Hi everyone,
I work for a largeish Provider and I'm having a spirited debate with
one of our Payers regarding the use of the Check/Trace Number (TRN01)
in 835 transactions.
My opinion (based on the current HIPAA IG), is that the Check/Trace
Number must be unique within a Trading Partner (TP) relationship.
For instance, the Payer sends me $100 on March 1 in ISA 000000001
Check/Trace # 12345 (in the TRN01). Then the Payer realizes that
they underpaid the claim and send me another $50 on March 10 in ISA
000000002 - I want a new Check/Trace # in the TRN01 in this
transaction so that I can check my bank deposits and confirm that I
really received a total of $150 on two different checks from the
Payer. (We are not currently using EFT/ACH with this payer, so they
send live checks in the mail.)
The Payer in question, however, wishes to do otherwise. When they
issue additional payment, they want to use the same Check/Trace
Number that was sent in the original 835. This practice wreaks havoc
with my system because I can't differentiate between a legitimate
additional payment and a duplicate payment sent in error (and those
DO happen).
I'm looking for any ideas or suggestions I can get - if I'm correct,
how can I enforce it? Or am I completely way off base? I downloaded
the draft 835 v5010 and the language for the TRN01 seemed to be even
more strongly worded in my favor.
Thanks in advance for your help!
Kim Housman
EDI Technical Lead
Hanger Orthopedic Group
www.hanger.com
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