(C) Copyright 2012 Chiapas EDI Technologies, Inc.
4010_837I_A1 Addenda Mapping Modifications
| Loop | Segment | Segment Name | Chiapas Gate Mapping |
| Deprecated | K0_OEISA_S01_ISA02_AUTH_NFO_OVL_ADDL_ID | ||
| Deprecated | K0_OEISA_S01_ISA02_AUTH_NFO_OVL_NO_AUTH_NFO | ||
| Deprecated | L2000B_S03_PAT08_PATNT_WEIGHT_OVL_GRAM | ||
| Deprecated | L2000B_S03_PAT09_PREGNCY_IND | ||
| Deprecated | L2000C_S02_PAT08_PATNT_WEIGHT_OVL_GRAM | ||
| Deprecated | L2000C_S02_PAT09_PREGNCY_IND | ||
| Deprecated | L2300_S01_CLM11_01_RELTD_CAUS_CD | ||
| Deprecated | L2300_S01_CLM11_02_RELTD_CAUS_CD | ||
| Deprecated | L2300_S01_CLM11_03_RELTD_CAUS_CD | ||
| Deprecated | L2300_S01_CLM11_04_AUT_ACDNT_STAT_PROVNC_CD | ||
| Deprecated | L2300_S01_CLM11_05_CNTRY_CD | ||
| Deprecated | L2300_S01_CLM12_SPECL_PROGRM_IND | ||
| Deprecated | L2310D_XX_S01_NM103_PROV_LNAME_OVL_NONPRSN_ENTY | ||
| Deprecated | L2310D_XX_S01_NM103_PROV_LNAME_OVL_PERSN | ||
| Deprecated | L2310D_XX_S01_NM104_PROV_FNAME | ||
| Deprecated | L2310D_XX_S01_NM105_PROV_MNAME | ||
| Deprecated | L2310D_XX_S01_NM107_REFNG_PROV_NM_SUFX | ||
| Deprecated | L2310D_XX_S01_NM109_PROV_ID_OVL_EMPLYR_ID_NR | ||
| Deprecated | L2310D_XX_S01_NM109_PROV_ID_OVL_HCFA_NATNL_PROV_ID | ||
| Deprecated | L2310D_XX_S01_NM109_PROV_ID_OVL_SSN | ||
| Deprecated | L2310D_XX_S02_PRV01_PROV_CD | ||
| Deprecated | L2310D_XX_S02_PRV03_TAXNMY_CD_OVL_MUTLY_DEFND | ||
| Deprecated | L2310D_XX_S03_REF02_REFNG_PROV_2ND_ID_OVL_BLUE_CROS_PROV_NR | ||
| Deprecated | L2310D_XX_S03_REF02_REFNG_PROV_2ND_ID_OVL_BLUE_SHIELD_PROV_NR | ||
| Deprecated | L2310D_XX_S03_REF02_REFNG_PROV_2ND_ID_OVL_EMPLYR_ID_NR | ||
| Deprecated | L2310D_XX_S03_REF02_REFNG_PROV_2ND_ID_OVL_HMO_COD_NR | ||
| Deprecated | L2310D_XX_S03_REF02_REFNG_PROV_2ND_ID_OVL_LOC_NR | ||
| Deprecated | L2310D_XX_S03_REF02_REFNG_PROV_2ND_ID_OVL_MEDCD_PROV_NR | ||
| Deprecated | L2310D_XX_S03_REF02_REFNG_PROV_2ND_ID_OVL_MEDCR_PROV_NR | ||
| Deprecated | L2310D_XX_S03_REF02_REFNG_PROV_2ND_ID_OVL_PREFD_PROV_ORG_NR | ||
| Deprecated | L2310D_XX_S03_REF02_REFNG_PROV_2ND_ID_OVL_PROV_COMRCL_NR | ||
| Deprecated | L2310D_XX_S03_REF02_REFNG_PROV_2ND_ID_OVL_PROV_PLAN_NETWRK_ID_NR | ||
| Deprecated | L2310D_XX_S03_REF02_REFNG_PROV_2ND_ID_OVL_PROV_UPN_NR | ||
| Deprecated | L2310D_XX_S03_REF02_REFNG_PROV_2ND_ID_OVL_SSN | ||
| Deprecated | L2310D_XX_S03_REF02_REFNG_PROV_2ND_ID_OVL_STAT_INDSTRL_ACDNT_PROV_NR | ||
| Deprecated | L2310D_XX_S03_REF02_REFNG_PROV_2ND_ID_OVL_STAT_LICNS_NR | ||
| Deprecated | L2330G_XX_S01_NM102_ENTY_TYPE_QUAL | ||
