PH52932: HIPAA COMPLIANCE BUSINESS RULE 59747 IS NOT CONFIGURABLE

APAR status

• Closed as program error.

Error description

• The following HIPAA Compliance Qualifier and Business Rule is
  included in the Pack for Healthcare product patches from at
  least 2022-12-09:
  
  <RULE_SEQUENCE_NUMBER>59747</RULE_SEQUENCE_NUMBER>
  <GS08_VALUE>005010X224A2</GS08_VALUE>
  ...
  <ERROR_MESSAGE_TEXT>2400 Repeated TOO not allowed if SV306 !=
  1</ERROR_MESSAGE_TEXT>
  ...
  <COMPONENT_RULE_CONTENT>/* Start Rule # 59747 5010 Type N */
  //ACTIVE
  &amp; WHEN(COUNT(Dental_Claim TOO Segment IN $) &gt; 1,
  Qty Element:Dental_Claim SV3 Segment:$  = 1)
  //2400 Repeated TOO not allowed if SV306 != 1
  /*Type 4 End */</COMPONENT_RULE_CONTENT>
  <CONFIGURABLE_INDICATOR>Y</CONFIGURABLE_INDICATOR>
  ...
  
  But the hipaa_x12_master_rule_stub[_icd9_icd10].mts and
  hipaa_x12[_icd9_icd10].mtt's from the same patch still have the
  following component rule logic on the Service_Line LX Loop
  component of the Claim CLM Loop:
  
  /* Start Rule # 99999 5010 Type N */
  //NONCONFIG&amp;
  WHEN(COUNT(Dental_Claim TOO Segment IN $) &gt; 1,
  Qty Element:Dental_Claim SV3 Segment:$  = 1)
  // Rule # 99999 is reserved for rules that are active, but not
  configurable
  /*Type 4 End */
  
  Master stub and type trees should be updated so that this rule
  will be disabled by the Configurable Rules process if the
  Qualifier or Business Rule ON_OFF_INDICATOR is set to 0.
  

Local fix

• ITXCQ - ITX00061842
  LV / LV
  Circumvention: None
  

Problem summary

• Users Affected:
  IBM Transformation Extender pack for Healthcare HIPAA
  
  Problem Description:
  HIPAA Compliance Business Rule 59747 is not configurable in the
  stub tree.
  
  Platforms Affected:
  ALL
  

Problem conclusion

• HIPAA compliance components have been updated to properly
  support rules 59747 and 34700 as configurable.
  
  Applies to:
  Healthcare Pack HIPAA  10.1.0
  
  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