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Claim Status Category Code and Claim Status Code Update

This transmittal updates the Claim Status Codes and Claim Status Category Codes for use by Medicare contractors with the Health Care Claim Status Request and Response ASC X12N 276/277. Contractors are to use codes as identified in the code list for Start, Stop and Last Modified dates and inform affected providers of all code changes or additions. The attached Recurring Notification Update applies to Chapter 31, Section 20.7, Health Care Claim Status Category Codes and Health Care Claim Status Codes for Use with the Health Care Claim Status Request and Response ASC X12N 276/277

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Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: June 13, 2008

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.