| Deprecated | L2330G_XX_S02_REF02_ID_OVL_BLUE_CROS_PROV_NR | ||
| Deprecated | L2330G_XX_S02_REF02_ID_OVL_BLUE_SHIELD_PROV_NR | ||
| Deprecated | L2330G_XX_S02_REF02_ID_OVL_EMPLYR_ID_NR | ||
| Deprecated | L2330G_XX_S02_REF02_ID_OVL_HMO_COD_NR | ||
| Deprecated | L2330G_XX_S02_REF02_ID_OVL_LOC_NR | ||
| Deprecated | L2330G_XX_S02_REF02_ID_OVL_MEDCD_PROV_NR | ||
| Deprecated | L2330G_XX_S02_REF02_ID_OVL_MEDCR_PROV_NR | ||
| Deprecated | L2330G_XX_S02_REF02_ID_OVL_PREFD_PROV_ORG_NR | ||
| Deprecated | L2330G_XX_S02_REF02_ID_OVL_PROV_COMRCL_NR | ||
| Deprecated | L2330G_XX_S02_REF02_ID_OVL_PROV_PLAN_NETWRK_ID_NR | ||
| Deprecated | L2330G_XX_S02_REF02_ID_OVL_PROV_UPN_NR | ||
| Deprecated | L2330G_XX_S02_REF02_ID_OVL_SSN | ||
| Deprecated | L2330G_XX_S02_REF02_ID_OVL_STAT_INDSTRL_ACDNT_PROV_NR | ||
| Deprecated | L2400_S02_SV202_02_PROC_CD_OVL_NDC_442_FORMT | ||
| Deprecated | L2400_S02_SV202_02_PROC_CD_OVL_NDC_532_FORMT | ||
| Deprecated | L2400_S02_SV202_02_PROC_CD_OVL_NDC_541_FORMT | ||
| Deprecated | L2400_S03_SV401_RX_NR | ||
| Deprecated | L2400_S04_PWK01_ATCHMNT_REPRT_TYPE_CD | ||
| Deprecated | L2400_S04_PWK02_ATCHMNT_TRANSMSN_CD | ||
| Deprecated | L2400_S04_PWK06_ATCHMNT_CONTRL_NR_OVL_ATCHMNT_CONTRL_NR | ||
| Deprecated | L2400_S05_DTP03_SVC_DT_OVL_SVC_D8 | ||
| Deprecated | L2400_S05_DTP03_SVC_DT_OVL_SVC_RD8 | ||
| Deprecated | L2400_S06_DTP03_ASMNT_DT_OVL_EXMNTN_D8 | ||
| Deprecated | L2400_S07_AMT02_SVC_TAX_AMT_OVL_GODS_SVCS_TAX | ||
| Deprecated | L2400_S08_AMT02_TAX_AMT_OVL_MISCLNS_TAXS | ||
| Deprecated | L2420D_S01_NM103_PROV_LNAME_OVL_NONPRSN_ENTY | ||
| Deprecated | L2420D_S01_NM103_PROV_LNAME_OVL_PERSN | ||
| Deprecated | L2420D_S01_NM104_PROV_FNAME | ||
| Deprecated | L2420D_S01_NM105_PROV_MNAME | ||
| Deprecated | L2420D_S01_NM107_REFNG_PROV_NM_SUFX | ||
| Deprecated | L2420D_S01_NM109_OTHR_PHYSCN_ID_OVL_EMPLYR_ID_NR | ||
| Deprecated | L2420D_S01_NM109_OTHR_PHYSCN_ID_OVL_HCFA_NATNL_PROV_ID | ||
| Deprecated | L2420D_S01_NM109_OTHR_PHYSCN_ID_OVL_SSN | ||
| Deprecated | L2420D_S02_PRV01_PROV_CD | ||
| Deprecated | L2420D_S02_PRV03_TAXNMY_CD_OVL_MUTLY_DEFND | ||
| Deprecated | L2420D_S03_REF02_REFNG_PROV_2ND_ID_OVL_BLUE_CROS_PROV_NR | ||
| Deprecated | L2420D_S03_REF02_REFNG_PROV_2ND_ID_OVL_BLUE_SHIELD_PROV_NR | ||
| Deprecated | L2420D_S03_REF02_REFNG_PROV_2ND_ID_OVL_EMPLYR_ID_NR | ||
| Deprecated | L2420D_S03_REF02_REFNG_PROV_2ND_ID_OVL_HMO_COD_NR | ||
| Deprecated | L2420D_S03_REF02_REFNG_PROV_2ND_ID_OVL_LOC_NR | ||
| Deprecated | L2420D_S03_REF02_REFNG_PROV_2ND_ID_OVL_MEDCD_PROV_NR | ||
| Deprecated | L2420D_S03_REF02_REFNG_PROV_2ND_ID_OVL_MEDCR_PROV_NR | ||
