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INS (X12)

X12 INS segment, member-loop trigger in the 834.

Definition

INS01 = subscriber indicator (Y/N), INS02 = relationship code (18 = Self, 01 = Spouse, 19 = Child), INS03 = maintenance type (021 = Addition, 024 = Cancel/Termination, 030 = Audit/Compare) and INS04 = reason. It opens loop 2000 of the 834.

Origin

Defined in HIPAA TR3 005010X220 (834 Benefit Enrollment and Maintenance) plus addendum A1, published by ASC X12N.

Example in context

INS*Y*18*021*EC*A***AC~ — subscriber, Self (18), Addition (021), source EC, status Active (AC).

  • X12 834 — the parent enrollment Transaction Set.
  • DTP — qualified dates (effective, termination) on the loop.

Last updated: June 20, 2026