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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 →

277CA

277CA transaction example and description The purpose of the 277CA (Claims Acknowledgement) transaction is to provide a claim level acknowledgement of all claims received in the pre-processing system before submitting claims into a payer’s adjudication system. It is believed that most payers are using the 277CA as their standardized reporting mechanism for 5010. The 277CA Read More →

277 Claim Acknowledgement

277 Claim Acknowledgement  definition 277 Claim Acknowledgement transaction is used by some payer organizations usually for accepted and rejected 837 claims. They are intended to be used in version 5010 to replace proprietary error reporting. The 277 Claim Acknowledgement will be sent for each accepted or rejected transaction and will contain a claim number. This approach Read More →