{
"X0"=>
{:code=>"X0",
:description=>"Supplemental Messages",
:effective_date=>"01/01/1995",
:deactivation_date=>"10/16/2003",
:last_modified_date=>"",
:notes=>""},
"A0"=>
{:code=>"A0",
:description=>
"Acknowledgement/Forwarded-The claim/encounter has been forwarded to another entity.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"A1"=>
{:code=>"A1",
:description=>
"Acknowledgement/Receipt-The claim/encounter has been received. This does not mean that the claim has been accepted for adjudication.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"A2"=>
{:code=>"A2",
:description=>
"Acknowledgement/Acceptance into adjudication system-The claim/encounter has been accepted into the adjudication system.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"A3"=>
{:code=>"A3",
:description=>
"Acknowledgement/Returned as unprocessable claim-The claim/encounter has been rejected and has not been entered into the adjudication system.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"A4"=>
{:code=>"A4",
:description=>
"Acknowledgement/Not Found-The claim/encounter can not be found in the adjudication system.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"A5"=>
{:code=>"A5",
:description=>
"Acknowledgement/Split Claim-The claim/encounter has been split upon acceptance into the adjudication system.",
:effective_date=>"02/28/2002",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"A6"=>
{:code=>"A6",
:description=>
"Acknowledgement/Rejected for Missing Information - The claim/encounter is missing the information specified in the Status details and has been rejected.",
:effective_date=>"10/31/2002",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"A7"=>
{:code=>"A7",
:description=>
"Acknowledgement/Rejected for Invalid Information - The claim/encounter has invalid information as specified in the Status details and has been rejected.",
:effective_date=>"10/31/2002",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"A8"=>
{:code=>"A8",
:description=>"Acknowledgement / Rejected for relational field in error.",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"P0"=>
{:code=>"P0",
:description=>
"Pending: Adjudication/Details-This is a generic message about a pended claim. A pended claim is one for which no remittance advice has been issued, or only part of the claim has been paid.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"P1"=>
{:code=>"P1",
:description=>
"Pending/In Process-The claim or encounter is in the adjudication system.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"P2"=>
{:code=>"P2",
:description=>
"Pending/Payer Review-The claim/encounter is suspended and is pending review (e.g. medical review, repricing, Third Party Administrator processing).",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"01/27/2008",
:notes=>""},
"P3"=>
{:code=>"P3",
:description=>
"Pending/Provider Requested Information - The claim or encounter is waiting for information that has already been requested from the provider. (Note: A Claim Status Code identifying the type of information requested, must be reported)",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"01/27/2008",
:notes=>""},
"P4"=>
{:code=>"P4",
:description=>
"Pending/Patient Requested Information - The claim or encounter is waiting for information that has already been requested from the patient. (Note: A status code identifying the type of information requested must be sent)",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"01/27/2008",
:notes=>""},
"P5"=>
{:code=>"P5",
:description=>"Pending/Payer Administrative/System hold",
:effective_date=>"10/31/2006",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"F0"=>
{:code=>"F0",
:description=>
"Finalized-The claim/encounter has completed the adjudication cycle and no more action will be taken.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"F1"=>
{:code=>"F1",
:description=>"Finalized/Payment-The claim/line has been paid.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"F2"=>
{:code=>"F2",
:description=>"Finalized/Denial-The claim/line has been denied.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"F3"=>
{:code=>"F3",
:description=>
"Finalized/Revised - Adjudication information has been changed",
:effective_date=>"02/28/2001",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"F3F"=>
{:code=>"F3F",
:description=>
"Finalized/Forwarded-The claim/encounter processing has been completed. Any applicable payment has been made and the claim/encounter has been forwarded to a subsequent entity as identified on the original claim or in this payer's records.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"F3N"=>
{:code=>"F3N",
:description=>
"Finalized/Not Forwarded-The claim/encounter processing has been completed. Any applicable payment has been made. The claim/encounter has NOT been forwarded to any subsequent entity identified on the original claim.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"F4"=>
{:code=>"F4",
:description=>
"Finalized/Adjudication Complete - No payment forthcoming-The claim/encounter has been adjudicated and no further payment is forthcoming.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"F5"=>
{:code=>"F5",
:description=>"Finalized/Cannot Process",
:effective_date=>"01/01/1995",
:deactivation_date=>"10/16/2003",
:last_modified_date=>"",
:notes=>""},
"R0"=>
{:code=>"R0",
:description=>
"Requests for additional Information/General Requests-Requests that don't fall into other R-type categories.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"R1"=>
{:code=>"R1",
:description=>
"Requests for additional Information/Entity Requests-Requests for information about specific entities (subscribers, patients, various providers).",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"R3"=>
{:code=>"R3",
:description=>
"Requests for additional Information/Claim/Line-Requests for information that could normally be submitted on a claim.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/28/1998",
:notes=>""},
"R4"=>
{:code=>"R4",
:description=>
"Requests for additional Information/Documentation-Requests for additional supporting documentation. Examples: certification, x-ray, notes.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/28/1998",
:notes=>""},
"R5"=>
{:code=>"R5",
:description=>
"Request for additional information/more specific detail-Additional information as a follow up to a previous request is needed. The original information was received but is inadequate. More specific/detailed information is requested.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"06/30/1998",
:notes=>""},
"R6"=>
{:code=>"R6",
:description=>
"Requests for additional information - Regulatory requirements",
:effective_date=>"02/28/2007",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"R7"=>
{:code=>"R7",
:description=>
"Requests for additional information - Confirm care is consistent with Health Plan policy coverage",
:effective_date=>"02/28/2007",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"R8"=>
{:code=>"R8",
:description=>
"Requests for additional information - Confirm care is consistent with health plan coverage exceptions",
:effective_date=>"02/28/2007",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"R9"=>
{:code=>"R9",
:description=>
"Requests for additional information - Determination of medical necessity",
:effective_date=>"02/28/2007",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"R10"=>
{:code=>"R10",
:description=>
"Requests for additional information - Support a filed grievance or appeal",
:effective_date=>"02/28/2007",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"R11"=>
{:code=>"R11",
:description=>
"Requests for additional information - Pre-payment review of claims",
:effective_date=>"02/28/2007",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"R12"=>
{:code=>"R12",
:description=>
"Requests for additional information - Clarification or justification of use for specified procedure code",
:effective_date=>"02/28/2007",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"R13"=>
{:code=>"R13",
:description=>
"Requests for additional information - Original documents submitted are not readable. Used only for subsequent request(s).",
:effective_date=>"02/28/2007",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"R14"=>
{:code=>"R14",
:description=>
"Requests for additional information - Original documents received are not what was requested. Used only for subsequent request(s).",
:effective_date=>"02/28/2007",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"R15"=>
{:code=>"R15",
:description=>
"Requests for additional information - Workers Compensation coverage determination.",
:effective_date=>"02/28/2007",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"R16"=>
{:code=>"R16",
:description=>
"Requests for additional information - Eligibility determination",
:effective_date=>"02/28/2007",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"RQ"=>
{:code=>"RQ",
:description=>
"General Questions (Yes/No Responses)-Questions that may be answered by a simple 'yes' or 'no'.",
:effective_date=>"01/01/1995",
:deactivation_date=>"01/01/2008",
:last_modified_date=>"07/09/2007",
:notes=>""},
"E0"=>
{:code=>"E0",
:description=>"Response not possible - error on submitted request data",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/28/2002",
:notes=>""},
"E1"=>
{:code=>"E1",
:description=>"Response not possible - System Status",
:effective_date=>"02/29/2000",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"E2"=>
{:code=>"E2",
:description=>
"Information Holder is not responding; resubmit at a later time.",
:effective_date=>"06/30/2003",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"E3"=>
{:code=>"E3",
:description=>"Correction required - relational fields in error.",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"E4"=>
{:code=>"E4",
:description=>
"Trading partner agreement specific requirement not met: Data correction required. (Note: A status code identifying the type of information requested must be sent)",
:effective_date=>"01/30/2011",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"D0"=>
{:code=>"D0",
:description=>
"Data Search Unsuccessful - The payer is unable to return status on the requested claim(s) based on the submitted search criteria.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"09/20/2009",
:notes=>""}}