属性

数据类型ID

必须?Optional

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