HIPAA Standard 276/277

HIPAA Standard 276/277 Claim Transactions (HealthNet)

Requests for claims status for a single commercial, Medicare or state health programs member transaction may be submitted by registered participating providers on the Health Net provider website. Select the appropriate Verify claims link under Eligibility & Benefits to the left to get started.

To request claims status information for multiple members at one time, providers can use the 276/277 claims transaction through one of three electronic clearinghouses. A 276 request provides claims status information directly to providers through a real-time link. Providers submit a request for a single HIPAA standard 276 or multiple 276s and obtain the 277 responses from Health Net online.

276 responses are also compliant with the Council for Affordable Quality Healthcare (CAQH®)/Committee on Operating Rules for Information Exchange (CORETM) Phase II requirements.

In accordance with the Health Insurance Portability and Accountability Act (HIPAA) privacy requirements for submission of electronic health care transactions, Health Net is compliant in meeting and adopting the 276/277 claim transaction standards as outlined by HIPAA and with the Administration Simplification Operating rules for health care claim status transactions. Check with your vendor/clearinghouse for sending/receiving claim requests using the 276/277 real time transaction or contact one of the Health Net clearinghouses listed below to set up the HIPAA standard 276 request.

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