1383Claim Submission Reason Code

Batch

Code identifying reason for claim submission

Element Details

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