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Back   Health Care Claim Status Request and Response (005010X212)

Purpose

The Health Care Claim Status Request and Response Implementation Guide describes the use of the ANSI ASC X12.316 Health Care Claim Status Request (276) transaction set and the ANSI ASC X12.317 Health Care Claim Status Notification (277) transaction set for the following business usage:
  • Request the status of health care claim(s) and respond with information regarding the specified claim(s).

Primary Trading Partners

Health care providers, such as hospitals, physicians, medical groups, independent physician Trading partners include:
  • Health care providers, such as hospitals, physicians, medical groups, independent physician associations, and facilities.
  • Health care payers, such as insurance companies, HMO’s, PPO’s, and state and federal agencies.

References

  • Health Care Claim Status Request and Response (003070X069)
  • Health Care Claim Status Request and Response (004010X093)
  • Health Care Claim Status Request and Response (004050X139)
  • Health Care Claim Status Request and Response (004060X189)

Coordination

ASC X12N Workgroup:
  • ANSI ASC X12 TG2/WG3 (Health Care Claim Payment)
  • ANSI ASC X12 TG2/WG2 (Health Care Claims)

Additional Information

Registered 10/2/2003 Published 8/6/2006
Transaction Set ID 276/277 Standard Version 005010
ASC X12 DM# 018104 Owning Group X12N/TG2/WG5