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Back  RFI # 1540: 278 Response AAA errors

Formal vs. Informal Help Informal Formal


Peter Anderson


When we detect errors that prevent a definitive determination to an authorization request, we would like to respond with all the errors we have detected. Is this allowed? Specifically, we are questioning whether the TR3 prohibits responding with AAA segments at multiple levels. For example, we would like to return 2010B/AAA segment indicating Invalid/Missing Provider Phone Number and in the same response return 2000E/AAA segments indicating Invalid/Missing Admission Date & Invalid/Missing Diagnosis Code.

Our concern is with the situational rule for 2000E/HL that says "Required when the UMO system processed any of the information contained in loop 2000E of the request. If not required by this implementation guide, do not send." Does detecting errors satisfy the requirement that we have "processed" information in the loop?

Submitter Assigned Keywords

278 AAA errors rejects


Yes, identifying errors at multiple levels is certainly allowed. The 278 transaction is flexible enough to allow entities whose systems can respond at multiple levels to do so.
Submission 3/14/2012
Status Date 5/15/2012
Status F - Final
Primary References
Document 005010X217
Set ID278
Segment Position0100
Segment IDHL