EDI 277 Segments and Elements for the Health Care Information Status Notification Standard


AgencySet IDFGTransaction DescriptionSubcommitteeStandard
ANSI277HNHealth Care Information Status Notification InsuranceDownload


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Research and Development:
See the list of EDI 277 segments and elements in below data grid. The Jobisez.com site has an online translation tool that converts the EDI 277 (Health Care Information Status Notification) document into a CSV file. If you are researching the 277s, you can view other trading partner's mapping specifications. You can also gain knowledge by researching all EDI document types. Jobisez LLC can also provide assistance if you need additional help.

Solutions:
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The EDI 277 Segments and Elements

SegmentDescriptionSectReqMax LoopMax UsagePos
BHTBeginning Of Hierarchical TransactionHM011
REFReference InformationHO0102
NM1Individual Or Organizational NameHO99999913
N2Additional Name InformationHO024
N3Party LocationHO025
N4Geographic LocationHO016
REFReference InformationHO027
PERAdministrative Communications ContactHO018
HLHierarchical LevelDM99999919
SBRSubscriber InformationDO0110
PATPatient InformationDO0111
DMGDemographic InformationDO0112
NM1Individual Or Organizational NameDO999999113
N3Party LocationDO0214
N4Geographic LocationDO0115
PERAdministrative Communications ContactDO0116
TRNTraceDO999999117
STCStatus InformationDO099999918
REFReference InformationDO0919
DTPDate Or Time Or PeriodDO0220
QTYQuantity InformationDO0521
AMTMonetary Amount InformationDO0522
PWKPaperworkDO999999123
PERAdministrative Communications ContactDO0124
N1Party IdentificationDO0125
N3Party LocationDO0126
N4Geographic LocationDO0127
SVCService InformationDO999999128
STCStatus InformationDO099999929
REFReference InformationDO0130
DTPDate Or Time Or PeriodDO0131
PWKPaperworkDO999999132
PERAdministrative Communications ContactDO0133
N1Party IdentificationDO0134
N3Party LocationDO0135
N4Geographic LocationDO0136


