STC

Claim Level Status Information

Pos: 100

Max: 1

Detail - Mandatory

Loop: 2200E

Elements: 10

User Option (Usage): Required

To report the status, required action, and paid information of a claim or service line

Element Summary:

Ref	Id	Element Name	Req	Type	Min/Max	Usage
STC01	C043	Health Care Claim Status Description: Used to convey status of the entire claim or a specific service line	M	Comp		Required
	1271	Industry Code Description: Code indicating a code from a specific industry code list Industry: Health Care Claim Status Category Code This is the Category code. Use code source 507.	M	AN	1/30	Required

	ExternalCodeList
	Name: 507
	Description: Health Care Claim Status Category Code

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Health Care Claim Status Code
This is the Status code. Use code source 508.

1/30

Required

	ExternalCodeList
	Name: 508
	Description: Health Care Claim Status Code

Entity Identifier Code
Description: Code identifying an organizational entity, a physical location, property or an individual
STC01-3 further modifies the status code in STC01-2.

2/3

Situational

Code

Name

Contracted Service Provider

Consultant's Office

Health Maintenance Organization (HMO)

Oncology Center

Kidney Dialysis Unit

Preferred Provider Organization (PPO)

Acute Care Hospital

Provider

Military Facility

University, College or School

Outpatient Surgicenter

Physician, Clinic or Group Practice

Long Term Care Facility

Extended Care Facility

Psychiatric Health Facility

Laboratory

Retail Pharmacy

Home Health Care

Subcontractor

Federal, State, County or City Facility

Third-Party Administrator

Non-Health Care Miscellaneous Facility

Church Operated Facility

Partnership

Public Health Service Facility

Veterans Administration Facility

Public Health Service Indian Service Facility

Hospital Unit of an Institution (prison hospital, college infirmary, etc.)

Service Supplier

Employer

Hospital Unit Within an Institution for the Mentally Retarded

Tuberculosis and Other Respiratory Diseases Facility

Obstetrics and Gynecology Facility

Eye, Ear, Nose and Throat Facility

Rehabilitation Facility

Orthopedic Facility

Chronic Disease Facility

Other Specialty Facility

Children's General Facility

Children's Hospital Unit of an Institution

Children's Psychiatric Facility

Children's Tuberculosis and Other Respiratory Diseases Facility

Children's Eye, Ear, Nose and Throat Facility

Children's Rehabilitation Facility

Children's Orthopedic Facility

Children's Chronic Disease Facility

Children's Other Specialty Facility

Institution for Mental Retardation

Alcoholism and Other Chemical Dependency Facility

General Inpatient Care for AIDS/ARC Facility

AIDS/ARC Unit

Specialized Outpatient Program for AIDS/ARC

Alcohol/Drug Abuse or Dependency Inpatient Unit

Alcohol/Drug Abuse or Dependency Outpatient Services

Arthritis Treatment Center

Receiver

Claimant Authorized Representative

Data Processing Service Bureau

Birthing Room/LDRP Room

Burn Care Unit

Cardiac Catherization Laboratory

Open-Heart Surgery Facility

Cardiac Intensive Care Unit

Angioplasty Facility

Chronic Obstructive Pulmonary Disease Service Facility

Emergency Department

Trauma Center (Certified)

