Texas Claims EDI Imp. Guide Version 1.1

DN 02 - Maintenance Type Codes FROI Description Flat ANSI Original 00 050 Cancel 01 024 Change 02 001 Denial 04 051 Acquired/Unallocated AU 137 Correction CO 026 SROI Description Flat ANSI Codes used to turn Benefits "ON" Initial Pay IP 052 Acquired/Payment AP 138 Reinstatement of Benefits RB 055 Codes ACCEPTED when Benefits "ON" Change in ... ................
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