Type 3 HIPAA Balance Testing

Type 3 balance testing ensures that the sum of the claim line item amounts is 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.