AAA

Request Validation

Pos: 085	Max: 9
Detail - Optional
Loop: 2100A	Elements: 3

Ref

Id

Element Name

Req

Type

Min/Max

Usage

AAA01

1073

Yes/No Condition or Response Code
Description: Code indicating a Yes or No condition or response
Industry: Valid Request Indicator

M

ID

1/1

Required

Code

Name

N

No

Use this code to indicate that the request or an element in the request is not valid. The transaction has been rejected as identified by the code in AAA03.

Y

Yes

Use this code to indicate that the request is valid, however the transaction has been rejected as identified by the code in AAA03.

AAA03

901

Reject Reason Code
Description: Code assigned by issuer to identify reason for rejection
Use this code for the reason why the transaction was unable to be processed successfully. This may indicate problems with the system, the application, or the data content.

O

ID

2/2

Required

Code

Name

04

Authorized Quantity Exceeded

Use this code to indicate that the transaction exceeds the number of patient requests allowed by the Information Source identified in Loop 2100A. See section 1.3.3 Business Uses for more information regarding the number of patient requests allowed in a transaction.

41

Authorization/Access Restrictions

Use this code to indicate that the entity identified in ISA06 or GS02 is not authorized to submit 270 transactions to the Information Source Identified in Loop 2100A.

42

Unable to Respond at Current Time

Use this code to indicate that Information Source Identified in Loop 2100A is unable to process the transaction at the current time. This indicates that there is a problem within the Information Source’s system.

79

Invalid Participant Identification

Use this code to indicate that Information Source Identified in Loop 2100A is invalid. If the transaction is processed by a clearing house, VAN, etc., use this code to indicate that the Information Source Identified in Loop 2100A is not a valid identifier for Information Sources the clearing house, VAN, etc. have access to. If the transaction is sent directly to the Information Source, use this code to indicate that the Information Source Identified in Loop 2100A is not a valid identifier.

80

No Response received - Transaction Terminated

Use this code only if the transaction is processed by a clearing house, VAN, etc. Use this code to indicate that the transaction was sent to the Information Source Identified in Loop 2100A however no response was received in the expected time frame.

T4

Payer Name or Identifier Missing

Use this code to indicate that either the name or identifier for Information Source Identified in Loop 2100A is missing.

AAA04

889

Follow-up Action Code
Description: Code identifying follow-up actions allowed
Use this code to instruct the recipient of the 271 about what action needs to be taken, if any, based on the validity code and the reject reason code (if applicable).

O

ID

1/1

Required

Code

Name

C

Please Correct and Resubmit

N

Resubmission Not Allowed

P

Please Resubmit Original Transaction

R

Resubmission Allowed

S

Do Not Resubmit; Inquiry Initiated to a Third Party

W

Please Wait 30 Days and Resubmit

X

Please Wait 10 Days and Resubmit

Y

Do Not Resubmit; We Will Hold Your Request and Respond Again Shortly

1.

AAA01 designates whether the request is valid or invalid. Code "Y" indicates that the code is valid; code "N" indicates that the code is invalid.

1.

If AAA02 is used, AAA03 contains a code from an industry code list.

Notes:

1. Use this segment when a request could not be processed at a system or application level and to indicate what action the originator of the request transaction should take.
2. Use this segment to indicate problems in processing the transaction specifically related to the information source data contained in the original 270 transaction’s information source name loop (Loop 2100A) or to indicate that the information source itself is experiencing system problems.

Example:

AAA*Y**42*Y~