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referral claim status

ref_clm_sts
claims
Updated 3/30/2026

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.

Standard Abbreviation

ref_clm_sts

Category

claims

Database Usage

-- Example column naming
CREATE TABLE claims (
  claim_id VARCHAR(50),
  ref_clm_sts VARCHAR(100),  -- referral claim status
  ...
);

-- Example in SELECT
SELECT 
  claim_id,
  ref_clm_sts as referral_claim_status
FROM claims;

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