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Back   Health Care Payer Unsolicited Claim Status (003070X070)

Purpose

The Health Care Payer Unsolicited Claim Status 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 from the payer without health care provider solicitation

Examples of these types of claim status notifications include acknowledgments of claim transmission.

Primary Trading Partners

Health care payers, health care providers, and third-party service bureaus who provide service to these health care entities.

Exceptions/Limitations

Intended only for unsolicited claim status. Not intended for additional information/documentation requests.

References

This is the first implementation guide for this business purpose.

Coordination

ANSI ASC X12 TG2/WG3 (Health Care Claim Payment).

Additional Information

Registered 10/23/1998 Published 12/12/2003
Transaction Set ID 277 Standard Version 003070
ASC X12 DM# Owning Group X12N/TG2/WG5