AAA

Information Receiver Request Validation

Pos: 085	Max: 9
Detail - Optional
Loop: 2100B	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

15

Required application data missing

Use this code only when the information receiver’s additional identification is missing.

41

Authorization/Access Restrictions

43

Invalid/Missing Provider Identification

44

Invalid/Missing Provider Name

45

Invalid/Missing Provider Specialty

46

Invalid/Missing Provider Phone Number

47

Invalid/Missing Provider State

48

Invalid/Missing Referring Provider Identification Number

50

Provider Ineligible for Inquiries

51

Provider Not on File

79

Invalid Participant Identification

Use this code only when the information receiver is not a provider or payer.

97

Invalid or Missing Provider Address

T4

Payer Name or Identifier Missing

Use this code only when the information receiver is a payer.

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

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 receiver data contained in the original 270 transaction’s information receiver name loop (Loop 2100B).

Example:

AAA*N**43*C~