Possible enumeration values:
Name | Value | Description |
---|---|---|
AFLTHR |
7 |
Appeals Filing Limit Threshold: Claim was denied [# of days] days ago and has not been resubmitted |
AFLEX |
2 |
Appeals Filing Limit Exceeded: Claim has been rejected or denied and not resubmitted, and is in excess of appeal filing limit established for this claim's payer |
CRCNR |
12 |
Claim rejected by clearinghouse and not resubmitted. |
CSTPE |
9 |
Claim exceeds the average duration from the DOS before the claim is submitted to the Payer. |
DCA |
10 |
Claim has been downcoded. |
Denials |
13 |
Claim was denied. |
DPAPER |
4 |
Claim Dropped To Paper: Claim has been dropped to paper due to incomplete enrollment |
EPAPER |
5 |
Electronic Filing Possible: Based on Payer and address information, it is possible that this paper claim could have been filed electronically |
TATEX |
3 |
Turn Around Time Exceeded: Claim has exceeded the ERA Turnaround time established for this claim's payer |
TFLEX |
1 |
Timely Filing Limit Exceeded: Claim has exceeded the timely filing limit established for the claim's payer |
TFLTHR |
6 |
Timely Filing Limit Threshold: Claim was rejected [# of days] days ago and has not been resubmitted |
TFLREX |
8 |
Timely Filing Resubmission Limit Exceeded: Resubmitted claim has exceeded the timely filing limit established for the claim's payer |
ZPCA |
11 |
Claim has been paid zero dollars. |