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Back   Health Care Claim Acknowledgement (004040X167)

Purpose

The Health Care Claim Acknowledgement Implementation Guide describes the use of the ANSI ASC X12 Health Care Information Status Notification (277) transaction set for the following business usage:
  • Provide claim status information from the payer without health care provider solicitation. For example, acknowledgement of a health care claim transmission.

Primary Trading Partners

Trading partners include:
  • Health care payers
  • Health care providers
  • Clearinghouses
  • Value added networks
  • Third party service bureaus who provide service(s) to these health care entities

Exceptions/Limitations

Intended only for use for health care claim acknowledgement. Not intended for additional information/documentation requests or pended claim lists.

References

This is the first implementation guide for this business purpose.

Coordination

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

Additional Information

Registered 6/5/2002 Published 2/1/2004
Transaction Set ID 277 Standard Version 004040
ASC X12 DM# Owning Group X12N/TG2/WG5