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Health Claim Status Codes

512

Length invalid for receiver's   application system. Note: At least one other status code is required to   identify the data element in error.
  Start: 10/31/2004 | Last Modified: 09/20/2009

513

HIPPS Rate Code for services   Rendered
  Start: 10/31/2004

514

Entity's Middle Name Note: This   code requires use of an Entity Code.
  Start: 10/31/2004 | Last Modified: 01/30/2011

515

Managed Care review
  Start: 10/31/2004

516

Other Entity's Adjudication or   Payment/Remittance Date. Note: An Entity code is required to identify the   Other Payer Entity, i.e. primary, secondary.
  Start: 10/31/2004 | Last Modified: 11/29/2009

517

Adjusted Repriced Claim Reference   Number
  Start: 10/31/2004

518

Adjusted Repriced Line item   Reference Number
  Start: 10/31/2004

519

Adjustment Amount
  Start: 10/31/2004

520

Adjustment Quantity
  Start: 10/31/2004

521

Adjustment Reason Code
  Start: 10/31/2004

522

Anesthesia Modifying Units
  Start: 10/31/2004

523

Anesthesia Unit Count
  Start: 10/31/2004

524

Arterial Blood Gas Quantity
  Start: 10/31/2004

525

Begin Therapy Date
  Start: 10/31/2004

526

Bundled or Unbundled Line Number
  Start: 10/31/2004

527

Certification Condition Indicator
  Start: 10/31/2004

528

Certification Period Projected   Visit Count
  Start: 10/31/2004

529

Certification Revision Date
  Start: 10/31/2004

530

Claim Adjustment Indicator
  Start: 10/31/2004

531

Claim Disproportinate Share Amount
  Start: 10/31/2004

532

Claim DRG Amount
  Start: 10/31/2004

533

Claim DRG Outlier Amount
  Start: 10/31/2004

534

Claim ESRD Payment Amount
  Start: 10/31/2004

535

Claim Frequency Code
  Start: 10/31/2004

536

Claim Indirect Teaching Amount
  Start: 10/31/2004

537

Claim MSP Pass-through Amount
  Start: 10/31/2004

538

Claim or Encounter Identifier
  Start: 10/31/2004

539

Claim PPS Capital Amount
  Start: 10/31/2004

540

Claim PPS Capital Outlier Amount
  Start: 10/31/2004

541

Claim Submission Reason Code
  Start: 10/31/2004

542

Claim Total Denied Charge Amount
  Start: 10/31/2004

543

Clearinghouse or Value Added   Network Trace
  Start: 10/31/2004

544

Clinical Laboratory Improvement   Amendment
  Start: 10/31/2004

545

Contract Amount
  Start: 10/31/2004

546

Contract Code
  Start: 10/31/2004

547

Contract Percentage
  Start: 10/31/2004

548

Contract Type Code
  Start: 10/31/2004

549

Contract Version Identifier
  Start: 10/31/2004

550

Coordination of Benefits Code
  Start: 10/31/2004

551

Coordination of Benefits Total   Submitted Charge
  Start: 10/31/2004

552

Cost Report Day Count
  Start: 10/31/2004

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