- (1) The division will respond to submitted transmissions by providing either a Transaction Accepted (TA) or a Transaction Rejected (TR) acknowledgement.
(2) Transaction rejected acknowledgements will be generated for transactions with errors, including but not limited to:
- (a) An omitted Mandatory data element;
- (b) An improperly populated data element field, e.g., numeric data element field is populated with alpha or alphanumeric data, or is not a valid value;
- (c) Transactions or electronic records within the transaction that require matching and cannot be matched to the division's database;
- (d) Illogical data in a Mandatory or Mandatory/Conditional field, e.g., policy expiration date is before policy effective date;
- (e) Duplicate transmission or duplicate transaction within the transmission;
- (f) Invalid triplicate code; or
- (g) Illogical event sequence relationship between transactions, e.g., endorsement transaction submitted before a policy transaction is submitted.
- (3) The insurer must correct and resubmit any transactions rejected for which a law or rule requires reporting to the director.
- (4) Transactions that are not rejected under section (2) of this rule will result in a Transaction Accepted acknowledgement.
- (5) An insurer’s obligation to file proof of coverage for the purposes of this rule is not satisfied unless the director acknowledges acceptance of the transaction.
Statutory/Other Authority
ORS 656.264, 656.419, 656.423, 656.427 & 656.726(4)
Statutes/Other Implemented
ORS, 656.419, 656.423 & 656.427
History
Renumbered from 436-162-0320, WCD 12-2014, f. 11-13-14, cert. ef. 4-1-15
Renumbered from 436-160-0320, WCD 7-2010, f. 10-1-10, cert. ef. 1-1-11
WCD 4-2008, f. 9-17-08, cert. ef. 7-1-09
WCD 12-2003, f. 12-4-03, cert. ef. 1-1-04
WCD 3-2003, f. 3-18-03, cert. ef. 4-1-03