Extracorporeal Shock-Wave Lithotripter (ESWL) Unit

Genetic Counseling/Screening Services

Adult Day Care Program Facility

Alzheimer's Diagnostic/Assessment Services

Comprehensive Geriatric Assessment Facility

Emergency Response (Geriatric) Unit

Geriatric Acute Care Unit

Geriatric Clinics

Respite Care Facility

Patient Education Unit

Community Health Promotion Facility

Worksite Health Promotion Facility

Hemodialysis Facility

Home Health Services

Hospice

Medical Surgical or Other Intensive Care Unit

Hisopathology Laboratory

Blood Bank

Neonatal Intensive Care Unit

Obstetrics Unit

Occupational Health Services

Organized Outpatient Services

Pediatric Acute Inpatient Unit

Psychiatric Child/Adolescent Services

Psychiatric Consultation-Liaison Services

Psychiatric Education Services

Psychiatric Emergency Services

Psychiatric Geriatric Services

Psychiatric Inpatient Unit

Psychiatric Outpatient Services

Psychiatric Partial Hospitalization Program

Megavoltage Radiation Therapy Unit

Radioactive Implants Unit

Therapeutic Radioisotope Facility

X-Ray Radiation Therapy Unit

CT Scanner Unit

Diagnostic Radioisotope Facility

Magnetic Resonance Imaging (MRI) Facility

Ultrasound Unit

Rehabilitation Inpatient Unit

Rehabilitation Outpatient Services

Performed At

Reproductive Health Services

Skilled Nursing or Other Long-Term Care Unit

Single Photon Emission Computerized Tomography (SPECT) Unit

Organized Social Work Service Facility

Outpatient Social Work Services

Emergency Department Social Work Services

Sports Medicine Clinic/Services

Hospital Auxiliary Unit

Patient Representative Services

Volunteer Services Department

Outpatient Surgery Services

Organ/Tissue Transplant Unit

Orthopedic Surgery Facility

Occupational Therapy Services

Physical Therapy Services

Recreational Therapy Services

Respiratory Therapy Services

Speech Therapy Services

Women's Health Center/Services

Cardiac Rehabilitation Program Facility

Non-Invasive Cardiac Assessment Services

Emergency Medical Technician

Disciplinary Contact

Case Manager

Attending Physician

Operating Physician

Other Physician

Corrected Insured

Service Location

Place of Occurrence

Hospital

Rendering Provider

Subscriber's Employer

Billing Provider

Pay-to Provider

Research Institute

Pharmacist

Admitting Surgeon

Commercial Insurer

Assistant Surgeon

Consulting Physician

Ordering Physician

Referring Provider

Dependent Name

Supervising Physician

Person or Other Entity Legally Responsible for a Child

Person or Other Entity With Whom a Child Resides

Previous Employer

Participating Laboratory

Facility

Physical Address

Mail Address

Dependent Insured

Clinic

Other Insured

Guardian

Paramedic

Paramedical Company

Previous Insured

Spouse Insured

Treatment Facility

Healthcare Professional Shortage Area (HPSA) Facility

Home Health Agency

Independent Physicians Association (IPA)

Injection Point

Insured or Subscriber

Insurer

Independent Lab

Legal Representative

Medical Insurance Carrier

Ordered By

Doctor of Optometry

Oxygen Therapy Facility

Patient Facility

Primary Insured or Subscriber

Primary Care Provider

Prior Insurance Carrier

Third Party Reviewing Preferred Provider Organization (PPO)

Third Party Repricing Preferred Provider Organization (PPO)

Party to Receive Test Report

Party performing certification

Pick Up Address

Pharmacy

Purchase Service Provider

Patient

Responsible Party

Policyholder

Physician

Managed Care

Chiropractor

Dentist

Doctor of Osteopathy

Podiatrist

Group Practice

Medical Doctor

Receiving Location

Rural Health Clinic

Skilled Nursing Facility

Service Provider

Supplier/Manufacturer

Transfer Point

Used to identify the geographic location where a patient is transferred or deverted.

Third Party Reviewing Organization (TPO)

Transfer To

Third Party Repricing Organization (TPO)

Nursing Home

Utilization Management Organization

Spouse

Durable Medical Equipment Supplier

Mutually Defined

STC02	373	Date Description: Date expressed as CCYYMMDD Industry: Status Information Effective Date Use this date for the effective date of status.	O	DT	8/8	Required
STC04	782	Monetary Amount Description: Monetary amount Industry: Total Claim Charge Amount Use this element for the amount of submitted charges. Some HMO encounters supply zero as the amount of original charges.	O	R	1/18	Required
STC05	782	Monetary Amount Description: Monetary amount Industry: Claim Payment Amount Use this element for the claim paid amount. This amount must be zero if the adjudication process is not complete.	O	R	1/18	Required
STC06	373	Date Description: Date expressed as CCYYMMDD Industry: Adjudication or Payment Date Use this element for the date of denial or payment. Use this date if the payment determination is complete.	O	DT	8/8	Situational
STC07	591	Payment Method Code Description: Code identifying the method for the movement of payment instructions Will be used when claim has a dollar payment to the provider of service.	O	ID	3/3	Situational

Code

Name

ACH

Automated Clearing House (ACH)

Use this code to move money electronically through the Automated Clearing House (ACH). When this code is used, information in BPR05 through BPR15 also must be included.

