18.4.166 RSP^E22 - Authorization Request Status Query Response (event E22) (16.3.13)

This message is used to respond to a QPB^E22 - Query Authorization Request Status. It provides Authorization status information to a Provider.

A QBP^E22 - Query Authorization Request Status can be used to query against a Authorization Request or a specific Product/Service Line Item in a Authorization Request. The same response message, RSP^E22 - Authorization Request Query Response, is used for both types of query.

Processing Rules:

• Provider Invoice Number + Payer Invoice Number + Product/Service Line Item Number on input message must exist on Payer Application's database and must point to the same Product/Service Line Item; otherwise, an error must be generated (mismatched Authorization Request and/or Product/Service Line Item).

• Sending Organization and Sending Application on input message must be the same as the Sending Organization and Sending Application from the original Authorization Request (submitted via the EHC^E20 - Submit Authorization Request message) for the specified Authorization Request being queried.

• A unique query identifier (Query Tag on QPD) must be generated for each query.