Back   Health Care Claim Pending Status Information (005010X228)


The Health Care Claim Pending Status Information Implementation Guide describes the use of the ANSI ASC X12 Health Care Claim Status Notification (277) transaction set for the following business usage:
  • Provide claim status information on claims pending in the payer's adjudication system without requiring health care provider solicitation.

Primary Trading Partners

  • Health care providers, such as physicians, medical groups, dentists, hospitals, pharmacies, suppliers, etc.
  • Health care payers, such as insurance companies, third party administrators, state and federal agencies, etc.
  • Clearinghouses, billing services, VANS, etc.


This is the first implementation guide for this business purpose.


  • ANSI ASC X12N TG2/WG2 (Health Care Claims)
  • ANSI ASC X12N TG2/WG3 (Health Care Claim Payment)
  • ANSI ASC X12N TG2/WG5 (Health Care Claim Status) developers for the following guides:
    • Health Care Claim Status Request and Response
    • Health Care Claim Request for Additional Information
    • Health Care Claim Acknowledgment
    • Health Care Payer Unsolicited Claim Status

Additional Information

Registered 5/27/2004 Published 5/25/2008
Transaction Set ID 277 Standard Version 005010
ASC X12 DM# 093304 Owning Group X12N/TG2/WG5