属性

数据类型ID

必须?Optional

Codes (21)

• 15Resubmission
• 16Proposed
• 17Cancel to be Reissued
• 18Reissue
• 20Final Transmission
• 22Information Copy
• 27Verify
• 28Late Charges
• 29Adjustment
• 30Payer Reconsideration
• 31Jurisdictional Reconsideration
• 32Judicial Reconsideration
• 00Original
• 01Cancellation
• 02Corrected and Verified Original Claim
• 03Corrected and Verified Final Claim
• 05Replace
• 07Duplicate
• 08Pre-Determination
• 09Encounter
• PBPredetermination of Dental Benefits