HIPAA Information
Most of the materials on this page are in Adobe Acrobat format (PDF).
Health Care Claim Status Request and Response
Wisconsin Physicians Service (WPS) has added a 276/277 (Health Care Claim Status Request and
Response) request form (PDF) to the EDI Forms website.
- The 276 Transaction is an electronic request for the current status of a claim within the adjudication process. This can be requested at the claim and/or line level.
- The 277 Transaction is an electronic response to the 276 request.
This Transaction is a Batch process and requires the requester to have access to the Bulletin Board System. Request a Submitter ID. The Implementation Guide for this Transaction Set (276/277) is located at www.wpc-edi.com.
Medicare Part B IL, MI, MN, WI
- 10/19/2009 MCS 837 4010 Prepass Edit Listing, a list of all current MCS EDI prepass edits with corresponding edit logic -- ANSI X12 data elements
- 09/24/2009 American National Standards Institute X12N 837 Health Care Claim, Version 004010X098, Companion Document
- 02/21/2008 American National Standards Institute X12N 276/277 Health Care Claim Status Request and Response Version 0004010X093 Companion Document
- 12/13/2007 American National Standards Institute X12N 835 Health Care Claim Payment/Advice Companion Document
- 07/27/2006 Remittance Advice Remark Codes, a listing of remark codes for the X12 835 transaction version 4010 maintained by CMS
- 06/19/2006 CMS-1500 Crosswalk to ANSI X12 4010A1
- 01/28/2005 Medicare Electronic Eligibility Options - 270/271
- 03/04/2004 How to Read a 997 Functional Acknowledgment
- 02/16/2004 HIPAA Requires That Clearinghouses Submit Claims Electronically
- 10/13/2003 Medicare Contingency Plan
- 03/27/2003 HIPAA Addenda (version 4010A1) Testing and Support
- 05/23/2002 Provider HIPAA Analysis, planning items/issues for providers when considering HIPAA compliance
- 05/23/2002 Clearinghouses and HIPAA, HIPAA considerations for providers who utilize clearinghouses for Medicare claim routing
- 05/23/2002 The HIPAA Connection, planning items/issues for providers when considering HIPAA compliance
