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TIBCO BusinessConnect™ Container Edition - EDI Protocol HIPAA Edition powered by Instream® 1.0.0

# Configuring 277 Claim Acknowledgement

The 277 Claim Acknowledgement has replaced usage of the 277U Unsolicited Health Care Claim Status Notification. The 277 Claim Acknowledgement reports the results of an application system's data content edits on the claims in a HIPAA 837 transaction.

BusinessConnect Container Edition - EDI Protocol HIPAA Edition powered by Instream supports two versions of the 277 Claim Acknowledgement:

- 5010X214

- 4040X167

Version 5010X214 277 Claim Acknowledgements can be generated for version 5010 HIPAA 837 transactions only.

Version 4040X167 277 Claim Acknowledgements can only be generated for version 4010A1 HIPAA 837 transactions.

BusinessConnect Container Edition - EDI Protocol HIPAA Edition powered by Instream can be configured to automatically generate 277 Claim Acknowledgements for the claims inside a HIPAA 837 transaction. Generation of both 277 Claim Acknowledgements and 277U Unsolicited Health Care Claim Status Notifications cannot be done.

The 277 Claim Acknowledgement contains information on the validation results when a claim is validated against the validation rules contained in the HIPAA Implementation Guides or Type 3 Technical Reports (TR3')s. For more information on configuring BusinessConnect Container Edition - EDI Protocol HIPAA Edition powered by Instream to automatically generate 277 Claim Acknowledgements for a trading partner, see HIPAA Acknowledgement Properties.

To use the 277 Claim Acknowledgement, you must also configure the transaction properties in the Operations Editor. Example interfaces containing the configurations for the supported versions of the 277 Claim Acknowledgement are in the directory: `bcce-edihipaa-1.0.0_InstallerFolder/samples/interfaces`.

The example interfaces are named HIPAA-Ack-interchange version -277.csx.

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TIBCO BusinessConnect™ Container Edition - EDI Protocol HIPAA Edition powered by Instream®

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