Claim Response Outcome Code

To be reviewed - confirm C and D are deprecated

CPHA Map: Response Status E.05.03 This indicates the status of the claim response or prior claim response. T

Set value = Single letter of A or B or C, etc.. as follows:

Code	Display	Notes
A	accepted as transmitted - no adjustments
B	accepted with Rx price adjustment
C	claim captured for batch processing	Deprecated
D	pay cardholder claim accepted	Deprecated; payee is identified in the response
R	rejected claim/reversal
V	reversal accepted