Claim Status Locations - JF Part A

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