Q re: recommended ways in processing 278 request with multiple service loops and/or service provider loops.

 

When a payer receives a 278 request that contains multiple service and/or service provider loops, the IG recommends using the trace numbers in the TRN segment so that the UMO can respond at different times to each of the service requests as the medical decisions are made.  Since the TRN segment is situational, the UMO can't rely on the fact that the requester will always send associated trace numbers.  It doesn't look like the UMO can effectively assign the trace numbers since the receiver can't be required to make distinctions based on the TRNs supplied by others.  

 

So, if the UMO wants to only respond to one of them, can the response just include the service/service provider loops being responded to?  Or does the response have to include all the other services/service providers other than the one being sent?

 

Thanks!

Janie

 

 

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