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Back  RFI # 1512: Insurance TR3s And Rejections

Formal vs. Informal Help Informal Formal

Submitter

Description

This request is submitted for ASC X12N Management.

There have been many questions about when it is allowable or required that a receiver reject a transaction that does not fully comply with the governing ASC X12 Insurance Subcommittee TR3.

Under what circumstances MAY the receiver REJECT a transaction that does not fully comply with the governing the TR3?

Are there circumstances under which the receiver MUST REJECT a transaction that does not fully comply with the governing TR3?

Under what circumstances MAY the receiver ACCEPT a transaction that does not fully comply with the governing TR3?

Are there circumstances under which the receiver MUST ACCEPT a transaction that does not fully comply with the governing TR3?

Submitter Assigned Keywords

Reject Accept compliance comply

Response

ASC X12 does not govern the receiver's actions when receiving a transaction that is not compliant with the specified implementation guide. Section 2.2.1.1 in TR3s published by the ASC X12 Insurance Subcommittee makes this clear with the statement "The receiver will handle non-compliant transactions based on its business process and any applicable regulations."
Submission 1/30/2012
Status Date 2/10/2012
Status F - Final
Primary References
Document 005010
SectionGeneral
PageNA
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