837P Companion Guide - Peach State Health Plan Peach State ...

SECTION 05: ACKNOWLEDGEMENTS AND REPORTS997 Functional AcknowledgementA functional acknowledgement is to report the acceptance or rejection of functional group,transaction set or segment. PEACH STATE HEALTH PLAN will generate an outbound 997 toacknowledge all inbound transactions received.If any part of the transaction from the ISA to IEA does not pass Compliance, only the badtransaction sets will reject on the 997 and will need to be fixed by the sender and resent.Segment NameTransaction Set HeaderSegment IDLoopUsageSegment NotesSTN/ARequiredElementIDUsageGuideDescription/ValidValuesST01 R Transaction SetIdentifier CodeST02 R Transaction SetControl NumberComments997 – Functional AcknowledgementThis number is assigned locally matchesthe value in the corresponding SEsegment.Segment NameSegment IDLoopUsageAK1N/ARequiredFunctional Group Response Header95