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Back  RFI # 2170: Invalid use of AK905 Rejection

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Submitter

Andrew Lee

Description

We have a payer sending back a rejection reason that has noting to do with the actual rejection.

999R Segments:

IK3*PRV*241**8
IK4*3*127*2

AK9*R*1*1*0*4



We were missing a Rendering Providers Taxonomy code in the PVR segment. I acknowledge that issue, and am working to fix it. That issue is in the IK3 and IK4. However they are also sending a rejection in the AK905 i view to be invalid. The rejection is saying there is a problem with the Functional Group Header and Trailer. There is not. Here is the ISA, IEA, GS, GE, ST, and SE segments from the file.

ISA*00* *00* *ZZ*XXXXXXXXX *ZZ*XXXXXX *160901*0726*^*00501*024006425*1*P*:
GS*HC*XXXXXXXXX*XXXXXXXX*20160901*0726*24006425*X*005010X222A1
ST*837*XXXXXX001*005010X222A1

SE*249*XXXXXX001
GE*1*24006425
IEA*1*024006425

I'd like a determination that the Situation Element AK905 is being used incorrectly according to the spec

Response

Based upon the information presented, the error message in the AK9 segment is not correct. There is no error in GS/GE segments presented.
Submission 9/2/2016
Status Date 6/6/2017
Status F - Final
Primary References
Document 005010X231A1
Section1.1
Page42
Segment IDAK9
Element Position5