How about the 824, then? When you have a hard time putting together a specific 277 response, then maybe you can save yourself a lot of trouble by using the generic 824 application advice (004050X166). The OTI-NM1-TED loop combo can be used to say one of the information source, receiver or service provider entities is "Not Authorized." The 824 isn't an "official" HIPAA transaction, yet, though. As an aside, the 997 is definitely inappropriate in this case because there presumably is no X12 syntax problem in the incoming 276.
By the way, speaking of pretty print capabilities along the lines of the "human readable 835" discussion of late, does anyone have a product or service to "print" the 824? I can't imagine the 824 would be "automatically" processed by the recipient, except insofar as recording whether the original transaction was accepted or not. Everything else would have to be handled manually off of some report, thus prompting my question. William J. Kammerer Novannet, LLC. Columbus, US-OH 43221-3859 +1 (614) 487-0320 ----- Original Message ----- From: "Pulver, Scott" <[EMAIL PROTECTED]> To: "WEDI SNIP Transactions Workgroup List" <[EMAIL PROTECTED]> Sent: Friday, 07 March, 2003 03:56 PM Subject: Reconciling entities in a 276 for the 277 response I was wondering, if I can't reconcile the information source, receiver or service provider entities in a 276 how should I respond to the request? The 271 supports the AAA segment which allows me to respond with a '79' invalid participant reject reason code. I don't see a way to do this for the 277 other than to report '26' entity not found at the claim level in the STC. Another concern is that is that if I can't reconcile the entity but am required to respond, I would be forced to build the outbound NM1 using the data from the inbound NM1. That would mean our system might generate an interchange with validation errors in it and this seems to go against the my understanding of the HIPAA IG in that all NM1 should be populated from the information sources data store. Can anyone shed some light on this? Scott --- The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-transactions as: [EMAIL PROTECTED] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org
