The following companion guide documents have been approved for publishing to the KMAP provider community.
The claim Category and Claim Status Codes explain the status of submitted claims. The Health Insurance Portability and Accountability Act (HIPAA) requires all health care benefit payers to use only national Code Maintenance Committee-approved codes in the X12 276/277 Health Care Claim Status Request and Response format adopted as the standard for national use (004010X093A1).
The national Code Maintenance committee meets at the beginning of each X12 trimester meeting (February, June, and October) to decide about additions, modifications, and retirement of existing codes. Included in the code lists are specific details, including the date when a code was added, changed, or deleted. To view the latest code listing, visit the Washington Publishing Company Web site at http://www.wpc-edi.com/products/codelists/alertservice.
