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ORDER NO. 03-064

DEPARTMENT OF CONSUMER AND BUSINESS SERVICES

WORKERS’ COMPENSATION DIVISION

ELECTRONIC DATA INTERCHANGE

EXHIBIT "A"
OREGON ADMINISTRATIVE RULES
CHAPTER 436, DIVISION 160

General Provisions

436-160-0001Authority for Rules

These rules are promulgated under the director's authority contained in ORS 656.726(4).

Stat. Authority: ORS 656.264 and ORS 656.726(4)

Stat. Implemented: ORS 656.017, ORS 656.407, ORS 656.419, ORS 656.423, and ORS 656.427  

Hist:  Adopted 3/17/03 as Admin. Order 03-052, eff 4/1/03

436-160-0002Purpose

The director’s purpose is to allow certain workers' compensation filing or reporting via electronic data interchange.

Stat. Authority: ORS 656.264 and ORS 656.726(4)

Stat. Implemented: ORS 656.017, ORS 656.407, ORS 656.419, ORS 656.423, and ORS 656.427

Hist:  Adopted 3/17/03 as Admin. Order 03-052, eff 4/1/03

436-160-0003Applicability of Rules

(1) These rules apply to workers’ compensation related transactions filed with the director via electronic data interchange on or after January 1, 2004.

(2) The director may, unless otherwise obligated by statute, waive any procedural rules in this rule division as justice so requires.

Stat. Authority: ORS 656.726(4)

Stat. Implemented: ORS 656.726(4)

Hist:  Adopted 3/17/03 as Admin. Order 03-052, eff 4/1/03

Amended 12/3/03 as Admin. Order 03-064, eff. 1/1/04

436-160-0004Adoption of Standards

The director adopts, by reference, IAIABC EDI Implementation Guide for Proof of Coverage, Release 2, dated May 1, 2002 including the definition of standards and procedures for submitting electronic proof of coverage to the division, unless otherwise provided in these rules.

Stat. Authority: ORS 656.264

Stat. Implemented: ORS 656.017, ORS 656.407, ORS 656.419, ORS 656.423, and ORS 656.427

Hist:  Adopted 3/17/03 as Admin. Order 03-052, eff 4/1/03

436-160-0005General Definitions

For the purpose of these rules, unless it conflicts with statute or rule:

(1) "Conditional data element" means an element that becomes mandatory under certain conditions.  Once mandatory, a conditional data element will cause a rejection of the transaction if the data element is omitted or submitted in a format not capable of being processed by the division’s information processing system.

(2)

"Director" means the Director of the Department of Consumer and Business Services or the director's designee for the matter.

436-160-0360Page 1436-160-0360

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