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
30Payer Reconsideration
31Jurisdictional Reconsideration
32Judicial Reconsideration
PBPredetermination of Dental Benefits
Information is intended for dental predetermination purposes only
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