_DIAG_DT_OVL_DT_CCYYMMDD
DeprecatedL2000D_S06_HI11_02_DIAG_CD_OVL_DIAG
DeprecatedL2000D_S06_HI11_04_DIAG_DT_OVL_DT_CCYYMMDD
DeprecatedL2000D_S06_HI12_02_DIAG_CD_OVL_DIAG
DeprecatedL2000D_S06_HI12_04_DIAG_DT_OVL_DT_CCYYMMDD
DeprecatedL2000D_S08_REF02_SUPP_ID_OVL_EMPLY_ID_NR
DeprecatedL2000D_S08_REF02_SUPP_ID_OVL_PATNT_ACNT_NR
DeprecatedL2000D_S08_REF02_SUPP_ID_OVL_SSN
DeprecatedL2000D_S09_DMG02_BIRTH_DT_OVL_DT_CCYYMMDD
DeprecatedL2000D_S09_DMG03_GENDR_CD
DeprecatedL2000D_S10_INS01_INSRD_IND
DeprecatedL2000D_S10_INS02_INDVDL_REL_CD
DeprecatedL2000D_S10_INS17_BIRTH_SEQNC_NR
DeprecatedL2000F_S17_MSG01_FRE_FORM_MESG_TEXT
DeprecatedL2010C_S01_NM102_ENTY_TYPE_QUAL
DeprecatedL2010C_S01_NM103_SUB_LNAME
DeprecatedL2010C_S01_NM104_SUB_FNAME
DeprecatedL2010C_S01_NM105_SUB_MNAME
DeprecatedL2010C_S01_NM107_NM_SUFX
DeprecatedL2010C_S01_NM109_PRIMRY_ID_OVL_MEM_ID_NR
DeprecatedL2010C_S01_NM109_PRIMRY_ID_OVL_MUTLY_DEFND
DeprecatedL2010C_S02_REF02_SUPP_ID_OVL_EMPLY_ID_NR
DeprecatedL2010C_S02_REF02_SUPP_ID_OVL_GRP_NR
DeprecatedL2010C_S02_REF02_SUPP_ID_OVL_GRP_POLCY_NR
DeprecatedL2010C_S02_REF02_SUPP_ID_OVL_HIC_NR
DeprecatedL2010C_S02_REF02_SUPP_ID_OVL_IDNTY_CARD_NR
DeprecatedL2010C_S02_REF02_SUPP_ID_OVL_INS_POLCY_NR
DeprecatedL2010C_S02_REF02_SUPP_ID_OVL_MEDCD_RECPNT_ID_NR
DeprecatedL2010C_S02_REF02_SUPP_ID_OVL_MEM_ID_NR
DeprecatedL2010C_S02_REF02_SUPP_ID_OVL_PATNT_ACNT_NR
DeprecatedL2010C_S02_REF02_SUPP_ID_OVL_PLAN_NETWRK_ID_NR
DeprecatedL2010C_S02_REF02_SUPP_ID_OVL_SSN
DeprecatedL2010C_S03_DMG02_BIRTH_DT_OVL_DT_CCYYMMDD
DeprecatedL2010C_S03_DMG03_GENDR_CD
DeprecatedL2010D_S01_NM102_ENTY_TYPE_QUAL
DeprecatedL2010D_S01_NM103_DEPNDNT_LNAME
DeprecatedL2010D_S01_NM104_DEPNDNT_FNAME
DeprecatedL2010D_S01_NM105_DEPNDNT_MNAME
DeprecatedL2010D_S01_NM107_NM_SUFX
New MappingsE1_OEISA_S01_ISA02_AUTH_NFO_OVL_ADDL_ID
New MappingsE1_OEISA_S01_ISA02_AUTH_NFO_OVL_NO_AUTH_NFO
New MappingsL2000C_S02_TRN01_TRAC_TYPE_CD
New MappingsL2000C_S02_TRN02_PATNT_EVNT_TRACKNG_NR_OVL_CURNT_TRAN_TRAC_NR
New MappingsL2000C_S02_TRN03_TRAC_ASGNG_ENTY_ID
New MappingsL2000C_S02_TRN04_TRAC_ASGNG_ENTY_ADDL_ID
New MappingsL2000C_S03_DTP03_ACDNT_DT_OVL_ACDNT_D8
New MappingsL2000C_S04_DTP03_LAST_MENSTRL_PERD_DT_OVL_LAST_MENSTRL_PERD_D8
New MappingsL2000C_S05_DTP03_BIRTH_DT_OVL_EST_DOB_D8
New MappingsL2000C_S06_DTP03_ONST_DT_OVL_ONST_CURNT_SYMPTMS_ILNS_D8
