4
Error
1
4
Error
505
true
The value of this element does not match one of the child elements that are the code values.
1
Input
2
51
480
20
EDI element reference
5
Element
22
EDI element type
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202
Value
/X12_5010_HIPAA Examples/Maps/270-EligibilityRequest
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102
Element
08
21
EDI element position
2
4
Error
505
true
The value of this element does not match one of the child elements that are the code values.
1
Input
3
4
143
20
EDI element reference
5
Element
22
EDI element type
2xx
202
Value
/X12_5010_HIPAA Examples/Maps/270-EligibilityRequest
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102
Element
01
21
EDI element position
3
4
Error
505
true
The value of this element does not match one of the child elements that are the code values.
1
Input
31
8
735
20
EDI element reference
5
Element
22
EDI element type
99
202
Value
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102
Element
03
21
EDI element position
4
1
Info
328
Executing map.
Map: /X12_5010_HIPAA Examples/Maps/270-EligibilityRequest Properties: {}
201
ISA
1
1
ZZ
123456789012345
ZZ
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000010216
0
0
0
0
4
GS
1
2
1
2
4
Error
505
true
The value of this element does not match one of the child elements that are the code values.
1
Input
2
51
480
20
EDI element reference
5
Element
22
EDI element type
005010X279
202
Value
/X12_5010_HIPAA Examples/Maps/270-EligibilityRequest
in$/Interchange/Loop-ISA/Loop-GS/GS/GS08
102
Element
08
21
EDI element position
HS
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0
0
0
0
4
ST
1
3
1
3
4
Error
505
true
The value of this element does not match one of the child elements that are the code values.
1
Input
3
4
143
20
EDI element reference
5
Element
22
EDI element type
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202
Value
/X12_5010_HIPAA Examples/Maps/270-EligibilityRequest
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102
Element
01
21
EDI element position
2xx
0001
43
0
1
0
4
HL
28
31
1
4
4
Error
505
true
The value of this element does not match one of the child elements that are the code values.
1
Input
31
8
735
20
EDI element reference
5
Element
22
EDI element type
99
202
Value
/X12_5010_HIPAA Examples/Maps/270-EligibilityRequest
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102
Element
03
21
EDI element position