Status is the latest outcome from either from NPHIES (as queued and error)
or Adjudication Outcome from Payer (as pended, rejected, approved, partially approved, not required).
Type | Definition |
Approved | All items approved |
Rejected | All items rejected |
Partially Approved | At least one item rejected |
Not Required | No Authorization is required for this request |
Pended | The processing of the requested has been pended awaiting further information or processing |