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X12 837 QUICKLINK PROFESSIONAL FRONT-END VALIDATION ...

X12 837 QUICKLINK PROFESSIONAL FRONT-END VALIDATION ...

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997 SegmentsExample 4This 997 is for an <strong>837</strong> with a Rejected Functional Group and a Rejected transaction set. It has a data elementerrors. The control numbers that relate the 997 to the <strong>837</strong> are shaded and in boldface for easy identification.<strong>837</strong> TransactionISA*00* *00* *ZZ*123456 *ZZ*WP803*010201*1324*U*00401*299700001*0*P*:~GS*HC*123456*WP803*20010521*1615*1*X*004010X098A1~ST*<strong>837</strong>*29971GE1~-- There will be many detail segments in the <strong>837</strong> between the ST and the SE.SE*443*29971GE1~GE*1*1~IEA*1*299700001~997 TransactionISA*00* *00* *ZZ*WP803 *ZZ*123456*010920*1349*U*00401*000000423*0*P*>~GS*FA*WP803*123456*20010920*1349*533*X*004010X098A1~ST*997*0533~AK1*HC*1~AK2*<strong>837</strong>*29971GE1~AK3*BHT*2**8~AK4*4**8**20011315~This starts the functional group.AK101 = ‘HC’, a required value indicating Health Care claim.AK102 = ‘1’, the control number in the <strong>837</strong>, GS06.This starts the transaction set response.AK201 = ‘<strong>837</strong>’, the transaction set identifier code in the <strong>837</strong> ST segment.AK202 = ‘29971GE1’, the transaction set control number in the <strong>837</strong>, ST02.This is the data segment note.AK301 = ‘BHT’, the segment in error.AK302 = ‘2’, the position of the segment in the transaction set. Start countingthe ST segment as segment 1. The ‘2’ means the BHT segment is segment 2.AK303 = ‘**”, indicates an ‘empty’ element.AK304 = ‘8’, the error code indicating ‘Segment has data element errors’.This is the data element note.AK401 = ‘4’, the element in error. Using the ‘BHT’ in the preceding AK3 andthe ‘4’ in this AK4, we know BHT04 is the element in error.AK402 = ‘**’, indicates an empty element.AK403 = ‘8’, the error code, indicating ‘Invalid Date’.AK404 = ‘*20011315*’, the bad data in segment.EMC Front End Validation – Quicklink Commercial Professional 4010A119

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