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This document provides instructions and requirements for the submission and testing of the 276 Claim Status Request transaction to the Michigan Department of Community Health, detailing the transition
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How to fill out 276 claim status request

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How to fill out 276 Claim Status Request

01
Obtain the 276 Claim Status Request form from the appropriate source.
02
Fill in the patient’s demographic information including name, date of birth, and insurance ID.
03
Provide details of the claim including the claim number, date of service, and provider information.
04
Include your contact information to receive the response.
05
Double-check all the information for accuracy.
06
Submit the form according to the guidelines provided, either electronically or via mail.

Who needs 276 Claim Status Request?

01
Healthcare providers seeking information about the status of a specific claim.
02
Insurance companies processing claims and needing to verify details.
03
Patients who want to track the status of their medical claims.
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People Also Ask about

The EDI 276 transaction set is a Health Care Claim Status Inquiry. It is used by healthcare providers to verify the status of a claim submitted previously to a payer, such as an insurance company, HMO, government agency like Medicare or Medicaid, etc.
Some providers can enter claim status queries via direct data entry screens. Providers can send a Health Care Claim Status Request (276 transaction) electronically and receive a Health Care Claim Status Response (277 transaction) back from Medicare.
Claim Status Category codes are used in the Health Care Claim Status Notification (277) transaction. They indicate the general category of the status (accepted, rejected, additional information requested, etc.) which is then further detailed in the Claim Status Codes.
The EDI 277 Health Care Claim Status Response transaction set is used by healthcare payers (insurance companies, Medicare, etc.) to report on the status of claims (837 transactions) previously submitted by providers.
It is used by healthcare providers to verify the status of a claim submitted previously to a payer, such as an insurance company, HMO, government agency like Medicare or Medicaid, etc. The 276 transaction is specified by HIPAA for the electronic submission of claim status requests.
The HIPAA X12 276/277 Health Care Claim Status Inquiry/Response transaction is the electronic format practices use to ask payers about the status of claims. It has two parts: an inquiry and a response.
Denial code 276 is used when the current payer denies coverage for a service that was previously denied by another payer. In other words, it means that the current insurance provider will not cover the cost of the service because it was already determined to be not covered by a previous insurance provider.

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The 276 Claim Status Request is an electronic transaction used to inquire about the status of a healthcare claim submitted to a payer.
Health care providers, billing agencies, or any entity that submits claims on behalf of providers are required to file 276 Claim Status Requests.
To fill out a 276 Claim Status Request, include the specific identifiers like claim number, patient information, and any other necessary details to accurately inquire about the claim status.
The purpose of the 276 Claim Status Request is to enable providers to check the status of their submitted claims, ensuring timely payments and addressing any issues that may have arisen.
The 276 Claim Status Request must report information such as the claim number, patient identification, provider information, and any specific date ranges pertinent to the claim.
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