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The Claim Status Response (277) transaction is used to respond to a request inquiry about the status of a claim after it has been sent to a payer, whether submitted on paper or electronically. Once we return an acknowledgment that a claim has been accepted, it should be available for query as a claim status search.
Providers can submit claim status inquiries via the Medicare Administrative Contractors provider Internet-based portals. Some providers can enter claim status queries via direct data entry screens.
The 276 Health Care Claim Status Request was created as an EDI request from the Trading Partner to a Payer for a status on their Claims. The 277 Health Care Claim Status Response is the response to a 276 request for claim status.
Denial code 277 is used when the disposition of a claim or service is undetermined during the premium payment grace period, as required by the Health Insurance SHOP Exchange.
227 Information requested from the patient/insured/responsible party was not provided or was insufficient/incomplete.

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277 health care information status notification pdf 277 rejection codes list edi 277 example 276/277 claim status 277 file format 276/277 implementation guide edi 277 specification 277 implementation guide 5010

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The 276/277 is a paired transaction. The 276 is an in-bound claim status request and the 277 is an outbound claims status response. Lesson 5 has claim status. The 277CA is a claim acknowledgment.
Information provided in a 277 transaction generally indicates where the claim is in process, either as pending or finalized. If finalized, the transaction will indicate the disposition of the claim: rejected, denied, approved for payment or paid.

Related links

277 Health Care Information Status Notification

Apr 28, 2011 277 Health Care Information Status Notification. Functional Group ID and establishes the data contents of the Health Care Information Status.

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Trading Partner Information

Aug 27, 2020 277 Health Care Information Status Notification (277). In response to 5010 real-time 837 Transaction Set, a 277 Health Care. Information

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Ohio Admin. Code 5160-1-20 - Electronic data interchange

(f) ANSI X12 277 health care claim status notification is a transaction (g) ANSI X12 278 health care services review information request and response

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