EHC_E10

EHC^E10 – Edit/Adjudication Results (event E10)

15 segments · 1 events

This message is used to send edit and/or adjudication results for a HealthCare Services Invoice. Edit/Adjudication results are sent to the same Network Application ID that originated the Invoice, which was specified as the Sending Application on MSH on the original HealthCare Services Invoice.

This message is returned to a Provider Application each time an EHC^E01 – Submit HealthCare Services Invoice message is successfully processed by a Payer Application. As a minimum, the EHC^E10 – Edit/Adjudication Results message will contain the Payer Applications' Invoice number (Payer Invoice Number on IVC), status codes for each Product/Service Line Item in the Invoice and optionally, a tracking number for the Payer Application (Payer Tracking Number on PSL).

Message Structure

15 segments
R RequiredO Optional Choice
MSH
R1
SFT
O*
UAC
O*
MSA
R1
ERR
O*
INVOICE_PROCESSING_RESULTS_INFO
R*
IPR
R1
NTE
O*
PYE
R1
IN1
R1
IN2
O1
IVC
R1
PRODUCT_SERVICE_SECTION
R*
PSS
R1
PRODUCT_SERVICE_GROUP
R*
PSG
R1
PRODUCT_SERVICE_LINE_INFO
R*
PSL
R1
ADJ
O*
Used by Events:E10Edit/Adjudication Results