Sequence
Element
Name
Type
Requirement
Min
Max
Repeat
01
Claim Submission Reason Code
Identifier (ID)
Mandatory
2
2
1
Code identifying reason for claim submission
CSI01 contains the code indicating the status of the claim for mortgage
insurance benefits.
02
Date/Time Qualifier
Identifier (ID)
Mandatory
3
3
1
Code specifying type of date or time, or both date and time
CSI02, CSI03, and CSI04 indicate the submission date associated with the claim
status indicated in CSI01.
03
Date Time Period Format Qualifier
Identifier (ID)
Mandatory
2
3
1
Code indicating the date format, time format, or date and time format
04
Date Time Period
String (AN)
Mandatory
1
35
1
Expression of a date, a time, or range of dates, times or dates and times