Re: Functional Acknowledgement

[Doug Webb]

Jean, 1) No, The TA1 and 997 are both "May be used if the Trading Partners so desire"   2) The IGs basically say, "if you do this, this is a standard way of doing it"   3) Since there is no mandated way of responding to an Interchange or Functional Group or Transaction Set (or Claim), there is no weight.  I receive 997s from the clearinghouse I work with.  I also receive text reports that report claim-level detail. I do not send 997s or TA1s back.  It would nice if the TPs at least accepted the TA1 and 997, and generated some kind of exception report at their site if they report Rejection, but Nice Things have a lower priority than Good Things and a MUCH lower priority thean Mandated Things.   One question you can ask which may make some headway would be "Then, you can guarantee that the communication line is perfect?"   The opinions expressed here are my own and not necessarily the opinion of LCMH.   Douglas M. Webb Computer System Engineer Little Company of Mary Hospital & Health Care Centers [EMAIL PROTECTED]   "This electronic message may contain information that is confidential and/or legally privileged. It is intended only for the use of the individual(s) and entity(s)  named as recipients in the message. If you are not an intended recipient of the message, please notify the sender immediately,  delete the material from any computer, do not deliver, distribute, or copy this message, and do not disclose its contents or take action in reliance on the information it contains. Thank you."     ----- Original Message ----- From: Jean Gidcumb To: WEDI SNIP Transactions Workgroup List Sent: Friday, March 28, 2003 08:52 AM Subject: TCS: Functional Acknowledgement Hi,   I have run into a couple of issues with my Trading Partners when it comes to the TA1 and the 997. It seems that they are perfectly willing to send me a TA1 and/or 997 when I send them files, but they are not accepting a TA1 or 997 when I receive files from them. They are taking the position that the files they send will be correct and if they are not then we should call the Technical Support Help Desk. We are already finding problems during our testing and it will be very time comsuming to have to call tech support with every issue and then have to wait for a call back.   So my I have a couple of questions for the group that I would like to get some feedback: 1) Is the 997 mandated in the Federal Regulations? 2) Is it recommended that the TA1 and 997 be used between Trading Partners as a part of the information flow? 3) Does the implementation guide's recommended usage carry any weight, if it is not mandated in the Federal Regulations? In other words can we say they are not following the standard if they don't use the TA1 and/or the 997.   I am really disappointed in our trading partners that are not utilizing the functional acknowledgement as a response to having received, accepted or rejected a transaction set.   Thanks, Jean Gidcumb HIPAA Project Manager Almost Family, Inc       --- 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. 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