F14 Line Item Reject

Opt

AtMax 99

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

Elements

Position	Element	Name		Type	Min/Max	Repeat

1	554	Assigned Number	Mandatory	Number	1/6	Exact 1
2	548	Decline/Amend Reason Code	Mandatory	ID	3/3	Exact 1

ID554

NameAssigned Number

LengthMin 1 / Max 6

Position1

RequirementMandatory