Section title: Requests for Interpretation
RFI #
2277
278 sedning 2000E
Description

Is it compliant with TR3 requirements to send 2000E loop (Patient Event Details) in following situation:
- patient is a subscriber and
- there is AAA segment sent in loop 2010C indicating a problem at subscriber level ?

RFI Response

The intent is only to return loops and segments in a rejected response to report either the data being rejected or for compliance infractions however, as per the 2000E segment situational rule, the 2000E loop is required when the UMO system processed any of the information contained in the loop 2000E of the request. The 2000E TR3 note further clarifies that if the UMO was unable to process any data beyond Loop 2000C or Loop 2000D of the request, this loop and any subordinate loops are not required.

DOCUMENT ID
005010X217