The Claims Status API supports the X12 EDI 276 transaction.
This API translates this standard to JSON for developer accessibility and integration into users’ applications.
The submitter uses a Claim Status request to ask about the status of a previously submitted claim. The payer returns the response, as an X12 EDI 277 transaction, which is translated back to JSON by the API gateway.
If the claim is finalized, the response provides the disposition of the claim (for example, Paid, or Denied). For denied or rejected outcomes, the response includes the reasons for the denial or rejection.