926 Claim Status Report and Tracer Reply
926 Claim Status Report and Tracer Reply
Function Group GC
This Draft Standard for Trial Use 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.
Position
Segment
Name
Max Use
010
Transaction Set HeaderMandatory
Max 1
To indicate the start of a transaction set and to assign a control number
F11Loop
Mandatory
Repeat 500
020
StatusMandatory
Max 1
To identify a loss or damage claim and to indicate its status
030
Line Item RejectOptional
Max 99
To identify the specific reasons why individual line items of a claim or part of a claim are rejected
035
TraceOptional
Max 1
To uniquely identify a transaction to an application
040
Payment InformationOptional
Max 1
To transmit check number and amount information associated with a remittance
050
Transaction Set TrailerMandatory
Max 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)
Position
Segment
Name
Max Use