Healthcare
- Payers
- Transaction enrollment
- Eligibility checks
- Coordination of benefits
- Claim submission
- Claim status
- Remittances
EDI platform
- Transaction
- Interchange
- File execution
- Fragments
- Mappings
- Events
277CA Report
curl --request GET \
--url https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/reports/v2/{transactionId}/277 \
--header 'Authorization: <api-key>'{
"meta": {
"transactionId": "71716ec5-0e96-462f-bb77-869941bb27ab"
},
"transactions": [
{
"controlNumber": "1001",
"payers": [
{
"claimStatusTransactions": [
{
"claimStatusDetails": [
{
"patientClaimStatusDetails": [
{
"claims": [
{
"claimStatus": {
"claimServiceBeginDate": "20240101",
"claimServiceEndDate": "20240101",
"clearinghouseTraceNumber": "01J1SNT1FQC8ABWD44MAMBDYKA",
"informationClaimStatuses": [
{
"informationStatuses": [
{
"healthCareClaimStatusCategoryCode": "A1",
"healthCareClaimStatusCategoryCodeValue": "Acknowledgement/Receipt-The claim/encounter has been received. This does not mean that the claim has been accepted for adjudication.",
"statusCode": "20",
"statusCodeValue": "Accepted for processing."
}
],
"statusInformationEffectiveDate": "20240702",
"totalClaimChargeAmount": "109.20"
}
],
"patientAccountNumber": "11122233",
"referencedTransactionTraceNumber": "11122233"
}
}
],
"subscriber": {
"firstName": "JOHN",
"lastName": "ANON",
"memberId": "U7777788888"
}
}
],
"providerOFServiceInformationTraceIdentifier": "0",
"serviceProvider": {
"npi": "1235600834",
"organizationName": "THERAPY ASSOCIATES"
}
}
],
"claimTransactionBatchNumber": "01J1SNRJ0FP4ZE6EFWM4G4XB3N",
"provider": {
"etin": "1235600834",
"organizationName": "TEST DATA HEALTH SERVICES, INC."
},
"providerClaimStatuses": [
{
"providerStatuses": [
{
"healthCareClaimStatusCategoryCode": "A1",
"healthCareClaimStatusCategoryCodeValue": "Acknowledgement/Receipt-The claim/encounter has been received. This does not mean that the claim has been accepted for adjudication.",
"statusCode": "20",
"statusCodeValue": "Accepted for processing."
}
],
"statusInformationEffectiveDate": "20240702"
}
]
}
],
"organizationName": "STEDI INC"
}
],
"referenceIdentification": "1511096803",
"transactionSetCreationDate": "20240702",
"transactionSetCreationTime": "0815"
}
]
}This endpoint retrieves processed 277 Claim Acknowledgment (277CA) transactions from payers.
- Call this endpoint with the
transactionIdof the 277CA you want to retrieve. - Stedi returns the payer’s 277CA in JSON format.
Correlate with original claim
Use the following fields to correlate the 277CA with the original claim:
- Entire Claim: The original claim’s
claimInformation.patientControlNumberis returned as thetransactions.payers.claimStatusTransactions.claimStatusDetails.patientClaimStatusDetails.claims.claimStatus.patientAccountNumberin the 277CA. - Service line: The original claim’s
claimInformation.serviceLines.providerControlNumberis returned as thetransactions.payers.claimStatusTransactions.claimStatusDetails.patientClaimStatusDetails.claims.serviceLines.lineItemControlNumberin the 277CA. However, a 277CA only contains aserviceLinesobject if it was rejected because of issues with the information provided for the service line.
Authorizations
A Stedi API Key for authentication.
Path Parameters
A unique identifier for the processed 277 transaction within Stedi. This ID is included in the transaction processed event, which you can receive automatically through Stedi webhooks. You can also retrieve it through the Poll Transactions endpoint or from the transaction's details page within the Stedi app.
Response
The payer's 277 response.
The control number the the payer provided in the claim status response. This is used to identify the transaction.
A number the payer assigns to the transaction to identify it within their system.
