{"aaData": [["1", "APPROVED", "YES\n", "AP\n", "\nClaim has been approved for authorization of care and payment.\n
\n\n", "\nClaim has been approved for authorization of care and payment.\n
\n\n", "\nIf payment and/or reimbursement is received from any other resource\n(Medicare/ Medicaid/ Trigon/Automobile Insurance/etc.) on the above claim,\nit is imperative that the Department of Veterans Affairs be notified\nwithin three working days following receipt. If payment is received from\nanother source, the VA will seek reimbursement for the amounts paid by the\nDepartment of Veterans Affairs.\n
\n\n"], ["2", "DISAPPROVED", "YES\n", "DA\n", "\nClaim has been disapproved.\n \nThe absence of any one of these criteria precludes payment by the \nUS Department of Veteran Affairs.\n \nPayment may be made only if all three of the following criteria are met:\n(1) Care or services were rendered for an adjudicated service-connected\ndisability or for any condition of a veteran who has been determined to be\ntotally and permanently disabled as a result of a service-connected\ndisability; (2) Care and services were rendered in a medical emergency\nof such a nature that delay would have been hazardous to life or health;\n(3) VA or other federal facilities were not feasibly available.\n
\n\n", "\nClaim has been disapproved.\nemergency services were provided in a hospital emergency department, a\nfree standing urgent care clinic, or a similar facility held out as\nproviding urgent or emergency care to the public, up to the point of\nmedical stability.\n \nThe absence of any one of these criteria precludes payment by the \nUS Department of Veteran Affairs.\n \nPayment may be made if all 5 of the following criteria are met: (1)\nveteran is financially liable to the provider for emergency treatment (2)\nveteran is enrolled in the VA health care system and received treatment\nwithin a 24-month period proceeding emergency care (3) the veteran has no\nother coverage under a health plan contract that would pay, in whole or\npart (4) VA facilities are not feasibly available and an attempt to use\nthem beforehand would have been hazardous to life or health and (5)\n
\n\n", "\nVA Form 4107, Notice of Procedural and Appellate Rights, is being sent to\nthe veteran.\n
\n\n"], ["3", "CANCELLED/WITHDRAWN", "YES\n", "CW\n", "\nClaim has been cancelled.\n
\n\n", "\nClaim has been cancelled.\n
\n\n", "\nVA Form 4107, Notice of Procedural and Appellate Rights, is being sent to\nthe veteran.\n
\n\n"], ["4", "APPROVED TO STABILIZATION", "YES\n", "AS\n", "\nClaim has been approved for authorization of care and payment authorized\nup until the point the medical conditon has stabilized.\n \nSince the medical condition had stabilized and VA facilities were feasibly\navailable for care, transfer to a VA medical center could have been safely\neffected. We may, therefore, pay for care only to that date.\n
\n\n", "\nClaim has been approved for authorization of care and payment authorized\nup until the point the medical conditon has stabilized.\n \nSince the medical condition had stabilized and VA facilities were feasibly\navailable for care, transfer to a VA medical center could have been safely\neffected. We may, therefore, pay for care only to that date.\n
\n\n", "\nIf payment and/or reimbursement is received from any other resource\n(Medicare/ Medicaid/ Trigon/Automobile Insurance/etc.) on the above claim,\nit is imperative that the Department of Veterans Affairs be notified\nwithin three working days following receipt. If payment is received from\nanother source, the VA will seek reimbursement for the amounts paid by the\nDepartment of Veterans Affairs.\n \nVA Form 4107, Notice of Procedural and Appellate Rights, is being sent to\nthe veteran.\n
\n\n"], ["5", "ABANDONED", "YES\n", "AB\n", "\nClaim is considered abandoned, since no action has been taken by the submitter\nwithin the appropriate time frames.\n
\n\n", "\nClaim is considered abandoned, since no action has been taken by the\nsubmitter within the appropriate time frames.\n
\n\n", "\nVA Form 4107, Notice of Procedural and Appellate Rights, is being sent to\nthe veteran.\n
\n\n"]]}