Section title: Requests for Interpretation
RFI #
2176
271 MSG segment - gaps in care
Description

Is it permitted to use in the 5010 271 transaction, loop 2110C the MSG segment to convey gaps in care information, for example "Due for Diabetes LDL Screening" ? I believe that it meets the criteria of the IG segment note: the information cannot be codified in existing data element and the information is pertinent to the eligibility response.

RFI Response

he 005010279A1 TR3 only supports the reporting of eligibility and benefit information. Reporting gaps in care information is not supported by the TR3. Therefore, use of the MSG segment to convey gaps in care information is not compliant with the TR3.

RFI Recommendation

If you have a business need not supported in a published TR3, you may submit an ASC X12 change request for consideration in a future version of the TR3. Change requests are submitted at http://changerequest.x12.org/

DOCUMENT ID
005010X279