Zenbridge
EDI Dictionary

1029Claim Status Code

Batch

Code identifying the status of an entire claim as assigned by the payor, claim review organization or repricing organization

Element Details

Type ID
LengthMin 1 / Max 2
Codes
  • <>15
    Suspended - investigation with field
  • <>7
    Approved as submitted
  • <>CL
    Closed
  • <>25
    Predetermination Pricing Only - No Payment
  • <>28
    Repriced
  • <>13
    Suspended
  • <>31
    Not Our Claim, Unable to Forward
  • <>14
    Suspended - incomplete claim
  • <>RO
    Reopened
  • <>AD
    Additional
  • <>22
    Reversal of Previous Payment
  • <>19
    Processed as Primary, Forwarded to Additional Payer(s)
  • <>RB
    Reissue
  • <>29
    Audited
  • <>CP
    Open
  • <>12
    Rejected, please resubmit with corrections
  • <>30
    Processed as Conditional
  • <>17
    Suspended - review pending
  • <>RC
    Reopened and Closed
  • <>1
    Processed as Primary
  • <>23
    Not Our Claim, Forwarded to Additional Payer(s)
  • <>18
    Suspended Product Registration
  • <>4
    Denied
  • <>26
    Documentation Claim - No Payment Associated
  • <>16
    Suspended - return with material
  • <>2
    Processed as Secondary
  • <>20
    Processed as Secondary, Forwarded to Additional Payer(s)
  • <>5
    Pended
  • <>27
    Reviewed
  • <>8
    Cancelled due to inactivity
  • <>CC
    Weekly Certification
  • <>11
    Rejected, duplicate claim
  • <>RA
    Reaudited
  • <>3
    Processed as Tertiary
  • <>21
    Processed as Tertiary, Forwarded to Additional Payer(s)
  • <>24
    Transferred to Proper Carrier
  • <>RD
    Redetermination
  • <>6
    Approved as amended
  • <>9
    Pending - under investigation
  • <>10
    Received, but not in process
  • <>AP
    Appealed
  • <>I
    Initial