PM69389: COMPLIANCE CHECK NOT REJECTING WHEN LOOP 2310A (REFERRING PROVIDER) IS NOT PRESENT

APAR status

• Closed as program error.

Error description

• Compliance Check map does not reject HIPAA 837 Professional
  Transaction when Loop 2310A (REFERRING PROVIDER) is not present
  and Loop 2300 REF*9F segment (REFERRAL NUMBER) is present.
  
  For the 837 Professional Transaction, when Loop 2300 REF*9F
  segment (REFERRAL NUMBER) is present, then Loop 2310A (REFERRING
  PROVIDER) must also be present.
  

Local fix

• WTXCQ - WTX00041120
  AR / AR
  Circumvention: None
  

Problem summary

• Users Affected:
  WebSphere Transformation Extender Pack for HIPAA
  
  Problem Description:
  Compliance check not rejecting when Loop 2310A (REFERRING
  PROVIDER) is not present
  
  Platforms affected:
  
  ALL
  

Problem conclusion

• Added 2 rules for the 5010X222A1 and 5010X224A2 transactions to
  enforce the presence of the 2310A loop when the 2300 REF_9F is
  present.
  
  Delivered in:
  HCIP 4.3.2.2, 4.4.0.1
  

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

  WEBSPHERE HIPAA

• Fixed component ID

  5724M6100

Applicable component levels

• R440 PSY

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