Segment
X12 EDI Release 00306
To report the status, required action, and paid information of a claim or service line
Elements
Code indicating type of action
Codes (168)- 1Add
- 2Change (Update)
- 3Delete
- 4Verify
- 5Send
- 6Receive
- 7Request
- 8In Production Send
- 9Not Capable of Taking Action
- 15Correct and Resubmit Claim
- 23Escalation
- 24On-Hold
- 26Bankruptcy Filed - Review Account
- 27Moved - Follow Up
- 28Change Phone Number
- 29Payment Received - Follow Up
- 30Account Active - Pursue
- 31Return per Client Request
- 32Pursue Legal Action
- 34Pursue Garnishment
- 35New Assignment - Proceed
- 36Repossess Merchandise
- 37Adjust Payment
- 38Change Address
- 39Skiptrace Account
- 40Close Account - Deceased
- 41Update to Inactive
- 42Account Paid in Full - Close Account
- 43Refused to Pay - Review Account
- 44Account Disputed - Review
- 45Do Not Contact - Fair Debt Collection Practices Act (FDCPA)
- 46Forward Account
- 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
- A1Certified in total
- A2Certified - partial
- A3Not Certified
- A4Pended
- A5Upheld
- A6Modified
- AAAward
- ABAbandon
- ACAcknowledge
- ADDecrease in Amount
- AEActivate
- AFAffirm
- AIIncrease in Amount
- ALAllow
- APAppeal
- ASDiscovered
- ATAppoint
- AVCancellation Not Effected
- AWMass Cancellation
- AXPartial Cancellation
- BDBoard
- BIBifurcate
- BOUse Both Date and Meter Criteria
- CBCut
- CECharge
- CFConfirm
- CLClosed
- CNConsolidated
- COCorrect
- CSTransfer of Claim for Security
- CTContact Payer
- CUContinue
- CVConvert
- CXClaim Transferred
- DCDelivered to Another Carrier
- DEDeny
- DFDefer
- DIDismissed with Prejudice
- DJDismissed without Prejudice
- DKDispose
- DLDivert
- DPDelivered to Public Warehouse
- DSDiscarded
- DXDischarged
- ENEnter
- EPEntire Patient Information
- ERExtension Request
- EXExtend
- FIFile
- FOForfeit
- FRPatient Follow-Up Required
- GRGrant
- HRHold Until Released
- IADeactivate
- INInterim
- ISIssue
- ITInitiate
- JOJoin
- JUJudgment
- KARegistration Confirmed
- LCLeft at Consignee
- LQLiquidate
- MEMerge
- NANo Action Required
- NDNo Change
- NPNot Present
- NSDo Not Send
- ODOrder
- ORUse Date or Meter Criteria (whichever occurs first)
- OTOther Unlisted Action
- PBPartial Transfer of Claim
- PFPreliminary Final
- PIProvide Additional Information
- PPPartial Patient Information
- PRPresent
- R1Reopened
- R2Send Record Now
- R3Send Record at End of the Term
- R4Send Record After Degree is Posted
- R5Send Vocational Record Only
- R6Transfer
- R7Assumption
- R8Terminate
- R9Reinstate
- RARemove
- RBResecure
- RCReturned to Carrier Facility
- REReleased
- RFReturned to Shipper's Facility (Other Than Original Shipping Location)
- RGRefer
- RHRecall
- RLReschedule
- RMRemand
- ROReturned to Original Shipping Location
- RRReverse and Remand
- RSReport Status
- RUReturn
- RVRevoke
- RXReplace
- S1Secure
- SASatisfy
- SCScreen
- SESettle
- SLSchedule
- SRServe
- SUSuspend
- SVSever
- SZSeize
- TRTrim
- VAVacate
- W1Reconcile Historical Records
- WDWithdrawn
- WIWinterize
- WQAccept
- WVWaive
Code identifying the method for the movement of payment instructions
Codes (39)- ACHAutomated Clearing House (ACH)
- BKWBook Entry
- BOPFinancial Institution Option
- CCCCredit Card
- CCFCollect Payment by Certified Funds
- CHKCheck
- CPCCollect Payment by Company Check
- 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
- EBXEDIBANX Clearing Network
- 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