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Abbreviation
Healthcare

referral claim status

ref_clm_sts

Usage Notes

Provider-to-provider patient direction - Claim adjudication state

Global Definition

The claim adjudication state for a provider-to-provider patient direction. Used to track the current state or condition of the referral. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for referral management and reporting.

Sources

Healthcare Data Standards & Best Practices

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Schema Preview

application/json
{
  "abbreviation": "ref_clm_sts",
  "fullTerm": "referral claim status",
  "domain": "healthcare",
  "metadata": {
    "hasDefinition": true,
    "type": "acronym"
  }
}