Segment
X12 EDI Release 00403
To identify the specific reasons why individual line items of a claim or part of a claim are rejected
Elements
  • F1401554Assigned Number
    N
    M必须(Mandatory)
    Min 1 / Max 6

    Number assigned for differentiation within a transaction set

  • F1402548Decline/Amend Reason Code
    ID
    M必须(Mandatory)

    Code indicating the reason for declination or amendment

    Codes (59)