EDI 926 Claim Status Report And Tracer Reply

This X12 Transaction Set contains the format and establishes the data contents of the Claim Status Report and Tracer Reply Transaction Set (926) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set can be used by a carrier to report the status of a claim to the claimant or to reply to a claim tracer from the claimant.

Segments

Position

Segment

Name

Max use

100

Transaction Set Header

Mandatory

AtMax 1

To indicate the start of a transaction set and to assign a control number

F11

LOOP

Mandatory

AtMax 500

200

F11

Status

Mandatory

AtMax 1

To identify a loss or damage claim and to indicate its status

300

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

350

TRN

Trace

Opt

AtMax 1

To uniquely identify a transaction to an application

400

F13

Payment Information

Opt

AtMax 1

To transmit check number and amount information associated with a remittance

500

Transaction Set Trailer

Mandatory

AtMax 1

To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments)

Elements

Position	Element	Name	Requirement	Type	Min/Max	Repeat

1	143	Transaction Set Identifier Code	Mandatory	ID	3/3	1

2	329	Transaction Set Control Number	Mandatory	Alphanumeric	4/9	1

3	1705	Implementation Convention Reference	Opt	Alphanumeric	1/35	1

EDI Dictionary

EDI 926 Claim Status Report And Tracer Reply

Segments

Elements