Steve, if you don't report the error via a 997 to your trading partner, how
do you think they will learn about it and thus correct their side of the
equation so that the error does not continue to occur?
 
There are no HIPAA police! Failure to report errors only serves to ensure
that they will continue to be repeated.
 
Rachel
Rachel Foerster & Associates, Ltd.
39432 North Avenue
Beach Park, IL 60099
Voice: 847-872-8070
Fax: 847-589-8081


  _____  

From: Steve MacDonald [mailto:[EMAIL PROTECTED] 
Sent: Friday, February 11, 2005 11:03 AM
To: [EMAIL PROTECTED]; [email protected]
Subject: Re: [EDI-L] Rejected Sets in 997


A rejected Transaction set for us is any set that does not comply with
our companion guide or has syntactical errors.  I'm in healthcare, so if
a transaction set has a group of claims and one claim does not have
service lines, we reject the set.  We cannot pay a claim with out a
service line.

However, that being said, we never send back a 997 showing that a
Transaction set was rejected.  We merely "fix the bad data".  But don't
tell the HIPAA police!

Steve

>>> georgeopenx1 <[EMAIL PROTECTED]> 2/11/2005 11:56:07 AM >>>


Greethings Group,
Could you tell me in which case the transaction set in an EDI doc 
ack'ed will be regarded as a Rejected set? I'v never seen a tx set as 
a rejected set in 997. 

Thanks,
Geo





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