Segment
X12 EDI Release 00405
To report the status, required action, and paid information of a claim or service line
Elements
  • STC01C043Health Care Claim StatusM必须(Mandatory)
    12711271981270
    • STC01011271Industry Code
      AN
      M必须(Mandatory)
      Min 0 / Max 30

      Code indicating a code from a specific industry code list

    • STC01021271Industry Code
      AN
      M必须(Mandatory)
      Min 0 / Max 30

      Code indicating a code from a specific industry code list

    • STC010398Entity Identifier Code
      ID
      O可选(Optional)

      Code identifying an organizational entity, a physical location, property or an individual

      Codes (1486)
    • STC01041270Code List Qualifier Code
      ID
      O可选(Optional)

      Code identifying a specific industry code list

      Codes (919)
  • STC02373Date
    DT
    O可选(Optional)
    Min 8 / Max 8

    Date expressed as CCYYMMDD where CC represents the first two digits of the calendar year

  • STC03306Action Code
    ID
    O可选(Optional)

    Code indicating type of action

    Codes (320)
  • STC04782Monetary Amount
    R
    O可选(Optional)
    Min 1 / Max 18

    Monetary amount

  • STC05782Monetary Amount
    R
    O可选(Optional)
    Min 1 / Max 18

    Monetary amount

  • STC06373Date
    DT
    O可选(Optional)
    Min 8 / Max 8

    Date expressed as CCYYMMDD where CC represents the first two digits of the calendar year

  • STC07591Payment Method Code
    ID
    O可选(Optional)

    Code identifying the method for the movement of payment instructions

    Codes (54)
  • STC08373Date
    DT
    O可选(Optional)
    Min 8 / Max 8

    Date expressed as CCYYMMDD where CC represents the first two digits of the calendar year

  • STC09429Check Number
    AN
    O可选(Optional)
    Min 1 / Max 16

    Check identification number

  • STC10C043Health Care Claim StatusO可选(Optional)
    12711271981270
    • STC10011271Industry Code
      AN
      M必须(Mandatory)
      Min 0 / Max 30

      Code indicating a code from a specific industry code list

    • STC10021271Industry Code
      AN
      M必须(Mandatory)
      Min 0 / Max 30

      Code indicating a code from a specific industry code list

    • STC100398Entity Identifier Code
      ID
      O可选(Optional)

      Code identifying an organizational entity, a physical location, property or an individual

      Codes (1486)
    • STC10041270Code List Qualifier Code
      ID
      O可选(Optional)

      Code identifying a specific industry code list

      Codes (919)
  • STC11C043Health Care Claim StatusO可选(Optional)
    12711271981270
    • STC11011271Industry Code
      AN
      M必须(Mandatory)
      Min 0 / Max 30

      Code indicating a code from a specific industry code list

    • STC11021271Industry Code
      AN
      M必须(Mandatory)
      Min 0 / Max 30

      Code indicating a code from a specific industry code list

    • STC110398Entity Identifier Code
      ID
      O可选(Optional)

      Code identifying an organizational entity, a physical location, property or an individual

      Codes (1486)
    • STC11041270Code List Qualifier Code
      ID
      O可选(Optional)

      Code identifying a specific industry code list

      Codes (919)
  • STC12933Free-Form Message Text
    AN
    O可选(Optional)
    Min 1 / Max 264

    Free-form message text