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Transaction Set
in
X12 Release 004010

926 Claim Status Report and Tracer Reply

Functional 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.

Heading

Sequence
Segment
Name
Max use
010
Transaction Set HeaderMandatory
Max 1
To indicate the start of a transaction set and to assign a control number
F11 Loop
Repeat 500
020
StatusMandatory
Max 1
To identify a loss or damage claim and to indicate its status
030
Line Item Reject
Max 99
To identify the specific reasons why individual line items of a claim or part of a claim are rejected
035
Trace
Max 1
To uniquely identify a transaction to an application
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.
040
Payment Information
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)
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Stedi is a registered trademark of Stedi, Inc. Stedi's EDI Reference and Mapping Guides are provided for marketing purposes and are free of charge. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.