Miscellaneous
errors
1- Negative TA1 Interchange Acknowledgment
error 22 (Invalid Control Structure)
error 24 (Invalid Interchange Content)
2- Negative 997 Functional Acknowledgment
AK9 and no error code
|
Transaction |
HIPAA transaction format |
Element |
Notes |
|
Eligibility request |
270 |
BHT03 2000C TRN02 |
The unique ID for 270 is a combination of these 2 elements. One or the other (or both) must change in order to create a unique key. |
|
Claim status request |
276 |
2200D TRN02 |
|
|
Prior authorization request |
278 |
BHT03
|
* |
|
Institutional claim |
837 |
BHT03
|
* |
|
Dental claim |
837 |
BHT03
|
* |
|
Professional claim |
837 |
BHT03
|
* |
* Reference Identification (BHT03) must be sent and be unique to each file submitted.
3- Other 997 or TA1 stating non-existing errors in the data sent or no response at all.
The following situations can cause unpredictable results: