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Back  RFI # 470: 277U version

Formal vs. Informal Help Informal Formal

Submitter

Robert Thickens

Description

Why are payers and clearinghouses allowed to use other than 4010 for unsolicited claim status responses? If a 277 is a response to a 276 it must be 4010.

Submitter Assigned Keywords

277U VERSION

Response

277 Unsolicited transaction is not a HIPAA mandated transaction standard. As such, there is no version requirement. A 277 of one version can be used to acknowledge a claim submitted under a different X12 version.
The paired set of 276 and 277 for claims status responses is mandated under HIPAA. For policy clarifications, please contact CMS. If you have a question on the 276/277 implementation guide, please submit that specific question.
Submission 10/18/2006
Status Date 10/24/2006
Status F - Final
Primary References
Document 004010X093A1
Section1.3
Page11
Set ID277