1383 Claim Submission Reason Code

Code identifying reason for claim submission

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Type
Identifier (ID)
Length
Min 2 / Max 2
Codes
CodeDescription
00Original
01Cancellation
02Corrected and Verified Original Claim
03Corrected and Verified Final Claim
05Replace
07Duplicate
08Pre-Determination
09Encounter
15Resubmission
16Proposed
17Cancel to be Reissued
18Reissue
20Final Transmission
22Information Copy
27Verify
28Late Charges
29Adjustment
PBPredetermination of Dental Benefits
Information is intended for dental predetermination purposes only
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