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Back   Health Care Claim Request For Additional Information (004020X104)

Purpose

The Health Care Claim Request for Additional Information Implementation Guide describes the use of the ANSI ASC X12 Health Care Claim Status Notification (277) transaction set for the following business usages:
  • Request missing or invalid information on a health care claim
  • MSP questionnaires

Primary Trading Partners

Health care providers, such as hospitals, physicians, medical groups, independent physician associations and facilities, health care payers, such as insurers, HMOs, PPOs, and state and federal agencies.

References

  • Health Care Claim Request for Additional Information (003070X071)

Coordination

ANSI ASC X12N TG2/WG9 and TG2/WG10.

Additional Information

Registered 10/23/1998
Transaction Set ID 277 Standard Version 004020
ASC X12 DM# Owning Group X12N/TG2/WG5