1029 Claim Status Code
TYPE=ID MIN=1 MAX=2
Code identifying the status of an entire claim as assigned by the payor, claim review organization or repricing organization
1 Processed as Primary
2 Processed as Secondary
3 Processed as Tertiary
4 Denied
5 Pended
6 Approved as amended
7 Approved as submitted
8 Cancelled due to inactivity
9 Pending - under investigation
I Initial
10 Received, but not in process
11 Rejected, duplicate claim
12 Rejected, please resubmit with corrections
13 Suspended
14 Suspended - incomplete claim
15 Suspended - investigation with field
16 Suspended - return with material
17 Suspended - review pending
18 Suspended Product Registration
19 Processed as Primary, Forwarded to Additional Payer(s)
20 Processed as Secondary, Forwarded to Additional Payer(s)
21 Processed as Tertiary, Forwarded to Additional Payer(s)
22 Reversal of Previous Payment
23 Not Our Claim, Forwarded to Additional Payer(s)
24 Transferred to Proper Carrier
25 Predetermination Pricing Only - No Payment
26 Documentation Claim - No Payment Associated
27 Reviewed
28 Repriced
29 Audited
30 Processed as Conditional
AD Additional
AP Appealed
CC Weekly Certification
CL Closed
CP Open
RA Reaudited
RB Reissue
RC Reopened and Closed
RD Redetermination
RO Reopened