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Data Element
CLT054
CLT.002.054
Definition | The health care claim status codes convey the status of an entire claim status codes from the 277 transaction set. Only report the claim status for the final, adjudicated claim. |
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Size | X(3) |
FLF Start Position | 270 |
FLF Stop Position | 272 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be in Claim Status List (VVL) 2. Value must be 3 characters or less 3. Conditional 4. If value in [ 542, 585, 654 ], Claim Denied Indicator must be '0' and Claim Status Category must be 'F2' |
Valid Value Code Set | Valid Value Code | Valid Value Name | Valid Value Description | Effective Start Date | Effective End Date |
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DE Number | System DE Number | DE Name | File Segment Number | File Segment Name |
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CIP102 | CIP.002.102 | CLAIM-STATUS | CIP00002 | CLAIM-HEADER-RECORD-IP |
COT039 | COT.002.039 | CLAIM-STATUS | COT00002 | CLAIM-HEADER-RECORD-OT |
CRX030 | CRX.002.030 | CLAIM-STATUS | CRX00002 | CLAIM-HEADER-RECORD-RX |