276 Health Care Claim Status Request (005010X212)
Providers send the 276 to ask a payer for the status of claims they submitted. This is the standard X12 HIPAA 005010 spec, with 14 loops and 41 segment positions, as OpenEDI JSON, an ediFabric C# template and an ediFabric Native model. To change it for a trading partner, customize it in the EDI Spec Builder.
Use the 276 spec in your code
ediFabric .NET
Add the C# template and its common files to your project, or reference the template NuGet package, and read 276 files into TS276 objects. See ediFabric .NET.
ediFabric Native
Map version 005010X212 to the Native model with set_map, then parse 276 files to JSON from Python, Java, C or C#. See Convert between EDI and JSON.
OpenEDI
Select Customize in Spec Builder to copy the spec under your own name, change it for your partner, and parse files against it in EdiNation, ediFabric Native or ediFabric Cloud. Read about OpenEDI.
Generate 276 classes in Python, Java, Node.js, Go, Rust or C
ediFabric Native returns each 276 as JSON, with the property names of the OpenEDI schema. To work with that JSON as typed objects, generate classes from the OpenEDI file in your language and deserialize the JSON into TS276. Serialize the objects back to JSON to build EDI with ediFabric Native. The classes keep the loops, segments, lengths and code lists, but not the EDI data formats, so validate files with ediFabric Native. Read more in Generate a class from OpenEDI.
Python: datamodel-code-generator. Node.js: openapi-typescript. Java, Go, Rust and C: OpenAPI Generator.
For a sample file, the same data as JSON, and code to parse, validate and generate the 276, see the 276 transaction guide.
276 structure
Loops and segments of the standard 276, with their usage and maximum repeats.
| ID | Name | Usage | Max use |
|---|---|---|---|
| ST | Transaction Set Header | Optional | 1 |
| BHT | Beginning Of Hierarchical Transaction | Mandatory | 1 |
| Loop 2000A | Information Source Level | Mandatory | >1 |
| HL | Information Source Level | Mandatory | 1 |
| Loop 2100A | Payer Name | Mandatory | 1 |
| NM1 | Payer Name | Mandatory | 1 |
| Loop 2000B | Information Receiver Level | Mandatory | >1 |
| HL | Information Receiver Level | Mandatory | 1 |
| Loop 2100B | Information Receiver Name | Mandatory | 1 |
| NM1 | Information Receiver Name | Mandatory | 1 |
| Loop 2000C | Service Provider Level | Mandatory | >1 |
| HL | Service Provider Level | Mandatory | 1 |
| Loop 2100C | Provider Name | Mandatory | 2 |
| NM1 | Provider Name | Mandatory | 1 |
| Loop 2000D | Subscriber Level | Mandatory | >1 |
| HL | Subscriber Level | Mandatory | 1 |
| DMG | Subscriber Demographic Information | Optional | 1 |
| Loop 2100D | Subscriber Name | Mandatory | 1 |
| NM1 | Subscriber Name | Mandatory | 1 |
| Loop 2200D | Claim Status Tracking Number | Optional | >1 |
| TRN | Claim Status Tracking Number | Mandatory | 1 |
| REF | Payer Claim Control Number | Optional | 1 |
| REF | Institutional Bill Type Identification | Optional | 1 |
| REF | Applicationor Location System Identifier | Optional | 1 |
| REF | Group Number | Optional | 1 |
| REF | Patient Control Number | Optional | 1 |
| REF | Pharmacy Prescription Number | Optional | 1 |
| REF | Claim Identification Number For Clearinghouses And Other Transmission Intermediaries | Optional | 1 |
| AMT | Claim Submitted Charges | Optional | 1 |
| DTP | Claim Service Date | Optional | 1 |
| Loop 2210D | Service Line Information | Optional | >1 |
| SVC | Service Line Information | Mandatory | 1 |
| REF | Service Line Item Identification | Optional | 1 |
| DTP | Service Line Date | Mandatory | 1 |
| Loop 2000E | Dependent Level | Optional | >1 |
| HL | Dependent Level | Mandatory | 1 |
| DMG | Dependent Demographic Information | Mandatory | 1 |
| Loop 2100E | Dependent Name | Mandatory | 1 |
| NM1 | Dependent Name | Mandatory | 1 |
| Loop 2200E | Claim Status Tracking Number | Mandatory | >1 |
| TRN | Claim Status Tracking Number | Mandatory | 1 |
| REF | Payer Claim Control Number | Optional | 1 |
| REF | Institutional Bill Type Identification | Optional | 1 |
| REF | Applicationor Location System Identifier | Optional | 1 |
| REF | Group Number | Optional | 1 |
| REF | Patient Control Number | Optional | 1 |
| REF | Pharmacy Prescription Number | Optional | 1 |
| REF | Claim Identification Number For Clearinghouses And Other Transmission Intermediaries | Optional | 1 |
| AMT | Claim Submitted Charges | Optional | 1 |
| DTP | Claim Service Date | Optional | 1 |
| Loop 2210E | Service Line Information | Optional | >1 |
| SVC | Service Line Information | Mandatory | 1 |
| REF | Service Line Item Identification | Optional | 1 |
| DTP | Service Line Date | Mandatory | 1 |
| SE | Transaction Set Trailer | Optional | 1 |