Get the free 997 Functional Acknowledgment - Empire Blue

11 west forty-second street New York, NY 10036 www.empireblue.com DATE: July 2003 AUDIENCE: Professional Electronic Claims Submitters SUBJECT: Electronic Media Claims (EMC) Receipt Report For 837

How to fill out 997 functional acknowledgment

How to fill out 997 functional acknowledgment:

1. Obtain the necessary information: To fill out the 997 functional acknowledgment, you will need the original document or transaction that you are acknowledging. This can be an electronic or paper-based document.
2. Understand the purpose: The 997 functional acknowledgment is used to confirm the receipt and acceptance of an electronic document or transaction. It ensures that the message has been successfully received and understood by the receiving party.
3. Fill out the header information: Start by providing the necessary header information for the 997 functional acknowledgment. This includes the sender's information, such as the name, address, and contact details.
4. Include the receiver's information: Next, fill in the receiver's information. This should include their name, address, and contact details. Make sure to accurately enter this information to ensure proper communication and acknowledgement.
5. Identify the transaction: Specify the details of the transaction being acknowledged. This can include the document number, date of the transaction, and any other relevant identifiers. This information helps to ensure that the acknowledgment is associated with the correct transaction.
6. Acknowledge the transaction status: Indicate the status of the transaction being acknowledged. This can be done using specific codes or descriptions outlined by the relevant industry standards. It is important to accurately represent the status of the transaction to provide a clear understanding to the sender.
7. Add any additional comments: If necessary, include any additional comments or information regarding the transaction or acknowledgment. This can be used to provide further clarification or explanation as needed.
8. Review and submit: Once you have completed filling out the 997 functional acknowledgment, carefully review all the information entered to ensure accuracy. Make any necessary revisions or corrections before submitting the acknowledgment to the sender.

Who needs 997 functional acknowledgment:

1. Organizations involved in electronic transactions: The 997 functional acknowledgment is typically required by organizations engaged in electronic transactions. This could include businesses, government agencies, or other entities that exchange electronic documents or data.
2. Suppliers and vendors: If you are a supplier or vendor who regularly sends or receives electronic documents, you may need to provide or request a 997 functional acknowledgment. This helps to ensure that both parties have a clear understanding of the transaction status.
3. Compliance with industry standards: In some industries, it is mandatory to use the 997 functional acknowledgment to comply with industry standards or regulations. This provides a standardized method for confirming the receipt and acceptance of electronic transactions.

Overall, the 997 functional acknowledgment is an important tool for confirming the status of electronic transactions and ensuring effective communication between parties involved in electronic document exchange.

For pdfFiller’s FAQs

What is 997 functional acknowledgment?

997 functional acknowledgment is a document used in EDI communication to confirm the receipt of an electronic transaction.

Who is required to file 997 functional acknowledgment?

Trading partners involved in EDI transactions are required to file 997 functional acknowledgment.

How to fill out 997 functional acknowledgment?

997 functional acknowledgment can be filled out manually or can be automatically generated by EDI software.

What is the purpose of 997 functional acknowledgment?

The purpose of 997 functional acknowledgment is to acknowledge the receipt of an electronic transaction and confirm its success or failure.

What information must be reported on 997 functional acknowledgment?

997 functional acknowledgment must include the control number, transaction set control number, and acknowledgment code.

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