Zenbridge
EDI Dictionary

CSI Claim Status Information

Mandatory
AtMax 1

To indicate the status of a claim for mortgage insurance benefits

Elements

PositionElementNameTypeMin/MaxRepeat
1
1383
Claim Submission Reason CodeMandatoryID2/2Exact 1
2
374
Date/Time QualifierMandatoryID3/3Exact 1
3
1250
Date Time Period Format QualifierMandatoryID2/3Exact 1
4
1251
Date Time PeriodMandatoryAlphanumeric1/35Exact 1

Element Details

ID1383
NameClaim Submission Reason Code
LengthMin 2 / Max 2
Position1
RequirementMandatory
Codes
  • <>15
    Resubmission
  • <>07
    Duplicate
  • <>28
    Late Charges
  • <>22
    Information Copy
  • <>00
    Original
  • <>29
    Adjustment
  • <>17
    Cancel to be Reissued
  • <>01
    Cancellation
  • <>18
    Reissue
  • <>16
    Proposed
  • <>20
    Final Transmission
  • <>PB
    Predetermination of Dental Benefits
  • <>02
    Corrected and Verified Original Claim
  • <>27
    Verify
  • <>05
    Replace
  • <>08
    Pre-Determination
  • <>03
    Corrected and Verified Final Claim
  • <>09
    Encounter