STC Status Information

To report the status, required action, and paid information of a claim or service line

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Position
Element
Name
Type
Requirement
Min
Max
Repeat
STC-01
Health Care Claim Status
Composite (composite)
Mandatory
01
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
C043-01 is used to specify the logical groupings of Health Care Claim Status Codes (See Code Source 507).
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
C043-02 is used to identify the status of an entire claim or a serviceline (See Code Source 508).
03
Entity Identifier Code
Identifier (ID)
Optional
2
3
-
Code identifying an organizational entity, a physical location, property or an individual
C043-03 identifies the entity associated with the Health Care Claim Status Code.
STC-02
Date
Date (DT)
Optional
6
6
-
Date (YYMMDD)
STC02 is the effective date of the status information.
STC-03
Action Code
Identifier (ID)
Optional
1
2
-
Code indicating type of action
STC-04
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount
STC04 is the amount of original submitted charges.
STC-05
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount
STC05 is the amount paid.
STC-06
Date
Date (DT)
Optional
6
6
-
Date (YYMMDD)
STC06 is the paid date.
STC-07
Payment Method Code
Identifier (ID)
Optional
3
3
-
Code identifying the method for the movement of payment instructions
STC-08
Date
Date (DT)
Optional
6
6
-
Date (YYMMDD)
STC08 is the check issue date.
STC-09
Check Number
String (AN)
Optional
1
16
-
Check identification number
STC-10
Health Care Claim Status
Composite (composite)
Optional
01
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
C043-01 is used to specify the logical groupings of Health Care Claim Status Codes (See Code Source 507).
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
C043-02 is used to identify the status of an entire claim or a serviceline (See Code Source 508).
03
Entity Identifier Code
Identifier (ID)
Optional
2
3
-
Code identifying an organizational entity, a physical location, property or an individual
C043-03 identifies the entity associated with the Health Care Claim Status Code.
STC-11
Health Care Claim Status
Composite (composite)
Optional
01
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
C043-01 is used to specify the logical groupings of Health Care Claim Status Codes (See Code Source 507).
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
C043-02 is used to identify the status of an entire claim or a serviceline (See Code Source 508).
03
Entity Identifier Code
Identifier (ID)
Optional
2
3
-
Code identifying an organizational entity, a physical location, property or an individual
C043-03 identifies the entity associated with the Health Care Claim Status Code.
STC-12
Free-Form Message Text
String (AN)
Optional
1
264
-
Free-form message text
STC12 allows additional free-form status information.
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