Official websites use .gov
A
.gov website belongs to an official government
organization in the United States.
Secure .gov websites use HTTPS
A
lock () or https:// means you've safely connected to
the .gov website. Share sensitive information only on official,
secure websites.
Data Element
CLT195
CLT.003.195
No Updates
Definition | The claim line status codes from the 277 transaction set identify the status of a specific detail claim line rather than the entire claim. Only report the claim line for the final, adjudicated claim. |
---|---|
Size | X(3) |
FLF Start Position | 164 |
FLF Stop Position | 166 |
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 [545, 585, 654], then 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 |
---|
DE Number | System DE Number | DE Name | File Segment Number | File Segment Name |
---|---|---|---|---|
CIP242 | CIP.003.242 | CLAIM-LINE-STATUS | CIP00003 | CLAIM-LINE-RECORD-IP |
COT165 | COT.003.165 | CLAIM-LINE-STATUS | COT00003 | CLAIM-LINE-RECORD-OT |
CRX119 | CRX.003.119 | CLAIM-LINE-STATUS | CRX00003 | CLAIM-LINE-RECORD-RX |