Remittance Advice Status Codes

The following table provides description of the Remittance Advice (RA) status codes used in Contract Manager.

Status Code

Description

1

Processed as Primary

2

Processed as Secondary

3

Processed as Tertiary

4

Denied

5

Pended

10

Received, but not in Process

13

Suspended

15

Suspended - Investigation with Field

16

Suspended - Return with Material

17

Suspended - Review Pending

19

Processed as Primary, Forwarded to Additional Payer(s)

20

Processed as Secondary, Forwarded to Additional Payer(s)

21

Processed as Tertiary, Forwarded to Additional Payer(s)

22

Reversal of Previous Payment

23

Not Our Claim, Forwarded to Additional Payer(s)

25

Predetermination Pricing Only - No Payment

27

Reviewed