Segment
X12 EDI Release 00504
To specify the outcome of a health care services review
Elements
Code indicating type of action
Codes (323)- 0Authorize
- 1Add
- 2Change (Update)
- 3Delete
- 4Verify
- 5Send
- 6Receive
- 7Request
- 8In Production Send
- 9Not Capable of Taking Action
- 10Adjourn
- 11Approve
- 12Auction
- 13Cleared
- 14Compose
- 15Correct and Resubmit Claim
- 16Consider
- 17Create
- 18Decide
- 19Declare
- 20Decree Recall
- 21Disapprove
- 22Dissolve
- 23Escalation
- 24On-Hold
- 25Dropped
- 26Bankruptcy Filed - Review Account
- 27Moved - Follow Up
- 28Change Phone Number
- 29Payment Received - Follow Up
- 30Account Active - Pursue
- 31Return per Client Request
- 32Pursue Legal Action
- 33Active
- 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
- 47Enforce
- 48Extinguish
- 49Judgment for Defendant
- 50Judgment for Plaintiff
- 51Complete
- 52Justified
- 53Legal Moratorium on Debts Incurred to Date
- 54Meeting Held
- 55Meeting Held and Opened
- 56Moratorium
- 57Not Filed
- 58Not Justified
- 59Partial Release
- 60Provisional Moratorium
- 61Readjudicate
- 62Resolve
- 63Resulted in a Suit
- 64Resulted in No Liquidation
- 65Set Aside
- 66Settled out of Court
- 67Sold
- 68Stayed
- 69Subordination
- 70Surrender
- 71Term Expired
- 72Unsatisfied
- 73Void
- 74Suspended, 24 Hours
- 75Dispute
- 76Assign
- 77Agent Change
- 78Agent Hierarchy Change
- 79Reactivate
- 80Reconcile
- 81Renew
- 82Follow Up
- 83Future
- 84Letter of Authority Sent
- 85New Premium Only
- 86Pended for Follow Up
- 87Countersue
- 88Contact via Telephone Call
- 89Contact via Fax
- 90Mark
- 91In Progress
- 92Reconfirm
- 93Send Record at End of the Fall Term
- 94Send Record at End of the Winter Term
- 95Send Record at End of the Spring Term
- 96Send Record at End of the Summer Term
- 97Send Record at End of the Intersession Term
- AAdd A Bill of Lading
- BCancel Balance of Order/Item that Exceeds Value Specified in Data Element 610
- CCancelled
- DDelete a Bill of Lading
- EEliminate/Expire
- FFinal
- GCancel Entire Order/Item
- HMaster-In-Bond (MIB) Arrival
- IReissue
- JRecord
- 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
- SRe-record
- TStatus Query
- UReject
- VRespond
- WReverse
- XRecommend
- YNot Recommend
- ZMutually Defined
- 00Authorize and Settle Combination
- A1Certified in total
- A2Certified - partial
- A3Not Certified
- A4Pended
- A5Upheld
- A6Modified
- AAAward
- ABAbandon
- ACAcknowledge
- ADDecrease in Amount
- AEActivate
- AFAffirm
- AGAdded Commodity Codes
- AHAdded Equipment
- AIIncrease in Amount
- AJAdded Points Served
- ALAllow
- ANAnnual Location Reconciliation
- APAppeal
- AQAcquitted
- ARAdvanced Payment
- ASDiscovered
- ATAppoint
- AVCancellation Not Effected
- AWMass Cancellation
- AXPartial Cancellation
- BDBoard
- BEProducer Reporting Structure Change
- BFBackground Investigation
- BGLicense Request
- BHBook of Business Transfer
- BIBifurcate
- BJPrint Loan Application Only
- BKGuarantee Application Only
- BLGuarantee Before Sending Application
- BMReturn Loan Application with Certification Data
- BNGuarantee After Receiving Application
- BOUse Both Date and Meter Criteria
- C1Community Service Required
- C2Convicted
- CAChange Name
- CBCut
- CCConcur
- CDCompleted Docket (Proposer Only and on Current Docket)
- CECharge
- CFConfirm
- CGConditionally Grant
- CLClosed
- CMCommence
- CNConsolidated
- COCorrect
- CPCounter Proposal
- CRProcess Immediate, Critical
- CSTransfer of Claim for Security
- CTContact Payer
- CUContinue
- CVConvert
- CXClaim Transferred
- D1Deported
- D2Dismissed
- DADivision Adjustment Only
- DBShorten Expiration Date
- DCDelivered to Another Carrier
- DDDelete and Docket (Proposer Only on Unconcurred Docket)
- DEDeny
- DFDefer
- DGDecrease
- DHExtended Expiration Date
- DIDismissed with Prejudice
- DJDismissed without Prejudice
- DKDispose
- DLDivert
- DPDelivered to Public Warehouse
- DRDirect
- DSDiscarded
- DTDiscontinue
- DXDischarged
- EAEstablish Address
- EBEstablish Additional Address
- ECEstablish Electronic Address
- EDSuppress Correspondence
- EESuppress Forms
- ENEnter
- EOEnd of Day Processing
- EPEntire Patient Information
- ERExtension Request
- EVEvaluate
- EXExtend
- EZException Occurred
- F1Fined
- FAFail
- FCFactor Change
- FIFile
- FOForfeit
- FRPatient Follow-Up Required
- GRGrant
- HMProcess Manually
- HRHold Until Released
- I1Found Not Guilty
- IADeactivate
- IMIncrease
- INInterim
- ISIssue
- ITInitiate
- JAJailed
- JOJoin
- JUJudgment
- KARegistration Confirmed
- LCLeft at Consignee
- LQLiquidate
- MEMerge
- MOMooting
- NANo Action Required
- NCProcess Routinely, Not Critical
- NDNo Change
- NPNot Present
- NSDo Not Send
- ODOrder
- OPOpen
- ORUse Date or Meter Criteria (whichever occurs first)
- OTOther Unlisted Action
- P1Sentenced to Probation
- PATariff Publisher Add
- PBPartial Transfer of Claim
- PCPreviously Converted
- PDTariff Publisher Delete
- PFPreliminary Final
- PIProvide Additional Information
- PJProgress Payment
- POProposed
- PPPartial Patient Information
- PRPresent
- PSProposal
- PTProposal Trace
- PUPublish Changes
- PVProvisional Payment
- 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
- RDRate and Division Adjustment
- REReleased
- RFReturned to Shipper's Facility (Other Than Original Shipping Location)
- RGRefer
- RHRecall
- RIRestricted
- RJRate Adjustment
- RKRate Adjustment with a Sequence Change
- RLReschedule
- RMRemand
- RNReject Proposal with Counter Proposal to Follow
- ROReturned to Original Shipping Location
- RPRequest To Publish
- RQTariff Publisher Reissue
- RRReverse and Remand
- RSReport Status
- RTRestrain
- RUReturn
- RVRevoke
- RWRescind
- RXReplace
- RZReject - Header Level Errors
- S1Secure
- S2Suspended
- SASatisfy
- SBSubrogate
- SCScreen
- SDSeal
- SESettle
- SLSchedule
- SRServe
- SSSustain
- SUSuspend
- SVSever
- SZSeize
- TDTemporarily Deny
- TEOppose
- TGTemporarily Grant
- TNAnnul
- TPTemporarily Grant, in Part
- TRTrim
- TSDisallow
- TUTake Under Advisement
- VAVacate
- VCSight Verification Completed
- W1Reconcile Historical Records
- WDWithdrawn
- WIWinterize
- WQAccept
- WVWaive
