PM45235: HIPAA 5010X223 837 TRANSACTION DOES NOT FAIL COMPLIANCE CHECK WHEN DTP01 = 573 IN BOTH 2330B AND 2430 LOOPS

APAR status

• Closed as program error.

Error description

• HIPAA 837 data file does not fail compliance check when both
  2330B Claim Check or Remittance Date and 2430 Line Check or
  Remittance Date are present.
  
  Page 389 of the 005010X223 implementation guide states:
  
  Required when the payer identified in this loop has previously
  adjudicated the claim and Loop ID-2430, Line Check or Remittance
  Date, is not used. If not required by this implementation
  guide, do not send.
  
  Suggesting that these segments are mutually exclusive.
  

Local fix

• WTXCQ - WTX00038326
  YQ / YQ
  Circumvention: None
  

Problem summary

• Users affected:
  WebSphere Transformation Extender Pack for HIPAA
  
  Problem Description:
  837 - When DTP01 = 573 at both 2330B and 2430 Loops, File is
  being acepted instead of rejecting
  
  Platforms affected:
  ALL
  

Problem conclusion

• Added Rules 35101, 35102, 35103 to qualifier file and master
  tree.
  
  Delivered in
  HCIP 4.3.2.1
  

Temporary fix

Comments

APAR Information

• 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

  WEBSPHERE HIPAA

• Fixed component ID

  5724M6100

Applicable component levels

• R431 PSY

     UP