Guide ID X164 Published 10/10/2002
Set ID 277 Version 004050
Name Request for Medical Information and Reports in Support of a Disability or Workers' Compensation Claim
Purpose The Request for Medical Information and Reports in Support of a Disability or Workers' Compensation Claim Implementation Guide describes the use of the Health Care Information Status Notification (277), Version/Release 004050 Transaction Set for the following business usages:
  • Request that existing medical information related to a claim for disability benefits or workers' compensation benefits be sent from an information source, such as a medical provider, to a payer or payer's agent, such as a disability determination organization, for the purpose of supporting a claim for disability benefits or workers' compensation benefits or other related determinations.
  • Request that a medical provider perform a service and transmit reports of that service to an information receiver, such as a payer or disability determination organization, for the purpose of supporting a claim for disability benefits or workers' compensation benefits or other related determinations.
  • Request further information or report about the status of a previous request for medical information and reports in support of a Disability or Wrokers' Compensation claim.