C043 Health Care Claim Status

Used to convey status of the entire claim or a specific service line

Position
Element
Name
Type
Requirement
Min
Max
Repeat
C043-01
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
C043-01 (Claim Status Category Codes, Code Source 507) is used to specify the logical groupings of codes used in C043-02.
C043-02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
C043-02 is used to identify the status of an entire claim or a service line. Code Source 508 is referenced unless qualified by C043-04.
C043-03
Entity Identifier Code
Identifier (ID)
Optional
2
3
-
Code identifying an organizational entity, a physical location, property or an individual
C043-03 identifies the entity associated with the Health Care Claim Status Code.
C043-04
Code List Qualifier Code
Identifier (ID)
Optional
1
3
-
Code identifying a specific industry code list
C043-04 is used to identify the Code Source referenced in C043-02.

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