PH51479: HIPAA 999 DROPS CTX DETAIL RETURNED BY RULE VALIDATION

APAR status

• Closed as program error.

Error description

• HIPAA data fails on rule 59070 which enforces the balancing
  requirement that 2400 SV302 = SUM (2430 SVD02) + SUM (2430 CAS
  Adj's). Without the CTX segment that references the 2430 SVD
  segment, there is no indication that the error involves
  balancing instead of just a simple error with the contents of
  the 2400 SV302 element. If 0 is not a valid value for 2110
  CTX03, then the rules validation engine needs to be modified
  accordingly and return a non-zero segment position for the CTX
  segment whenever possible.
  
  The following 999 with CTX segment content shown below would let
  the user know that the 2400 SV302 error involves Other Payer
  Adjudication and specify the location of an SVD segment with the
  Other Payer's Payer-ID in 2430 SVD01.
  
  IK3*SV3*39*2400*8~
  IK4*2*782*I12*2~
  CTX*SITUATIONAL TRIGGER*SVD*41**2*782~
  
  The V9 compliance check 999 indicates the SVD segment caused the
   reported error for the 2400 SV302 element but the V10
  compliance check 999 indicates the error is limited to the 2400
  SV302 element content.
  

Local fix

• ITXCQ - ITX00061679
  EY / EY
  Circumvention: None
  

Problem summary

• Users Affected:
  IBM Transformation Extender Pack for Healthcare HIPAA
  
  Problem Description:
  HIPAA 999 Reporting Drops CTX Detail Returned by Rule Validation
  
  Platforms Affected:
  ALL
  

Problem conclusion

• Multiple rule types in the hcsvu exit were updated to return the
   location of the first addend of the sum, so the CTX could be
  created with a non-zero segment location.
  
  Applies to:
  Healthcare Pack HIPAA  10.1.0, 10.2.0, 10.2.1
  
  Fixed in the next service packs 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 Downloads page:
  http://www.ibm.com/support/entry/portal/product/other_software/t
  ransformation_extender
  
  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/support/servicerequest/Home.action
  
  Prior to version 9.0.0, IBM Transformation Extender was called
  IBM WebSphere Transformation Extender.
  

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

  ITX

• Fixed component ID

  5724Q2300

Applicable component levels