277A Health Care Claim Acknowledgment (277CA) (005010X214)
Payers and clearinghouses send the 277CA to accept or reject each claim in an 837 before adjudication. This is the standard X12 HIPAA 005010 spec, with 13 loops and 38 segment positions, as OpenEDI JSON, an ediFabric C# template and an ediFabric Native model. To change it for a trading partner, customize it in the EDI Spec Builder.
Use the 277A spec in your code
ediFabric .NET
Add the C# template and its common files to your project, or reference the template NuGet package, and read 277A files into TS277A objects. See ediFabric .NET.
ediFabric Native
Map version 005010X214 to the Native model with set_map, then parse 277A files to JSON from Python, Java, C or C#. See Convert between EDI and JSON.
OpenEDI
Select Customize in Spec Builder to copy the spec under your own name, change it for your partner, and parse files against it in EdiNation, ediFabric Native or ediFabric Cloud. Read about OpenEDI.
Generate 277A classes in Python, Java, Node.js, Go, Rust or C
ediFabric Native returns each 277A as JSON, with the property names of the OpenEDI schema. To work with that JSON as typed objects, generate classes from the OpenEDI file in your language and deserialize the JSON into TS277A. Serialize the objects back to JSON to build EDI with ediFabric Native. The classes keep the loops, segments, lengths and code lists, but not the EDI data formats, so validate files with ediFabric Native. Read more in Generate a class from OpenEDI.
Python: datamodel-code-generator. Node.js: openapi-typescript. Java, Go, Rust and C: OpenAPI Generator.
For a sample file, the same data as JSON, and code to parse, validate and generate the 277A, see the 277A transaction guide.
277A structure
Loops and segments of the standard 277A, with their usage and maximum repeats.
| ID | Name | Usage | Max use |
|---|---|---|---|
| ST | Transaction Set Header | Optional | 1 |
| BHT | Beginning Of Hierarchical Transaction | Mandatory | 1 |
| Loop 2000A | Information Source Level | Mandatory | 1 |
| HL | Information Source Level | Mandatory | 1 |
| Loop 2100A | Information Source Name | Mandatory | 1 |
| NM1 | Information Source Name | Mandatory | 1 |
| Loop 2200A | Transmission Receipt Control Identifier | Mandatory | 1 |
| TRN | Transmission Receipt Control Identifier | Mandatory | 1 |
| DTP | Information Source Receipt Date | Mandatory | 1 |
| DTP | Information Source Process Date | Mandatory | 1 |
| Loop 2000B | Information Receiver Level | Mandatory | 1 |
| HL | Information Receiver Level | Mandatory | 1 |
| Loop 2100B | Information Receiver Name | Mandatory | 1 |
| NM1 | Information Receiver Name | Mandatory | 1 |
| Loop 2200B | Information Receiver Application Trace Identifier | Mandatory | 1 |
| TRN | Information Receiver Application Trace Identifier | Mandatory | 1 |
| STC | Information Receiver Status Information | Mandatory | >1 |
| QTY | Total Accepted Quantity | Optional | 1 |
| QTY | Total Rejected Quantity | Optional | 1 |
| AMT | Total Accepted Amount | Optional | 1 |
| AMT | Total Rejected Amount | Optional | 1 |
| Loop 2000C | Billing Provider Of Service Level | Optional | >1 |
| HL | Billing Provider Of Service Level | Mandatory | 1 |
| Loop 2100C | Billing Provider Name | Mandatory | 1 |
| NM1 | Billing Provider Name | Mandatory | 1 |
| Loop 2200C | Provider Of Service Information Trace Identifier | Optional | 1 |
| TRN | Provider Of Service Information Trace Identifier | Mandatory | 1 |
| STC | Billing Provider Status Information | Optional | >1 |
| REF | Provider Secondary Identifier | Optional | 3 |
| QTY | Total Accepted Quantity | Optional | 1 |
| QTY | Total Rejected Quantity | Optional | 1 |
| AMT | Total Accepted Amount | Optional | 1 |
| AMT | Total Rejected Amount | Optional | 1 |
| Loop 2000D | Patient Level | Optional | >1 |
| HL | Patient Level | Mandatory | 1 |
| Loop 2100D | Patient Name | Mandatory | 1 |
| NM1 | Patient Name | Mandatory | 1 |
| Loop 2200D | Claim Status Tracking Number | Mandatory | >1 |
| TRN | Claim Status Tracking Number | Mandatory | 1 |
| STC | Claim Level Status Information | Mandatory | >1 |
| REF | Payer Claim Control Number | Optional | 1 |
| REF | Claim Identifier For Transmission Intermediaries | Optional | 1 |
| REF | Institutional Bill Type Identification | Optional | 1 |
| DTP | Claim Level Service Date | Mandatory | 1 |
| Loop 2220D | Service Line Information | Optional | >1 |
| SVC | Service Line Information | Mandatory | 1 |
| STC | Service Line Level Status Information | Mandatory | >1 |
| REF | Service Line Item Identification | Mandatory | 1 |
| REF | Pharmacy Prescription Number | Optional | 1 |
| DTP | Service Line Date | Mandatory | 1 |
| SE | Transaction Set Trailer | Optional | 1 |