API

Claim Status

The Claim Status API supports the X12 EDI 276 transaction.

This API translates this standard to JSON for developer accessibility and integration into users’ applications.

Thorough

The submitter uses a Claim Status request to ask about the status of a previously submitted claim. The payer returns the response, as an X12 EDI 277 transaction, which is translated back to JSON by the API gateway.

Accessible

If the claim is finalized, the response provides the disposition of the claim (for example, paid or denied). For denied or rejected outcomes, the response includes the reasons for the denial or rejection.

Developer resources

Claim Status API

Our outcomes
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Gain connectivity and flexibility with electronic claims transactions

Reduces transaction costs and enables faster payments with better accuracy and streamlined, digital processes

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Automate benefit verifications and claim workflows

Tools you need to navigate the complex ecosystem of member benefit and claim transactions

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Simplify electronic claims and payment services

Reduce costs and increase cash flow

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