BDC_CLAIM_STATUS

Description: |
This table contains information about the claim status for claim status follow-up (BDC) records, including claim status reason codes and claim status codes.

Primary Key

Column Name | Ordinal Position |
--- | --- | ---
BDC_ID | 1 |
LINE | 2 |

Column Information

| Name | Type | Discontinued? |
--- | --- | --- | --- | ---
1 | BDC_ID | NUMERIC | No |
The unique identifier (.1 item) for the den/corr rec record.
2 | LINE | INTEGER | No |
The line number for the information associated with this record. Multiple pieces of information can be associated with this record.
3 | CLAIM_STAT_RSN_C_NAME | VARCHAR | No |
Status reason code of the claim status message linked to the claim status follow-up record.
May contain organization-specific values: No
Category Entries:
Bundling
Capitation
Claim Error
Coding Issue
Contract/Benefit Related
Coordination of Benefits
Correspondence
Coverage Issue
Credentialing
Duplicate Claim
Medical Necessity
Missing Claim
Patient Responsibility
Payer Review
Payment Deferred
Remittance Expected
Pending Adjudication
Referral/Authorization Issue
Registration Issue
Additional Documentation Request
Submission Error
Timely Filing
Other
Third Party Liability
Non-Covered
4 | CLM_STATUS_CODE_C_NAME | VARCHAR | No |
Status code loaded from a ANSI 277 message from the payer that indicates the status of the claim.
May contain organization-specific values: Yes
Category Entries:
Unmapped code received
5 | CLM_STATUS_DATA | VARCHAR | No |
Status code string for when the status code is unmapped.