By | 2019-09-13T06:20:11+00:00 September 13th, 2019|

What is an EDI 277 Health Care Information Status Notification?

The EDI 277 transaction set is used to convey information regarding the status of a healthcare claim. This transaction set is generally used by healthcare service providers in one of the following ways:

  • To send an electronic response to a previously received EDI 276 Health Care Claim Status Request
  • To request additional information without a submitted claim
  • To provide claim status information

EDI X12 277 Health Care Information Status Notification Sample

The following sample EDI 277 file demonstrates the different data elements and segments that are found within an EDI 277 transaction document[1].

ISA*00* *00* *ZZ*SENDER *ZZ*RECEIVER *130924*0936*^*00501*000039422*0*P*~
GS*HN* SENDER *00000003B*20130924*0936*39421*X*005010X212~
ST*277*0001*005010X212~
BHT*0010*08*277005010X212E2*20130924*0536*DG~
HL*1**20*1~
NM1*PR*2*SAN FRANCISCO HEALTH PLAN*****PI*170558746~
PER*IC*EDI OPERATIONS*TE*8888808699*EX*4042*FX*6179235555~
HL*2*1*21*1~
NM1*41*1 A GOOD HOSPITAL *****46*1234567890~
HL*3*2*19*1~
NM1*1P*1*THE HOSPITAL*****XX*9876543210~
HL*4*3*22*0~
NM1*IL*1*DOE*JANE****MI*12345678901~
TRN*2*406ba0b7-700d-4c99-8c75-6da5adaf1da4~
STC*F1~65*20130924**1090*20.08*20130902**20130902*619524~
REF*1K*3239A7MW~
REF*EJ*61157208-000~
DTP*472*RD8*20130819-20130819~
SVC*HC~36415*25*0****1~
STC*P1~104*20130924~
DTP*472*RD8*20130819-20130819~
SVC*HC~80051*96*0****1~
STC*P1~104*20130924~
DTP*472*RD8*20130819-20130819~
SVC*HC~80076*101*0****1~
STC*P1~104*20130924~
DTP*472*RD8*20130819-20130819~
SVC*HC~82565*58*0****1~
STC*P1~104*20130924~
DTP*472*RD8*20130819-20130819~
SVC*HC~82947*66*0****1~
STC*P1~104*20130924~
DTP*472*RD8*20130819-20130819~
SVC*HC~84520*58*0****1~
STC*P1~104*20130924~
DTP*472*RD8*20130819-20130819~
SVC*HC~85025*92*20.08****1~
STC*P1~104*20130924~
DTP*472*RD8*20130819-20130819~
SVC*HC~85652*50*0****1~
STC*P1~104*20130924~
DTP*472*RD8*20130819-20130819~
SVC*HC~74020*544*0****1~
STC*P1~104*20130924~
DTP*472*RD8*20130819-20130819~
SE*44*0001~
GE*1*39421~
IEA*1*000039422~

Workflow for the Exchange of an EDI 277 Health Care Information Status Notification

One of the X12 transactions, EDI 277 falls under the category of the X12N Insurance transaction set, and is used to convey the information requested in an EDI 276 transaction document. Using the EDI 276 and 277 transaction sets has allowed healthcare service providers to remain in compliance with HIPAA standards.

Achieve EDI Compliance with Astera EDIConnect

Astera EDIConnect provides support for EDI X12, EDIFACT, and HL7 transaction sets. With a built-in EDI parser, validator, and transaction builder, Astera EDIConnect simplifies the process of sending and receiving EDI messages, enabling seamless communication between trade partners and helping businesses achieve EDI compliance.

[1] https://www.amerihealth.com/pdfs/providers/claims_and_billing/edi/276_277.pdf

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