Use Convert Report 276, 277, 835

A 277 transaction is claim status response to an EDI 276 transaction. It might be a solicited response or an unsolicited one, in which case you need to proactively use our API to check your mailbox for any new 277 claim responses. 277 files use the phrase X3 as the prefix in the file name for any 277 claim status response.

276 transaction is a request for the status of a health care claim. It is submitted by a provider, a health care/services recipient, or an authorized agent (any of these could be the consumer of our APIs).

835 responses are claims remittance notifications letting the recipient know what the payer has approved and by what percentage coverage is approved for medical services. 835 files begin with the prefix R5. These files are returned in EDI format by default. You can open such files in JSON using our /835 endpoint.

The conversion of these files provides the same data but the base endpoint will return the X12 version of the transaction and the /277 or /835 endpoint will convert the file to JSON. As these file types are already built on existing transaction, you should determine if the X12 version or the JSON version of the information is what you would prefer to work with.