Section title: Requests for Interpretation
RFI #
2624
Separation of Original 835 to the Reversal & Correction
Description

Is it appropriate for an adjudicator to send both the original 835 (ST-SE) and Reversal and Correction (ST-SE) transactions in the same batch file? The sending of two transactions in one batch file seems unnecessarily confusing. If the adjudicator has not previously sent the original transaction, why not create one correct 835?

Scenario

An adjudicator for a payer is sending both the original and the reversal & correction 835 transaction within the same 835 batch. Multiple instances of this happening within a single batch create multiple 'sets' (of original and its accompanying reversal & correction 835s) leading to confusion.

RFI Response

The 835 TR3 supports sending the initial/original and the reversal and correction in the same interchange.

RFI Recommendation

A best practice would be to send the initial/original in one interchange then a reversal and correction in a subsequent interchange. This will avoid posting issues by the receiver.

When both 835’s are sent in the same interchange, refer to RFI’s 2442 and 1944 related to the order of the initial/original and reversal and correction.

Related RFIs: 2442, 1944

DOCUMENT ID
005010X221