Common Status Locations

Currently, there are 41 drivers located in the Fiscal Intermediary Shared System (FISS). Those drivers have status/locations assigned to them. After submission of a claim into FISS, the claim processes through a pre-defined claim path assigned by the type of bill. Status locations pre-define the functional and manual work areas in which the system must process to properly adjudicate the claims. The status/locations are alpha numeric and indicate where the claim currently resides. To fully understand the locations we must first identify the meaning of the alpha numeric code.

Alpha Character First Position	Narrative
P	The “P ” indicates the claim is approved for payment and is on the payment floor. This code will be appropriate for fully paid or partially paid claims.
R	The “R ” indicates the claim has been rejected
D	The “D ” indicates the claim has been denied by medical review or submitted as a demand bill.
S	The “S ” indicates the claim is in suspense in the system.
T	The “T ” indicates the claim has been placed in a location that may be accessed and corrected by the facility.
Alpha Character Second Position	Narrative
B	The second position character “B ” indicates batch
M	The second position character “M ” indicates manual processing
O	The second position character “O ” indicates the claim is off line
Numeric Positions	The third and fourth positions are the location of the claim in FISS.
99	The first two positions of the location “99 ” indicates that the session has terminated
97	The last two positions provide additional claim information. The “97 ” indicates the claim is final on line.

Common Status Locations	Narrative
S B0100	This location indicates the initial submission of the claim into FISS.
S B2500	This location indicates a resubmission from Direct Data Entry
S M50XX	The last two letters may vary. This location indicates your records have been received and awaiting review. Once the review complete the claim will be released into FISS for processing to adjudication.
S B6000	This location will contain claims that will need additional information when the claim moves in the next system cycle.
S B6001	This location is used to hold claims while awaiting the Additional Documentation Request (ADR).
T B9900	The claims in this location will need correction when they move to T B9997 in the next system cycle.
T B9997	This location indicates the claim has encountered an error and will require correction by the provider.
P B7501	This location is post-pay Medicare Secondary Payer (MSP) review
P B7505	This location is post-pay Medicare Secondary Payer (MSP) review
S M9000	This location is for claims that are ready to be posted to the Common Working File (CWF) with the next system cycle.
S B9099	This location is for claims that have been posted to CWF
D B9997	This location is for claims that have been medically reviewed and denied. Partial denials from medical review will appear in the P status.
P B9996	This location holds claims that have been approved for payment but have not reached the 14 day payment floor for electronic claims or 29 days for hardcopy claims.
P B9997	The location for processed and paid (full or partially) claims
P B0998	The location for archived claims.

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Common Status Locations