HIPAA Transactions Convergence Project

Disclaimer

Ingenix' Convergence Project reflects only the good faith interpretation of requirements for HIPAA transactions made by the publisher of each list. These interpretations are not reviewed or approved by Ingenix or any governmental or private entity. Publisher's or other person's interpretations may differ. Ingenix disclaims all warranties and accepts no liability for user's reliance or use of Ingenix' Convergence system.

Transaction Summary -- Information Reporting Reversal - 5.1/1.1

3 Requirement Lists

Alphabetical Order       IG Order

Element   Required   Not Used
AuthorizationNumber2 (67%)
BINNumber1 (33%)
CardholderID1 (33%)
DateOfService1 (33%)
DateOfService2 (67%)
HeaderResponseStatus2 (67%)
Prescription_ServiceReferenceNumber1 (33%)
Prescription_ServiceReferenceNumber1 (33%)
Prescription_ServiceReferenceNumberQualifier1 (33%)
Prescription_ServiceReferenceNumberQualifier1 (33%)
ProcessorControlNumber1 (33%)
Product_ServiceID1 (33%)
Product_ServiceIDQualifier1 (33%)
RejectCode1 (33%)
RejectCount1 (33%)
RejectedFieldOccurrenceIndicator1 (33%)
SegmentIdentification1 (33%)
SegmentIdentification1 (33%)
SegmentIdentification2 (67%)
SegmentIdentification1 (33%)
ServiceProviderID1 (33%)
ServiceProviderID2 (67%)
ServiceProviderIDQualifier1 (33%)
ServiceProviderIDQualifier2 (67%)
SoftwareVendor_CertificationID1 (33%)
TransactionCode1 (33%)
TransactionCode2 (67%)
TransactionCount1 (33%)
TransactionCount2 (67%)
TransactionResponseStatus2 (67%)
Version_ReleaseNumber1 (33%)
Version_ReleaseNumber2 (67%)


  

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  wjcp3clcweb04 -- 20 April 2014 -- 05:51:57 PM MDT