IBM Support

PH15995: CLAIMS ARE PASSING COMPLIANCE WHEN THE 2320 LOOP CONTAINS THE CAS SEGMENT AND THERE IS NO 2320 AMT*D.

Subscribe to this APAR

By subscribing, you receive periodic emails alerting you to the status of the APAR, along with a link to the fix after it becomes available. You can track this item individually or track all items by product.

Notify me when this APAR changes.

Notify me when an APAR for this component changes.

 

APAR status

  • Closed as program error.

Error description

  • In the 837 transactions, the AMT*D segment is required in the
2320 loop when the payer has adjudicated in that 2320 loop has
adjudicated the claim. Claims are passing compliance when the
2320 loop contains the CAS segment and there is no 2320 AMT*D.
In the 2320 loop the CAS segment is an indication that the
payer has adjudicated the claim. This applies to the 837I,
837D, and 837P.

Local fix

  • JK/JK
ITXCQ - ITX00059921
Circumvention: None

Problem summary

  • Users affected:
Transformation Extender pack for Healthcare Payer HIPAA

Problem Description:
Claims are passing compliance when the 2320 loop contains the
CAS segment and there is no 2320 AMT*D.

Platforms affected:
ALL

Problem conclusion

  • Problem Conclusion:
New rules added - 59113, 59114, 59115 - 2320 AMT="D" must be
present when 2320 CAS present for 837P, 837I, and 837D. These
are disabled by default in the qualifier.dat file.
Applies to:
Healthcare Payer 9.0.2, 10.0


Fixed in the next Service Pack and releases.

To obtain the fix for this APAR:

to see if the next service pack or product release is available,
check the IBM
Transformation Extender Release Notes page:
http://www.ibm.com/support/docview.wss?uid=swg27008337

If the service pack or product release is available, download it
from Fix Central:
http://www.ibm.com/support/fixcentral

If the service pack or product release is not available and you
require the APAR fix
immediately, request a Limited Availability Interim Fix (LAIF)
by opening a PMR:
http://www.ibm.com/mysupport

Prior to version 9.0.0, IBM Transformation Extender was called
IBM WebSphere
Transformation Extender.

Temporary fix

  • 



Comments


    

  • 



APAR Information




    

  • APAR number
    PH15995
    • 

  • Reported component name
    TX HIPPA EDI
    • 

  • Reported component ID
    5724M6100
    • 

  • Reported release
    901
    • 

  • Status
    CLOSED  PER
    • 

  • PE
    NoPE
    • 

  • HIPER
    NoHIPER
    • 

  • Special Attention
    NoSpecatt / Xsystem
    • 

  • Submitted date
    2019-08-22
    • 

  • Closed date
    2019-09-30
    • 

  • Last modified date
    2019-09-30
    • 





    

  • APAR is sysrouted FROM one or more of the following:
    

    • 

  • APAR is sysrouted TO one or more of the following:
    

    • 



Fix information


    

  • Fixed component name
    TX HIPPA EDI
    • 

  • Fixed component ID
    5724M6100
    • 



Applicable component levels


    








      
              
                            

              

              [{"Business Unit":{"code":"BU059","label":"IBM Software w\/o TPS"},"Product":{"code":"SSVSD8","label":"IBM Transformation Extender"},"Component":"","ARM Category":[],"Platform":[{"code":"PF025","label":"Platform Independent"}],"Version":"901","Edition":"","Line of Business":{"code":"LOB59","label":"Sustainability Software"}}]
              

                          

          
 
        

      

    

      

        

          

            
Document Information


            

            


                        

            Modified date:
            

            30 September 2019
            

            
                      

        


        

        


      

    

  



    

  

  
    
            

          
Page Feedback