SegmentElementDescriptionReqMin LengthMax LengthType
BHT1Hierarchical Structure CodeM44ID
BHT2Transaction Set Purpose CodeM22ID
BHT3Reference IdentificationO150AN
BHT4DateO88DT
BHT5TimeO48TM
BHT6Transaction Type CodeO22ID
REF1Reference Identification QualifierM23ID
REF2Reference IdentificationC150AN
REF3DescriptionC180AN
REF4Reference Identification QualifierO23ID
REF5Reference IdentificationO150AN
REF6Reference Identification QualifierO23ID
REF7Reference IdentificationO150AN
REF8Reference Identification QualifierO23ID
REF9Reference IdentificationO150AN
NM11Entity Identifier CodeM23ID
NM12Entity Type QualifierM11ID
NM13Name Last Or Organization NameC160AN
NM14Name FirstO135AN
NM15Name MiddleO125AN
NM16Name PrefixO110AN
NM17Name SuffixO110AN
NM18Identification Code QualifierC12ID
NM19Identification CodeC280AN
NM110Entity Relationship CodeC22ID
NM111Entity Identifier CodeO23ID
NM112Name Last Or Organization NameO160AN
N21NameM160AN
N22NameO160AN
N31Address InformationM155AN
N32Address InformationO155AN
N41City NameO230AN
N42State Or Province CodeC22ID
N43Postal CodeO315ID
N44Country CodeC23ID
N45Location QualifierC12ID
N46Location IdentifierO130AN
N47Country Subdivision CodeC13ID
REF1Reference Identification QualifierM23ID
REF2Reference IdentificationC150AN
REF3DescriptionC180AN
REF4Reference Identification QualifierO23ID
REF5Reference IdentificationO150AN
REF6Reference Identification QualifierO23ID
REF7Reference IdentificationO150AN
REF8Reference Identification QualifierO23ID
REF9Reference IdentificationO150AN
PER1Contact Function CodeM22ID
PER2NameO160AN
PER3Communication Number QualifierC22ID
PER4Communication NumberC1256AN
PER5Communication Number QualifierC22ID
PER6Communication NumberC1256AN
PER7Communication Number QualifierC22ID
PER8Communication NumberC1256AN
PER9Contact Inquiry ReferenceO120AN
HL1Hierarchical Id NumberM112AN
HL2Hierarchical Parent Id NumberO112AN
HL3Hierarchical Level CodeM12ID
HL4Hierarchical Child CodeO11ID
SBR1Payer Responsibility Sequence Number CodeM11ID
SBR2Individual Relationship CodeO22ID
SBR3Reference IdentificationO150AN
SBR4NameO160AN
SBR5Insurance Type CodeO13ID
SBR6Coordination Of Benefits CodeO11ID
SBR7Yes/No Condition Or Response CodeO11ID
SBR8Employment Status CodeO22ID
SBR9Claim Filing Indicator CodeO12ID
PAT1Individual Relationship CodeO22ID
PAT2Patient Location CodeO11ID
PAT3Employment Status CodeO22ID
PAT4Student Status CodeO11ID
PAT5Date Time Period Format QualifierC23ID
PAT6Date Time PeriodC135AN
PAT7Unit Or Basis For Measurement CodeC22ID
PAT8WeightC110R
PAT9Yes/No Condition Or Response CodeO11ID
DMG1Date Time Period Format QualifierC23ID
DMG2Date Time PeriodC135AN
DMG3Gender CodeO11ID
DMG4Marital Status CodeO11ID
DMG5Race Or Ethnicity CodeC11ID
DMG6Code List Qualifier CodeC13ID
DMG7Industry CodeC130AN
DMG8Citizenship Status CodeO12ID
DMG9Country CodeO23ID
DMG10Basis Of Verification CodeO12ID
DMG11QuantityO115R
DMG12Code List Qualifier CodeC13ID
DMG13Industry CodeC130AN
NM11Entity Identifier CodeM23ID
NM12Entity Type QualifierM11ID
NM13Name Last Or Organization NameC160AN
NM14Name FirstO135AN
NM15Name MiddleO125AN
NM16Name PrefixO110AN
NM17Name SuffixO110AN
NM18Identification Code QualifierC12ID
NM19Identification CodeC280AN
NM110Entity Relationship CodeC22ID
NM111Entity Identifier CodeO23ID
NM112Name Last Or Organization NameO160AN
N31Address InformationM155AN
N32Address InformationO155AN
N41City NameO230AN
N42State Or Province CodeC22ID
N43Postal CodeO315ID
N44Country CodeC23ID
N45Location QualifierC12ID
N46Location IdentifierO130AN
N47Country Subdivision CodeC13ID
PER1Contact Function CodeM22ID
PER2NameO160AN
PER3Communication Number QualifierC22ID
PER4Communication NumberC1256AN
PER5Communication Number QualifierC22ID
PER6Communication NumberC1256AN
PER7Communication Number QualifierC22ID
PER8Communication NumberC1256AN
PER9Contact Inquiry ReferenceO120AN
TRN1Trace Type CodeM12ID
TRN2Reference IdentificationM150AN
TRN3Originating Company IdentifierO1010AN
TRN4Reference IdentificationO150AN
STC1Industry CodeM130AN
STC2Industry CodeM130AN
STC3Entity Identifier CodeM23ID
STC4Code List Qualifier CodeM13ID
STC5DateO88DT
STC6Action CodeO12ID
STC7Monetary AmountO118R
STC8Monetary AmountO118R
STC9DateO88DT
STC10Payment Method CodeO33ID
STC11DateO88DT
STC12Check NumberO116AN
STC13Industry CodeO130AN
STC14Industry CodeO130AN
STC15Entity Identifier CodeO23ID
STC16Code List Qualifier CodeO13ID
STC17Industry CodeO130AN
STC18Industry CodeO130AN
STC19Entity Identifier CodeO23ID
STC20Code List Qualifier CodeO13ID
STC21Free-Form Message TextO1264AN
REF1Reference Identification QualifierM23ID
REF2Reference IdentificationC150AN
REF3DescriptionC180AN
REF4Reference Identification QualifierO23ID
REF5Reference IdentificationO150AN
REF6Reference Identification QualifierO23ID
REF7Reference IdentificationO150AN
REF8Reference Identification QualifierO23ID
REF9Reference IdentificationO150AN
DTP1Date/Time QualifierM33ID
DTP2Date Time Period Format QualifierM23ID
DTP3Date Time PeriodM135AN
QTY1Quantity QualifierM22ID
QTY2QuantityC115R
QTY3Unit Or Basis For Measurement CodeO22ID
QTY4ExponentO115R
QTY5MultiplierO110R
