EDI Dictionary
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X12 Release 5050
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
5050
277 Health Care Information Status Notification
STC-1900
STC
Status Information
Opt
GT 1
To report the status, required action, and paid information of a claim or service line
Elements
Position
Element
Name
Type
Min/Max
Repeat
C043
Health Care Claim Status
Mandatory
AtMax 1
2
373
Date
Opt
Date
8/8
AtMax 1
3
306
Action Code
Opt
ID
1/2
AtMax 1
4
782
Monetary Amount
Opt
Decimal
1/18
AtMax 1
5
782
Monetary Amount
Opt
Decimal
1/18
AtMax 1
6
373
Date
Opt
Date
8/8
AtMax 1
7
591
Payment Method Code
Opt
ID
3/3
AtMax 1
8
373
Date
Opt
Date
8/8
AtMax 1
9
429
Check Number
Opt
Alphanumeric
1/16
AtMax 1
C043
Health Care Claim Status
Opt
AtMax 1
C043
Health Care Claim Status
Opt
AtMax 1
12
933
Free-form Message Text
Opt
Alphanumeric
1/264
AtMax 1
Element Details
ID
373
Name
Date
Length
Min 8 / Max 8
Position
2
Requirement
Opt
