Section title: X12 EDI Examples
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ASC X12 Version: 008030 | Transaction Set: 278 | TR3 ID: 008030X328

Example 04 - Acknowledgment of Receipt (BHT02 = 53)

The notification receiver can return a 278 acknowledgment to indicate the successful receipt of the notification. The acknowledgment sender can assign a receipt number to the acknowledgment at the Patient level and/or at each Service level associated with the notification. The following example demonstrates an acknowledgment of receipt of a notice of admission.

Transmission Explanation


The acknowledgment echoes back the notification sender trace number and other identifying information associated with the service notification. In addition, the acknowledgment sender has assigned an administrative reference number (REF01 = NT) to acknowledge receipt of the notice of admission.