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This process includes the following components
Matching ANSI 277
Payer claim status responses are matched to billed claims.
This includes custom matching of payer or user proprietary claim
status reports formats. ANSI segments are attached to billed
claims in the data base.
Creating ANSI 276
Batch requests for claims status may be initiated from an
individual claim or in groups based on claim database searches.
Searches may be made by various criteria (e.g., unpaid claim) or
from a list created by 'cut and paste' to the search screen.
Claims queued for ANSI 276 claim request are batched on demand by
payer.
Search of claims
The claim status is a searchable database field. Status
includes claim status responses (277) and payments (835) posted to
the claim data base. Search may be by particular status code, by
claim status groups, by payment, or by lack of response.
View of claim status
All claim status events for a particular claim may be
viewed with the claim. The status at summary level includes billed
date, claim status responses, and payment posting. Detail
information on each status is also available at the click of a
button.
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