Section title: Requests for Interpretation
RFI #
2170
Invalid use of AK905 Rejection
Description

We have a payer sending back a rejection reason that has noting to do with the actual rejection.

999R Segments:

IK3*PRV*241**8
IK4*3*127*2

AK9*R*1*1*0*4

We were missing a Rendering Providers Taxonomy code in the PVR segment. I acknowledge that issue, and am working to fix it. That issue is in the IK3 and IK4. However they are also sending a rejection in the AK905 i view to be invalid. The rejection is saying there is a problem with the Functional Group Header and Trailer. There is not. Here is the ISA, IEA, GS, GE, ST, and SE segments from the file.

ISA*00* *00* *ZZ*XXXXXXXXX *ZZ*XXXXXX *160901*0726*^*00501*024006425*1*P*:
GS*HC*XXXXXXXXX*XXXXXXXX*20160901*0726*24006425*X*005010X222A1
ST*837*XXXXXX001*005010X222A1

SE*249*XXXXXX001
GE*1*24006425
IEA*1*024006425

I'd like a determination that the Situation Element AK905 is being used incorrectly according to the spec

RFI Response

Based upon the information presented, the error message in the AK9 segment is not correct. There is no error in GS/GE segments presented.

DOCUMENT ID
005010X218