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

C043Health Care Claim StatusMandatory 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
C043Health Care Claim StatusOpt AtMax 1
C043Health Care Claim StatusOpt AtMax 1
12	933	Free-form Message Text	Opt	Alphanumeric	1/264	AtMax 1

Element Details

ID373

NameDate

LengthMin 8 / Max 8

Position2

RequirementOpt