BOP

Financial Institution Option

Use this code to indicate that the third party processor will choose the method of payment based on end point requests or capabilities.

CHK

Check

Use this code to indicate that a check was issued for payment.

FWT

Federal Reserve Funds/Wire Transfer - Nonrepetitive

Use this code to indicate that the funds were sent through the wire system.

NON

Non-Payment Data

Use this code to indicate that this is information only and no dollars are to be moved.

STC08	373	Date Description: Date expressed as CCYYMMDD Industry: Check Issue or EFT Effective Date	O	DT	8/8	Situational
STC09	429	Check Number Description: Check identification number Industry: Check or EFT Trace Number Required with a Finalized and PAID claim when the entire claim was paid using a single check or EFT. Not used with Pending or Rejected claims.	O	AN	1/16	Situational
STC10	C043	Health Care Claim Status Description: Used to convey status of the entire claim or a specific service line Use this element if a second claim status is needed.	O	Comp		Situational
	1271	Industry Code Description: Code indicating a code from a specific industry code list Industry: Health Care Claim Status Category Code This is the Category code. Use code source 507. Required if STC10 is used.	M	AN	1/30	Required

	ExternalCodeList
	Name: 507
	Description: Health Care Claim Status Category Code

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Health Care Claim Status Code
This is the Status code. Use code source 508.
Required if STC10 is used.

1/30

Required

	ExternalCodeList
	Name: 508
	Description: Health Care Claim Status Code

Entity Identifier Code
Description: Code identifying an organizational entity, a physical location, property or an individual
STC10-3 further modifies the status code in STC10-2. See code value list in STC01-3.

2/3

Situational

Code

Name

Contracted Service Provider

Consultant's Office

Health Maintenance Organization (HMO)

Oncology Center

Kidney Dialysis Unit

Preferred Provider Organization (PPO)

Acute Care Hospital

Provider

Military Facility

University, College or School

Outpatient Surgicenter

Physician, Clinic or Group Practice

Long Term Care Facility

Extended Care Facility

Psychiatric Health Facility

Laboratory

Retail Pharmacy

Home Health Care

Subcontractor

Federal, State, County or City Facility

Third-Party Administrator

Non-Health Care Miscellaneous Facility

Church Operated Facility

Partnership

Public Health Service Facility

Veterans Administration Facility

Public Health Service Indian Service Facility

Hospital Unit of an Institution (prison hospital, college infirmary, etc.)

Service Supplier

Employer

Hospital Unit Within an Institution for the Mentally Retarded

Tuberculosis and Other Respiratory Diseases Facility

Obstetrics and Gynecology Facility

Eye, Ear, Nose and Throat Facility

Rehabilitation Facility

Orthopedic Facility

Chronic Disease Facility

Other Specialty Facility

Children's General Facility

Children's Hospital Unit of an Institution

Children's Psychiatric Facility

Children's Tuberculosis and Other Respiratory Diseases Facility

Children's Eye, Ear, Nose and Throat Facility

Children's Rehabilitation Facility

Children's Orthopedic Facility

Children's Chronic Disease Facility

Children's Other Specialty Facility

Institution for Mental Retardation

Alcoholism and Other Chemical Dependency Facility

General Inpatient Care for AIDS/ARC Facility

AIDS/ARC Unit

Specialized Outpatient Program for AIDS/ARC

Alcohol/Drug Abuse or Dependency Inpatient Unit

Alcohol/Drug Abuse or Dependency Outpatient Services

Arthritis Treatment Center

Receiver

Claimant Authorized Representative

Data Processing Service Bureau

Birthing Room/LDRP Room

Burn Care Unit

Cardiac Catherization Laboratory

Open-Heart Surgery Facility

Cardiac Intensive Care Unit

Angioplasty Facility

Chronic Obstructive Pulmonary Disease Service Facility

Emergency Department

Trauma Center (Certified)

