HIPAA EDI

EDI 277 Status Request Response transaction for Healthcare

The EDI 277 transaction is part of the Electronic Data Interchange (EDI) standards used in healthcare. Specifically, the EDI 277 Status Request Response transaction is used in the healthcare industry to inquire about the status of a healthcare claim.

Here’s a breakdown of its components:

  1. Purpose: The EDI 277 transaction is used to request and receive information about the status of healthcare claims. This transaction allows healthcare providers, clearinghouses, and other entities involved in claims processing to exchange information about the status of claims electronically.
  2. Request: The sender (usually a healthcare provider or their authorized representative) initiates the transaction by sending a request for the status of a specific healthcare claim. This request typically includes identifying information about the claim, such as the patient’s information, claim number, and other relevant details.
  3. Response: The recipient of the request (usually the payer or the entity responsible for processing claims) responds with information regarding the status of the requested claim. This response may include details such as whether the claim has been received, processed, paid, denied, or is still pending.
  4. Data Elements: The EDI 277 transaction contains various data elements that convey information about the status of the claim. These data elements include codes, dates, descriptions, and other pertinent information necessary for tracking the progress of the claim.

Overall, the EDI 277 Status Request Response transaction streamlines the process of inquiring about the status of healthcare claims, allowing for faster and more efficient communication between healthcare providers and payers.

To learn more about Healthcare EDI and become a CEDIAP® (Certified EDI Academy Professional), please visit our course schedule page.

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