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Key rules for claims status request and response message

Updated on April 23, 2021

This table lists the key rules used in the processing of the X12 276/277 messages.

Pega Foundation for Healthcare
Rule nameRule typeFunction
Class: PegaHC-EDI-Work-ClaimStatusRequest
ProcessX12N276ActivityMain activity to launch processing of 276 message
Process276TransactionCollectionMain rule for processing 276 message
ParseTransactionCollectionParse message & prepare 277 response
ProcessClaimStatus RequestCollectionMaps message to work object and processes claim lookup
SendResponseCollectionGenerates 277 and sends message
ParseMessageActivityParses 276 message
PrepareResponseActivityPrepares 277 message shell
MapMessageToWork ItemActivityMaps 276 message to work object
SendMessageActivityPlace holder to configure 277 message
ReviewX12ActivityProvides side by side comparison of 276 and 277

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