Variable: CLM_DISP_CD
Claim Disposition Code
Description:
Code indicating the disposition or outcome of the processing of the claim record.
Values
This variable is coded, and will contain one of the following values.
| Value | Description |
| 1 | DEBIT ACCEPTED |
| 2 | DEBIT ACCEPTED (AUTOMATIC ADJUSTMENT) APPLICABLE THROUGH 4/4/93 |
| 3 | CANCEL ACCEPTED |
| 4 | OUTPATIENT HISTORY ONLY ACCEPTED |
| 50 | BENEFICIARY NOT IN FILE |
| 51 | TRUE NOT IN FILE |
| 52 | MASTER RECORD AT ANOTHER CWF SITE |
| 53 | RECORD IN CMS ALPHA MATCH |
| 54 | CROSS-REFERENCE HIC |
| 55 | NAME/SEX MIS-MATCH |
| 57 | BENEFICIARY RECORD ARCHIVED, ONLY SKELETON EXISTS |
| 58 | BENEFICIARY RECORD BLOCKED FOR CROSS-REFERENCE |
| 59 | BENEFICIARY RECORD FROZEN FOR CLERICAL CORRECTION |
| 60 | ABEND ERROR |
| 61 | CROSS-REFERENCE/DATA BASE PROBLEM |
| AA | AUTOMATIC ADJUSTMENT |
| AB | TRANSACTION CAUSED CICS ABNORMAL END OF JOB |
| BT | HISTORY CLAIM NOT PRESENT TO SUPPORT SPELL OF ILLNESS |
| CI | CICS PROCESSING ERROR |
| CR | CROSSOVER REJECT |
| ER | CONSISTENCY EDIT REJECT |
| RD | TRANSACTION ERROR |
| RT | RETRIEVE PENDING |
| SV | SECURITY VIOLATION |
| UR | UTILIZATION REJECT |
| ~ | MISSING |