Reports

Reports

Report Documentation

User Documentation

To utilize these spreadsheets to determine the reason for a 277CA rejection, locate the rejection code on your 277CA report. Open the appropriate spreadsheet for your line of business and press CTL+F to search for the second portion of the rejection code.

Example: A7:562:85. Search for "562" on the edit spreadsheet until you locate a field that matches the A7:562:85 error message. The box with the error code will contain the reason for the error, and the box to the right may contain a more detailed description.

EDISS Report Flow

This graphic shows what happens to a claim file when it is submitted to EDISS. For detailed information, please refer to the supporting User Documentation for each report type.

TA1 Transaction Acknowledgement: acknowledges syntactical correctness with an ANSI X12 claim transaction. If this report fails, the file stops here. 999 Functional Acknowledgement: confirms if the submitted claim file passed standard level syntax and structure editing within front-end system. If this report fails, the file stops here. 277CA Claims Acknowledgment: provides a claim-level acknowledgment of all claims received before claims are sent into a payers adjudication system. File is sent to payer for adjudication.