New MappingsL2000C_S07_PWK01_ATCHMNT_REPRT_TYPE_CD
New MappingsL2000C_S07_PWK02_ATCHMNT_TRANSMSN_CD
New MappingsL2000C_S07_PWK05_ID_CD_QUAL
New MappingsL2000C_S07_PWK06_ATCHMNT_CONTRL_NR_OVL_ATCHMNT_CONTRL_NR
New MappingsL2000C_S07_PWK07_ATCHMNT_DESCRPTN
New MappingsL2000C_S08_HI01_02_DIAG_CD_OVL_ADMTNG_DIAG
New MappingsL2000C_S08_HI01_02_DIAG_CD_OVL_DIAG
New MappingsL2000C_S08_HI01_02_DIAG_CD_OVL_PRINCPL_DIAG
New MappingsL2000C_S08_HI01_04_DIAG_DT_OVL_DT_CCYYMMDD
New MappingsL2000C_S08_HI02_02_DIAG_CD_OVL_ADMTNG_DIAG
New MappingsL2000C_S08_HI02_02_DIAG_CD_OVL_DIAG
New MappingsL2000C_S08_HI02_04_DIAG_DT_OVL_DT_CCYYMMDD
New MappingsL2000C_S08_HI03_02_DIAG_CD_OVL_DIAG
New MappingsL2000C_S08_HI03_04_DIAG_DT_OVL_DT_CCYYMMDD
New MappingsL2000C_S08_HI04_02_DIAG_CD_OVL_DIAG
New MappingsL2000C_S08_HI04_04_DIAG_DT_OVL_DT_CCYYMMDD
New MappingsL2000C_S08_HI05_02_DIAG_CD_OVL_DIAG
New MappingsL2000C_S08_HI05_04_DIAG_DT_OVL_DT_CCYYMMDD
New MappingsL2000C_S08_HI06_02_DIAG_CD_OVL_DIAG
New MappingsL2000C_S08_HI06_04_DIAG_DT_OVL_DT_CCYYMMDD
New MappingsL2000C_S08_HI07_02_DIAG_CD_OVL_DIAG
New MappingsL2000C_S08_HI07_04_DIAG_DT_OVL_DT_CCYYMMDD
New MappingsL2000C_S08_HI08_02_DIAG_CD_OVL_DIAG
New MappingsL2000C_S08_HI08_04_DIAG_DT_OVL_DT_CCYYMMDD
New MappingsL2000C_S08_HI09_02_DIAG_CD_OVL_DIAG
New MappingsL2000C_S08_HI09_04_DIAG_DT_OVL_DT_CCYYMMDD
New MappingsL2000C_S08_HI10_02_DIAG_CD_OVL_DIAG
New MappingsL2000C_S08_HI10_04_DIAG_DT_OVL_DT_CCYYMMDD
New MappingsL2000C_S08_HI11_02_DIAG_CD_OVL_DIAG
New MappingsL2000C_S08_HI11_04_DIAG_DT_OVL_DT_CCYYMMDD
New MappingsL2000C_S08_HI12_02_DIAG_CD_OVL_DIAG
New MappingsL2000C_S08_HI12_04_DIAG_DT_OVL_DT_CCYYMMDD
New MappingsL2000D_S02_TRN01_TRAC_TYPE_CD
New MappingsL2000D_S02_TRN02_PATNT_EVNT_TRACKNG_NR_OVL_CURNT_TRAN_TRAC_NR
New MappingsL2000D_S02_TRN03_TRAC_ASGNG_ENTY_ID
New MappingsL2000D_S02_TRN04_TRAC_ASGNG_ENTY_ADDL_ID
New MappingsL2000D_S03_DTP03_ACDNT_DT_OVL_ACDNT_D8
New MappingsL2000D_S04_DTP03_LAST_MENSTRL_PERD_DT_OVL_LAST_MENSTRL_PERD_D8
New MappingsL2000D_S05_DTP03_BIRTH_DT_OVL_EST_DOB_D8
New MappingsL2000D_S06_DTP03_ONST_DT_OVL_ONST_CURNT_SYMPTMS_ILNS_D8
New MappingsL2000D_S07_PWK01_ATCHMNT_REPRT_TYPE_CD
New MappingsL2000D_S07_PWK02_ATCHMNT_TRANSMSN_CD
New MappingsL2000D_S07_PWK05_ID_CD_QUAL
