- (a) Carriers and third-party administrators shall submit files that conform to the formats and standards in these rules, including the technical specifications in Ins 4009.
- (b) Carrier and third-party administrator files shall be evaluated upon receipt by the department or its designee to assess compliance with the data quality standards in the submission instructions.
(c) Carriers and third-party administrators shall:
- (1) Resubmit nonconforming files at the direction of the department or its designee;
- (2) Resubmit a corrected and conforming version of the original submission within 10 business days of the rejection notification from the department or its designee; and
- (3) Not submit partial replacement files or record specific corrections.
- (d) Carriers and third-party administrators shall submit tables and descriptions about all nonconforming and plan-specific codes appearing in the submission. Files with nonconforming and plan-specific codes without such explanatory information shall be rejected.
Source. #8279, eff 2-3-05; ss by #9500, eff 7-6-09; ss by #10877, eff 7-10-15; ss by #13136 eff 11-24-20