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
Brochure
Gain connectivity and flexibility with electronic claims transactions
Reduces transaction costs and enables faster payments with better accuracy and streamlined, digital processes
Brochure
Automate benefit verifications and claim workflows
Tools you need to navigate the complex ecosystem of member benefit and claim transactions
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