New MappingsL2000D_S07_PWK06_ATCHMNT_CONTRL_NR_OVL_ATCHMNT_CONTRL_NR
New MappingsL2000D_S07_PWK07_ATCHMNT_DESCRPTN
New MappingsL2000D_S08_HI01_02_DIAG_CD_OVL_ADMTNG_DIAG
New MappingsL2000D_S08_HI01_02_DIAG_CD_OVL_DIAG
New MappingsL2000D_S08_HI01_02_DIAG_CD_OVL_PRINCPL_DIAG
New MappingsL2000D_S08_HI01_04_DIAG_DT_OVL_DT_CCYYMMDD
New MappingsL2000D_S08_HI02_02_DIAG_CD_OVL_ADMTNG_DIAG
New MappingsL2000D_S08_HI02_02_DIAG_CD_OVL_DIAG
New MappingsL2000D_S08_HI02_04_DIAG_DT_OVL_DT_CCYYMMDD
New MappingsL2000D_S08_HI03_02_DIAG_CD_OVL_DIAG
New MappingsL2000D_S08_HI03_04_DIAG_DT_OVL_DT_CCYYMMDD
New MappingsL2000D_S08_HI04_02_DIAG_CD_OVL_DIAG
New MappingsL2000D_S08_HI04_04_DIAG_DT_OVL_DT_CCYYMMDD
New MappingsL2000D_S08_HI05_02_DIAG_CD_OVL_DIAG
New MappingsL2000D_S08_HI05_04_DIAG_DT_OVL_DT_CCYYMMDD
New MappingsL2000D_S08_HI06_02_DIAG_CD_OVL_DIAG
New MappingsL2000D_S08_HI06_04_DIAG_DT_OVL_DT_CCYYMMDD
New MappingsL2000D_S08_HI07_02_DIAG_CD_OVL_DIAG
New MappingsL2000D_S08_HI07_04_DIAG_DT_OVL_DT_CCYYMMDD
New MappingsL2000D_S08_HI08_02_DIAG_CD_OVL_DIAG
New MappingsL2000D_S08_HI08_04_DIAG_DT_OVL_DT_CCYYMMDD
New MappingsL2000D_S08_HI09_02_DIAG_CD_OVL_DIAG
New MappingsL2000D_S08_HI09_04_DIAG_DT_OVL_DT_CCYYMMDD
New MappingsL2000D_S08_HI10_02_DIAG_CD_OVL_DIAG
New MappingsL2000D_S08_HI10_04_DIAG_DT_OVL_DT_CCYYMMDD
New MappingsL2000D_S08_HI11_02_DIAG_CD_OVL_DIAG
New MappingsL2000D_S08_HI11_04_DIAG_DT_OVL_DT_CCYYMMDD
New MappingsL2000D_S08_HI12_02_DIAG_CD_OVL_DIAG
New MappingsL2000D_S08_HI12_04_DIAG_DT_OVL_DT_CCYYMMDD
New MappingsL2000F_S09_HI01_02_PROC_CD_OVL_ASGND_RECVR
New MappingsL2000F_S09_HI01_05_PROC_MONTRY_AMT
New MappingsL2000F_S09_HI02_02_PROC_CD_OVL_ASGND_RECVR
New MappingsL2000F_S09_HI02_05_PROC_MONTRY_AMT
New MappingsL2000F_S09_HI03_02_PROC_CD_OVL_ASGND_RECVR
New MappingsL2000F_S09_HI03_05_PROC_MONTRY_AMT
New MappingsL2000F_S09_HI04_02_PROC_CD_OVL_ASGND_RECVR
New MappingsL2000F_S09_HI04_05_PROC_MONTRY_AMT
New MappingsL2000F_S09_HI05_02_PROC_CD_OVL_ASGND_RECVR
New MappingsL2000F_S09_HI05_05_PROC_MONTRY_AMT
New MappingsL2000F_S09_HI06_02_PROC_CD_OVL_ASGND_RECVR
New MappingsL2000F_S09_HI06_05_PROC_MONTRY_AMT
New MappingsL2000F_S09_HI07_02_PROC_CD_OVL_ASGND_RECVR
New MappingsL2000F_S09_HI07_05_PROC_MONTRY_AMT
New MappingsL2000F_S09_HI08_02_PROC_CD_OVL_ASGND_RECVR
New MappingsL2000F_S09_HI08_05_PROC_MONTRY_AMT