Extracorporeal Shock-Wave Lithotripter (ESWL) Unit

Genetic Counseling/Screening Services

Adult Day Care Program Facility

Alzheimer's Diagnostic/Assessment Services

Comprehensive Geriatric Assessment Facility

Emergency Response (Geriatric) Unit

Geriatric Acute Care Unit

Geriatric Clinics

Respite Care Facility

Patient Education Unit

Community Health Promotion Facility

Worksite Health Promotion Facility

Hemodialysis Facility

Home Health Services

Hospice

Medical Surgical or Other Intensive Care Unit

Hisopathology Laboratory

Blood Bank

Neonatal Intensive Care Unit

Obstetrics Unit

Occupational Health Services

Organized Outpatient Services

Pediatric Acute Inpatient Unit

Psychiatric Child/Adolescent Services

Psychiatric Consultation-Liaison Services

Psychiatric Education Services

Psychiatric Emergency Services

Psychiatric Geriatric Services

Psychiatric Inpatient Unit

Psychiatric Outpatient Services

Psychiatric Partial Hospitalization Program

Megavoltage Radiation Therapy Unit

Radioactive Implants Unit

Therapeutic Radioisotope Facility

X-Ray Radiation Therapy Unit

CT Scanner Unit

Diagnostic Radioisotope Facility

Magnetic Resonance Imaging (MRI) Facility

Ultrasound Unit

Rehabilitation Inpatient Unit

Rehabilitation Outpatient Services

Performed At

Reproductive Health Services

Skilled Nursing or Other Long-Term Care Unit

Single Photon Emission Computerized Tomography (SPECT) Unit

Organized Social Work Service Facility

Outpatient Social Work Services

Emergency Department Social Work Services

Sports Medicine Clinic/Services

Hospital Auxiliary Unit

Patient Representative Services

Volunteer Services Department

Outpatient Surgery Services

Organ/Tissue Transplant Unit

Orthopedic Surgery Facility

Occupational Therapy Services

Physical Therapy Services

Recreational Therapy Services

Respiratory Therapy Services

Speech Therapy Services

Women's Health Center/Services

Cardiac Rehabilitation Program Facility

Non-Invasive Cardiac Assessment Services

Emergency Medical Technician

Disciplinary Contact

Case Manager

Attending Physician

Operating Physician

Other Physician

Corrected Insured

Service Location

Place of Occurrence

Hospital

Rendering Provider

Subscriber's Employer

Billing Provider

Pay-to Provider

Research Institute

Pharmacist

Admitting Surgeon

Commercial Insurer

Assistant Surgeon

Consulting Physician

Ordering Physician

Referring Provider

Dependent Name

Supervising Physician

Person or Other Entity Legally Responsible for a Child

Person or Other Entity With Whom a Child Resides

Previous Employer

Participating Laboratory

Facility

Physical Address

Mail Address

Dependent Insured

Clinic

Other Insured

Guardian

Paramedic

Paramedical Company

Previous Insured

Spouse Insured

Treatment Facility

Healthcare Professional Shortage Area (HPSA) Facility

Home Health Agency

Independent Physicians Association (IPA)

Injection Point

Insured or Subscriber

Insurer

Independent Lab

Legal Representative

Medical Insurance Carrier

Ordered By

Doctor of Optometry

Oxygen Therapy Facility

Patient Facility

Primary Insured or Subscriber

Primary Care Provider

Prior Insurance Carrier

Third Party Reviewing Preferred Provider Organization (PPO)

Third Party Repricing Preferred Provider Organization (PPO)

Party to Receive Test Report

Party performing certification

Pick Up Address

Pharmacy

Purchase Service Provider

Patient

Responsible Party

Policyholder

Physician

Managed Care

Chiropractor

Dentist

Doctor of Osteopathy

Podiatrist

Group Practice

Medical Doctor

Receiving Location

Rural Health Clinic

Skilled Nursing Facility

Service Provider

Supplier/Manufacturer

Transfer Point

Used to identify the geographic location where a patient is transferred or deverted.

