The creation of the 277CA is usually instigated by the trading partner who sends the 837 claim file. Though the 277CA is not part of the original HIPAA transactions it is eyed very positively as an important part of lowering the costs of healthcare.

In order to set up a trading partner to receive the 277CA we open the trading partner screen and select the tab with 'Options'

The trading partner setup with the option to generate 277CA's

Here we see the option to 'Create a 277CA for 837 claims'. Once the option is checked the 277CA will be generated every time a 837 EDI file from this trading partner is processed and send back according to the settings in the EDI file Exchange Method.