| Deprecated | L2420D_S03_REF02_REFNG_PROV_2ND_ID_OVL_PREFD_PROV_ORG_NR | ||
| Deprecated | L2420D_S03_REF02_REFNG_PROV_2ND_ID_OVL_PROV_COMRCL_NR | ||
| Deprecated | L2420D_S03_REF02_REFNG_PROV_2ND_ID_OVL_PROV_PLAN_NETWRK_ID_NR | ||
| Deprecated | L2420D_S03_REF02_REFNG_PROV_2ND_ID_OVL_PROV_UPN_NR | ||
| Deprecated | L2420D_S03_REF02_REFNG_PROV_2ND_ID_OVL_SSN | ||
| Deprecated | L2420D_S03_REF02_REFNG_PROV_2ND_ID_OVL_STAT_INDSTRL_ACDNT_PROV_NR | ||
| Deprecated | L2420D_S03_REF02_REFNG_PROV_2ND_ID_OVL_STAT_LICNS_NR | ||
| Deprecated | L2430_S01_SVD03_02_PROC_CD_OVL_NDC_442_FORMT | ||
| Deprecated | L2430_S01_SVD03_02_PROC_CD_OVL_NDC_532_FORMT | ||
| Deprecated | L2430_S01_SVD03_02_PROC_CD_OVL_NDC_541_FORMT | ||
| New Mappings | K1_OEISA_S01_ISA02_AUTH_NFO_OVL_ADDL_ID | ||
| New Mappings | K1_OEISA_S01_ISA02_AUTH_NFO_OVL_NO_AUTH_NFO | ||
| New Mappings | L2400_S03_PWK01_ATCHMNT_REPRT_TYPE_CD | ||
| New Mappings | L2400_S03_PWK02_ATCHMNT_TRANSMSN_CD | ||
| New Mappings | L2400_S03_PWK06_ATCHMNT_CONTRL_NR_OVL_ATCHMNT_CONTRL_NR | ||
| New Mappings | L2400_S04_DTP03_SVC_DT_OVL_SVC_D8 | ||
| New Mappings | L2400_S04_DTP03_SVC_DT_OVL_SVC_RD8 | ||
| New Mappings | L2400_S05_DTP03_ASMNT_DT_OVL_EXMNTN_D8 | ||
| New Mappings | L2400_S06_AMT02_SVC_TAX_AMT_OVL_GODS_SVCS_TAX | ||
| New Mappings | L2400_S07_AMT02_TAX_AMT_OVL_MISCLNS_TAXS | ||
| New Mappings | L2400_S08_HCP01_PRICNG_METHDLGY | ||
| New Mappings | L2400_S08_HCP02_REPRCD_ALWD_AMT | ||
| New Mappings | L2400_S08_HCP03_REPRCD_SAVNG_AMT | ||
| New Mappings | L2400_S08_HCP04_REPRCNG_ORG_ID | ||
| New Mappings | L2400_S08_HCP05_REPRCNG_DIEM_FLAT_RT_AMT | ||
| New Mappings | L2400_S08_HCP06_REPRCD_APRVD_DRG_CD | ||
| New Mappings | L2400_S08_HCP07_REPRCD_APRVD_AMT | ||
| New Mappings | L2400_S08_HCP08_REPRCD_APRVD_REVN_CD | ||
| New Mappings | L2400_S08_HCP09_PROD_SVC_ID_QUAL | ||
| New Mappings | L2400_S08_HCP10_REPRCD_APRVD_HCPCS_CD | ||
| New Mappings | L2400_S08_HCP11_UN_BAS_MEASRMNT_CD | ||
| New Mappings | L2400_S08_HCP12_REPRCD_APRVD_SVC_UNT_CT | ||
| New Mappings | L2400_S08_HCP13_REJCT_RSN_CD | ||
| New Mappings | L2400_S08_HCP14_POLCY_COMPLNC_CD | ||
| New Mappings | L2400_S08_HCP15_EXCPTN_CD | ||
| New Mappings | L2410_S01_LIN02_PRODCT_SVC_ID_QUAL | ||
| New Mappings | L2410_S01_LIN03_NDC_OVL_NDC_542 | ||
| New Mappings | L2410_S02_CTP03_DRUG_UN_PRIC | ||
| New Mappings | L2410_S02_CTP04_NATL_DRUG_UN_CT | ||
| New Mappings | L2410_S02_CTP05_CD_QUAL | ||
| New Mappings | L2410_S03_REF01_CD_QUAL | ||
| New Mappings | L2410_S03_REF02_RX_NR_OVL_PHARMCY_RX_NR |