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Elizabeth M. Whitehorn, Director

Provider notice dated 01/27/05

HIPAA 276/277 Health Care Claim Status Request and Response Transactions Available via the Internet

​To: ​Participating Medical Assistance Providers
​Date: ​January 27, 2005
​Re: HIPAA 276/277 Health Care Claim Status Request and Response Transactions Available via the Internet

 

Effective immediately, providers may receive information regarding the status of claims using HIPAA 276 277 transactions via the department’s Medical Electronic Data Interchange, Internet Electronic Claims (MEDI IEC) System. These inquiries can be done through a standard personal computer linked to the Internet. This will be an effective way for providers to check the status of claims. The Health Care Claim Status Request (276 transaction) is used by a provider to request such information. The department will then respond to the request through the Health Care Claim Status Response (277 transaction). The department recommends that providers use the department’s MEDI IEC System to receive an immediate response regarding the status of claims rather than a telephone inquiry.

The MEDI IEC System allows single claim requests through a real-time Claim Status Inquiry Direct Data Entry (DDE). Multiple requests may also be made in a batch mode.

The department has cross-walked our status and error codes to the HIPAA mandated Health Care Claim Status Category Codes and Health Care Claim Status Codes. The HIPAA codes will be reported on the 277 transaction. The crosswalk of the department’s proprietary status codes to the HIPAA compliant codes is attached .

All requesters should reference Chapter 300, Handbook for Electronic Processing. This document is available on the department’s Web site at:

 

 

Within this handbook, is a companion guide for the 276 – 277 Health Care Claim Status Request and Response Transactions. Please pay particular attention to the section entitled "Information Request Considerations." This section will help requesters determine how to create their status request.

 

The MEDI and IEC Systems have been developed to allow providers and/or authorizing agents, submitting agents and payees to conduct HIPAA-compliant transactions with IDPA. To register to use the MEDI Internet site, providers must go to the Web site:

 

 

In order to assist MEDI Systems users, the department has developed training viewlets. The viewlets descriptions include Introducing MEDI and a viewlet for Using the IEC Application. To access the viewlets, go to:

 

Providers wishing to receive e-mail notification, when new provider information has been posted by the department, may register at the following IDPA Web sites:

If you have any further questions concerning this notice, you may contact the Bureau of Comprehensive Health Services toll-free at 1-877-782-5565.

 

Anne Marie Murphy, Ph.D.
Administrator
Division of Medical Programs