Texas Claims EDI Imp. Guide Version 1.1

Denial of a claim triggers the requirement for submitting a FROI or SROI Maintenance Type Code (MTC) 04 (Denial). ... PAID TO DATE/REDUCED EARNING/RECOVERIES CODES Description Flat Code ANSI Funeral Expenses 300 34 Penalties 310 35 Interest 320 36 Employer’s Legal Expense 330 37 Claimant’s Legal Expense 340 38 Payments to Physicians 350 39 ... ................
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