ClaimReference Field in Submission Response

If you have a question about a claim, you can provide the information listed in the claimReference object to Optum support for troubleshooting purposes. It appears in all Submission responses for claims, Institutional Claims API Example. The list of identifiers may differ depending on the context for the response:

```json
{
    "status": "SUCCESS",
    "controlNumber": "000000001",
    "tradingPartnerServiceId": "9496",
    "claimReference": {
        "correlationId": "201007R999898~49588871937782918",
        "submitterId": "009998999898",
        "customerClaimNumber": "000000001",
        "patientControlNumber": "12345",
        "timeOfResponse": "2020-10-07T00:31:07.723-05:00",
        "claimType": "INS"
    }
}
```

claimReference object fields

  • correlationId: Used to track claims submission requests with Optum support.
  • submitterId: Describes the entity that submitted the claim. Value is in Loop 1000A, element NM109.
  • customerClaimNumber: ID set by the customer in the claim.
  • patientControlNumber: Echoes the patient controlNumber back from the original request.
    ✍️ In the sandbox request, using value: test00005 (lower case and not uppercase), for fieldName: patientControlNumber returns EDITS canned response.
  • timeOfResponse: Date and time of the response from the clearinghouse.
  • formatVersion: Describes the X12 EDI version to which the claim conforms.
  • claimType: "PRO" for Professional or "INST" for Institutional.
  • rhClaimNumber: Unique claim number to track the claim at the clearinghouse.
    ✍️ You can use this value to search for the claim in the ConnectCenter and check for updates.