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Data Element
CIP103
CIP.002.103
Definition | The general category of the claim status (accepted, rejected, pended, finalized, additional information requested, etc.), which is then further detailed in the companion data element claim status. |
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Size | X(3) |
FLF Start Position | 459 |
FLF Stop Position | 461 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be in Claim Status Category List (VVL) 2. (Denied Claim) if associated Claim Denied Indicator indicates the claim was denied, then value must be "F2" 3. (Denied Claim) if associated Claim Status is in [542,585,654 ], then value must be "F2" 4. Value must be 3 characters or less 5. Mandatory |
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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CLT055 | CLT.002.055 | CLAIM-STATUS-CATEGORY | CLT00002 | CLAIM-HEADER-RECORD-LT |
COT040 | COT.002.040 | CLAIM-STATUS-CATEGORY | COT00002 | CLAIM-HEADER-RECORD-OT |
CRX031 | CRX.002.031 | CLAIM-STATUS-CATEGORY | CRX00002 | CLAIM-HEADER-RECORD-RX |