Segment
X12 EDI Release 00304
To report the status, required action, and paid information of a claim or service line
Elements
Code indicating type of action.
Codes (65)- 1Add
- 2Change (Update)
- 3Delete
- 4Verify
- 5Send
- 6Receive
- 7Request
- 8In Production Send
- 9Not Capable of Taking Action
- 15Correct and Resubmit Claim
- 51Complete
- AAdd A Bill of Lading
- CCancelled
- DDelete a Bill of Lading
- EEliminate/Expire
- FFinal
- HMaster-In-Bond (MIB) Arrival
- IReissue
- KIn Production Send and Receive
- LIn Development/Send
- MIn Development/Receive
- NIn Development/Send and Receive
- OIn Test/Send
- PIn Test/Receive
- QIn Test/Send and Receive
- RIn Production Receive
- TStatus Query
- UReject
- VRespond
- WReverse
- ZMutually Defined
- ACAcknowledge
- ADDecrease in Amount
- AIIncrease in Amount
- AVCancellation Not Effected
- AWMass Cancellation
- AXPartial Cancellation
- BOUse Both Date and Meter Criteria
- COCorrect
- CTContact Payer
- DCDelivered to Another Carrier
- DPDelivered to Public Warehouse
- DSDiscarded
- ERExtension Request
- EXExtend
- FRPatient Follow-Up Required
- INInterim
- KARegistration Confirmed
- LCLeft at Consignee
- NANo Action Required
- NDNo Change
- ORUse Date or Meter Criteria (whichever occurs first)
- PFPreliminary Final
- PIProvide Additional Information
- R2Send Record Now
- R3Send Record at End of the Term
- R4Send Record After Degree is Posted
- R5Send Vocational Record Only
- RCReturned to Carrier Facility
- REReleased
- RFReturned to Shipper's Facility (Other Than Original Shipping Location)
- ROReturned to Original Shipping Location
- RSReport Status
- W1Reconcile Historical Records
- WQAccept
Code identifying the method for the movement of payment instructions
Codes (35)- ACHAutomated Clearing House (ACH)
- BKWBook Entry
- BOPFinancial Institution Option
- CHKCheck
- CWTClearing House Interbank Payment System (CHIPS) Funds/Wire Transfer
- DCCACH Demand Cash Concentration/Disbursement (CCD) Credit
- DCDACH Demand Cash Concentration/Disbursement (CCD) Debit
- DPC
- DPD
- DXCACH Demand Corporate Trade Exchange (CTX) Credit
- DXDACH Demand Corporate Trade Exchange (CTX) Debit
- DZCACH Demand Cash Concentration/Disbursement Plus (CCD+) Credit
- DZDACH Demand Cash Concentration/Disbursement Plus (CCD+) Debit
- FEWFederal Reserve Funds/Wire Transfer - Repetitive
- FWTFederal Reserve Funds/Wire Transfer - Nonrepetitive
- NONNon-Payment Data
- PACPreauthorized Check (Draft)
- PBDDraft
- PDCACH Savings Cash Concentration/Disbursement (PPD) Credit
- PDDACH Savings Cash Concentration/Disbursement (PDD) Debit
- PROProprietary Network
- REVACH Reversal
- SCCACH Savings Cash Concentration/Disbursement (CCD) Credit
- SCDACH Savings Cash Concentration/Disbursement (CCD) Debit
- SDCACH Savings Cash Concentration/Disbursement (PPD+) Credit
- SDDACH Savings Cash Concentration/Disbursement (PPD+) Debit
- SPC
- SPD
- SWTSociety for Worldwide Interbank Financial Telecommunications (S.W.I.F.T.)
- SXCACH Savings Corporate Trade Exchange (CTX) Credit
- SXDACH Savings Corporate Trade Exchange (CTX) Debit
- SZCACH Savings Cash Concentration/Disbursement Plus (CCD+) Credit
- SZDACH Savings Cash Concentration/Disbursement Plus (CCD+) Debit
- X12X12
- ZZZMutually Defined