EDI 276 Health Care Claim Status Request

This X12 Transaction Set contains the format and establishes the data contents of the Abandoned Property Filings Transaction Set 276 for use within the context of an Electronic Data Interchange (EDI) environment. This transaction set is used to report abandoned property filings information, such as uncashed checks or abandoned bank account balances, to government agencies and may be used by the government agencies to distribute information on abandoned property for publication to the general public. It may also be used to initiate an Electronic Funds Transfer (EFT) payment to transfer the value of the abandoned property to the government agencies.

Segments

Position
Segment
Name
Max use
10
ST
Transaction Set Header
Mandatory
AtMax 1
To indicate the start of a transaction set and to assign a control number
20
BHT
Beginning of Hierarchical Transaction
Mandatory
AtMax 1
To define the business hierarchical structure of the transaction set and identify the business application purpose and reference data, i.e., number, date, and time
30
REF
Reference Identification
Opt
AtMax 10
To specify identifying information
1000
LOOP
Mandatory
GT 1
2000
LOOP
Mandatory
GT 1
2200
LOOP
Mandatory
GT 1
160
SE
Transaction Set Trailer
Mandatory
AtMax 1
To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments)

Elements

PositionElementNameRequirementTypeMin/MaxRepeat
1
143
Transaction Set Identifier CodeMandatoryID3/31
2
329
Transaction Set Control NumberMandatoryAlphanumeric4/91