Companion Guide ASC X12N 837I (005010X223A2) - Post-n-Track

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CIGNA Companion Guide Health Care Claim: 837 Institutional � The envelope tests run in the order shown. Upon detection of an error, the appropriate TA1 or 999 response is sent. Multiple errors are not processed since this can lead to faulty error reporting. HIPAA Element Envelope Tests IEA Segment Control Number in IEA02 does not match Control Number in ISA13 IEA Segment Functional Group Count in IEA01 does not match actual Functional Groups counted GE Segment Group Control Number in GE02 does not match Group Control Number in GS06 GS Segments IEA02 value != 1 indicating multiple or no GS segments received ST Segments Transaction Sets Included count in GE01does not match actual Transaction Sets counted ST Segments Transaction Set Control Number in ST02 does not match Transaction Set Control Number in SE02. TA1 Response 999 Response TA105 IK502 AK905 001 N/A N/A 021 N/A N/A N/A N/A 4 024 N/A N/A N/A N/A 5 N/A 3 NA ST Segments GE01 value != 1 indicating the multiple or no ST segments received 024 N/A N/A HL Segment (HL03=20) Information Source Loop Number of information source loops != 1. 024 N/A N/A HL Segment (HL03=21) Information Receiver Loop Number of information receiver loops != 1. 024 N/A N/A HL Segment (HL03=22) Subscriber Loop Number of subscriber loops != 1. 024 N/A N/A HL Segment (HL03=23) Dependent Loop Number of dependent loops > 1. 024 N/A N/A SE Segment Number of Included Segments Count in SE01 does not match actual segment count N/A 4 N/A Page 8 of 27 Version 1.0 This document may be copied only for CIGNA internal use and for use by our Trading Partners in conducting business with CIGNA. Use and distribution limited solely to authorized personnel. © 2011 CIGNA.
CIGNA Companion Guide Health Care Claim: 837 Institutional 3.3 X12 TRANSACTION EXCEPTION PROCESSING This section will be completed in coordination with CIGNA System Testing. Page 9 of 27 Version 1.0 This document may be copied only for CIGNA internal use and for use by our Trading Partners in conducting business with CIGNA. Use and distribution limited solely to authorized personnel. © 2011 CIGNA.
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Companion Guide ASC X12N 837I (005010X223A2) - Post-n-Track

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