Third Party Reviewing Organization (TPO)

Transfer To

Third Party Repricing Organization (TPO)

Nursing Home

Utilization Management Organization

Spouse

Durable Medical Equipment Supplier

Mutually Defined

	STC11	C043	Health Care Claim Status Description: Used to convey status of the entire claim or a specific service line Use this element if a third claim status is needed.	O	Comp		Situational
		1271	Industry Code Description: Code indicating a code from a specific industry code list Industry: Health Care Claim Status Category Code This is the Category code. Use code source 507. Required if STC11 is used.	M	AN	1/30	Required

	ExternalCodeList
	Name: 507
	Description: Health Care Claim Status Category Code

1271

1/30

Required

	ExternalCodeList
	Name: 508
	Description: Health Care Claim Status Code

Entity Identifier Code
Description: Code identifying an organizational entity, a physical location, property or an individual
STC11-3 further modifies the status code in STC11-2. See code value list in STC01-3.

2/3

Situational

Code

Name

Contracted Service Provider

Consultant's Office

Health Maintenance Organization (HMO)

Oncology Center

Kidney Dialysis Unit

Preferred Provider Organization (PPO)

Acute Care Hospital

Provider

Military Facility

University, College or School

Outpatient Surgicenter

Physician, Clinic or Group Practice

Long Term Care Facility

Extended Care Facility

Psychiatric Health Facility

Laboratory

Retail Pharmacy

Home Health Care

Subcontractor

Federal, State, County or City Facility

Third-Party Administrator

Non-Health Care Miscellaneous Facility

Church Operated Facility

Partnership

Public Health Service Facility

Veterans Administration Facility

Public Health Service Indian Service Facility

Hospital Unit of an Institution (prison hospital, college infirmary, etc.)

Service Supplier

Employer

Hospital Unit Within an Institution for the Mentally Retarded

Tuberculosis and Other Respiratory Diseases Facility

Obstetrics and Gynecology Facility

Eye, Ear, Nose and Throat Facility

Rehabilitation Facility

Orthopedic Facility

Chronic Disease Facility

Other Specialty Facility

Children's General Facility

Children's Hospital Unit of an Institution

Children's Psychiatric Facility

Children's Tuberculosis and Other Respiratory Diseases Facility

Children's Eye, Ear, Nose and Throat Facility

Children's Rehabilitation Facility

Children's Orthopedic Facility

Children's Chronic Disease Facility

Children's Other Specialty Facility

Institution for Mental Retardation

Alcoholism and Other Chemical Dependency Facility

General Inpatient Care for AIDS/ARC Facility

AIDS/ARC Unit

Specialized Outpatient Program for AIDS/ARC

Alcohol/Drug Abuse or Dependency Inpatient Unit

Alcohol/Drug Abuse or Dependency Outpatient Services

Arthritis Treatment Center

Receiver

Claimant Authorized Representative

Data Processing Service Bureau

Birthing Room/LDRP Room

Burn Care Unit

Cardiac Catherization Laboratory

Open-Heart Surgery Facility

Cardiac Intensive Care Unit

Angioplasty Facility

Chronic Obstructive Pulmonary Disease Service Facility

Emergency Department

Trauma Center (Certified)

