CS-F Sample Claims Status File

CSS-F. -- claims status code file
Code	Description	Note
0	Cannot provide further status electronically.
1	For more detailed information, see remittance advice.
2	More detailed information in letter.
3	Claim has been adjudicated and is awaiting payment cycle.
4	This is a subsequent request for information from the original request.
5	This is a final request for information.
6	Balance due from the subscriber.
7	Claim may be reconsidered at a future date.
8	No payment due to contract/plan provisions.	Note: Inactive as of ASC X12 Version 4020. Refer to 107 for new verbiage.

CSA-F. -- claims adjustment reason codes file
Code	Description	Note
1	Deductible Amount
2	Coinsurance Amount
3	Co-payment Amount
4	The procedure code is inconsistent with the modifier used or a required modifier is missing.

CSC-F. -- claims status category file
Code	Description	Note
A0	Acknowledgement/Forwarded-The claim/encounter has been forwarded to another entity.	
A1	Acknowledgement/Receipt-The claim/encounter has been received. This does not mean that the claim has been accepted for adjudication.	
A2	Acknowledgement/Acceptance into adjudication system-The claim/encounter has been accepted into the adjudication system.