C043 Health Care Claim Status

Used to convey status of the entire claim or a specific service line

Position: C043-01 · Element: 1271 · Name: Industry Code · Type: String (AN) · Requirement: Mandatory · Min: 1 · Max: 30 · Repeat: -

Code indicating a code from a specific industry code list

C043-01 (Claim Status Category Codes, Code Source 507) is used to specify the logical groupings of codes used in C043-02.

Position: C043-02 · Element: 1271 · Name: Industry Code · Type: String (AN) · Requirement: Mandatory · Min: 1 · Max: 30 · Repeat: -

Code indicating a code from a specific industry code list

C043-02 is used to identify the status of an entire claim or a service line. Code Source 508 is referenced unless qualified by C043-04.

Position: C043-03 · Element: 98 · Name: Entity Identifier Code · Type: Identifier (ID) · Requirement: Optional · Min: 2 · Max: 3 · Repeat: -

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.

Position: C043-04 · Element: 1270 · Name: Code List Qualifier Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 3 · Repeat: -

Code identifying a specific industry code list

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