Home » What is Claim Status Category Codes?

What is Claim Status Category Codes?

Claim Status Category codes indicate the general category of the status (accepted, rejected, additional information requested, etc.) which is then further detailed in the Claim Status Codes.

Code Examples:

A1: Acknowledgement/Receipt-The claim/encounter has been received. This does not mean that the claim has been accepted for adjudication.

P0: Pending: Adjudication/Details-This is a generic message about a pended claim. A pended claim is one for which no remittance advice has been issued, or only part of the claim has been paid.

Please visit http://www.wpc-edi.com/reference/codelists/healthcare/claim-status-category-codes/ for complete list of Claim Status Category Codes

Leave a Reply

Your email address will not be published. Required fields are marked *