Response Files

Response Files Operational Procedures Response Files like 999 Functional Acknowledgement file will be generated within one business day. To verify if the file was accepted or rejected at this level, look for the IK5 and AK9 segments. If these two segments are followed by an ‘A’ the file was accepted. If these two segments are followed by an Read More →

Audi_PaperLiberation_6

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 →