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All CollectionsX12 EDITransaction Sets900-999
X12 - 926 - Claim Status Report and Tracer Reply
X12 - 926 - Claim Status Report and Tracer Reply
Skylar Nguyen avatar
Written by Skylar Nguyen
Updated over 2 weeks ago

Product: X12 EDI

Transaction: 926


926 - Claim Status Report and Tracer Reply

FUNCTIONAL GROUP=GC

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.


SCHEMA


ST

Segment

Name

Position

ST

0100

F11

Segment

Name

Position

F11

Status

0200

F14

Line Item Reject

0300

TRN

Trace

0350

F13

Payment Information

0400

SE

Transaction Set Trailer

0500


COMMENTS


Notes

1/0350

The TRN segment is used to provide the reference number that would have been transmitted in the TRN segment of the corresponding 820 that contained the payment for the claim referenced in the F11 segment.

rev 05/12/2024

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