Extracorporeal Shock-Wave Lithotripter (ESWL) Unit

Genetic Counseling/Screening Services

Adult Day Care Program Facility

Alzheimer's Diagnostic/Assessment Services

Comprehensive Geriatric Assessment Facility

Emergency Response (Geriatric) Unit

Geriatric Acute Care Unit

Geriatric Clinics

Respite Care Facility

Patient Education Unit

Community Health Promotion Facility

Worksite Health Promotion Facility

Hemodialysis Facility

Home Health Services

Hospice

Medical Surgical or Other Intensive Care Unit

Hisopathology Laboratory

Blood Bank

Neonatal Intensive Care Unit

Obstetrics Unit

Occupational Health Services

Organized Outpatient Services

Pediatric Acute Inpatient Unit

Psychiatric Child/Adolescent Services

Psychiatric Consultation-Liaison Services

Psychiatric Education Services

Psychiatric Emergency Services

Psychiatric Geriatric Services

Psychiatric Inpatient Unit

Psychiatric Outpatient Services

Psychiatric Partial Hospitalization Program

Megavoltage Radiation Therapy Unit

Radioactive Implants Unit

Therapeutic Radioisotope Facility

X-Ray Radiation Therapy Unit

CT Scanner Unit

Diagnostic Radioisotope Facility

Magnetic Resonance Imaging (MRI) Facility

Ultrasound Unit

Rehabilitation Inpatient Unit

Rehabilitation Outpatient Services

Performed At

Reproductive Health Services

Skilled Nursing or Other Long-Term Care Unit

Single Photon Emission Computerized Tomography (SPECT) Unit

Organized Social Work Service Facility

Outpatient Social Work Services

Emergency Department Social Work Services

Sports Medicine Clinic/Services

Hospital Auxiliary Unit

Patient Representative Services

Volunteer Services Department

Outpatient Surgery Services

Organ/Tissue Transplant Unit

Orthopedic Surgery Facility

Occupational Therapy Services

Physical Therapy Services

Recreational Therapy Services

Respiratory Therapy Services

Speech Therapy Services

Women's Health Center/Services

Cardiac Rehabilitation Program Facility

Non-Invasive Cardiac Assessment Services

Emergency Medical Technician

Disciplinary Contact

Case Manager

Attending Physician

Operating Physician

Other Physician

Corrected Insured

Service Location

Place of Occurrence

Hospital

Rendering Provider

Subscriber's Employer

Billing Provider

Pay-to Provider

Research Institute

Pharmacist

Admitting Surgeon

Commercial Insurer

Assistant Surgeon

Consulting Physician

Ordering Physician

Referring Provider

Dependent Name

Supervising Physician

Person or Other Entity Legally Responsible for a Child

Person or Other Entity With Whom a Child Resides

Previous Employer

Participating Laboratory

Facility

Physical Address

Mail Address

Dependent Insured

Clinic

Other Insured

Guardian

Paramedic

Paramedical Company

Previous Insured

Spouse Insured

Treatment Facility

Healthcare Professional Shortage Area (HPSA) Facility

Home Health Agency

Independent Physicians Association (IPA)

Injection Point

Insured or Subscriber

Insurer

Independent Lab

Legal Representative

Medical Insurance Carrier

Ordered By

Doctor of Optometry

Oxygen Therapy Facility

Patient Facility

Primary Insured or Subscriber

Primary Care Provider

Prior Insurance Carrier

Third Party Reviewing Preferred Provider Organization (PPO)

Third Party Repricing Preferred Provider Organization (PPO)

Party to Receive Test Report

Party performing certification

Pick Up Address

Pharmacy

Purchase Service Provider

Patient

Responsible Party

Policyholder

Physician

Managed Care

Chiropractor

Dentist

Doctor of Osteopathy

Podiatrist

Group Practice

Medical Doctor

Receiving Location

Rural Health Clinic

Skilled Nursing Facility

Service Provider

Supplier/Manufacturer

Transfer Point

Used to identify the geographic location where a patient is transferred or deverted.

Third Party Reviewing Organization (TPO)

Transfer To

Third Party Repricing Organization (TPO)

Nursing Home

Utilization Management Organization

Spouse

Durable Medical Equipment Supplier

Mutually Defined

1.	STC02 is the effective date of the status information.
2.	STC04 is the amount of original submitted charges.
3.	STC05 is the amount paid.
4.	STC06 is the paid date.
5.	STC08 is the check issue date.
6.	STC12 allows additional free-form status information.

Notes:

1. Use this segment to request additional information about a claim or a service line.
2. Use this if the patient is someone other than the subscriber.

Example:

STC*FI:65*19960511**50*40*19960510*CHK*19960510*50321~