Will replace: "If the prior authorization response is a refusal, it is not permitted to send an 'update' to the request in the hopes of receiving a different answer. Instead, a new request must be initiated." With: "If the prior authorization response is a denial, it is not permitted to send an 'update' to the request. Instead, a new request must be initiated." The 278 Response does not have the ability to convey an appeals process. Suggest reporter request adding the noted enhancement to the next version of the X12 278.