Claims Testing With UHA Trading Partners Claims testing is a necessary period after an agreement has been reached between the provider and UHA with regard to the submission of claims via EDI. The purpose of the testing is to ensure that the data being generated by the provider’s data processing system meets the technical requirements as specified in … Read More →
X12 276/277 Transactions In CAQH CORE 250: Claim Status Rule X12 276/277 Transactions can be tracked throughout a system/application to demonstrate conformance with the response time requirements specified in the CAQH CORE 250 Rule. CAQH CORE 250: Claim Status Rule requires HIPAA covered entities to capture, log, audit, match, and report the date, time, and control … Read More →
276, 277 EDI transactions details 276, 277 EDI transactions examples are presented below for better understanding of the transaction sets. 276, 277 EDI transactions purposes: the 276 transaction is designed to be exchanged for a 277 response containing the benefit information sought in the 276 request. Should the 276 fail structural validation upon receipt, a 999 … Read More →
Healthcare 276 and 277 Claim Status Request (276) and Claim Status Notification (277) definition Healthcare 276 and 277 EDI transactions described in today’s post refer to HIPAA EDI definitions. The 276 Claim Status Request can be used by a provider to request status of a claim. Key elements used on the request are provider number, patient identifier, … Read More →