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Claim Status Notification (277) - PM

Process a claim status notification file (solicited or unsolicited). Multiple status segments are supported for claims and services.

  • Claim status information will be filed in myAvatar for the service.
  • The Enable 276/277 Transaction Sets registry setting must be enabled.
  • An 837 file must be generated.
  • The location to store electronic billing files must be defined in the Facility Defaults form (Output Path On Server For Electronic Billing field).
  • A 276 file must be submitted through the Claim Status Request (276) form.

  1. Go to:  Avatar PM > Billing > Electronic Submission > Claim Status Notification (277)
  2. In the Options field:
    • Select Load File to load a claim status notification (277) file into Avatar.
    • Select Compile File to assemble 277 information into a file.
    • Select Run Report to display a summary of claim status information in the 277 file.
    • Select Post File to submit the claim status information to Avatar.
    • Select Delete Loaded/Compiled File to remove a claim status notification file. Information in the file can be compiled again into another file.
  3. In the File Path/Name field, enter the path and name of the file to be loaded.
  4. In the File Description field, enter the file description.
  5. In the File field, select the claim status notification file.
  6. Select Process.
► Registry Settings
  • Enable 276/277 Transaction Sets
  • Exclude Service Line Information
  • Program To Use For Determining Referring Provider Information
  • Program To Use For Determining Service Facility Location
  • Re-Billing Override Payer Primary Identifier (2010BB-NM1-09)
  • Referring Provider Determination Method
  • Specify HIPAA Transaction File Input/Output Directories
► SQL Tables
  • SYSTEM.billing_277_report
  • SYSTEM.billing_277_report_clm