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Back  RFI # 952: Eligibility 270 Date

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Submitter

Andrea Brannan

Description

We are receiving a AAA57 rejection on all our 270 requests for a specific payer. This payer is indicating the reason is that we are using a code qualifier 472. They require the code qualifier of 307.
Is a AAA57 the appropriate action? A valid date has been sent. Can a payer reject a transaction with a valid date and valid 472 code qualifier?

Thank You.

Response

Use of AAA03 Code 57 Invalid/Missing Date(s) of Service to reject a transaction when the 270 contained DTP01 = 472 (Date of Service) is not compliant with the requirements of the 004010X092 or 005010X279 guidelines.
Submission 1/28/2010
Status Date 2/26/2010
Status F - Final
Primary References
Document 004010X092
Section270 DTP
Page87
Set ID270