EDI Dictionary
Schedule demo
X12 Release 4010
X12 Release
4010
4020
4030
4040
4050
4060
5010
5020
5030
5040
5050
6010
6020
6030
6040
6050
7010
7020
7030
7040
7050
7060
8010
Transaction Sets
Segments
Elements
EDI-Dictionary
4010
1383
1383
Claim Submission Reason Code
Batch
Code identifying reason for claim submission
Element Details
Type
ID
Length
Min 2 / Max 2
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