Response Contents - Professional Claims

Metadata for troubleshooting

Our Medical Network APIs support a significant troubleshooting feature called metadata. For more information, see Metadata for troubleshooting.

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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 Optum technical support, give the values provided in the meta object to the Optum representative.

Claim response 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. Please see example in ClaimReference Field in Submission Response.

Key values of claims response

Key Value	Description
customerClaimNumber	An additional claim tracking number assigned by the Change Healthcare clearinghouse.
submitterId	Describes the entity that submitted the claim. Value is in Loop 1000A, element NM109.
patientControlNumber	Echoes the Patient controlNumber back from the original request.
timeOfResponse	Date and time of the response from the clearing house.
formatVersion	Describes the X12 EDI version to which the claim confirms.
claimType	"PRO" for Professional. "INST" for Institutional.
rhClaimNumber	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.