RFI Browser

Back  RFI # 585: Batch response

Formal vs. Informal Help Informal Formal

Submitter

Nadine Farmer

Description

For multiple 278s within a batch (Functional Group)

In batch mode, we have not received all the responses for all of the subscribers. Do we have to wait for all responses to come back from the providers or can we send the responses accumulated in a partial batch.

Response

A 278 transaction with multiple authorizations can be answered with multiple 278 transactions as the answers become available. Use the BHT06 code value of 19 (Further Updates to Follow) an HCR01 code value of A4 (Pended) with and HCR03 value of E8 (Requires Medical Review). This will require a systematic process to keep track of the responses.
Submission 7/31/2007
Status Date 10/29/2007
Status F - Final
Primary References
Document 004010X094A1
Section1.3.4.3
Page15
Set ID278