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What is Claim Status Codes?

Health Care Claim Status Codes convey the status of an entire claim or a specific service line.

Code Examples:

59: Information was requested by a non-electronic method. Note: At least one other status code is required to identify the requested information.

104: Processed according to plan provisions (Plan refers to provisions that exist between the Health Plan and the Consumer or Patient)

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

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