Claim Status Locations

Status

  • A - Active
  • F - Force
  • I - Inactive
  • S - Suspense
  • M - Manual Move
  • P - Paid
  • R - Reject
  • D - Deny
  • T - Return to Provider
  • U - Return to QIO

 

Processing Type

  • M - Manual
  • O - Off-line
  • B - Batch

 

Driver Location

  • 01 - Status/Location
  • 02 - Control
  • 04 - UB-04 Data
  • 05 - Consistency (I)
  • 06 - Consistency (II)
  • 15 - Administrative
  • 25 - Duplicate
  • 30 - Entitlement
  • 35 - Lab/HCPC
  • 40 - ESRD
  • 50 - Medical Policy
  • 55 - Utilization
  • 60 - ADR
  • 65 - PPS/Pricer
  • 70 - Payment
  • 75 - Post Payment
  • 80 - MSP Primary
  • 85 - MSP Secondary
  • 90 - CWF
  • 99 - Session Term
  • AA thru AA Customer Defined

 

Location

  • 00 - Batch Process
  • 01 - Common
  • 02 - ADJ. Orbit
  • 10 - Inpatient
  • 11 - Outpatient
  • 12 - Special Claims
  • 13 - Med. Review
  • 14 - Program Integrity
  • 16 - MSP
  • 18 - Prod. QC
  • 19 - Sys. Research
  • 21 - Waiver
  • 65 - Non DDE Pace
  • 66 - DDE Pacemaker
  • 67 - DDE Home Health
  • 96 - Payment Floor
  • 97 - Final On-Line
  • 98 - Final Off-Line
  • 99 - Final Purged
  • Awaiting CWF Response
  • 22 thru 64 Customer Defined
  • 68-79 Customer Defined
  • AA thru ZZ Customer Defined

 

Last Updated Wed, 16 May 2018 15:04:21 +0000