Claim Status Category Code and Claim Status Code Update
The Claim Status Codes and Claim Status Category Codes for use by Medicare contractors with the Health Claim Status Request and Response ASC X12N 276/277 were updated during the September 2008 meeting of that Maintenance Committee. At that time, The Committee also
decided to allow the industry 6 months for implementation of newly added or changed codes. Contractors are to use codes posted at www.wpc-edi.com/codes on November 1, 2008 which are listed as current codes on that site. The initial release of this Recurring Notification can be found in Chapter 31, Section 20.7 of the Internet Only Manual.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 16, 2009
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.