1029 Claim Status Code

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

Batch

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
<>35
Patient/Subscriber Not Recognized
<>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
<>34
Reversal of Previous Payment of Tertiary Claim
<>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
<>33
Reversal of Previous Payment for Secondary 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
<>32
Reversal of Previous Payment for Primary Claim
<>AP
Appealed
<>I
Initial