X12 276/277

X12N 276 and 277 Transaction Set pair, HIPAA claim status tracking.

Definition

The 276 (Claim Status Request) identifies a claim by patient, provider and amount; the 277 (Response) returns status through STC (Status Category/Status) codes. The 277CA is an acknowledgment variant (Claim Acknowledgment).

Origin

Defined by ASC X12 and published as HIPAA TR3 005010X212 (Health Care Claim Status Request and Response), maintained by X12N.

Example in context

STC*A2:20:PR*20260601*WQ*125.00~ — category A2 (Acknowledgement/Accepted), code 20, entity PR (Payer).

Related terms

• BHT (X12) — opening segment of the hierarchical 277 transaction.
• HIPAA X12N — the HIPAA set.