Claim Status Category and Claim Status Codes Update

Related CR Release Date: August 10, 2022
Related CR Transmittal Number: R11552CP
Related Change Request (CR) Number: 12778
Effective Date: October 1, 2022
Implementation Date: October 3, 2022

CR 12778 updates, as needed, the Claim Status and Claim Status Category Codes used for the Accredited Standards Committee (ASC) X12 276/277 Health Care Claim Status Request and Response and the ASC X12 277 Health Care Claim Acknowledgment transactions. This Recurring Update Notification (RUN) can be found in chapter 31, section 20.7 of Publication (Pub.) 100-04.

Make sure your billing staff knows about these changes.

View the complete CMS Change Request (CR)12778.

Last Updated Aug 17 , 2022