F14 Line Item Reject

Batch

To identify the specific reasons why individual line items of a claim or part of a claim are rejected

Elements

PositionElementNameTypeMin/MaxRepeat
1554Assigned NumberMandatoryNumber1/61
2548Decline/Amend Reason CodeMandatoryID3/31

Element Details

ID554
NameAssigned Number
LengthMin 1 / Max 6
Position1
RequirementMandatory