US · guidance
CMS Pub. 100-04, ch. 24, § 50.3.3.1
Outbound File Compliance Check
The ASC X12 999 implementation acknowledgment, the ASC X12 835 remittance
advice, ASC X12 276/277 claim status response and the ASC X12 277CA claim
acknowledgment outbound files shall be compliance checked for the following:
• Basic syntactical integrity and specific syntax requirements on all outbound files;
• Balanced field totals, financial balancing of claims or remittance advices, and
balancing of summary fields, if appropriate for all outbound file;
• Specific inter-segment situations described in the HIPAA Implementation Guides
for all outbound files; and
• Valid TR3 specific code set values and other code sets adopted as HIPAA
standards for all outbound files.
History
(Rev. 2803, Issued: 10-28-13, Effective: 09-17-13, Implementation: 09-17-13)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
044d46e1932a104e06bb1a4614739296616646055f2e7910920cbad27b960d22
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