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If a transaction is structurally sound, and all errors within the transaction occur at the claim level or below, then the claim or claims in error are rejected, and the valid claims are accepted. A 997 and/or 999 indicating acceptance with errors is generated for the transaction with the value E for the Transaction Acknowledgement Code, AK501/IK501.

If the AK501/IK501 is showing a status of "E", it indicates that the transaction set has claim level errors, but if there is only 1 transaction set in the Functional Group, then the AK901 status is set to "E" (Accepted, but errors noted).

The results of Claim Level Rejection are reported in the 5010X214 277 Claims Acknowledgement, 277CA or 005010X364 277DRA. By default transaction details are reported at the Provider Level. This behavior can be changed to report at the claim level if the Clm_Lev_Rej_Level parameter is set to C to indicate the claim.

Note: The 227 is not generated for any non-837 input data.

If there are no errors in the HIPAA EDI 837 data, then 277 reporting only goes to the Provider Level if the Clm_Lev_Rej_Level parameter is set to C. The results of the 277 Report do not appear in the Translated Acknowledgement Report.

If there are no errors and the Clm_Lev_Rej_Level parameter setting is A, the 277 reporting will include patient and claim details.