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Processed Reports

As part of Reports, Change Healthcare provides a recommended set of response files for customers to review in order to ensure receiving valuable information around claim rejections and remittances.

Work Flow Considerations for Response Files

X3: 277 Status Response​

  • informationClaimStatuses will contain historical data for the claim, and we need to get the last one using statusInformationEffectiveDate
  • statusInformationEffectiveDate effectiveDate for each of the status received
  • clearinghouseTraceNumber this will be our DB patientControlNumber
  • tradingPartnerClaimNumber this is the payer control number and will be used for corrections/resubmissions. We stored it into the DB as payerControlNumber
{
  "claimStatus": {
    "clearinghouseTraceNumber": "111506276",
    "informationClaimStatuses": [
      {
        "informationStatuses": [
          {
            "statusCode": "19",
            "statusCodeValue": "Entity acknowledges receipt of claim/encounter. Usage: This code requires use of an Entity Code."
          }
        ],
        "statusInformationEffectiveDate": "20221115"
      }
    ],
    "tradingPartnerClaimNumber": "223CCCCCCCC" // Will be the payer contro number
  }
}