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1029 Claim Status Code

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

Codes

<> 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

<> 25

Predetermination Pricing Only - No Payment

<> 26

Documentation Claim - No Payment Associated

<> 27

Reviewed

<> 28

Repriced

<> 29

Audited

<> 30

Processed as Conditional

<> 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