Segment
X12 EDI Release 00304
To report the status, required action, and paid information of a claim or service line
Elements
  • STC011271Industry Code
    AN
    M必须(Mandatory)
    Min 1 / Max 20

    Code indicating a code from a specific industry code list

  • STC02373Date
    DT
    O可选(Optional)
    Min 6 / Max 6

    Date (YYMMDD).

  • STC03306Action Code
    ID
    O可选(Optional)

    Code indicating type of action.

    Codes (65)
  • STC04782Monetary Amount
    R
    O可选(Optional)
    Min 1 / Max 15

    Monetary amount.

  • STC05782Monetary Amount
    R
    O可选(Optional)
    Min 1 / Max 15

    Monetary amount.

  • STC06373Date
    DT
    O可选(Optional)
    Min 6 / Max 6

    Date (YYMMDD).

  • STC07591Payment Method Code
    ID
    O可选(Optional)

    Code identifying the method for the movement of payment instructions

    Codes (35)
  • STC08373Date
    DT
    O可选(Optional)
    Min 6 / Max 6

    Date (YYMMDD).

  • STC09429Check Number
    AN
    O可选(Optional)
    Min 1 / Max 16

    Check identification number.

  • STC101271Industry Code
    AN
    O可选(Optional)
    Min 1 / Max 20

    Code indicating a code from a specific industry code list

  • STC111271Industry Code
    AN
    O可选(Optional)
    Min 1 / Max 20

    Code indicating a code from a specific industry code list

  • STC12933Free-Form Message Text
    AN
    O可选(Optional)
    Min 1 / Max 264

    Free-form message text.