QTY6Unit Or Basis For Measurement CodeO22ID
QTY7ExponentO115R
QTY8MultiplierO110R
QTY9Unit Or Basis For Measurement CodeO22ID
QTY10ExponentO115R
QTY11MultiplierO110R
QTY12Unit Or Basis For Measurement CodeO22ID
QTY13ExponentO115R
QTY14MultiplierO110R
QTY15Unit Or Basis For Measurement CodeO22ID
QTY16ExponentO115R
QTY17MultiplierO110R
QTY18Free-Form InformationC130AN
AMT1Amount Qualifier CodeM13ID
AMT2Monetary AmountM118R
AMT3Credit/Debit Flag CodeO11ID
PWK1Report Type CodeM22ID
PWK2Report Transmission CodeO12ID
PWK3Report Copies NeededO12N0
PWK4Entity Identifier CodeO23ID
PWK5Identification Code QualifierC12ID
PWK6Identification CodeC280AN
PWK7DescriptionO180AN
PWK8Paperwork/Report Action CodeO12ID
PWK9Paperwork/Report Action CodeO12ID
PWK10Paperwork/Report Action CodeO12ID
PWK11Paperwork/Report Action CodeO12ID
PWK12Paperwork/Report Action CodeO12ID
PWK13Request Category CodeO12ID
PER1Contact Function CodeM22ID
PER2NameO160AN
PER3Communication Number QualifierC22ID
PER4Communication NumberC1256AN
PER5Communication Number QualifierC22ID
PER6Communication NumberC1256AN
PER7Communication Number QualifierC22ID
PER8Communication NumberC1256AN
PER9Contact Inquiry ReferenceO120AN
N11Entity Identifier CodeM23ID
N12NameC160AN
N13Identification Code QualifierC12ID
N14Identification CodeC280AN
N15Entity Relationship CodeO22ID
N16Entity Identifier CodeO23ID
N31Address InformationM155AN
N32Address InformationO155AN
N41City NameO230AN
N42State Or Province CodeC22ID
N43Postal CodeO315ID
N44Country CodeC23ID
N45Location QualifierC12ID
N46Location IdentifierO130AN
N47Country Subdivision CodeC13ID
SVC1Product/Service Id QualifierM22ID
SVC2Product/Service IdM148AN
SVC3Procedure ModifierM22AN
SVC4Procedure ModifierM22AN
SVC5Procedure ModifierM22AN
SVC6Procedure ModifierM22AN
SVC7DescriptionM180AN
SVC8Product/Service IdM148AN
SVC9Monetary AmountM118R
SVC10Monetary AmountO118R
SVC11Product/Service IdO148AN
SVC12QuantityO115R
SVC13Product/Service Id QualifierO22ID
SVC14Product/Service IdO148AN
SVC15Procedure ModifierO22AN
SVC16Procedure ModifierO22AN
SVC17Procedure ModifierO22AN
SVC18Procedure ModifierO22AN
SVC19DescriptionO180AN
SVC20Product/Service IdO148AN
SVC21QuantityO115R
STC1Industry CodeM130AN
STC2Industry CodeM130AN
STC3Entity Identifier CodeM23ID
STC4Code List Qualifier CodeM13ID
STC5DateO88DT
STC6Action CodeO12ID
STC7Monetary AmountO118R
STC8Monetary AmountO118R
STC9DateO88DT
STC10Payment Method CodeO33ID
STC11DateO88DT
STC12Check NumberO116AN
STC13Industry CodeO130AN
STC14Industry CodeO130AN
STC15Entity Identifier CodeO23ID
STC16Code List Qualifier CodeO13ID
STC17Industry CodeO130AN
STC18Industry CodeO130AN
STC19Entity Identifier CodeO23ID
STC20Code List Qualifier CodeO13ID
STC21Free-Form Message TextO1264AN
REF1Reference Identification QualifierM23ID
REF2Reference IdentificationC150AN
REF3DescriptionC180AN
REF4Reference Identification QualifierO23ID
REF5Reference IdentificationO150AN
REF6Reference Identification QualifierO23ID
REF7Reference IdentificationO150AN
REF8Reference Identification QualifierO23ID
REF9Reference IdentificationO150AN
DTP1Date/Time QualifierM33ID
DTP2Date Time Period Format QualifierM23ID
DTP3Date Time PeriodM135AN
PWK1Report Type CodeM22ID
PWK2Report Transmission CodeO12ID
PWK3Report Copies NeededO12N0
PWK4Entity Identifier CodeO23ID
PWK5Identification Code QualifierC12ID
PWK6Identification CodeC280AN
PWK7DescriptionO180AN
PWK8Paperwork/Report Action CodeO12ID
PWK9Paperwork/Report Action CodeO12ID
PWK10Paperwork/Report Action CodeO12ID
PWK11Paperwork/Report Action CodeO12ID
PWK12Paperwork/Report Action CodeO12ID
PWK13Request Category CodeO12ID
PER1Contact Function CodeM22ID
PER2NameO160AN
PER3Communication Number QualifierC22ID
PER4Communication NumberC1256AN
PER5Communication Number QualifierC22ID
PER6Communication NumberC1256AN
PER7Communication Number QualifierC22ID
PER8Communication NumberC1256AN
PER9Contact Inquiry ReferenceO120AN
N11Entity Identifier CodeM23ID
N12NameC160AN
N13Identification Code QualifierC12ID
N14Identification CodeC280AN
N15Entity Relationship CodeO22ID
N16Entity Identifier CodeO23ID
N31Address InformationM155AN
N32Address InformationO155AN
N41City NameO230AN
N42State Or Province CodeC22ID
N43Postal CodeO315ID
N44Country CodeC23ID
N45Location QualifierC12ID
N46Location IdentifierO130AN
N47Country Subdivision CodeC13ID


Official Definition:
Data contents of the Health Care Claim Status Notification Transaction Set (277) for use within the context of an Electronic Data Interchange (EDI) environment. This transaction set can be used by a health care payer or authorized agent to notify a provider, recipient, or authorized agent regarding the status of a health care claim or encounter or to request additional information from the provider regarding a health care claim or encounter. This transaction set is not intended to replace the Health Care Claim Payment/Advice Transaction Set (835) and therefore, will not be used for account payment posting. The notification may be at a summary or service line detail level. The notification may be solicited or unsolicited.



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