AAA

Subscriber Request Validation

Pos: 030	Max: 9
Detail - Optional
Loop: 2000C	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

Y

Yes

AAA03

901

Reject Reason Code
Description: Code assigned by issuer to identify reason for rejection
Required if AAA01 = “N”.

O

ID

2/2

Situational

Code

Name

15

Required application data missing

Use for missing diagnosis codes and dates.

33

Input Errors

Use for invalid diagnosis codes and dates.

56

Inappropriate Date

Use when the type of date (Accident, Last Menstrual Period, Estimated Date of Birth, Onset of Current Symptoms or Illness) used on the request is inconsistent with the patient condition or services requested.

AAA04

889

Follow-up Action Code
Description: Code identifying follow-up actions allowed
Required if AAA01 = “N”.

O

ID

1/1

Situational

Code

Name

C

Please Correct and Resubmit

N

Resubmission Not Allowed

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 AAA segment to identify the reasons why a request could not be processed based on the contents of the HI Subscriber Diagnosis segment or the DTP date segments in Loop 2000C of the request.
2. Required only if the request is not valid at this level.

Example:

AAA*N**15*C~