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EDI 276277 Claim Status Inquiry and Response Form

EDI 276277 Claim Status Inquiry and Response Form

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[Music] this video is going to cover the 278 transactions it's for healthcare services review most folks use a 278 for prior authorization this is a request and response transaction in the hipaa and edi world most request and response transactions actually use different numbers like a health care claim status request and response is a 276 and a 277. if you're looking at eligibility you can send a 270 request and a 271 response but when it came to prior authorization for some reason they just used the same transaction number 278 and when you look at your st segment the st01 segment says 278 on both transactions request and response i'm going to show you how to tell the difference between those two we're going to go over the ca qh core rules uh i i do have uh some discussion on that because i think there's some real confusion that needs to be ironed out on that i know this is a a hot transaction that currently a lot of folks are looking at because

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