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Sample 277CA In Response to 837I Health Home Claims File Please note: There is no PHI or PIN in this sample file. All Sample files provided by Emblem are presented in unwrapped format. In Production

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What is sample 277ca?

Sample 277ca is a form used in healthcare transactions to acknowledge whether the claims have been accepted, rejected, or held for further review.

Who is required to file sample 277ca?

Healthcare providers, clearinghouses, and health plans are required to file sample 277ca.

How to fill out sample 277ca?

Sample 277ca can be filled out electronically using the appropriate healthcare transaction software.

What is the purpose of sample 277ca?

The purpose of sample 277ca is to provide feedback on the status of submitted healthcare claims.

What information must be reported on sample 277ca?

Sample 277ca must report whether the claim is accepted, rejected, or under review, along with any applicable error codes.

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