Question:
In ERA responses, each claim includes a status_code. Where can I find the definitions for these values, and what do they represent?
Answer:
The status_code field returned at the claim level in ERA API responses indicates the payer’s processing status for that claim (for example, whether it was processed as primary, secondary, denied, suspended, or forwarded to another payer).
Claim.MD exposes the full list of supported status_code values and their meanings directly in the ERA Data API documentation. These definitions are part of the response schema and can be viewed by expanding:
200 OK → claim
in the ERA Data API documentation:
https://api.claim.md/#/paths/~1services~1eradata~1/post
The documentation includes both numeric and alpha status codes (such as 1, 2, 19, AD, AP, RA, etc.), along with their corresponding descriptions. These values are passed through from payer responses and are not generated arbitrarily by Claim.MD.
For the most accurate and up-to-date reference, we recommend reviewing the response schema in the API documentation rather than relying on hardcoded mappings in your application.