277CA claim acknowledgments
You may receive 277CA claim acknowledgments after you submit 837 claims through Stedi.
These 277CAs indicate whether the claim was accepted for processing or rejected. If the claim was rejected, the 277CA explains why so you can understand what to change before resubmitting.
277CA responses
You may receive multiple separate 277CAs for each claim you submit. Each 277CA typically correlates to one claim. However, some payers may send a single 277CA that references multiple claims.
- You'll receive the first 277CA from Stedi within about 30 minutes of submitting the claim. This 277CA may contain rejection message(s) and warnings, if applicable.
- You may receive additional 277CAs from intermediary clearinghouses.
- You may receive one or more 277CAs from the payer. Typically, there is one 277CA that indicates receipt of the claim and a second 277CA that contains summary counts of transactions received, information about accepted transactions, and details for rejected transactions.
Review 277CAs
You can find 277CAs from the claims view.
- Click a claim to view a timeline of its processing activity.
- Click an Acknowledgment (277CA) to review its details page.
Stedi displays key information about the 277CA, including the billing provider's information and status codes, so you can determine whether the associated claim was accepted or rejected.
Determine claim status
277CAs from the payer indicate whether the claim was accepted for processing or rejected.
This claim status information is available on the 277CA's Overview tab. If the 277CA references multiple claims, you can toggle between them to review each claim's status information.
Specifically, you should review the following details:
| Information | Description |
|---|---|
| Sender | The 277CA is from the payer when the From field contains the payer's name or ID and the Entity type is Payer. |
| Patient Control Number | The Patient control number is the value you sent in the original claim's Loop 2300 CLM01 (Patient Control Number). This is Box 26 (Patient account number) in the CMS-1500 form UI. This identifier helps match the 277CA to the original claim. |
| Status codes | The overview lists claim status codes that indicate whether the claim has been accepted or rejected. If the claim was rejected, the overview lists one or more rejection messages marked with Claim issue indicating the reason(s) for rejection. |
View X12 EDI
You can review the raw X12 EDI for any 277CA claim acknowledgment from the EDI tab.
The EDI is displayed on the left and the specification is displayed on the right. As you hover over different parts of the EDI, Stedi highlights the corresponding part of the specification to help you understand what each part of the EDI means.
277CA vs. claim status check
The 277CA contains different information than a real-time claim status check. Specifically:
- 277CAs: Tell you whether the payer has received a claim and accepted it for processing. If the claim was rejected, 277CAs tell you why so you can resubmit. 277CAs don't indicate whether the claim has been adjudicated or paid.
- Real-time claim status checks: Tell you the status of a claim that's already been accepted into the payer's system. They provide information about whether the claim has been adjudicated, paid, denied, or is pending further review.
If you're waiting for an ERA, you should first check the related 277CA to confirm that the claim was accepted for processing. If the claim was rejected, you won't receive an ERA because the payer didn't adjudicate the claim.
Then, you can run a real-time claim status check to get updates about the claim's adjudication and payment status.