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Multiple Choice

What is the role of 277CA in Resolute's remittance workflow?

277CA serves as the payer’s response in the claim status workflow. When a claim’s status is queried, the payer sends back a 277CA that communicates the adjudication result or current status (paid, denied, pending, etc.) and any related codes. Resolute uses this information to update the internal claim record so the system reflects the latest status and can drive subsequent actions like posting payments or following up on denied items. It’s not an eligibility request (that’s 270/271), nor is it something providers send, and while a 277CA can include denial details, its primary purpose is to convey the claim’s status from payer to the provider/clearinghouse.

277CA serves as the payer’s response in the claim status workflow. When a claim’s status is queried, the payer sends back a 277CA that communicates the adjudication result or current status (paid, denied, pending, etc.) and any related codes. Resolute uses this information to update the internal claim record so the system reflects the latest status and can drive subsequent actions like posting payments or following up on denied items. It’s not an eligibility request (that’s 270/271), nor is it something providers send, and while a 277CA can include denial details, its primary purpose is to convey the claim’s status from payer to the provider/clearinghouse.