United States Health Information Knowledgebase

 

Claim Status Code

Name:Claim Status Code
Type:Data Element
Definition:Code specifying the status of a claim submitted by the provider to the payor for processing.
Version:005010
Data Element Reference Number:1029
Permissible Values:
Code / Value Meaning Meaning Definition Text
1 Processed as Primary Not Provided
2 Processed as Secondary Not Provided
3 Processed as Tertiary Not Provided
4 Denied Not Provided
19 Processed as Primary, Forwarded to Additional Payer(s) Not Provided
20 Processed as Secondary, Forwarded to Additional Payer(s) Not Provided
21 Processed as Tertiary, Forwarded to Additional Payer(s) Not Provided
22 Reversal of Previous Payment Not Provided
23 Not Our Claim, Forwarded to Additional Payer(s) Not Provided
25 Predetermination Pricing Only - No Payment Not Provided
Registration Authority:Accredited Standards Committee X12
Source:Accredited Standards Committee X12
Submitting Organization: Washington Publishing Company
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