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Back  RFI # 2176: 271 MSG segment - gaps in care

Formal vs. Informal Help Informal Formal

Submitter

Elitsa Evans

Description

Is it permitted to use in the 5010 271 transaction, loop 2110C the MSG segment to convey gaps in care information, for example "Due for Diabetes LDL Screening" ? I believe that it meets the criteria of the IG segment note:
the information cannot be codified in existing data element and
the information is pertinent to the eligibility response.

Response

The 005010279A1 TR3 only supports the reporting of eligibility and benefit information. Reporting gaps in care information is not supported by the TR3. Therefore, use of the MSG segment to convey gaps in care information is not compliant with the TR3.

Recommendation

If you have a business need not supported in a published TR3, you may submit an ASC X12 change request for consideration in a future version of the TR3. Change requests are submitted at http://changerequest.x12.org/
Submission 10/13/2016
Status Date 3/1/2017
Status F - Final
Primary References
Document 005010X279
Section2.5.1
Page327
Set IDMSG
Loop2110C
Segment Position2500
Segment IDMSG
Element Position01
Industry NameFree-Form Message Text