278 Submission/Responses - PM

Define the standards for the Health Care Services Review (278) Transaction Set.

• The registry setting Enable 278 Authorization Request/Response Transaction must be enabled.

1. Go to: Avatar PM > Billing > Electronic Submission > 278 Submission/Responses
2. In the Options field, select the action to perform.
3. In the Financial Class field, select the financial class.
4. In the Individual Guarantor field, select the specific guarantor.
5. In the Through Date field, enter the last date to include in the file.
6. In the File Description field, enter a description to identify the file.
7. In the Select File field, select the file.
8. Click Process.

► SQL Tables

• SYSTEM.billing_278_error
• SYSTEM.billing_278_file_request
• SYSTEM.billing_278_rpt_header