Processing an Electronic Claim

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Processing an Electronic Claim

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How can I process an Electronic Claim?

The HIPAA Claim Status Responder application makes it simple to process and view Electronic Claims. Follow the instructions below to open a single EDI file and display its details in an easy-to-read table format:

 

1.Go to File > Open in the main menu window.

 

Click the "Open 276" tab to search for an EDI file.

Click the "Open 276" tab to search for an EDI file.

 

Alternatively, click the "Open Document" icon in the Taskbar.

 

The "Open Document" icon.

The "Open Document" icon.

 

2.Browse through the folders and select a 276file. Then, click "Open."

 

Choose a 276 file.

Choose a 276 file.

 

Note: Only files in "ANSI 276" format can be opened with the HIPAA Claim Status Responder application. An error message will be displayed if you select a file in a different format.

 

An error pop-up message.

An error pop-up message.

 

3.Select one of the options in the "Process" box. In our example, we selected the "Manual Process" mode.

 

The "Output Mode" box is in the Info bar.

The "Output Mode" box is in the Info bar.

 

4.The file is now open. Click the "Run" button in either the Taskbar or at the bottom of the Info Bar to process the file.

 

You can process claims by clicking "Run" in the Taskbar or the Info bar.

You can process claims by clicking "Run" in the Taskbar or the Info bar.

 

5.When you click the "Run" button, the file will be parsed and the information displayed. Since in our example the output mode is "Screen," the claim is displayed in a separate window. See Displaying Claim Status Responses.

 

The sample of an 276-277 EDI Claim Status Request is displayed in a separate window.

The sample of an 276-277 EDI Claim Status Request is displayed in a separate window.