01601
Overall Claim Disposition Code
2007-10-26
Definition: This field identifies the final status of the claim. The codes listed as examples are not an exhaustive or current list, refer to OPPS Final Rule. Refer to User-defined Table 0457 - Overall Claim Disposition Code for suggested values. This field is defined by CMS or other regulatory agencies.
Length≤1
5 values
0 | No edits present on claim |
1 | Only edits present are for line item denial or rejection |
2 | Multiple-day claim with one or more days denied or rejected |
3 | Claim denied, rejected, suspended or returned to provider with only post payment edits |
4 | Claim denied, rejected, suspended or returned to provider with only pre payment edits |