The date the payer created the transaction, expressed as YYYYMMDD.
The time the payer created the transaction, expressed in 24-hour clock time. May be formatted as HHMM, HHMMSS, HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99).
Information about the payer and the claim status transactions included in the response.
The payer's business name, such as Cigna or Aetna.
The payer's unique identifier.
The payer's Centers for Medicare and Medicaid Services Plan ID. This is specifically for Health Plan ID (HPID) or Other Entity Identifier (OEID), both of which are no longer mandated for use.
The payer's business contact information.
The name of the contact person or entity.
Each contact will have a single property set, except for phone with extension.
The Electronic Data Interchange Access Number.
The email address.
The fax number.
The telephone number including the area code (if applicable). Phone numbers are formatted as AAABBBCCCC, where AAA represents the area code, BBB represents the telephone number prefix, and CCCC represents the telephone number. Phone numbers are provided without separators, such as dashes or parentheses. For example, 5551123345 for 555-112-3345.
The telephone extension, if applicable.
Claim status details.
Information about the provider receiving the claim status details.
The provider's business name. Can be up to 60 characters.
The provider's last name. Can be up to 60 characters.
The provider's first name. Can be up to 35 characters.
The provider's middle name or initial. Can be up to 25 characters.
The provider's Electronic Transmitter Identification Number.
The payer's unique identifier for the claim.
Overall status information for the claim.
More detailed status information. This includes information about the patient, provider, and services rendered.
Information about the service provider.
An identifier for claims related to this provider.
Status information for claims related to the provider.
Patient information and the status of claims related to the patient.
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curl --request GET \
--url https://healthcare.us.stedi.com/2024-04-01/change/medicalnetwork/reports/v2/{transactionId}/277 \
--header 'Authorization: <api-key>'{
"meta": {
"transactionId": "71716ec5-0e96-462f-bb77-869941bb27ab"
},
"transactions": [
{
"controlNumber": "1001",
"payers": [
{
"claimStatusTransactions": [
{
"claimStatusDetails": [
{
"patientClaimStatusDetails": [
{
"claims": [
{
"claimStatus": {
"claimServiceBeginDate": "20240101",
"claimServiceEndDate": "20240101",
"clearinghouseTraceNumber": "01J1SNT1FQC8ABWD44MAMBDYKA",
"informationClaimStatuses": [
{
"informationStatuses": [
{
"healthCareClaimStatusCategoryCode": "A1",
"healthCareClaimStatusCategoryCodeValue": "Acknowledgement/Receipt-The claim/encounter has been received. This does not mean that the claim has been accepted for adjudication.",
"statusCode": "20",
"statusCodeValue": "Accepted for processing."
}
],
"statusInformationEffectiveDate": "20240702",
"totalClaimChargeAmount": "109.20"
}
],
"patientAccountNumber": "11122233",
"referencedTransactionTraceNumber": "11122233"
}
}
],
"subscriber": {
"firstName": "JOHN",
"lastName": "ANON",
"memberId": "U7777788888"
}
}
],
"providerOFServiceInformationTraceIdentifier": "0",
"serviceProvider": {
"npi": "1235600834",
"organizationName": "THERAPY ASSOCIATES"
}
}
],
"claimTransactionBatchNumber": "01J1SNRJ0FP4ZE6EFWM4G4XB3N",
"provider": {
"etin": "1235600834",
"organizationName": "TEST DATA HEALTH SERVICES, INC."
},
"providerClaimStatuses": [
{
"providerStatuses": [
{
"healthCareClaimStatusCategoryCode": "A1",
"healthCareClaimStatusCategoryCodeValue": "Acknowledgement/Receipt-The claim/encounter has been received. This does not mean that the claim has been accepted for adjudication.",
"statusCode": "20",
"statusCodeValue": "Accepted for processing."
}
],
"statusInformationEffectiveDate": "20240702"
}
]
}
],
"organizationName": "STEDI INC"
}
],
"referenceIdentification": "1511096803",
"transactionSetCreationDate": "20240702",
"transactionSetCreationTime": "0815"
}
]
}