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ORDER NO. 03-064

DEPARTMENT OF CONSUMER AND BUSINESS SERVICES

WORKERS’ COMPENSATION DIVISION

ELECTRONIC DATA INTERCHANGE

436-160-0060Testing Procedures and Requirements  

(1) Each transmission for test purposes will conform to the standards specified in OAR 436-160-0004, or as otherwise identified in the trading partner agreement. Test files will be evaluated in terms of whether the data was sent in the correct, standardized format.

(2) To gain approval to send production transmissions, the sender must be able to:

(a)

Transmit records via electronic data interchange; and

(b) Accomplish secure file transfer protocol uploads and downloads.

(3) To initiate a test for EDI, the sender shall contact the director.  

(4) The sender shall demonstrate the ability to send transmissions to the director that are readable, in the correct format, and can be processed through the division's information processing system. A successful EDI test is determined by the resolution of any consistently recurring fatal technical errors identified by the division such that:  

(a)

Transmissions are sent to the director without errors in the header or trailer record;

(b)

Transmissions are sent to the director without transaction level technical errors; and

(c)

The sender can receive and process the automated EDI acknowledgement transaction.

(5) To move from test to production, the sender must achieve 90% accuracy for transactions sent for a minimum of three consecutive transmissions during the test (i.e. 90% of the transactions must have been accepted by the division and the sender has received a transaction accepted acknowledgement). The director will consider the sender's anticipated volume of production transactions to determine the number of transactions per test transmission required.

(6) Once approved, sender shall maintain the accuracy as defined in sections (4) and (5) of this rule.  Failure to meet technical requirements may result in the revocation of EDI transmission approval.

(7)

The director will inform the sender and insurer (if different) if accuracy standards for technical requirements fall below standards prescribed in sections (4) and (5) of this rule during production.

(8) During the EDI test phase, insurer will continue to submit filings via paper. Once the sender becomes approved and moves into production, insurer will not submit same transaction filings via paper.  If a problem occurs with EDI transmission during production, insurer may return to paper filing to meet statutory filing requirements until the problem is corrected.

Stat. Authority:  ORS 656.726(4)

Stat. Implemented:  ORS 84.013 and ORS 656.264

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

436-160-0070Electronic signature

The sender’s federal employer identification number (FEIN) plus its postal code as reported in the header record and stated in the trading partner agreement is the unique identifier that is the electronic signature for electronic data interchange.

Stat. Authority:  ORS 656.726(4)

Stat. Implemented:  ORS 84.001-84.061 and ORS 656.264

436-160-0360Page 5436-160-0360

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