EDI 926 Claim Status Report and Tracer Reply

Functional Group GC

X12I Transportation Subcommittee

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

1. 010 · ST · Transaction Set Header · Max 1 · Mandatory

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

2. F11 Loop Mandatory Repeat 500

   1. 020 · F11 · Status · Max 1 · Mandatory

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

   2. 030 · F14 · Line Item Reject · Max 99 · Optional

      To identify the specific reasons why individual line items of a claim or part of a claim are rejected

   3. 035 · TRN · Trace · Max 1 · Optional

      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.

   4. 040 · F13 · Payment Information · Max 1 · Optional

      To transmit check number and amount information associated with a remittance

3. 050 · SE · Transaction Set Trailer · Max 1 · Mandatory

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