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Back  RFI # 1382: 277- Usage of STC10 and STC11

Formal vs. Informal Help Informal Formal


Amrita Kalkura


I have couple of questions regarding the use of STC10 and STC11 and its value.

1. Is it ok to use STC10/STC11 at claim level when STC segment is used at service line level?

2. If it is ok to use them at both the locations, should STC10/STC11 at both the locations be different?


Submitter Assigned Keywords

STC claim service


Use of STC10 and STC11 in both the Claim level and Service level is allowable within the Claim Status Transactions. STC10 and STC11 are used within the STC segment to provide additional status codes and/or enhance the status message when appropriate. Claim Level Status is always required, even when reporting status at the service level. When reporting multiple statuses, payers must use discretion in choosing the appropriate Category and Status Codes to ensure business compatibility between the status messages reflected. (See Section

If Status Codes are used in STC10 and STC11 at the claim and service levels it is expected that they would be different. Service Level Status is reported when the service line status varies per line or is different from the overall claim status. When service lines within a claim have various statuses (example both pending and finalized) a single status (i.e. Status Category Code) must be reflected at the claim and the service specific status must be reported at the service level. (See Section
Submission 8/15/2011
Status Date 9/27/2011
Status F - Final
Primary References
Document 005010x212
Set ID277
Segment IDSTC