Change Request Detail
No.
1074
Date
12/31/2008
Submitter
Type of Request
Pertaining to more than one, or not sure
Status
DSMO Process Completed
Business Reason
ASC X12 N is requesting the DSMO to consider recommending to NCVHS that the following ASC X12 acknowledgement transactions be considered for adoption as HIPAA required transactions by HHS/CMS/OESS, using version 5010.

ASC X12 999 Acknowledgement transaction using Technical Report type 3 [document number: 005010X231] for implementation specifications.

ASC X12 277CA Acknowledgement transaction using Technical Report type 3 [document number: 005010X214] for implementation specifications.

ASC X12 TA1 Acknowledgement Segment

These transactions will help the healthcare industry to better reconcile the status of transmitted EDI transactions, especially when sending claims and remittance transactions.  But, other ASC X12 transactions used by HIPAA will benefit from knowing that the receiving party has successfully received the transactions or has encountered errors that need to be reconciled.
Suggestion
These Acknowledgements should be used with all HIPAA transactions sent in batch mode or real-time as instructed by the real-time transaction's TR3 document. 

The TA1 segment does not always need to be sent, but should be when requested by the submitter, as described in X12.5 section 3.2.2.  And should be used when instructed by a transaction's TR3 document.


The 999 acknowledgement should be used by all batch transactions, and as required for real-time transctions, normally when there is a syntactical error that would prevent the normal real-time response associated with a real-time transaction from being generated.  For example, if a real-time 270 transaction had a syntactical error that would prevent the receiver from processing the 270 transaction and not being able to process a 271 response transaction, then a 999 transaction should be sent to report the syntactical error of the 270 transaction. 
DSMO Category
F
Recommendation
Submitter chose to withdraw the request.
Appeal Recommendation