Element
X12 EDI Release 00504
OI
1383Claim Submission Reason Code
Code identifying reason for claim submission
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