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 |
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 The claim has been transferred to the proper carrier for processing; claim is not covered by this carrier |
25 | Predetermination Pricing Only - No Payment |
26 | Documentation Claim - No Payment Associated |
27 | Reviewed |
28 | Repriced |
29 | Audited |
30 | Processed as Conditional |
31 | Not Our Claim, Unable to Forward |
32 | Reversal of Previous Payment for Primary Claim |
33 | Reversal of Previous Payment for Secondary Claim |
34 | Reversal of Previous Payment of Tertiary Claim |
35 | Patient/Subscriber Not Recognized |
AD | Additional |
AP | Appealed |
CC | Weekly Certification |
CL | Closed |
CP | Open |
I | Initial |
RA | Reaudited |
RB | Reissue |
RC | Reopened and Closed |
RD | Redetermination |
RO | Reopened |