F14 Line Item Reject
To identify the specific reasons why individual line items of a claim or part of a claim are rejected
Position
Element
Name
Type
Requirement
Min
Max
Repeat
F14-01Sequential Number
Numeric (N0)
Mandatory
1
3
-
Sequential number assigned for differentiation within a transaction set.
F14-02Decline/Amend Reason Code
Identifier (ID)
Mandatory
3
3
-
Code to indicate the reason for declination or amendment.