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.

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

Fields

# Field Name Format Min Max Req’d Comment
1 Record ID “IMCRA10” 7 7 Y  
2 ClaimID AN 1 18 S Internal Claim ID REF*9A field
3 PayerClaimNumber AN 1 30 N CLP07
4 ClaimSubmitterIdentifier AN 1 38 Y CLP01
5 ClaimCharges DEC     Y CLP03
6 ClaimPayment DEC     S CLP04 – Available when transaction status is Paid
7 PaymentDate AN 8 8 S YYYYMMDD, Available when transaction status is Paid
8 DisbursementTraceNumber AN 1 30 S TRN02 – Disbursed check/trace number to provider; Available when transaction status is paid
9 DisbursementEntity AN 10 42 S TRN03:TRN04 – Available when transaction status is Paid
10 OriginalTraceNumber AN 1 30 S From original file — TRN02
11 FundingEntity AN 10 42 S From original file — TRN03:TRN04
12 Payer Name AN 1 35 Y N102 when N101 = PR
13 Payee Last AN 1 35 Y N102 when N101 = PE
14 Payee First AN 1 35 S  
15 Payee Primary ID Qualifier AN 2 2 Y N103 when N101 = PE
16 Payee Primary ID AN 1 80 Y N104 when N101 = PE
17 Patient Last Name AN 1 35 Y NM103 when NM101 = QC
18 Patient First Name AN 1 35 Y NM104 when NM101 = QC
19 Patient Middle Name AN 1 25 S NM105 when NM101 = QC
20 Patient ID Qualifier AN 2 2 Y NM108 when NM101 = QC
21 Patient ID AN 1 80 Y NM109 when NM101 = QC
22 Status AN 1 20 Y

PAID: 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

23 Freeform AN 1 100 S  
24 Payment Method AN 1 30 Y ACH
CHK
VirutalCard