Single 277 Claim Status Response
```json
{
"transactions": [
{
"controlNumber": "0001",
"referenceIdentification": "000000001",
"transactionSetCreationDate": "20201201",
"transactionSetCreationTime": "120558",
"payers": [
{
"organizationName": "PREMERA",
"payerIdentification": "430",
"claimStatusTransactions": [
{
"provider": {
"organizationName": "CHC3",
"etin": "000000000"
},
"claimStatusDetails": [
{
"serviceProvider": {
"organizationName": "HAPPY DOCTORS GROUP",
"npi": "1111111111"
},
"patientClaimStatusDetails": [
{
"subscriber": {
"lastName": "DOEONE",
"firstName": "JOHNONE",
"memberId": "0000000000"
},
"claims": [
{
"claimStatus": {
"referencedTransactionTraceNumber": "000000001",
"informationClaimStatuses": [
{
"statusInformationEffectiveDate": "20200613",
"totalClaimChargeAmount": "100",
"claimPaymentAmount": "80",
"adjudicatedFinalizedDate": "20200609",
"remittanceDate": "20200613",
"remittanceTraceNumber": "1111111",
"informationStatuses": [
{
"healthCareClaimStatusCategoryCode": "F1",
"healthCareClaimStatusCategoryCodeValue": "Finalized/Payment-The claim/line has been paid.",
"statusCode": "65",
"statusCodeValue": "Claim/line has been paid."
}
]
}
],
"tradingPartnerClaimNumber": "AAAAAAAAAAA1",
"patientAccountNumber": "00000",
"clearinghouseTraceNumber": "111111111111111",
"claimServiceBeginDate": "20200214",
"claimServiceEndDate": "20200214"
},
"serviceLines": [
{
"service": {
"serviceIdQualifierCode": "HC",
"serviceIdQualifierCodeValue": "Health Care Financing Administration Common Procedural Coding System (HCPCS) Codes",
"procedureCode": "97161",
"procedureModifiers": [
"95"
],
"chargeAmount": "100",
"amountPaid": "80",
"submittedUnits": "1"
},
"serviceClaimStatuses": [
{
"effectiveDate": "20200613",
"serviceStatuses": [
{
"healthCareClaimStatusCategoryCode": "F1",
"healthCareClaimStatusCategoryCodeValue": "Finalized/Payment-The claim/line has been paid.",
"statusCode": "65",
"statusCodeValue": "Claim/line has been paid."
}
]
}
],
"beginServiceLineDate": "20200214",
"endServiceLineDate": "20200214"
}
]
}
]
}
]
}
]
}
]
...
```
The lengthy example is a completed record for a single claim in a multiple-claim report.
You can determine how many claims the current 277 file contains by looking for the following three JSON attributes in a group.
```json
"organizationName": "PREMERA",
"payerIdentification": "430",
"claimStatusTransactions": [
```
Updated 7 months ago