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MLN Matters Article MM11957 (New): Claim Status Category and Claim Status Codes Update

This Article comprises Sub-regulatory guidance for updates, as needed, to the Claim Status and Claim Status Category Codes used for the Accredited Standards Committee (ASC) X12 276/277 Health Care Claim Status Request and Response and ASC X12 277 Health Care Claim Acknowledgment transactions. MLN Matters (MM) Articles are based on Change Requests (CRs). Special Edition (SE) Articles clarify existing policy. In this case, this Article is based on content within CR11957 that is posted on the CMS website.

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

Issue Date: November 23, 2020

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.