Zenbridge
EDI Dictionary

CSI Claim Status Information

Batch

To indicate the status of a claim for mortgage insurance benefits

Elements

PositionElementNameTypeMin/MaxRepeat
11383Claim Submission Reason CodeMandatoryID2/21
2374Date/Time QualifierMandatoryID3/31
31250Date Time Period Format QualifierMandatoryID2/31
41251Date Time PeriodMandatoryAlphanumeric1/351

Element Details

ID1383
NameClaim Submission Reason Code
LengthMin 2 / Max 2
Position1
RequirementMandatory
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