EB (X12)

X12 EB segment, benefit detail in the 271 eligibility response.

Definition

Each EB carries an Eligibility/Benefit code in EB01 (1 = Active Coverage, 6 = Inactive, B = Co-Payment, C = Deductible…), a coverage code in EB02, a Service Type in EB03 and the plan in EB04. Multiple EB repeat within loop 2110.

Origin

Defined in HIPAA TR3 005010X279 (270/271 Health Care Eligibility Benefit Inquiry and Response), published by ASC X12N.

Example in context

EB*C*IND*30**29*200~ — Deductible (C), individual coverage (IND), Service Type 30, amount 200.

Related terms

• X12 270/271 — the parent transaction pair.
• X12 271 NM1 — member identification in the 271.