Claim Status Category and Claim Status Codes Update
The Claim Status and Claim Status Category Codes for use by Medicare contractors with the Health Care Claim Status Request and Response ASC X12N 276/277, Health Care Claim Acknowledgement ASC X12N 277 are updated three times per year at the Committee meeting. These meetings are held in the January/February time frame, again in June and finally in late September or early October in conjunction with the Accredited Standards Committee (ASC) X12 meetings. The Committee has decided to allow the industry 6 monthsfor implementation of newly added or changed codes. Contractors are to use codes posted at http://www.wpc-edi.com/codes on or about November 1, 2011 which are listed as current codes on that site. This Recurring Update Notification (RUN) can be found in Chapter 31, Section 20.7
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: June 17, 2011
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.