EDI 278 — Health Care Services Review
Referral certification and authorization request/response transaction processing
Today's Volume
124
Accepted (278A)
118
Rejected
6
Pending Response
22
278 Transaction Builder
278 Request
ISA / GS Envelope
Subscriber / Member
Service Review
Batch Upload
Drop .edi, .txt, or .x12 files here
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Supports X12 5010 278/278A batch files. Max 50MB per upload.
278A Response Viewer
AA — Accepted
ISA*00* *00* *ZZ*EKLOTHO001 *ZZ*PAYER001 *240402*1200*^*00501*000001847*0*P*:~
GS*HI*EKLOTHO001*PAYER001*20240402*1200*1*X*005010X217~
2000A LOOP — Utilization Management Organization
HL*1**20*1~
NM1*X3*2*EKLOTHO HEALTH*****PI*EKLOTHO001~
2000B LOOP — Subscriber
HL*2*1*22*0~
NM1*IL*1*SANTOS*MARIA****MI*MBR00123456~
DMG*D8*19680315*F~
2000C LOOP — Service
HL*3*2*EV*0~
TRN*1*278-20240402-001847*EKLOTHO001~
UM*SC*I*AP*21:B*27447*2*1*48*Y~
AAA*Y*25*A7*Y~
GS*HI*EKLOTHO001*PAYER001*20240402*1200*1*X*005010X217~
2000A LOOP — Utilization Management Organization
HL*1**20*1~
NM1*X3*2*EKLOTHO HEALTH*****PI*EKLOTHO001~
2000B LOOP — Subscriber
HL*2*1*22*0~
NM1*IL*1*SANTOS*MARIA****MI*MBR00123456~
DMG*D8*19680315*F~
2000C LOOP — Service
HL*3*2*EV*0~
TRN*1*278-20240402-001847*EKLOTHO001~
UM*SC*I*AP*21:B*27447*2*1*48*Y~
AAA*Y*25*A7*Y~
Transaction Log
| Transaction ID | Type | Submitter | Member | Service | Timestamp | Status | Actions |
|---|---|---|---|---|---|---|---|
| 278-20240402-001847 | 278 Request | EKLOTHO001 | M. Santos | 27447 — Total Knee | Apr 2, 12:00 PM | Accepted | |
| 278-20240402-001846 | 278 Request | EKLOTHO001 | J. Okafor | 70553 — MRI Brain | Apr 2, 11:45 AM | Pending | |
| 278-20240402-001845 | 278A Response | PAYER001 | L. Zhao | 22612 — Spinal Fusion | Apr 2, 11:30 AM | Rejected | |
| 278-20240402-001844 | 278 Request | EKLOTHO001 | R. Chen | 27130 — Hip Replace | Apr 2, 11:15 AM | Accepted | |
| 278-20240402-001843 | 278 Request | EKLOTHO001 | P. Adams | 99213 — Office Visit | Apr 2, 10:58 AM | Accepted | |
| 278-20240402-001842 | 278A Response | PAYER002 | D. Kumar | 96413 — Chemo Infusion | Apr 2, 10:30 AM | Accepted |
Showing 6 of 124 transactions today