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
Position
Segment
Name
Max use
- 0100Transaction Set HeaderMandatoryMax 1
To indicate the start of a transaction set and to assign a control number
- F11 Loop MandatoryRepeat 500
- 0200StatusMandatoryMax 1
To identify a loss or damage claim and to indicate its status
- 0300Line Item RejectOptionalMax 99
To identify the specific reasons why individual line items of a claim or part of a claim are rejected
- 0350TraceOptionalMax 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. - 0400Payment InformationOptionalMax 1
To transmit check number and amount information associated with a remittance
- 0200StatusMandatoryMax 1
- 0500Transaction Set TrailerMandatoryMax 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)