STC Status Information

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

Position

Element

Name

Type

Requirement

Min

Max

Repeat

STC-01 C043 Health Care Claim Status Composite (composite) Mandatory

01 · 1271 · 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 · 1271 · 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. Code Source 508 is referenced unless qualified by C043-04.

03 · 98 · 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.

04 · 1270 · Code List Qualifier Code · Identifier (ID) · Optional · 1 · 3 · -

Code identifying a specific industry code list

C043-04 is used to identify the Code Source referenced in C043-02.

STC-02 · 373 · Date · Date (DT) · Optional · 8 · 8 · -

Date expressed as CCYYMMDD

STC02 is the effective date of the status information.

STC-03 · 306 · Action Code · Identifier (ID) · Optional · 1 · 2 · -

Code indicating type of action

STC-04 · 782 · Monetary Amount · Decimal number (R) · Optional · 1 · 18 · -

Monetary amount

STC04 is the amount of original submitted charges.

STC-05 · 782 · Monetary Amount · Decimal number (R) · Optional · 1 · 18 · -

Monetary amount

STC05 is the amount paid.

STC-06 · 373 · Date · Date (DT) · Optional · 8 · 8 · -

Date expressed as CCYYMMDD

STC06 is the paid date.

STC-07 · 591 · Payment Method Code · Identifier (ID) · Optional · 3 · 3 · -

Code identifying the method for the movement of payment instructions

STC-08 · 373 · Date · Date (DT) · Optional · 8 · 8 · -

Date expressed as CCYYMMDD

STC08 is the check issue date.

STC-09 · 429 · Check Number · String (AN) · Optional · 1 · 16 · -

Check identification number

STC-10 C043 Health Care Claim Status Composite (composite) Optional

01 · 1271 · 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 · 1271 · 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. Code Source 508 is referenced unless qualified by C043-04.

03 · 98 · 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.

04 · 1270 · Code List Qualifier Code · Identifier (ID) · Optional · 1 · 3 · -

Code identifying a specific industry code list

C043-04 is used to identify the Code Source referenced in C043-02.

STC-11 C043 Health Care Claim Status Composite (composite) Optional

01 · 1271 · 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 · 1271 · 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. Code Source 508 is referenced unless qualified by C043-04.

03 · 98 · 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.

04 · 1270 · Code List Qualifier Code · Identifier (ID) · Optional · 1 · 3 · -

Code identifying a specific industry code list

C043-04 is used to identify the Code Source referenced in C043-02.

STC-12 · 933 · Free-Form Message Text · String (AN) · Optional · 1 · 264 · -

Free-form message text

STC12 allows additional free-form status information.