After submitting the electronic claim file, the claim file acknowledgement reports (999 and 277CA) must be retrieved and reviewed to determine if any errors need correction.

• If connecting via NSV, contact your NSV for instructions to retrieve these reports. They will need to know the name and location of the files you transmit/retrieve:
  • The Professional staging directory for the 999 is: C:\WINPCACE\Ansi997\Ack1500
  • The Professional staging directory is for the 277CA: C:\WINPCACE\Ansi277\Stat1500
• If connecting via SPOT, Refer to the SPOT User Guide: Section 7 - Claim Submission / ERA for instructions on downloading the reports.

ANSI 999

Once the file is retrieved; from the Main Toolbar select Professional Claims Menu, Maintain, Acknowledgement File Log, View report

277CA

Once the file is retrieved; from the Main Toolbar select Professional Claims Menu, Maintain, Claim Acknowledgment Log, and View Ack Report. 

• You will have the option to view all claims or only the rejected claims.
• If any claims are rejected, refer to the 5010 reject lookup application.
• The description associated with the reject code combination you entered will appear in the results box.

277CA accepted

The accepted 277CA shows total quantity and total amount accepted. Under the Acknowledgement is the category, status, and entity. 

• Category = CSCC
• Status = CSC
• Entity = EIC

277CA rejection

The rejected 277CA shows total quantity and total amount rejected. Under the Acknowledgement is the category, status, and entity. 

• Category = CSCC
• Status = CSC

• Entity = EIC

  

To view descriptions of the reject codes, access the 5010 reject code lookup tool. 

ANSI 835 Remittance

The Professional staging directory is C:\WINPCACE\Etra1500\Ansi835

ANSI-835 Functions, Professional, Select ANSI File, Translate/Import ETRA, Print/View Reports.

File reloads are available via the reload request tool.