Field | Format | Required? | Min | Max | Comments |
---|---|---|---|---|---|
DeductibleAmount | DEC | C | 1 | 15 | |
DeductibleYearToDate | DEC | Y | 1 | 15 | |
RemainingDeductible | DEC | C | 1 | 15 | |
OutOfPocketMaximum | DEC | N | 1 | 15 | |
OutOfPocketYearToDate | DEC | N | 1 | 15 | |
RemainingOutOfPocket | DEC | N | 1 | 15 | |
CoverageLevel | AN | Y | 1 | 30 |