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Element
in
X12 Release 005020

1029 Claim Status Code

Code identifying the status of an entire claim as assigned by the payor, claim review organization or repricing organization
Type
Identifier (ID)
Length
Min 1 / Max 2
Codes
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
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Stedi is a registered trademark of Stedi, Inc. Stedi's EDI Reference and Mapping Guides are provided for marketing purposes and are free of charge. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.