Status reference

Every list page in the app filters by status. This chapter is the canonical list of those statuses, what they mean, and which transitions are allowed.

Claim lifecycle

Status	What it means	Who acts
CREATED	Charges grouped; not yet built. Validation issues live here.	Billing clerk
BUILT	Built into an 837 file; ready to submit.	Automated submitter
SUBMITTED	File handed to clearinghouse / payer; awaiting acknowledgment.	(waiting)
ACK_RECEIVED	999/277CA returned; brief intermediate state.	(automated)
ACCEPTED	Payer accepted the claim into adjudication.	(waiting on adjudication)
REJECTED	Payer rejected at the file level (data errors).	Billing clerk — fix and rebuild
PAID	Fully paid per ERA.	Closed
PARTIAL	Paid less than billed; a balance remains.	Billing clerk
DENIED	Payer denied at adjudication.	Billing clerk / auto-correction
CORRECTED	Auto-correction generated a new replacement claim.	(automated)
APPEALED	Appeal filed; awaiting payer response.	Billing clerk

Denial lifecycle

Status	What it means
OPEN	Newly arrived denial; not yet triaged.
IN_PROGRESS	A clerk has opened it and is working on it.
AUTO_CORRECTING	An auto-correction handler is attempting to fix and rebill.
RESOLVED	A replacement claim was paid, or the denial was accepted as final.
APPEALED	A formal appeal is in flight.
WRITE_OFF	The balance has been written off; no further action.

Authorization lifecycle

Status	What it means
DRAFT	Created locally but not yet submitted to the payer.
SUBMITTED	278 sent; awaiting response.
APPROVED	Payer authorized the requested service / units / window.
DENIED	Payer denied the request.
PENDED	Payer requested additional information.
CANCELED	Pulled before adjudication.
EXPIRED	Approved auth's effective window has ended.

Encounter / charge lifecycle

Status	What it means
DRAFT	Created but not validated.
VALIDATED	Passed all pre-claim scrubs; eligible to be grouped onto a claim.
ON_CLAIM	Attached to a claim that has been built.
BILLED	The owning claim has been submitted.
VOIDED	Manually removed from billing.

Group session attendance

Status	Allowed next states
SCHEDULED	ATTENDED, ABSENT, LATE
ATTENDED	ABSENT, LATE
LATE	ATTENDED, ABSENT
ABSENT	ATTENDED, LATE

Illegal transitions are rejected by the server with HTTP 409.

Receivable / remittance lifecycle

Status	What it means
RECEIVED	ERA file received; not yet parsed.
PARSED	Lines extracted from the 835.
AUTO_MATCHED	Lines linked to claims with high confidence.
REVIEW_REQUIRED	Some lines need manual matching.
EXCEPTIONS	Variances or unmatched lines remain.
POSTED	All lines applied to the AR.
CLOSED	Fully reconciled; no outstanding variance.

EVV visit lifecycle

Status	What it means
OPEN	Visit created — clinician checked in.
IN_PROGRESS	Active visit.
COMPLETED	Checked out cleanly.
EXCEPTION	Failed validation (geofence, missing check-out, member mismatch).
RESOLVED	An exception was triaged and resolved.

See also

• Glossary — for the meaning of CARC, RARC, MSP, COB, etc.
• CARC/RARC quick-reference — for adjustment-code decoding.