What process would a patient undergo if they want to check the status of their insurance claim?

When a patient wants to check the status of their insurance claim, they would use the Health Care Claim Status Request and Response (276/277). This process is specifically designed for healthcare providers and payers to request and receive information about the status of a claim that has already been submitted.

The 276 request is submitted to inquire about the claim's payment status, whether it has been processed, or if any further action is required from the provider or patient. The corresponding 277 response provides detailed information regarding the claim status, such as whether the claim has been approved, denied, or is still pending. This makes the 276/277 process essential for patients and providers who must stay informed about the payment status of medical services rendered.

Other options, while related to claims management and payment processes, serve different purposes. For example, the Health Care Claim Institutional (837I) is for submitting claims rather than checking their status, and the Health Care Claim Payment/Advice (835) pertains to the transmission of payment details after a claim has been processed. The Health Care Eligibility Benefit Inquiry and Response (270/271) is focused on verifying a patient's eligibility for benefits rather than checking specific claim status. Thus, the option that directly addresses claim status inquiries is