Code identifying the status of an entire claim as assigned by the payor, claim review organization or repricing organization

Code identifying the agency assigning the code values

A reference that indicates the table or text maintained by the Source Qualifier

Code identifying the detailed reason for the response

Monetary amount

Code identifying follow-up actions allowed

Code identifying the agency assigning the code values

A reference that indicates the table or text maintained by the Source Qualifier

Code specifying the disposition of removed part, subassembly, or assembly

A free-form description to clarify the related data elements and their content

Identifier representing authorization of an unusual repair or some attendant condition