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.

Duplicate values in this segment will result in a rejected transaction

 

 

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: