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Claim Status Code

CLM_AUDT_TRL_STUS_CD

THE CURRENT STATUS INFORMATION FOR THE PENDING AND PAID CLAIMS CURRENTLY IN THE SYSTEM.

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.supportingInfo.where(
  category.coding.where(
    system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information'
  ).exists() and
    category.coding.where(code = 'CLM_AUDT_TRL_STUS_CD').exists()
).code.coding.code
Coverage / Claim Type
  • Carrier
  • DME
  • HHA
  • Hospice
  • Inpatient
  • Outpatient
  • SNF
Source View
V2_MDCR_CLM_LCTN_HSTRY
Source Column
CLM_AUDT_TRL_STUS_CD
Sources
  • FISS
  • MCS
  • VMS
Profiles
  • CMS

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