Response Contents - Professional Claims
Metadata for troubleshooting
Change Healthcare Medical Network APIs support a significant troubleshooting feature called metadata. For more information, see Metadata for troubleshooting.
NOTE
API users need not enable this capability; it is automatic and has no effect on information in any medical transaction. If you encounter any issues with a transaction and need to work with Change Healthcare technical support, give the values provided in the
metaobject to the Change Healthcare representative.
NOTE
The
metafeature is not supported in the Claims Responses and Reports v1 APIs.
Claim Reference information
The primary elements of a medical claims submission response consist of the aforementioned meta object, and a claimReference object. It contains a number of tracking values. You can expect to see results similar to the following:
```json
{
"status": "SUCCESS",
"controlNumber": "000000001",
"tradingPartnerServiceId": "9496",
"claimReference": {
"correlationId": "210322R999898~66684261175841",
"submitterId": "009998",
"customerClaimNumber": "000000001",
"patientControlNumber": "12345",
"timeOfResponse": "2021-03-22T19:34:08.85-05:00",
"claimType": "PRO",
"formatVersion": "5010",
"rhclaimNumber": "2108151508527"
},
"meta": {
"submitterId": "999898",
"senderId": "Xxxx.Xxxxxx",
"billerId": "009998",
"traceId": "900773a9-c0ba-6aa2-0f61-cfcc30a0200f",
"applicationMode": "pro"
},
"editStatus": "SUCCESS",
"payer": {
"payerName": "Unknown",
"payerID": "9496"
},
```
The first response you get back from the clearinghouse does not indicate whether the claim is being paid; it indicates that the clearinghouse has accepted the claim and is getting ready to forward it to the payer.
claimReference is the response's main object. Key values include the following:
Key Value | Description |
|---|---|
| An additional claim tracking number assigned by the Change Healthcare clearinghouse. |
| Describes the entity that submitted the claim. Value is in Loop 1000A, element NM109. |
| Echoes the Patient |
| Date and time of the response from the clearinghouse. |
| Describes the X12 EDI version to which the claim confirms. |
|
|
| unique claim number to track the claim at the Change Healthcare clearinghouse. You can use this value to search for the claim in ConnectCenter and check for updates. |
Updated 10 days ago