The 277 "unsolicited" AKA the "front end acknowledgement" guide is not the
same as the 277 that is the "claim status" response to the 276. The 276/277
is "paired" and under HIPAA it is the standard for requesting and
responding to claim status. The 277 "unsolicited" is just that,
unsolicited. There is no 276 initiating the 277 to be generated. It is
intended to be used as a way for payers to send acknowledgements to
submitters. It is a separate implementation guide; it is not named in
HIPAA as of yet; it is not quite completed. The X12 workgroup developing
this guide is WG5 and we expect to have it ready for an informational forum
at the Oct X12 meeting. Just an FYI, there is yet a 3rd "flavor" of the 277
standard represented in a different guide. This is the "request for
additional information" guide written by WG5 and expected to be named in the
NPRM for claims attachments. It will be the method by which payers request
additional / supporting information from providers in order to complete
adjudication of a claim.
Hope this helps,
Maria Ward
-----Original Message-----
From: James Driscoll [mailto:[EMAIL PROTECTED]]
Sent: Thursday, July 26, 2001 3:05 PM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED];
[EMAIL PROTECTED]
Subject: 276/277
I am a bit confused on the 277 Unsolicited Claim status requirements for
HIPAA. In the implementation guide of the 837 Professional (page 43) it
states, "The discussion is not intended to imply that the Unsolicited claim
Status (277) transaction is part of HIPAA-it is not.....the guide goes on to
say "the Unsolicited Claims status (277) transaction as a prudent business
decision."
Any thoughts?
Best regards,
Jim Driscoll
Business Analyst-Software Development
Sloans Lake Managed Care
1355 South Colorado Blvd.
Denver, CO 80222
303.504.5367
1.800.457.2345
**********************************************************************
To be removed from this list, send a message to: [EMAIL PROTECTED]
Please note that it may take up to 72 hours to process your request.
**********************************************************************
To be removed from this list, send a message to: [EMAIL PROTECTED]
Please note that it may take up to 72 hours to process your request.
