Element
X12 EDI Release 00401
CLP
1029Claim Status Code
Code identifying the status of an entire claim as assigned by the payor, claim review organization or repricing organization
属性
数据类型ID
必须?Mandatory
Codes (41)
  • 1Processed as Primary
  • 2Processed as Secondary
  • 3Processed as Tertiary
  • 4Denied
  • 5Pended
  • 6Approved as amended
  • 7Approved as submitted
  • 8Cancelled due to inactivity
  • 9Pending - under investigation
  • 10Received, but not in process
  • 11Rejected, duplicate claim
  • 12Rejected, please resubmit with corrections
  • 13Suspended
  • 14Suspended - incomplete claim
  • 15Suspended - investigation with field
  • 16Suspended - return with material
  • 17Suspended - review pending
  • 18Suspended Product Registration
  • 19Processed as Primary, Forwarded to Additional Payer(s)
  • 20Processed as Secondary, Forwarded to Additional Payer(s)
  • 21Processed as Tertiary, Forwarded to Additional Payer(s)
  • 22Reversal of Previous Payment
  • 23Not Our Claim, Forwarded to Additional Payer(s)
  • 24Transferred to Proper Carrier
  • 25Predetermination Pricing Only - No Payment
  • 26Documentation Claim - No Payment Associated
  • 27Reviewed
  • 28Repriced
  • 29Audited
  • 30Processed as Conditional
  • IInitial
  • ADAdditional
  • APAppealed
  • CCWeekly Certification
  • CLClosed
  • CPOpen
  • RAReaudited
  • RBReissue
  • RCReopened and Closed
  • RDRedetermination
  • ROReopened