Section title: Requests for Interpretation
RFI #
2201
271 Repeating EB03 element
Description

Question: 1. Is the intention to review all the elements within the EB segment, against all other EB segments, except for the EB03? 2. Or is the intention to interrogate all segments and all their elements in the loop 2110C/D to see if they are all equal, except for the EB03

RFI Response

A 271 Health Care Eligibility Response will contain either a 2110C or 2110D Loop. So the requirement to use the repetition function of the EB03 applies only within each Loop respectively depending upon which one is present.  If all of the values in the appropriate 2110C or 2110D loop are the same except for the service type code (EB03), the repetition function of the EB03 must be used.  This is explicitly stated in TR3 note 3 in both the 2110C and 2110D EB segments. Therefore, the requirement is best stated in your second question assuming you mean within the 2110C or 2110D loop since only one can be present.

DOCUMENT ID
005010X279