OAR 407-120-0130
Trading Partner as EDI Submitter – EDI Transactions

(1)

A trading partner may be an EDI submitter. Registered trading partners that also qualify as an EDI submitter may submit their own EDI transactions directly to the Department. A trading partner will be referred to as an EDI submitter when functioning in that capacity and will be required to comply with applicable EDI submitter rules, except as provided in section (3) of this rule.

(2)

Authorization and Registration Designating Trading Partner as EDI Submitter. Before acting as an EDI submitter, a trading partner must designate in the application for application that they are an EDI submitter who is authorized to send and receive data transmissions in the performance of EDI transactions. A trading partner must complete the “Trading Partner Application for Authorization to Submit EDI Transactions” and the “EDI Submitter Information” required in the application. A trading partner must also submit the EDI registration form identifying them as an EDI submitter. A trading partner must notify the Department of any material changes in the information no less than ten days prior to the effective date of the change.

(3)

EDI Submitter Certification Conditions. Where a trading partner is acting as its own EDI submitter, the trading partner is not required to submit the EDI submitter certification conditions in the application for authorization applicable to agents.

Source: Rule 407-120-0130 — Trading Partner as EDI Submitter – EDI Transactions, https://secure.sos.state.or.us/oard/view.action?ruleNumber=407-120-0130.

407‑120‑0100
Definitions 407‑120‑0110
Purpose 407‑120‑0112
Scope and Sequence of Electronic Data Transmission Rules 407‑120‑0114
Provider Enrollment Agreement 407‑120‑0116
Web Portal Submitter 407‑120‑0118
Conduct of Direct Data Entry Using Web Portal 407‑120‑0120
Registration Process — EDI Transactions 407‑120‑0130
Trading Partner as EDI Submitter – EDI Transactions 407‑120‑0140
Trading Partner Agents as EDI Submitters — EDI Transactions 407‑120‑0150
Testing — EDI Transactions 407‑120‑0160
Conduct of Transactions — EDI Transactions 407‑120‑0165
Pharmacy Point of Sale Access 407‑120‑0170
Confidentiality and Security 407‑120‑0180
Record Retention and Audit 407‑120‑0190
Material Changes 407‑120‑0200
Department System Administration 407‑120‑0300
Definitions 407‑120‑0310
Provider Requirements 407‑120‑0320
Provider Enrollment 407‑120‑0325
Compliance with Federal and State Statutes 407‑120‑0330
Billing Procedures 407‑120‑0340
Claim and PHP Encounter Submission 407‑120‑0350
Payments and Overpayments 407‑120‑0360
Consequences of Non-Compliance and Provider Sanctions 407‑120‑0370
Requirements for Financial, Clinical, and Other Records 407‑120‑0380
Fraud and Abuse 407‑120‑0400
MMIS Replacement Communication Plan 407‑120‑1505
Provider and Contractor Audits, Appeals, and Post Payment Recoveries

Last Updated

Jun. 8, 2021

Rule 407-120-0130’s source at or.us

Stay Connected

Join thousands of people who receive monthly site updates.

Get Legal Help

The Oregon State Bar runs a service for finding an attorney in good standing. Initial consultations are usually free or discounted: Lawyer Referral Service

Committed to Public Service

We will always provide free access to the current law. In addition, we provide special support for non-profit, educational, and government users. Through social entrepreneurship, we’re lowering the cost of legal services and increasing citizen access.

Navigate

California:	Codes
Colorado:	C.R.S.
Nevada:	NRS
New York:	Laws
Oregon:	OAR, ORS
Texas:	Statutes
World:	Rome Statute, International Dictionary

Location: https://oregon.public.law/rules/oar_407-120-0130

Original Source: Rule 407-120-0130 — Trading Partner as EDI Submitter – EDI Transactions, https://secure.sos.state.or.us/oard/view.action?ruleNumber=407-120-0130 (last accessed Jun. 8, 2021).