Creating a 277CA file manually
The HIPAA Claim Master can create 277CA's manually.
For this we go to the File menu and select "Create 277CA"
The menu to create 277CA's manually
We will see the following screen come up
Step 1 in the screen to create 277CA's manually
Step 1 on this form is to choose the source for the 277CA creation.
| 1. | you select an 837 claim file and create a 277CA file from the claims it contains. The status that is assigned comes from default status values that are set in the Setup screen. |
| 2. | Database records in the claim tables. The status information comes from the feed-back fields in the database |
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From file
We now select the 837 EDI file option
Step 2 in the process to generate a 277CA from an 837 EDI file
and now the Step 2 is revealed, we have to select the file with the Windows file chooser
Selecting an 837 EDI file for processing
And now Step 3 comes forward and we have to choose the receiver of the 277CA file. We have two options
| 1. | to send the 277CA file back to where the 837 came from, this means the ISA and GS headers are reversed  or |
| 2. | to choose a trading partner from the list of trading partners in the database. |
If we click on the button next to the 'Other Receiver' option a list comes up on the right side of the screen and and we can choose the trading partner.
Selecting the trading partner who will receive the 277CA
Once we choose the desired trading partner, the button 'Create 277CA File' is enabled. We press it and the following process result window will show us where the system created the file.
Process Results after creating the file
We close this window and have now several options enabled
Further processing options are now enabled
View Report We can view the 277 as printable report
View in EDI Editor: We see the file displayed in the EDI Editor
Send to TP: Send the file and if the trading partner has FTP or other transports selected and configured the file will be sent to the trading partner and a success message is visible.
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From Database
If we choose the Database options we will see the form change to this
Step 2 is revealed, entering the SQL query to select the claims.
Now we see a text box where we can enter a SQL query that will be passed on to the database. Through your query will you have full control over the records that you select. The option to send the records back to the sender is in this case disabled. There is no guarantee that database claims are from the same trading partner so we disabled this option. You will have to choose the trading partner by clicking on the button with the three dots and the screen to choose a trading partner attaches next to this form.
Selecting the trading partner to receive the 277CA
Once we choose the desired trading partner, the button 'Create 277CA File' is enabled. We press it and the following process result window will show us where the system created the file.
The process results after generating the 277CA
We close this window and have now several options enabled
Options after the file is created
View Report We can view the 277 as printable report
View in EDI Editor: We see the file displayed in the EDI Editor
Send to TP: Send the file and if the trading partner has FTP or other transports selected and configured the file will be sent to the trading partner and a success message is visible.
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From the 'Claim in Database' screen
The previous chapter explained how to create a 277CA from the database via the special screen to create a 277CA manually. We can arrive at this screen in a second way.
If we open the menu Database --> Claims in Database we see a button 'Create 277CA'.
The 'Claims in Database' screen
We click this button and also arrive at the screen
The same screen shows that is accessed from the File menu
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