08/24/2021
(ASC X12) 1029 Claim Status Code
TYPE=ID MIN=1 MAX=2
Code identifying the status of an entire claim as assigned by the payor, claim review organization or repricing organization
Codes
| 1 | Processed as Primary |
| 2 | Processed as Secondary |
| 3 | Processed as Tertiary |
| 4 | Denied |
| 5 | Pended |
| 6 | Approved as amended |
| 7 | Approved as submitted |
| 8 | Cancelled due to inactivity |
| 9 | Pending – under investigation |
| I | Initial |
| 10 | Received, but not in process |
| 11 | Rejected, duplicate claim |
| 12 | Rejected, please resubmit with corrections |
| 13 | Suspended |
| 14 | Suspended – incomplete claim |
| 15 | Suspended – investigation with field |
| 16 | Suspended – return with material |
| 17 | Suspended – review pending |
| 18 | Suspended Product Registration |
| 19 | Processed as Primary, Forwarded to Additional Payer(s) |
| 20 | Processed as Secondary, Forwarded to Additional Payer(s) |
| 21 | Processed as Tertiary, Forwarded to Additional Payer(s) |
| 22 | Reversal of Previous Payment |
| 23 | Not Our Claim, Forwarded to Additional Payer(s) |
| 24 | Transferred to Proper Carrier |
| 25 | Predetermination Pricing Only – No Payment |
| 26 | Documentation Claim – No Payment Associated |
| 27 | Reviewed |
| 28 | Repriced |
| 29 | Audited |
| 30 | Processed as Conditional |
| AD | Additional |
| AP | Appealed |
| CC | Weekly Certification |
| CL | Closed |
| CP | Open |
| RA | Reaudited |
| RB | Reissue |
| RC | Reopened and Closed |
| RD | Redetermination |
| RO | Reopened |
Appears in
| CHB | Chargeback Information |
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