271–5010 Health Care Eligibility Benefit Response – Loop 2000C Subscriber Level

 

        

Hierarchical ID Number
A unique number assigned by the sender to identify a particular data segment in a hierarchical structure.

HL01 shall contain a unique alphanumeric number for each occurrence  of the HL segment in the transaction set. For example, HL01 could be used to indicate the number of occurrences of the HL segment, in which case the value of HL01 would be “1" for the initial HL segment and would be incremented by one in each subsequent HL segment within the transaction. HL01 must begin with “1" and be incremented by one each time an HL is used in the transaction. Only numeric values are allowed in HL01.

 

Loop	Seg ID	Segment Name	Format	Length	Ref#	Req	Value
2000A	HL	Billing Hierarchical Level		2		R	HL
		Element Separator	AN	1			*
	HL01	Hierarchical ID Number	AN	1/12	628	R	1
		Element Separator	AN	1			*
	HL02	Hierarchical Parent ID Number	0	1/12	734	Not Used
		Element Separator	AN	1			*
	HL03	Hierarchical Level Code	ID	1/2	735	R	22  (Subscriber)
		Segment Terminator					~
	HL04	Hierarchical Child Code	ID	1/1	736	R	1
		Segment End					~

Sample :

HL*3*2*22*0


TRN Subscriber Trace Number
To uniquely identify a transaction to an application

Loop	Seg ID	Segment Name	Format	Length	Ref#	Req	Value
2000C	TRN	Subscriber Trace Number	ID	3		R	TRN
		Element Separator	AN	1			*
	TRN01	Trace Type Code	ID	1	481	R	See below for Set of values
		Element Separator	AN	1			*
	TRN02	Reference Identification	AN	1/50	127	R	<Trace Number: Assigned by information receiver or information receiver’s clearing house>
		Element Separator	AN	1			*
	TRN03	Originating Company Identifier	AN	10	509	R	<ID Number of the company that assigned the trace number>
		Element Separator					*
	TRN04	Reference Identification	AN	1/50	127		Trace Assigning Entity Additional Identifier. Required when it is necessary to further identify a specific component of the company identified in the previous data element (TRN03). If not required by this implementation guide, do not send.
		Segment Terminator					~

TRN01- Trace Type Code

Code	Definition
1	(for Current Transaction Trace Numbers) – refers to trace or reference number assigned by the creator of the 271 transaction (the information source)
2	(for Referenced Transaction Trace Numbers) – refers to trace or reference numbers originally sent in the 270 transaction and returned in the 271

1. TRN02 provides unique identification for the transaction.
2. TRN03 identifies an organization.
3. TRN04 identifies a further subdivision within the organization.

Sample :

TRN*1*98175-012547*8877281234*RADIOLOGY~
TRN*1*109834652831*WXYZCLEARH*REALTIME~
TRN*2*090919391*3030240928

 

        

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