We are trying to determine compliance with the TR3 (005010X214) for when a file of claims is sent where each claim is in its own ST/SE. We are having a 277CA sent back to us which has a ST/SE to match each ST/SE 837 we sent. The issue is what values should be sent in the Loop 2200B STC/QTY/AMT segments. We are seeing the combined total amounts and quantities for all claims sent in each ST/SE of the 277CA. The Loop 2200D STC contains only response(s) corresponding to the claim(s) send in the corresponding ST/SE in the 837.
Is this compliant with the TR3 or should the Loop 2200B STC/QTY/AMT only reflect the claim(s) in the matching ST/SE in the 837? In the course of this RFI review ASC X12 acknowledges that this part of Note 4 “the Billing Provider is the individual whose social security number is used for 1099 purposes.”, may be confusing. ASC X12 will give consideration to changing this note in future TR3’s.