EDI Blog

(ASC X12) 1029 Claim Status Code

TYPE=ID MIN=MAX=2

Code identifying the status of an entire claim as assigned by the payor, claim review organization or repricing organization

Codes

1Processed as Primary
2Processed as Secondary
3Processed as Tertiary
4Denied
5Pended
6Approved as amended
7Approved as submitted
8Cancelled due to inactivity
9Pending – under investigation
IInitial
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
ADAdditional
APAppealed
CCWeekly Certification
CLClosed
CPOpen
RAReaudited
RBReissue
RCReopened and Closed
RDRedetermination
ROReopened

Appears in

CHBChargeback Information
Review post

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