"ID","LO_VERSION","HI_VERSION","ABBREVIATION","NAME","DESCRIPTION"
"1","58","85","CR","Claim Rejection","One or more edits present that cause the whole claim to be rejected. A claim rejection means that the provider can correct and resubmit the claim but cannot appeal the claim rejection."
"2","58","85","CD","Claim Denial","One or more edits present that cause the whole claim to be denied. A claim denial means that the provider cannot resubmit the claim but can appeal the claim denial."
"3","58","85","RTP","Return to Provider","One or more edits present that cause the whole claim to be returned to the provider. A claim returned to the provider means that the provider can resubmit the claim once the problems are corrected."
"4","58","85","SUS","Suspension","One or more edits present that cause the whole claim to be suspended. A claim suspension means that the claim is not returned to the provider, but is not processed for payment until the MAC decides or obtains further information."
"5","58","85","LIR","Line Item Rejection","One or more edits present that cause one or more individual line items to be rejected. A line item rejection means that the claim can be processed for payment with some line items rejected for payment. The line item can be corrected and resubmitted but cannot be appealed."
"6","58","85","LID","Line Item Denial","One or more edits present that cause one or more individual line items to be denied. A line item denial means that the claim can be processed for payment with some line items denied for payment. The line item cannot be resubmitted but can be appealed."
