Type 3 HIPAA Balance Testing

Type 3 balance testing make certain that the sum of claim line item amounts are equal to the total claim amount.

Type 3 testing involves checking a transaction for the following conditions:

  • Balanced field totals
  • Financial balancing of claims or remittance advice
  • Balancing of summary fields (if appropriate)

The options for reporting Type 3 exceptions identified by the Transformation Extender HIPAA Compliance Checker include the HIPAA 999 implementation acknowledgment and the Translated Acknowledgment report.