Glossary term
276 (claim status inquiry)
Short answer
A 276 is the HIPAA-standard X12 electronic claim status request. A provider or clearinghouse sends it to a payer with identifiers such as the patient, provider, date of service, and billed amount. The payer replies with a 277 response describing where the claim stands, so teams can skip many phone calls and portal lookups.
What information does a 276 include?
A 276 identifies the payer, the provider (usually by NPI), the subscriber and patient, and the claim being asked about, typically through the date of service, billed amount, and the provider’s claim control number. The closer the request matches the payer’s record, the more useful the answer.
How is a 276 different from a 277?
The 276 is the question and the 277 is the answer. Both are defined in the X12 005010 implementation guides adopted under HIPAA. Many payers support them through clearinghouses, though response detail varies from payer to payer.
Which terms relate to 276 (claim status inquiry)?
Which guides cover this term?
Want Claimhound to check your claims for you?
Claimhound, a Veriflow Health company, checks claim status with each payer and posts EOB and 835 payment details into your billing system.