Claim Response Outcome Code

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

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

A=accepted as transmitted - no adjustments B=accepted with Rx price adjustment C=claim captured for batch processing D=pay cardholder claim accepted R=rejected claim/reversal V=reversal accepted