STC Status Information

Mandatory
GT 1

To report the status, required action, and paid information of a claim or service line

Elements

PositionElementNameTypeMin/MaxRepeat
C043Health Care Claim StatusMandatory
Exact 1
2
373
DateOptDate8/8Exact 1
3
306
Action CodeOptID1/2Exact 1
4
782
Monetary AmountOptDecimal1/18Exact 1
5
782
Monetary AmountOptDecimal1/18Exact 1
6
373
DateOptDate8/8Exact 1
7
591
Payment Method CodeOptID3/3Exact 1
8
373
DateOptDate8/8Exact 1
9
429
Check NumberOptAlphanumeric1/16Exact 1
C043Health Care Claim StatusOpt
Exact 1
C043Health Care Claim StatusOpt
Exact 1
12
933
Free-Form Message TextOptAlphanumeric1/264Exact 1

Element Details

ID373
NameDate
LengthMin 8 / Max 8
Position2
RequirementOpt