Response File

The Claim Settlement Response File is a batch file in a pipe-delimited format. The file is uploaded daily by InstaMed via SFTP.

To help with file tracking InstaMed is able to deliver a zero byte file on days when there is no data to report.

Record ID: IMCRA10

The response file includes a record of claim payments. Payments will be in one of the following statuses:

  • PAID: Payment was disbursed to provider
  • SETTLED: Settled payments
  • CANCELLED: Cancelled, Reissued or Expired virtual card payments
  • RETURNED: Returned payments
  • PENDING FUNDING: Payments that are available for approval in InstaMed Online
  • SUSPENDED: Suspended payments
  • PARTIALLY SETTLED: Partially settled payments
  • VOIDED: Voided payments
  • EXPIRED: Expired claim payment card payments
  • STOPPED: Check has been voided or stopped by the bank

Fields

Field #Field NameFormatMinMaxRequiredComment
1Record IDIMCRA1077Y
2ClaimIDAN118SInternal Claim ID REF*9A field
3PayerClaimNumberAN130NCLP07
4ClaimSubmitterIdentifierAN138YCLP01
5ClaimChargesDECYCLP03
6ClaimPaymentDECSCLP04 Available when transaction status is Paid
7PaymentDateAN88SYYYYMMDD, Available when transaction status is Paid
8DisbursementTraceNumberAN130STRN02 Disbursed check/trace number to provider; Available when transaction status is paid
9DisbursementEntityAN1042STRN03:TRN04 Available when transaction status is Paid
10OriginalTraceNumberAN130SFrom original file TRN02
11FundingEntityAN1042SFrom original file TRN03:TRN04
12Payer NameAN135YN102 when N101 = PR
13Payee LastAN135YN102 when N101 = PE
14Payee FirstAN135S
15Payee Primary ID QualifierAN22YN103 when N101 = PE
16Payee Primary IDAN180YN104 when N101 = PE
17Patient Last NameAN135YNM103 when NM101 = QC
18Patient First NameAN135YNM104 when NM101 = QC
19Patient Middle NameAN125SNM105 when NM101 = QC
20Patient ID QualifierAN22YNM108 when NM101 = QC
21Patient IDAN180YNM109 when NM101 = QC
22StatusAN120YPAID: Payment was disbursed to provider

RETURNED: Returned payment

SETTLED: Settled payments

CANCELLED: Cancelled, Reissued, or Expired virtual card payments

PENDING FUNDING: Payments that are available for approval in InstaMed Online

SUSPENDED: Suspended payments

PARTIALLY SETTLED: Partially settled payments

VOIDED: Voided payments

EXPIRED: Expired claim payment card payments

STOPPED: A check has been voided or stopped by the bank
23FreeformAN1100S
24Payment MethodAN130YACH, CHK, VirtualCard
25Return CodeAN33SPopulated when Message Status = Returned
26Return ReasonAN1100SPopulated when Message Status = Returned