CARR_CLM_PMT_DNL_TB  Carrier Claim Payment Denial Table

Only one-byte was used until 1/2011 (currently, either 1- or 2-byte values may be used, symbols not currently allowed)
0 = Denied
1 = Physician/supplier
2 = Beneficiary
3 = Both physician/supplier and beneficiary
4 = Hospital (hospital-based physicians)
5 = Both hospital and beneficiary
6 = Group practice prepayment plan
7 = Other entries (e.g., Employer, union)
8 = Federally funded
9 = PA service
A = Beneficiary under limitation of liability
B = Physician/supplier under limitation of liability
D = Denied due to demonstration involvement
E = MSP cost avoided IRS/SSA/HCFA Data Match (after 01/2001 is First Claim Development)
F = MSP cost avoided HMO Rate Cell (after 1/2001 is Trauma Code Development)
G = MSP cost avoided Litigation Settlement (after 1/2001 is Secondary Claims Investigation)
H = MSP cost avoided Employer Voluntary Reporting (after 1/2001 is Self-Reports)
J = MSP cost avoided Insurer Voluntary Reporting (eff. 7/3/2000)
K = MSP cost avoided Initial Enrollment Questionnaire (eff. 7/3/2000)
P = Physician ownership denial
Q = MSP cost avoided — voluntary agreements including with employer
T = MSP cost avoided — Initial Enrollment Questionnaire
U = MSP cost avoided — HMO rate cell adjustment
V = MSP cost avoided — litigation settlement
X = MSP cost avoided — generic
Y = MSP cost avoided — IRS/SSA data match
00 = MSP cost avoided — COB Contractor
12 = MSP cost avoided — BC/BS Voluntary Data Sharing Agreements (VDSA)
13 = MSP cost avoided — Office of Personnel Management (OPM) Data Match
14 = MSP cost avoided — Workman's Compensation (WC) Data Match
15 = MSP cost avoided — Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA)
16 = MSP cost avoided — Liability Insurer VDSA
17 = MSP cost avoided — No-Fault Insurer VDSA
18 = MSP cost avoided — Pharmacy Benefit Manager Data Sharing Agreement
19 = MSP cost avoided — Worker’s Compensation Medicare Set-Aside Arrangement (eff. 4/2006)
21 = MSP cost avoided — MIR Group Health Plan
22 = MSP cost avoided — MIR non-Group Health Plan
25 = MSP cost avoided — Recovery Audit Contractor — California
26 = MSP cost avoided — Recovery Audit Contractor — Florida
41 = MSP cost avoided — non-Group Health Plan non-Ongoing responsibility for medical (ORM)
43 = MSP cost avoided — Medicare Part C/Medicare Advantage

Prior to 2011, the following 1-byte character codes were also valid (these characters preceded use of 2-byte codes, above):
! = MSP cost avoided — COB Contractor (converted to '00' 2-byte code)
@ = MSP cost avoided — BC/BS Voluntary Agreements (converted to '12' 2-byte code)
# = MSP cost avoided — Office of Personnel Management (converted to '13' 2-byte code)
$ = MSP cost avoided — Workman's Compensation (WC) Datamatch (converted to '14' 2-byte code)
* = MSP cost avoided — Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) (eff. 4/2006) (converted to '15' 2-byte code)
( = MSP cost avoided — Liability Insurer VDSA (eff. 4/2006) (converted to '16' 2-byte code)
) = MSP cost avoided — No-Fault Insurer VDSA (eff. 4/2006) (converted to '17' 2-byte code)
+ = MSP cost avoided — Pharmacy Benefit Manager Data Sharing Agreement (eff. 4/2006) (converted to '18' 2-byte code)
< = MSP cost avoided — MIR Group Health Plan (eff. 1/2009) (converted to '21' 2-byte code)
> = MSP cost avoided — MIR non-Group Health Plan (eff. 1/2009) (converted to '22' 2-byte code)
% = MSP cost avoided — Recovery Audit Contractor — California (eff. 10/2005) (converted to '25' 2-byte code)
& = MSP cost avoided — Recovery Audit Contractor — Florida (eff. 10/2005) (converted to '26' 2-byte code)