Jim
Good question. The 997 is only used to report against the standard
(Mandatory, Optional, etc), not the implementation guide (Required, Situational).
X12 has been developing the 277 Front-End Acknowledgement (for claims)
and the 824 Application Advice to report against the implementation guide.
However, they are not HIPAA mandated transactions (maybe just good business
decisions).
Jan Root
Jim Phillips wrote:
Hi, I'm new to the
listserv, so if this happens to be the wrong location for my question I
apologize. I am trying
to get clarification on what the 997 reports against. I know that
it reports on thesyntactical
analysis of the document, but recently a question has been raised to me
that hadmade me stop and
rethink things. Does
the 997 report on the syntactical analysis of the 837 Health Care Claim
Professional mandatoryfields
(as I assumed), or does it report on the ASC X12 837 standard mandatory
fields? An example
of my question: In
the manual Loop:
1000AElement: PER02 The
usage on this element says it is Required, while in the attributes it is
defined as O (Optional).My
original assumption was that the 997 would report on the usage requirement
thus if thisfield was missing
I would return an error for it. Is
this correct, or would I not return an error as the ASC standards have
this element defined asoptional? Thanks
in advance for any help Jim
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