| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | bill number(+) | 0;1 | POINTER | 399 | B | |
| .02 | batch number | 0;2 | POINTER | 364.1 | The EDI transmission batch that includes this bill entry. | |
| .03 | transmission status(+) | 0;3 | SET OF CODES | X:READY FOR EXTRACT P:PENDING AUSTIN RECEIPT A0:RECEIVED IN AUSTIN A1:ACCEPTED BY NON-PAYER A2:ACCEPTED PAYER E:ERROR CONDITION C:CANCELLED R:CORRECTED/RETRANSMITTED Z:CLOSED | ASTAT | The current transmission status of this EDI transmission attempt for the bill. |
| .04 | status date | 0;4 | DATE-TIME | The date/time that the current status occurred. | ||
| .06 | resubmit batch number | 0;6 | POINTER | 364.1 | This is the batch number this bill was included in when resubmitted. | |
| .07 | test bill | 0;7 | BOOLEAN | 0:NO 1:YES | This indicates whether or not the bill is being transmitted to the test queue or live queue. | |
| .08 | cob sequence | 0;8 | SET OF CODES | P:PRIMARY S:SECONDARY T:TERTIARY | This is the COB sequence for the bill when it was transmitted. This is used to relate the return messages with the correct COB sequence payer. |