Section title: Requests for Interpretation
RFI #
1991
277CA with multiple 837 ST/SEs
Description

We are trying to determine compliance with the TR3 (005010X214) for when a file of claims is sent where each claim is in its own ST/SE. We are having a 277CA sent back to us which has a ST/SE to match each ST/SE 837 we sent. The issue is what values should be sent in the Loop 2200B STC/QTY/AMT segments. We are seeing the combined total amounts and quantities for all claims sent in each ST/SE of the 277CA. The Loop 2200D STC contains only response(s) corresponding to the claim(s) send in the corresponding ST/SE in the 837.

Is this compliant with the TR3 or should the Loop 2200B STC/QTY/AMT only reflect the claim(s) in the matching ST/SE in the 837? In the course of this RFI review ASC X12 acknowledges that this part of Note 4 “the Billing Provider is the individual whose social security number is used for 1099 purposes.”, may be confusing. ASC X12 will give consideration to changing this note in future TR3’s.

DOCUMENT ID
005010X214