Segment
X12 EDI Release 00401
To specify information about the claim being reported
Elements
  • CRI01875Maintenance Type Code
    ID
    O可选(Optional)

    Code identifying the specific type of item maintenance

    Codes (103)
  • CRI021029Claim Status Code
    ID
    O可选(Optional)

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

    Codes (41)
  • CRI031203Maintenance Reason Code
    ID
    O可选(Optional)

    Code identifying the reason for the maintenance change

    Codes (109)
  • CRI041073Yes/No Condition or Response Code
    ID
    O可选(Optional)

    Code indicating a Yes or No condition or response

    Codes (4)
  • CRI05594Frequency Code
    ID
    O可选(Optional)

    Code indicating frequency or type of payment

    Codes (16)
  • CRI061032Claim Filing Indicator Code
    ID
    M必须(Mandatory)

    Code identifying type of claim

    Codes (45)
  • CRI071250Date Time Period Format Qualifier
    ID
    O可选(Optional)

    Code indicating the date format, time format, or date and time format

    Codes (39)
  • CRI081251Date Time Period
    AN
    O可选(Optional)
    Min 1 / Max 35

    Expression of a date, a time, or range of dates, times or dates and times

  • CRI091129Adjustment Reason Code Characteristic
    ID
    O可选(Optional)

    Specifies an additional characteristic of the adjustment reason

    Codes (145)
  • CRI109Late Reason Code
    ID
    O可选(Optional)

    Identifies the reason for tardiness

    Codes (23)