evaluation claim status

eval_clm_sts

claims

Updated 3/30/2026

Definition

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

Standard Abbreviation

eval_clm_sts

Database Usage

-- Example column naming
CREATE TABLE claims (
  clm_id VARCHAR(50),
  eval_clm_sts VARCHAR(20),  -- evaluation claim status (max 20 chars)
  ...
);

-- Example in SELECT
SELECT
  clm_id,
  eval_clm_sts as evaluation_claim_status
FROM claims;

Common uses in healthcare data

Claims adjudication and remittance processing
837P/837I/837D claim file parsing and validation
Revenue cycle management and denial analytics
CMS cost report and Medicare cost reporting
Payer contract performance and underpayment analysis

Example database column name

ISO-11179 snake_case standard

-- Recommended column name
eval_clm_sts

-- Example DDL
CREATE TABLE healthcare_data (
  record_id   VARCHAR(50)   NOT NULL,
  eval_clm_sts VARCHAR(20),  -- evaluation claim status (max 20 chars)
  created_dt  TIMESTAMP     NOT NULL DEFAULT NOW()
);

Column names follow the ISO-11179 naming convention: lowercase, underscore-separated, using the standard abbreviation as a prefix where applicable.

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