New MappingsL2000F_S09_HI09_02_PROC_CD_OVL_ASGND_RECVR
New MappingsL2000F_S09_HI09_05_PROC_MONTRY_AMT
New MappingsL2000F_S09_HI10_02_PROC_CD_OVL_ASGND_RECVR
New MappingsL2000F_S09_HI10_05_PROC_MONTRY_AMT
New MappingsL2000F_S09_HI11_02_PROC_CD_OVL_ASGND_RECVR
New MappingsL2000F_S09_HI11_05_PROC_MONTRY_AMT
New MappingsL2000F_S09_HI12_02_PROC_CD_OVL_ASGND_RECVR
New MappingsL2000F_S09_HI12_05_PROC_MONTRY_AMT
New MappingsL2000F_S17_PWK01_ATCHMNT_REPRT_TYPE_CD
New MappingsL2000F_S17_PWK02_ATCHMNT_TRANSMSN_CD
New MappingsL2000F_S17_PWK05_ID_CD_QUAL
New MappingsL2000F_S17_PWK06_ATCHMNT_CONTRL_NR_OVL_ATCHMNT_CONTRL_NR
New MappingsL2000F_S17_PWK07_ATCHMNT_DESCRPTN
New MappingsL2000F_S18_MSG01_FRE_FORM_MESG_TEXT
New MappingsL2010CA_S01_NM102_ENTY_TYPE_QUAL
New MappingsL2010CA_S01_NM103_SUB_LNAME
New MappingsL2010CA_S01_NM104_SUB_FNAME
New MappingsL2010CA_S01_NM105_SUB_MNAME
New MappingsL2010CA_S01_NM107_NM_SUFX
New MappingsL2010CA_S01_NM109_PRIMRY_ID_OVL_MEM_ID_NR
New MappingsL2010CA_S01_NM109_PRIMRY_ID_OVL_MUTLY_DEFND
New MappingsL2010CA_S02_REF02_SUPP_ID_OVL_EMPLY_ID_NR
New MappingsL2010CA_S02_REF02_SUPP_ID_OVL_GRP_NR
New MappingsL2010CA_S02_REF02_SUPP_ID_OVL_GRP_POLCY_NR
New MappingsL2010CA_S02_REF02_SUPP_ID_OVL_HIC_NR
New MappingsL2010CA_S02_REF02_SUPP_ID_OVL_IDNTY_CARD_NR
New MappingsL2010CA_S02_REF02_SUPP_ID_OVL_INS_POLCY_NR
New MappingsL2010CA_S02_REF02_SUPP_ID_OVL_MEDCD_RECPNT_ID_NR
New MappingsL2010CA_S02_REF02_SUPP_ID_OVL_MEM_ID_NR
New MappingsL2010CA_S02_REF02_SUPP_ID_OVL_PATNT_ACNT_NR
New MappingsL2010CA_S02_REF02_SUPP_ID_OVL_PLAN_NETWRK_ID_NR
New MappingsL2010CA_S02_REF02_SUPP_ID_OVL_SSN
New MappingsL2010CA_S03_DMG02_BIRTH_DT_OVL_DT_CCYYMMDD
New MappingsL2010CA_S03_DMG03_GENDR_CD
New MappingsL2010DA_S01_NM102_ENTY_TYPE_QUAL
New MappingsL2010DA_S01_NM103_DEPNDNT_LNAME
New MappingsL2010DA_S01_NM104_DEPNDNT_FNAME
New MappingsL2010DA_S01_NM105_DEPNDNT_MNAME
New MappingsL2010DA_S01_NM107_NM_SUFX
New MappingsL2010DA_S02_REF02_SUPP_ID_OVL_EMPLY_ID_NR
New MappingsL2010DA_S02_REF02_SUPP_ID_OVL_PATNT_ACNT_NR
New MappingsL2010DA_S02_REF02_SUPP_ID_OVL_SSN
New MappingsL2010DA_S03_DMG02_BIRTH_DT_OVL_DT_CCYYMMDD
New MappingsL2010DA_S03_DMG03_GENDR_CD
New MappingsL2010DA_S04_INS01_INSRD_IND
New MappingsL2010DA_S04_INS02_INDVDL_REL_CD
New MappingsL2010DA_S04_INS17_BIRTH_SEQNC_NR