276 Claim Status Inquiry Near Real-Time Response

We are excited to announce a process change for our Part A providers that will return a 277 Claim Status Inquiry Response in “near real time.” Beginning in October, 2019, we will return the 277 response to a Part A 276 Claim Status Inquiry minutes after receipt of the 276 batch file. The 277 near real-time response transaction will continue to be delivered to the trading partners’ mailboxes for download.

In order for trading partners to take advantage of this service, the batch file must contain only one inquiry per transaction. Technically, this means one inquiry per ST-SE. Multiple transactions (ST-SE) within a 276 file (ISA-IEA) will be supported.

If a 276 batch file is received with multiple inquiries within one transaction (ST-SE), the file will be processed under the current batch process with the 277 response file returned the next business day.

The data content of the near real-time 277 response transaction will be the same as the data content returned in the current batch file processing with one exception. The 277 Claim Status Inquiry Response transaction includes return of the remittance identifier (remit number or EFT number) for the claim when it is available. When the remittance identifier is not available, we will return the status indicating the claim has been processed.

Posted 9/13/2019